HomeMy WebLinkAbout13-14414 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
' (ai3)�so-oozo 1441�
BUILDING PERMIT
Permit Number: 14414 Address: 5052 5TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-18600-0190
Improv. Cost: 5,240.00
Date Issued: 8/05/2013 Name: WARD, GARY
Total Fees: 65.00 Address: 5052 5TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/05/2013 Phone: (813)783-1888
Work Desc: REROOF SHINGLE
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TAPE JOINTS R F INSP
FINAL r-�' "
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necess�ry 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 ner: Your failure to record a notice of commencement may result in your paying twice for
improvem ts o your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comple lan , Specifications Must Acxompany Application. All work shall be pertormed in accordance with
Ci es and Ordinances. NO OCCUPANCY BEFO C.O.
TOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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2013132774 ��
Pertnit No. ParcN ID No���6_Z/"cn/V�8600�oilo
(� � NOTICE OF COMMENC���°"�����
State of \ �DY�.%�� County of 1 N"�JLiV
THE UNDERSIGNED hereby glvea notke lhat improvement will be made to eehain real property,ana In accoraa�ce v+ith Chapter 7i3,Ftorida Statutes,
the foUowing inlormatbn is provitled in tliia Notice of Commencemenl:
1 Descriptian of Property: Parcel IdentlficatWn No.
Sheet Address: SUSZ � ���� �u]1v.(��.L�,� • ��Z
2. General Oescnption of Improvement_ Y r� �
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3. Owner Intormation or Lessee information i/the Lessee conlracted for the Improvement:
,W1.��.7�
— — ,�,,, ��,�,1� �1 c�� 3?�2
Address Ciry tate
intereat in PropeAy:
Name ol Fee Simple Titkholder
(It different from Owner listed above)
Addresa N Cily Stale
4 Contracta
Name 38L4(S�C 3rd.�P� p S . 3�Z�
Address �'����w��� Ci�y Stale
Contractors Telephone No.
5. Surery:
Na�ne
Address Ciy State
Amaunt of Bond: S Telephone No.
6. lender
Name
Address City State �
Lender's Telepho�e No.
7 Persons wi0hin Ihe State of Florida desig�ated by the owner upon wt�om notices or other tlocumenls may be served as provided by AG.�`� •• * 6
Section 713.13(1)(a)(7),Florida Statutes: ��" �
Name �• � '��1 0}
�•• Q, ^ r4�
� m �
Address City Slale
TNephone Number ot Dasignated Penon: a� � • �
� • � � �'
8. In addilion to himself,Ihe owner designates o(_ I� � �
to receive a copy of Ihe Lienors Notice as provided in Section 713.13(1)(b),Florida Statules. �►
Telephane Number of Person or Entily Deaignated by Owner• ��s � � * �
9, E�irahon Uate of Nodce of Commencement(the expiralion date may nol be belore Ihe completion oi construction and final payment to Ihe �
contraUor,hul will be one year from the date ol reeording unless a different date is npedfied): � t— U �
WARNING 70 OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � Va � ,^ ^ W J
RESULT�NN'�YOURDPAYINGPTWICE FOR IMPROVEMENT�TORYOIJR PROPERN.TIA NOTICE OF�COMMENCEME T MUST BE O � '� 0 3.�J U
WITH YOUR�N ER R AN ATTORNEY BIEFORE COMMENCING WORK ORIRECORDWG YOUR NOT CE O COMMEN'CEMENTSULT � C Q � J'� � �
ot my kneowledge aM bej�dedere Ihat I have read lhe foregoing�otke of commencement arW thal lhe tacts stated Iherein are lrue lo the best � � � � � � Q
Q� O = — _1 cc'
STATE OF FLORIDA /r �� � y� � � v O
COUNTY OF PASCO C 49M
��°RICNARD C.BARTLE7'T Signa re ot or leasee,or Owner's or Lessee's Authonzed � L � � �-
AfYC04MUS510NNFF1209! O / eclonParinedM � I—• � � O�
'��� FJQOIES:Iuyl�,2o�7 � ; Q.
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Sign Nle/OfGce �' U U �
K�1 � � � �
The foregoirg instrument was ackneNAedged before me thia,�day of ,20 L� 2"�I ?- C? � � �
as (type of authorily,e.g.,o(ficer,trustee,altorney in fact)for L� �; �� 2 Q O J
(nam on behalt of whom instrument was execuleC). � �r; �L `� � � Z
.Lf i.J
Personaly Known�4$Protluced Identificatio�❑ Nolary Signatur s� � " �] iY � �O
it. (�; t_a L V)
Type of Idenlification Produced Name( nt) � ' ? ��i �
L'.� `_,� ,'` .J �Ll� _1
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Rcp!:1339201 Rse: 10.00 z —�
OS: 0.00 IT: 0.00 � � � � � a m
07/31/13 C. Mlner, Dpty Clerk
wpdata/bcs/noticecommencement�c053048 I�RULA S 0'NElL,Ph D PHSCi��-Of i CO�TROILER
07 oR18K �9�a� p� 3366
a�s-�eo-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0021
Building Departrnent
M
Uate Received
Pho C tact for Permittin
Owner's Name
Owner Phone Number
Owner's Address J Owner Phone Number
Fee Simple Titleholder Na �
Owner Phone Number
Fee Simple Titleholder Address
J06 ADDRESS ��
LOT#
SUBDIVISION PARCEL ID*
(OBTAINED F�PROPERTY TO rice)DEMOLISH
WORK PROPOSED e NEW CONSTR e ADDlALT C� SIGN
INSTALI REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ �
"'b'f1t17'1CTION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE
Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING/ a
I
QMECHANICAL $ VALUATION �ANICAL INSTALLATION
OGAS Q ROOFING SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
Ucense#
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL COMPANY
SIGNATURE
REGISTEREO Y/ N FEE CURRE� Y/N
Address
ense#
OTHER
SIGNATURE COMPANY
REGISTERED N FEE CURREA Y/N
Address
License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Pfans,Stonnwater Plans w/Silt Fence installed,
Sanitary FaclHties&1 dumpster.Site Work Permit for subdivisfonsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pe�mit for all new proJects.All commercfal requirements must meet compHance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application comp��etely.
Owner 8 Contractor sign back of application,notarized
.• If over 52500,a Notice of Commencement la requlred. {A!C upgrades over 57500)
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 Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS�une re ulat�ions. The undersigned a's umes sp ns b Ibry for compl a„nce tw'th ny
which may be more restrictive than C y 9
applicable deed restrictions.
UNLICENSED CONTRACTORheA ma beN qRu ed t�o be E ensedsi Bac'coEdance th s ate and locale gulations c Ifrthe
contractors to undertake wo , y Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif at{he
under state law. If th e adv sed to contact the Pasc�o C unty Bufding Inspectioni Divis on--Licens ngtSect on ap 27-847-
intended work, they a
8009. Furthermore, if the owk"rof this aedlicationtfor which they will be esponsbleelftyouaas the owneasign as the
portions of the "contractor Bloc PP rivileges in Pasco
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p
County.
TRANSPORTATION IMPACTIUTiLITIES IMPACT AND RESOURCE RECOVh RY�ns�Stion of neweb ude gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existi�nersta'nd's9that such fees,IasPmay be due, w I abe identifi d at he_tmenof
90-07, as amended. The undersigned also un
permitting. It is further understood tha�finalS oweri eleaseaClf the p ojecRdoesrnot�involve a certificate of occ pancy or
receiving a "ce�tificate of occupancy o P
if Pasco County Water/Sewer Impac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be � Cha rter 713,iFlorlda Statutes, as amenided)PIf valua on of wo�rk is$2,500 00 or more, i
CONSTRUCTION LIEN LA ( P of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Florida Depa�tment of Agriculture 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'SlOWNER'S AFFIDAVIcable law's regulating const uction!zoning anld aand developmentn Applicaltion is
will be done in compliance with all app
hereby made to obtain a permit to e°n'W and that'all work will be perfoemed to meettstandards of all lawsll etgulating
commenced prior to issuance of a p
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulation Ust take to be n compliance.' S ch agencies nc ude buteare n t limi ed to;�t �s
my responsibility to identify what actions I m ress Ba heads, Wetland Areas and Environmentally Sensitive
- Department of Environmental Protection-Cyp Y
Lands,Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, CYP y
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 plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a p
rofessional engineer
licensed by the State of Florida.
_ If the fill material is to be used in Flood�nl°to filAthe area w thin thetstem�v m�tted building using stem wal
construction, I certify that fill will be used y
_ If fill material is to be used in any arese1 affect adjacent propertiesf Ithe�Iowner mayrbetcit d for v�o at ng
properties. If use of�II is found to adver y
the conditions of the building permit issued under the a aa�c 5e eq�e`at application, for lots less than one (1
acre which are elevated by fill, an engineered drainage p
If I am the AGENT FOR THE OWNER, I promise in deostandhthat a�s parat permit may be eq g ed for�electr cal work�,
this affidavit prior to commencing construction. I u Iication
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�ically included in the app
permit issued shall be construed to be a license to P hall issuaincehof a pe mitprevent thehBu ding Officeal from therteaftl�r
set aside any provisions of the technical codes, nor s
requiring a correction of errors in plans, conss cotmmencedl within s zamonths of perm t pss aince ued'f Wol�k authorized by
unless the work authorized by such pe�mit i months after the time the work' mmenced. An extension
the permit is suspended or bandoned for a period of six(6) da s and will demonstrate
may be requested, in writ' g, from the Building Official for a90�con ecuti e days,t'neo is cons dered abandoned.
justifiable cause for the tension. If work ceases for ninety( � OF CO EN\EMENT MAY RESULT IN YOUR
WARNING TO OWN R: YOUR FAILURE TO RECORD A NO
P
AYING TWICE F IMPROVEMENTS TO YOUR PROPE RDiNG YOUR'NT 1 D OF COM'N NCEMENT.' CONSUIT
WITH YOUR L R OR AN ORNEY BEFO E
FLORIDA JU T . 117.03) �
CONTRACT
r
OWNER O S o�o � )before me thl Subscrib nd swom a� �� �O� °'°--
Subscribed � � by
b to me or haslhave p uced
y Who Isl re personally k as ide cation.
Who is/ r s ally kn vn to m or haslhave produced
as identlflcatlon. `��,,
�'f `���' Notary Public
Notary Public
Commfssfon No.
Commissfon o. --
Name of Notary tyPed,printed or stamped
Name of Notary tyPeci.Printed or stamped