HomeMy WebLinkAbout13-14354 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(sis)�so-oo20 14354
BUILDING PERMIT
Permit Number: 14354 Address: 6706 NORTHLAKE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0150-00000-0180
Improv. Cost: 10,840.00
Date Issued: 7/15/2013 Name: ZELLER, JOHN R & KATIE B
Total Fees: 90.00 Address: 6706 NORTH LAKE DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/15/2013 Phone:
Work Desc: RE-ROOF WITH SHINGLES
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TAPE JOINTS ROOF INSP
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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 cailed e) permit not posted on job site fl 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complet ,Specifications Must Accompany Application.All work shall be perFormed in accordance with
Ci and Ordinances. NO OCCUPANCY BEFO C.O.
NT ATURE PERMIT OFFI R
P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-7g0-pp21
Building Department
Date Recelvetl •��� `
Plwne Confaet for Pormlttln /3
Owner's Name Owner Phona Number 8�J �/�f �•—L�,�
Owne�'s Address � 1 V �^� /'y��`Owner phone Number �
Fao Simp�o Tltloholdor Namo Owner Phorq Numbor
Fea Slmple Tltleholder Addross
JOB ApDRESS 7� ' �V ,^ �; L, r'" �T� �
SUBDIVISION PARCEL IDA�
(OBTAINED FROM PFIOPERTY TAX NOTiC�
WORK PROPOSED e NEW CONSTR 8 ApD/ALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROPO8ED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �'—'— —�
DESCRIPTiON OF WORK L' (��Z'F � �n C r L�
BUILDINQ SIZE SQ FOOTAOE HEIOHT ��
�BUIIDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.F2.E.C.
QPLUMBING y
� f
QMECHANICAL $ .,^� VALUATION OF MECHANICAL INSTALLATION j���
(/ /
QGAS ROOFING Q SPECIALTY
� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER � COMPANV —�
SIONATURE REGISTERED Y/ N FEE CURRE� Y J N
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License#
ELECTRICIAN � COMPANY � —�
SIQNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER � COMPANV
SIQNATURE REGISTERED Y/ N FEE CURRE� Y J N
�3S License# �
MECNANICAL � COMPANY
SIONATURE REGISTERED Y/ N FEE CURREA Y/N
Addross
License#
OTHER COMPANY ��L CrD/!flrG 7�1 1
SIQNATURE REGISTERED Y/ N FEE CURREI. /P)
�,°`°ss � �,��# .33 0o S
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permil for new construction,
Minimum ten(10)working days after submktal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilifies&1 dumpster,Site Work permit for suDdivisansllarge projeds
COMMERCIAL. Attach(3)camplete sets of Building Plans plus a Life Sa6ery pege�(�)set of Energy Fortns.R-O-W Permit for new ccnstrudion.
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plens,Stormwater p�ans w/Sflt Fence installed,
Sanitary Fadlities&1 dumpster.Site Work Pertnk for all new projects_q���pmmercial requirements must meet compllance
SION PERMI7 Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construUion.
Diroctlons:
Fill out application completely
Owner&Contractor sign badc of applicatan,notarized
If over 52900.a Notico W CommancomeM Is requlred. (A/C upgrados over 57500)
° Agent(tw the coMractor)or pqyer of Attomey((or qie o�mer)would be someone with nofarized letter from owner authwizing same
OVER TTIE COUNTER PERMITTINQ (Front of App�ication Only)
Reroofs if shingles Sewere Service Upgrades A/C Fences(PlotlSurveylFootape)
�rlvaways-Not over Counter if on puWic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restric�tions°
which may be more restrictive than County regulations. The undersigned assumes responsibiliry for compliance with any
applicabie deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake 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 state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended woric,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the co�struction of new buildi�gs,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 identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certificate of oax�pancy°or final power release. If the project does not involve a certificate of occupancy or
final power retease,the fees must be paid prior to peRnit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTiON LIEN LAW(Chapter 713,Florida Stahibes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the °Fl�ida Construction Lien Law—Homeowner's
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the°owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner pnor to commencement.
CONTRACTOR'S/OWNER'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 construcGon,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of alt 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 govemment agencies may appty to the intended work,and that it is
my responsibility to identiTy what actions 1 must take to be in compliance. Such agenaes inGude 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,Dodcs,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wetls, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Rurnvays.
I understand that the following restridions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V°unless expressly 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 owner 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 fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good falth to inform the owner of the permitting conditions set forth 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 specifical�y induded in the application. A
permit issued shall be construed to be a ticense to proceed with the work and not as authority to viofate,cancel,alter,or
set aside any pfovisions of the technical codes,nor shall issuance of a permit prevent the Building Offiaal from thereafter
requiring a correction of errors in plans,consUuction 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 woiic authorized by
the permit 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 Offlcial 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 COM ENCEMENT MAY RESULT IN YOUR
PAYIN(3 TWICE FOR IMPROVEMENTS TO Y�UR PROPERTY. IF YOU IN T IN FINANCINO,CONSULT
Y U
0 FLORIDA JURAT(F.S.117,03)
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OWNER OR AOENT K /!► CONTRACTOR
� S �ibed and swo a )betore e this
s / -� by �S 'bed and b�o a rmed) � l/
B is/ere personally known to ma or has/have produced 7 ye
N ,o"i�•'S � La`�� as identification. �,���,^� e or as/heve produced
m (4� (p z W as identiflcation.
��. 3 'D'� D D ✓
y� � � Z � Notary Public Notary Public
Q m � � � Commission No. D 3 n
o �1 C n Commission No.
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� o � � v Namo ot Notary typed,Pnntad or sta pad Name of Notary tyPed�Printed w stam o ..�V��
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r� v Z �'��`� Notary Public.State of Flarida
Commission 1�EE 974599
My comm.expires Feb:13.2017
Date. July 13, 2013
Invoice # [186]
Expiration Date 7/1/2013
R.A. Gonzalez Construction
To• C��c� �,e�e :c erler ct�t
2108 Strawberry Dr John Zeller
Plant City, FI 33563 6706 North Lake Dr.
813-468-1153 Zephyrhills, FI 33542
813-997-4513
SALESPERSON JOB PAYMENT TERMS DUE DATE
Shingles
QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL
Pull all necessary permits
Tear off one layer of roofing system
Synthetic under�ayment Rhino interwrap
Install 6'26 G.A. Drip edge
Install Tamko Heritage Architectural Shingles
Haul away old debris Run magnet for nails
$10,840
Any alterations or deviation from above specifications
involving extra cost wiil be executed only upon written orders,
and will become an additionai charge if needed.
Additional charges if needed
'/z"Plywood @$45 Per SH
3/a"Piywood @$60 Per SH
Minor Framing members at @$3.75 per LF
Fascia and Trim @$5.75 Per LF
Additional layers of shingles are 40 per Square
Replace door frame for side door off garage prime and paint
$425
Retile shower floor
$525
Subtotal
Sales Tax
Tota1 $11,790
Reynaldo A Gonzalez � �
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Quotation prepared by� ,�% �C_ �.2 � �
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To accept this quotation,sig�here and return: � f .�,�
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'fax Folio No
TI�Uh'DERSIGNED here6y giva notice tliat improvements uriU be made to oatain reat propecty,ar►d ia accore�aM:t with Section
:I3.f 3 of thc Flarida 5tstutes,the following information is provided in this�iOTICE OF COM.IiENCEl11£NC.
I l.Dacri Uon ot 1 a!de� ,S�h�t�h 4ts+l✓`r paks ��sCO�C ,� I� S �of'/
P� �P�7(�6' �o�J�
� ,a)Street(job}Adde+egs: 7 ;
2.Geneni descrlption of unp�rovcments: t�
3.Owner[ntonnation � + / / /' / /
a)Nameandaddress:�Ohn �G��C� ,p7D�n nJD�'Fh Galce �/ ZP�lry�//'hil/S �l � �
b)Namc and address�otfeo simpla ritleholda(if otha than owner)
c)Interest in propetty
.Contncwr lntormation Q r� (. � � � � � �� f ���ly f� 3.�563
a)Namc m+d addras� /�e4na o Ton2n�Z a)p Sffaw r�ry r h
, b)Telephone Ko.: _ ��� y�._/I S 3 Fax No.(Op�.) i
SBurety Inform�tfon
a)Kame xnd addrcss:
b)A�aount of Hond:
c)Telephane No.: Fax No.(Opt)
6.I.mder
a)Name and address:
Phone No.
7.Identity of penon witbin the State o!Florida des[gaated by owAer npon W hom nutiees or other documents msy bc urred:
a)Name and addraa:
b)Tetephone I�o: Fax No.(Oot)
B.in addition to hirnselt,owacr desienata tfie foUowtae person to receive s eopy of thc Lienor's Noticc as provided in Seetloa
��3.13(1)NA p�ortav stawces:
a)lVarne and addreu: '
b}Telephooe No.: Fax No.(Opt.)
9.£zptration d�ce oiNotice of Commencement(the expiration date is one year from the dete of recording unlas a diftaent d�te
is specified):
�4 AEtN1NG TO OWNBR: A:Y'Y PAY1dEiVTS MADE BY THE OVNlYER AFTER THE EXPiRAT10N OF THE NOTICE OF
COMMENCEMENT AR8 CONS[DERED IMPROPEt�PAYMElYTS iJ'.�IDER CqAPTER 713.PART 1,SECTIOW 713.13,
FLOR[D4 STA'fUTES�AND CAPt RESULT I�i Y�UR YAYIMC TWiCE FOR IMPROYEMENfS TO YUUA PROPERTY.
A NOTICE OF COMl�fEiVCEMENT MUST BE RECORDED AND P03TED ON THB JOB SITL BERORE THE PIRSC
INSPECTIOT. IF YOU INI'8AiD TO OBTAIh GINAiYC3NG,COlYSULT YOUR LEND6R OR AV ATTORNEY BEFORE
COMMENCING R'ORK OR RECORDING YOUR N01'ICE OF COIVIMENCEMEIY'I'.
STATL OF FLORIDA
COlf.Y7Y OPHtLtSlORODGH IO
Siana4ce of Oww w Oume�' ff arlDiec IMansga
P:int Name
The fongoing inmianent wes admowledged before me this,��' dar of �uEt/ .20�,by
2�.�!�°`� as OCc�r?G� (qpe ot aut6orit7,a&ofFieer.trustee,
attoroey io i�et)[or (ns�me of party o hatf of�vhom instrumeat waa exante�
Personaliy Known_OR Produced Identihcation Notary Signatare
Type of identificadon Prodiuxd ��ItK(�S �,f[�n,CL Irerne(Print) i � Gi
,�'Y`fF.�� �.�!F
Verificadoa�purauant so 5adon 92.525,Florida Statutes.Unc�ar�lue�of perjury.!decfare that I ve read the foregoing and that
the facu sa�d in it are aue co t!�6ett of m�irnowlodge and belief. I
fOR1�NpC indi�7
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Signat�ro Nawrd P SiBnio6(in liac�Sa.)llbavs
NOTARy pUBUC
S'PATEOFFlORIDA � � PQULii S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEi ,
. Comm#EE0387pg --- 07OR BK $9�aG P�°f1647 J
Ex�ires 10/31/20'!4 • - - —
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+ STATE�� FL�RIQA, COUNTY C�f �'",�CO
;HIS IS TC C FRTIFY Ti-iAT l HE I=�F�c.GCING IS P.
'� TRUE A�JD(:''!RRECT C0�'Y 0�TMC DUCUMENT
� '"�`�'i,,E,r �� ON FILE UR J�PUBLIC RF�;.O�U �N TNIS OFFICE
� ."_`n � WITNES MY HANG�+NQ�FFIt;IA�SF_,AL THiS
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� , !88 '`=� --��-��pAY OF_�—� D f
. * PAULA S NEIL, CLERK �OMPTROLLER
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