HomeMy WebLinkAbout13-14421 ��
, CITY OF ZEPHYRHILLS
" 5335-8TH STREET
(sis)�$o-0020 1442'I
BUILDING PERMIT
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Permit Number: 14421 Address: 5026 7TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20700-0150
Improv. Cost: 4,450.00 �
Date Issued: 8/13/2013 Name: EPA OF REALTORS INC
Total Fees: 60.00 Address: 5026 7TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 8/06/2013 Phone: (813)494-7788 _
Work Desc: RE-ROOF WITH SHINGLES ON BOARD OF REALTORS OFFICE
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TAPE JOINTS OF 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 acxessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
%`�.�-_ �L./��r-�- a -
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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a�s-�so-oo2o City of Zephyfiills Permit Appiication Fax-813-780-0021
Building Department
Date Received _ � phone Contact for Permfttin --
Owner's Name C. 'CC � l �r�s Owner Phone Number � r g�- ��
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Owner's Address 5�i210 �� � v�—d��'� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number C
Fee Simpte Titleholder Address
JOB ADDRESS -���b � � � ��.X�� LOT A� �
SUBDIVISION � PARCEL IDN 1] � �� `�1 '��� (� ~�C:�]C� - �(.S�'
(OBTNNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q [� DEMOLISH
INSTALL REPAIR
�.,--.�_
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q [ �
DESCRIPTION OF WORK 1�.� �� u �C�i
6UILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ r(� cT�F VALUATION OF TOTAL CONSTRUCTION ��_�._,
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � /' J � COMPANY � �.,/��� ��(� n
SIGNATURE �4--L`l �"����- REGISTERED Y/ N FEECURRE� Y/
Address l� � c�C� � ('� �-L y License# ��-C O J ?�'�Z-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# C �
PI.UMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License# C �
OTHER f ��� COMPANY (O,'�� �� - �.1N �
SIGNATURE ��•J -�'i�.� REGISTERED Y/ N FEE CURRE� Y/
Address 3 / f � License# C C C- n S� 7 � 2---
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;S(te Work Permit for subdivisionsllarge projects
COMMERCIAI Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►it 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 Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Noti�ce of Commencement is required. (AlC upgradea over 57500)
" Agent(for the contraCtor)or Power of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same
OVER THE COUNTER PffRMITTING (Front of Application Only)
Reroofs if shingles Sewers SerVice llpg►ades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be mo�e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLIT1ES: 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
cont�actor 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 Bullding Inspection Division—Licensing Sectfon 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 wilt be responsibie. If you, as the owner sign as the
contractor, that may be an indication that he is not properly Ncensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 buiidings, 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�nal power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthe�more, 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 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'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 taws regulating construction, 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 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 Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Fede�al 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 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, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of�II 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 englneered 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 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 enors 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 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 L DE OR AN ATTORNEY EFORE RECORDING YOUR OTICE OF COM ENCEMENT.
FLORIDA JURAT(F.S. 11 . 3) `�
OWNER OR AGEN �-^-��i`-�J"�-"�'�— CONTRACTOR +ti-- ^ `--
Su�bs��c�rf�b�e�d�and swo affl e b fore me this S `cr( ed nd m flirm before e this
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Who is/are perso ly kn vm to me or,,.bas�i e produced Who Is/are peLsor�l„_ n� to iaslhave produced
�--- —'�""-"~as identlflcatlon. as identlfication.
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�- - �� 'r� � Notary Public
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Commission No. Commfssion No.
�,:...�,.,�,���
' ' BOBBIE S.SWETLANL ,, '�• � --
Name Y Name of �16
�. _ Fx�ires ebruary , 16 ' •= Expires February
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' 2013136846
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� Pertnit No.
Parce110 No..j,I�Z�D -ZI- 00(0•ZD?do_pIS'D
�� NOTICE OF COMMENCEME�
State ot County of �"�0
I THE UNOERSIGNEO t�ereby gives notice that improvement will be made to cerlain rcal property,arxf in accorAance vAlh Chepler 713,Florida Stalutes
i the fdlowing infortnation is provided in this Notice�N Commencemenl 4-�I_ 00(Q- �Q�]��—Q�,5�
7 Descripdo�o/PropeAy: Parcel Identificetion No. � �� '
Street Address: 5 0 � �
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2. General Descriphon of Improvement '
Ig, �nfqpnatfo�or Lesaee infortnat(on it the Lessee coMracted for the improvemenf -
�� E1�.e..
Namei _
V ` State
Atldress ���y
Interest in Property:
Name o(Fee Simple TiUeholder
(If dfNereM from Owner listed above)
���y State�
Address _
a. Contraclor: ,
Name �-
�, AOdress �y1 �7 �'ty 3 e<,Zr
ConVadors Telephone No. 7� t�- �� �- ��3 \
5. Surety�
Name
��ry, Stale
Address
. Amount o(Bond: S Telephane No. -
6. lender -
Name
Ciry stale
Address
I lender's Telephone No.
7 Persona within the State of Florida designated by the owner upon whom notices or olher documents may be served as provided by
Seclion 713.t3(1)(a)(7),Florida Statutes:
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Name _ G�`� • -• * �t
City State @.
Address � 6.
Telephone Number ol Designated Penonc 4 ,,,� Q
ot__ � ��'�' v
8. In addition to himself,lhe owner deaignates
to receive e copy ol the I.lerwfs Notice as provided in See6o�713.13(t)(b),Floritla Statutes. �o, ��_ � • �
�� Telephone Number of Penon or Entity Designated by Ow�er: — p � c "" • o
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g, Expiration da te o f No t i ce o f C o m m e n c e m e n t(t h e e x p i r a l i o n d a l e m a y n o t b e b ef or e the com plelion o/construction an0 final payment to Ihe � �
conUactor,bul will be one year from the dale of recording unless e diHerenl date ia specified): — t_� � y�.�
WARNING FO OWNER: ANY PAVMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT "r
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 7, SECTION 713.13, FLORIDA STATUTES, ANO CAN .�s ! •
RESULT IN YOUR PAYING TWICE fOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE � �� '�•.�
RECOR�EO AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUIT �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR N ICE Of COMMENCEMENT �
Under penally of perjury,1 deWare that I have read lhe foregang not�e ot cammencemem and Ihat the ad stated therein are lrue lo the best � � � O 1 _ W �
af my krwwledge and bellet. —/�
STATE OF F�ORIDA �1 _ � Z U UJ ~ ` O �
COUNTY OF PASCU �{�Y� � � � = W c� � d
�e,.u, Sign e of Ow�er or lessee,or fs or Lessee's AWhorized
r y y�'ti��F�� Offi lDiredor/Partner/Manager u,, W ~ � � w
Ny Con�On f�ires Novernbet 30,2013 _ C� � T L �'�--�
e�1 >- � �- o �� o
�,NQ.���7L Signatary's Title/Otbce �' LU u'. `� U� U
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The foregoirg instrument was acknowtedged before me this $ day o(�,ZD,.z�bY ' '— � � �- ?'� u._
eS of authority,e ., �cer,1 ee,attomey in factl for � � (, � r)� �
me ol ny on beha�f nnmom �t en was executed). C3 `�^� � J � �
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