HomeMy WebLinkAbout12-13515 ' ' CITY OF ZEPHYRHILLS
5335-8TH STREET
- (si3)�so-oo20 13515
BUILDING PERMIT
Permit Number: 13515 Address: 38051 LEONDIAS DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0570
Improv. Cost: 6,700.00
Date Issued: 10/09/2012 Name: COOLBAUGH, BARBARA J.
Total Fees: 70.00 Address: 38051 LEONDIAS DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/09/2012 Phone:
Work Desc: RE-ROOF WITH SHINGLES
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TAPE JOINTS ROOF IN P
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property, If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
°"-'n`�""`u c:iry ot[ephyrhills Permit Application Fax-813-780-0021
' Building Department
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Date Received � - �/
Phone Contact for Permittin
Owner's Name � .���� JC�� Owner Phone Number
O�nrner's Addresa ���5 � ,L�,�Y)�,;�� %�1' p�er Phone IMumber �� 3- � ,. �
Fee Simple Titleholder Name —�
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��O S � �� � N D) �I S l.�j� ��
LOT#
SUBDNISION PARCEL IDN
(OBTAINED FROM PROPERTY TAX NOTICE)
1MORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN [�] Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR �] COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL [�
DESCRIPTION OF WORK S r� h •��„ l�e - ��
BUILDING SIZE I.���J Sq FOOTAGE �.�� HEIGHT �J �
ILDING
a ��� �� °= VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGF�SS ENERGY Q W.R.E.C.
QPLUMBING $ � �/�
�� �/
QMECHANICAL a VALUATION OF MECHANICAL INSTAL TIO�
QGAS Q ROOFING Q SPECIALTY C� OTHER '�/�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO
BUILDER �. COMPANY �������I� I'�`J�'� ��(��S
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ���� ���� N Q C,j l� � License#
� C. C� I 3��'��9
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuction,
Minimum ten(10)worlcing days aRer submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster;Site Work Permft for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)w�o►king days after submittal date. Required onsite,Conshuction Plans,Sto►mwater Plans w/Silt Fence installed,
Sanitary Faciflties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY requlred tor all NEW construcUon.
Directlons:
Fill out application comptetely.
Ovmer&Contractor sign back of application,notarized
If over SZ500,a Notice of Commencement is required. (AIC upgrades over E7500)
"' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs F�OW
NOTICE OF DEED RESTRICTION Coune regu a9ons. The undersigned ais umes resp nsibllbty f'or c mpl ance with any
which may be more restnctive th Y
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or
contractors to unde�take work, they may be required to be licensed in accordance with state and local regulations. if the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under stale law. if the owneed toncontact the Pasc�o C unty Building Inspectioni Divisfon—Lic ns ngtSection at727-847e
intended work, they are adv�s
8009. Furthermore, if the owner has hired a contractor or conUactors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be ident�ed at the time of
permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final power �elease. If the project does no�Pagco County Water/Sewer (mpact
final power release, the fees must be paid prio� to permit issuance. Furthermore,
fees are due, they must be paid prior to permit issuance in accordance with appllcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes� as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment of Ag�iculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:
Use of�II is not allowed in Flood Zone"V"unless expressty permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owne� may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll, an engineered drainage plan is required.
If I am the AGEN7 FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU�2
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINT, CONSUL7
WI7H YOUR LENDER R AN ATTOR EY B F E E ORD N Y U O I � ;
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR�� is
Subscrfb and s a��
Subscribed and sworn to(or atflrmed)before me thls f � by
by Who fs/are perso all to me or has/ha pro uced �
Who is/are personally known to me or haslhave produced as tdenUficativn.
as Identlficatlon.
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� , otary Public
Notary Public ,
Commission No. Commission No.
,�s�:►�F: BOBBIE S.SWETLAND
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NOTICE OF CW�A�tENCEMENT
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THE UNDERSIGNED hereby p7ws notice qaR ye�pr�y��pe���������������
the foloning Informefion k provided in tMa Notics d Com� pbr 713,Fbri�Stahrtes,
� oescri�on ot Propsrty: Parc�i I�tcason tro.14��L-._?/-O/�od-O D�G�Q_6 '�d
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(IF diMereM from Owner Neted ebove)
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'�'° Rcpt:1466626 Rec: 10.00
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e. �.� 10/09/12 D. Bonilla, Dpty Clerk
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7. Perswfs wAhYt tl�e Stats o(Fbride dasipnated bY 1M oHner upon wlwm rroffass or otFnr dow�
3edion 713.13(1)(a)(7),Florida gtaqRes: meY be served as provided by
N'm° PqULq 5 0'NEIL Ph D Pqg�p CLERK & COhlp7'ROLL�
10/09/12 03:13 m 1 of 1
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8. In adtfrtfon to hirr�ef,the mtinet dasignatec `.,�
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T ta raaive s�py of the Lismrs Nabcs u providsd ii Sedlon 713.13(t)ID),FlrnWa StsGrtas.
ekphona Number of Parson or Erd�Y Da�iYn�ted bY Unnsr:
9. �P�t d�e of Nolics M Commp�wrtrn[(tl�s e�p�n dNs may r�be bafore tla
contrador.but wi ba orn �^�°dD^°f�hudbn and final W�to tha
Year fram fho dab af racotdinp ra�less a dife►art da�s k sp�p'li�;
WARNiNO TO CJIM�IER: ANY PAYAAENTS MADE By THE OWHER AFTER THE EXPIRATpN pp THE NOTICE OF CqrpUENCFJNENT
ARE CONSI�ERED IMPROPER PAYMEN7g UNDER CHAPTER 718. PART 1. SEC71pN 713.18. FLORIpA STATUTES. AND CAN
RESCORDED AND POST�Ep pN�7}{�jpg gRE gE��1'�E Fl ST INSPE RC710M R�F YpU INTENOETO��p�qNG,WNSUL�T
1MTH YOUR LEN�ER OR AN ATTORNEY BEFORE CAIMM1ENqNO V1qR1C pR RECORp�Na yp�R NOTICE OF COMMENCEMENT,
Under psnaky oi PerjwY.l d�daro that i have taad the torepoMp notiu ot oormisncsrt�M and ihat the fads stafad tlwnin are Gue to the bsst
of my knoxlsdye and belist.
STATE OF FLOR�pA ����/
CAUNTY OF PASCp
�nalure oi Ouner a Lescae.w Owisrs m Lecree's A�ortted
OlflcedDiredor/Partrro�lAAsne�r
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Sipnatorys Tids/ollic� �
Tha forepdnp instrumant was adcno�ledped bsfors ms thic�day ot V�-� .20�yY–J� ��l0��a.L'y
—' as '�f�i✓I+t I'
RYPs of aulhor�Y,e�.,oltfcer.huctae.atWmey in fac�for
(name d pMy an b�d+at d W�om iMdunsnt wc
Percone�y F(rqw�0�q�d� , ��•
Nataro�O�tur+ c _ �� .
7yPe ot Ident�tion P+eduud _ �� r ��L Name(Print) �1�@C'I 2 �O.C�I..��
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�_ EVERTE FOSTER FARNELL
'�' i= MY COMMISSION#DD930313
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•,,o„t�,••' EXPIRES October 04,2013
�°���^�°�°^�^�°^'r��p�t8 (407)398-015a Flontlallotary3ervice,cpm