HomeMy WebLinkAbout13-14409 ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 14409
BUILDING PERMIT
Permit Number: 14409 Address: 39911 COG HILL LP
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-0060
Improv. Cost: 2,915.00
Date Issued: 7/30/2013 Name: NHC FL115 LLC
Total Fees: 50.00 Address: 39911 COG HILL LP
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/30/2013 Phone:
Work Desc: RE-ROOF WITH SHINGLES
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TAPE JOINTS OOF INSP
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 rec�rding your notice of commencement."
Complete Plans,Specifications Must Acxompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
__._�� '
RAC R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � aisasaoo2o City of Zephyrhilis Permit Application Fax-813780-0021
, . Building Department
Date Received �- �
Phone Contact for Permittin
TITr --
Owners Name �, (,(��.1 p�gJ�f Owner Phone Number (�"���-aoq�
Owner's Address � 1 1�� �� � �� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple TiGeholder Address -
JOB ADDRESS i�( T# I !
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTIC
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SiGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP110N OF WORK E `QO� � 1(���G (rE, Q � �
BUILDING SIZE SQ FOOTAGE ��LI HEIGHT �
� � � e � � � � � � � � � � i � � � � � � � � � � � � � � � r�
QBUILDING � �Q � VALUATION OF TOTAL CONSTRUCTION
_+
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E. /�q
� (� `
QPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR LEVATIONS FLOOD ZONE AREA QYES NO --
BUILDE �.—_— COMPANY l �h ��j–�� 1�C
SIGNATURE REGISTERED Y FEE CURRE� Y/N
Address � � 1 1 Y t c5 �� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L�cense#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address
License#
MECHANICAL COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N
Address �
License#
OTHER COMPANY �
SIGNATl1RE REGISTERED Y/ N FEE CURREA Y/N
Address License# �—
1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 I I 1 1 I 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submirial date. Reqwred onsite,Construction Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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)working days after submittal date. Required onsite,ConsVuqion Plans,Stormwater Plans w!Silt Fence installetl,
Sanilary Facilities 8 1 dumpster Site Work Pertnit for all new projecis.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consirudion.
Directions:
Fill out application completely
Owner&Contrector s�gn back of application,notanzed
If over Sz500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Ariomey(for lhe owner)would be someone with notarized letter from owner authonzing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIOVSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF UEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable 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 work,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
Counry
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
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 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 occupancy"or final power release. If the project dces not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer 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 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 Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify ihat 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'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 construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certiTy 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-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- 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 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 ptan 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 faith to inform the owner of the permitting conditions set forth in
this a�davit 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 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 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 OWNE : YOUR FAILU E TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR 1 OVEMENT TO YOUR PROPERTY. IF YOU IN TO OBTA ANCING,CONSULT
WITM YOUR L D R OR TT EY BEFORE RECORDING YOU TI OF CO CEMENT.
FLORIDA JURAT( .S. 17.03)
OWNER O T �- CONTRACTO � -
Subsonbed and swom to(or affirmed)bef ine this Subscribe and swo to(o a rmed)b o me ihis
� �O 1 bY Z by
o is/a e per n to e or has/have protluced Who is/a personally kno n t me or haslhave produced
as itlenlification. as idenlification.
N ary ubl .,�,,,,
ommis n NA,�uum ,���un�.
ommissio �� E 33 /r �%OiSSIWWO� •` �dio,{�•,,
,� �°' orida SLOZ' �0 saiidx3•wwo��tyy=�
m � ame of Notary t e , r e .
' �, �R� Expiies Oct 25,2015 '.y •
���','F o?A' Commission n EE 131770 N3�ltl 3NNd2f1S �s,,y���n,�N�.•r
•�°�����•
I III(II INII lllll lllll Iilll IIIII I IIII IIIII IIIII IIIII IIII IIII
..:
zeiai3i�se
NOTIC:E Ufi•CU119MENCEMENT -� -
Rept:1538727 Ree: 10.00
Pemui No DS: 0.00 IT: 0.00
Tax Folio No______ � 07/30/13 E. Mun9uia, Dpty Clerk
�I - 24-26-21-0030-00000-0060 - - -. _ ___
7'HE IJNDERSIGNED hercb�gives notice thai improvements will be made to cenain real Qronem_a.,d in accnTdan�...�(�h Ser.tiqp
713 I 3 of ihe Florida Statutes,the followinE infonnation is provided in this NOTICE Leqal DeSC�IDtIOn (First 4 Lines)
I.Descn tion of ro e See Plat for this Subdivision
P p p rty(leguf drscripliun): �' MA]ESTIC OAKS COMMUNIIY-
a)Slreet(job)Address: �9 Ci l I Co4 N�►1_ L.a���
2 General description of improvements:_ 1 �^_ PHASE ONE
�- R�� �µ"`� G�-�� — PS 35 PGS 107-112
3•Owner Infonnation • —
a)Name and addnss: T�°`�T B
b)Name and address of fee simple titleholdcr(if�ther th Mailing Address
c)Interest in properry NHC-FL115 LLC
4 Contractor lnformation p 6991 E CAMELBACK RD STF B-310
a)Name and address:f�t
b)7elephone No.. _� � 1ue�__ � SCOITSDALE AZ 85251-2493
5.Surcty Information G��{r 1'►��c� �1 �E3 c'+� "$t o9 ZO y r � —
8)Name and address:�.. �.� ,� 1�.,�',� �,�.. �.1.�c 30 � �c.�r-. F1
b)Amonnt of Bond:��Ooo.c�e���� ,
c)Telephone No.: "��2�cL-1 �'1p Fax No.(Opt.)
6.Lender '�
. a)Na�ne and address:
7 ldenti of Phone No.
ty person within�iho State of Florida desigiated by owner upon whom notices or other documents may be servcd;
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.1n addition to himsclf,owner desi�ates t6e following per�on to rcceivc a copy of the Lienor's Noricc as provid«1 in Section
7l3 13(Ixb),Florida 5taenes:
, a)Name and sddress;
' b)Telephone No.: __Far.No.(Opt.)
9.Facpiration date ofNotice of Comruencrnnn�(t6e ex�ia�tioa�ate ia aae year irom t6e date oi recording unless r ditferent date
is specified);
VVARNING TO OWIYER: AIYY pA1'NiENTS MADE BY THE OWNER AFI'ER THE EXPIRATION OF THE NOTICE OF
CONIlVIEIV10E11�Ni'pI�CONSIDERED IMPROPER PAYIVIEN'I'S UNDF.R CIippTER 713,PART I,SECTION 713.13,
���DA STA7Vf'ES,AND CAN RESULT IN YOUR PAYDVG TWICE FOR IIISPROVEIVIENTS TO YOUR PROPER7Y,
A NOTiCE OF COMMENCEMENT MUST BE RECpRDED A]Vp pp�p ON T'HE JOB SITE BEFORE THE FIR,ST'
1NSpECTIUAI. IF YOU INI'END TO OBTAIIV FIIVANCING,CONSUI,T YOUR LENDER OR AN ATTORNEY gEFpRE
COMINEIVCdNG WO�OR RECORDING YOUR NOTICE OF COl►�V7ENCEMENT. �D
I, 1 �°owD
sr�'n oF swrtipe � �
COUJVTY OF � WC1xGbu!/—sti� W�v'
y �wo
! sigmture ofOwner or pwnrr's A�Monud Offcer/Directur/pa�tner/Managcr �
'' �EQ RlIPI� - L YI/A 1 L���� �(�p�
Pnot Name �N�
Thc foregoing a�strument was aclmowledged befars me this'�"%day of 20 w �
, -?.�.bY (D3 m
/ `� (type ot authority,c.g.olticer,truatee, ; e�i~�
atioroey ie lact)for :,�
(name of party on-beba of wbom instrument s eYecuted),,�F,,�,
Personally K�nov��n�OR Produced Identscation_ Notary Signatur N =
/ � �
Type of Identification Prnduced Name(princ) �C.�O �/ / � °
r
r
Verification pwsnant to Section 92.525,Florida Statutes.Under ' � A
•' th a s 'a d ' ' Penalties of perjury,l declare that]have read the forego�ng and that
� owledge and befief.
"'OFFICIAL S�AL"
roa sn+ac�.•,cz�U ELLEl�f AAfl►L,ET ��� �'� ,�jr� �
NOTAMtY PUBLJC,�7ATE JF II.LIN019 Sig�aturc of Natunl person Signing(iu linr tY 10J Above
MY CqMNIS810N HXPlRH3 0�•8S•xC�i �
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q�'; � C� STAT� ciG F�_.QRIDA, COUNTY Q� PASCO
G THIS i���;��'.:�'�'�TI�YTi—lATTNE FOR�GQING ISR
�'�:'�:: • �1
(� : ..�;�' TRUE ANG t:'��kREGT COF'Y OF THE qUCUMENT
^ :a '"�°��eT-��. , # ON FILE G'r�F PUBLIC�FCURD I�I THIS OrFICE
�� ¢ ', « ' a�. • WITNESS M1` HAND AND 0�'FICIAL SE�L THIS
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