HomeMy WebLinkAbout13-14428 CITY OF ZEPHYRHILLS
. 5335-8TH STREET
� (sis)�so-oozo 144 f
BUILDING PERMIT
Permit Number: 14428 Address: 6905 STEPHENS PATH
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: 03-26-21-0160-00000-0540
Improv. Cost: 4,000.00
Date Issued: 8/08/2013 Name: TESINI, ALLAN & SUSAN
Total Fees: 55.00 Address: 6905 STEPHENS PATH
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 8/08/2013 Phone: 305-609-1406
Work Desc: REROOF SHINGLE
55.
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TAPE JOINT ROOF SP
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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 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 Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
. ��. .
CON RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Prepared by
Michelle L.Chumbley
' Hillsborough Title,Inc.
2306 Ashley Oaks Circle,#102
Wesley Chapel,Florida 33544
incidental to the issuance of a title insurance policy
File Number• H7'NT-12-0277
General Warranty Deed
Made this July 22,2013 A.D By
David S.Golby,a married man,joined by his wife Martha Golby
whose address is:
1001 Tullamore Drive,Wesley Chapel,FL 33543
hereinafter called the grantor,to
Allan J.Tesini and Susan S.Tesini,Husband and Wife
whose post office address is:
6806 Stephens Path,Zephyrhills,FL 33542
hereinaRer called the grantee:
(Whenever used herein the[ertn"grantor"end"grantee"include all the parties[o this instrument and the heus,legal representetives and assigns of
individuals, end the successors and assigns of corporations)
Wltnesseth�that the grantor,for and in consideration of the sum of Ten Dollazs,($10.00)and other valuable considerations,
receipt whereof is hereby acirnowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantee,
a]]that certain land situate in Pasco County,Florida,viz:
Lot 54,Stephen's Glen at Silver Oaks,Phase Two,according to the map or plat thereof,as recorded in
Plat Book 31,Page(s) 150 and 151,of the Public Records of Pasco County,Florida.
Parcel ID Number•03-26-21-0160-00000-0540
Subject to all reservations, covenants, conditions, restrictions and easements of record and to all applicable zoning ordinances and/or
restrictions imposed by governmental authorities,if any
TOgether with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever
And the gantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor
has good right and lawful authority to sell and convey said land;that the gantor hereby fully wazrants the title to said land and will defend
the same against the lawful claims of all persons whomsoever, and that said land is free of all encumbrances except taxes accruing
subsequent to December 31,2012.
DEED Individual Warranty Deed-Legal on Face
Prepazcd by:
� Michelle L.Chumbley
Hilisborough Titte,Inc.
2306 Ashley Qaks C'vcle,#102
Wesley Chapel,FJorida 33544
incidental to the issuance of e titie insurance policy
FileNumber• HTNT-]2-0277
In Witness Whereof� the said grantor has signed and sealed these presents the day and year first above written.
Signed,sealed and delivered in our presence:
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David S.Golb ��� "`�� (Seal)
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Wi s nted ame � S Address: /n �--.--°__—
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� EtLH L CHUMBI„EY Martha Golby
Witness Printed N c Address:
State of Florida
Counry of Hitlsborough
The foregoing instrument was acknowledged before me this 22nd day of July,2013,by David S.Golby and Martha Golby,�vho is/are
personaUy known to me or who has produced driver's license as identification.
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' 2013138404
NOTICE OF COMMENCEMENT
PermitNo. Rcpt:1341373 Ree: 10.00
DS: 0.00 IT: 0.00
Property Identification No._C��- Z(� -2( -Gi I�rid �COL1(X�•�L 5�
08/08/13 D. Bonilla, Dply Cle�k
T'HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Descriptionofproperty(lega/descriptfon:)� �`oY�n (p- lJi�J�Y' ��f:kS �7�1G5t,,'y� �),jl 17C�5� I�`L�-�S� 4r�-'.�
' a) SU'eet Address: , . .� S ',� � / l r 7(S , Z 3 3��.,-�—
2. General description of improvements � C(•� — S. `
3. Owner Information _r .
a) Na1ne and address:__ �I�//1 � 5:.5��i/� /�j'%/7 r
� b) Name and address of fe sim,ple titleholder(if other han wner)
c) Inte�est in property (o�C� '�'.� /]S �1�l_..
4. Contractor Information /�� � ,
a) Name and address: /-tt�%��i��t ' 1 D�''A �
b) Telephone No.: �6Kt�, " �� '7'Z Fax No.(Opt.) !�/G�._�
; 5. Surety Information
a) Namc and address: _ SCJ/?Li /,'� Q��..�.
b� Amount of Bond: Pau�a s o'NEIL�Ph CI PRSCO CLERK 6 COMPTROLLER
c) Telephone No.: Fax No.(Opt.)_08/08/13 1:37 1 of
6. Lender OR BK �9�� PG '1�75
a) Name and address: ,(
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address: �,�'1M1i� � Q(��..
b) Telephone No.: Fax No.(Opt.)
R. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a difftrent date is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SiTE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLORIDA ���
COUNTY OF YASCO �r'' � „
S�gnature OF Owner or Owner's AutLorized pf6cer/pir�ctor�partaerny�gtr
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Print Name
The foregoing instrument was aclrnowledged before me this U day of � 20���,
SL�t'u�'�T�'�S�+ti �
• ( of authority,e.g.officer,trustee,attomey in fact)for
(name of party on behalf of who in ent was executed).
P�rsonally Known_OR Produced Identification_ Notary Signature /� �
Typc of Identification Produced �� �Ne.-�!Clv�- Name(print) l�t /�L°
Verification putsuant to Section 92.525,Florida Statutes.Under penalties of perjury,l d 1 halAG� d t the facts stated
in it are true to the best of my knowledge and belief. a,,. „ �s� ����.,��
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• DISCLOSVRE S'�'n�*�•NT .FOR OWNER
C2TY OF ZEPHYRH22:LS BUII.D2NG DEPARTA�NT
_ � have read and fully understand and
, -
agree •to the provisions of �this instrument.
The undersigned states and affirms that he or she is desirous o£ constructing,
rsnovating, adding to or reroofing his or her ovrn domicile, that he or she
actually occupies, or wi11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she sha11 comply v,rith the followin.g conditions:
1. That the owner and_he or she alone sha11 act as the bvilder fos� a11 phases of
construction.
2. That the owner wi11 comply with a11 provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the enent various phases of constsziction are subcontraated, he will
engage only •properly licensed subcontsactors and will personall.y supervise
such work.
4. TYiat in the event the Huilding Inspector shall rac�,;re correcta.ons to be made,
the owner will assume full responsibility to iasure •they are made, and upon
cc�mpletion will ca13 for a reinspection before proceeding with the building.
5. That the owner shall assume �full responsibility for the constxzictioa and wi11
not expect_ suppsvision of his mork from the City of Zephyrhills Building
Depastment.
6. That prior to firial inspection any additional fees, includizig reinspection
feas, must be paid in full. A v�rittan requast from this office shall
constitute an official notice -to pay additioxial fees.
7_ Tizat the owner sha11 comply v�rith all City, State and Federal laws isi regard to
social security, workman's compexisation, liea laws, atc. , where applicable.
B. That the owner sha11 comply wit� a11 the safety codes issued b•t the Florida
Industrial C��ssion.
9. State 1aw rez+,;res constsuction to be done by licensed contracl�ors. You have
applied for a �*�+++;t under an exemptioa to that law. The exemption allows
you, as the owner of your property, to act as your cwn contractor with ce�-=;n
restsictions even though you do not have a license. You must provide direct
onsite supervision of the coastruction yourself. You may bvild or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or ;+�+r*-ove a commercial bvilding, provided your costs do not exceed $25,000.
The building or residsxice must be for yovs own use or occupancy. Zt may not
be built or substantially i�proved for sale or lease. If you ,se.l:l or lease a
bvilding you have built or suUst�ntially improved yourself wittiin 1 year after
the construction is complete, the laW �i.11 pres�e that you built or
substanti.ally improved •if for sale or lease, which is a viclation of this
ax�ption. You may not hire an unlicaased pErson to act as yovr contsactor or
to supervise people �vorking on your buildiag. It is your responsibility to
make sure that people employed by you have licesises rez,;red b,y state law and
by county or municipal licensing ordinaaces. You may not delegate the
responsibility for supervising work to a licensed coatractor who is not.
licensed to perform the �vork being dona. Any parson working o,n your building
who is not licensed must work uader Zrour direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and Frithholding tax
and provide workers' compeasation for that e�ployee, a11 as prescribed by law.
Your construction must comply with a11 applicable laws, orclisiances, building
codes, and zoning regulatioas.
OWNER'S S=Q�;TLTRE -�.,- .;LL.( � - , DATE T` t{; , ����( �
ADDRESS J �j .r�� �. �� r" \ - � �
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PHONE -�,C`� �i, "� f 1.% i
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W=TNESS PERMIT #
s�s-�eo-oo2o City of Zephyrhilis Permit Appiication Fax-813-780-0021
8uilding Department
Date Received ' ' Phone Contact for Permittin --
�..
Owner's Name %�i�kY'I 1 c �+ ��1� � E��l i)� Owner Phone Number �.y` �:'t.%i - � �,_'
� � � l �1�
Owner's Address �<<�'�� �-�r-�_1i�.r.r.4;,..'Q�r �'� 'S�'f lS ' Owner Phone Number �f�'�` � �--�!' �f
Fee Simple Titleholder Name � Owner Phone Number C
Fee Simple Titleholder Address
JOB ADDRESS �t4 (�.� LOT# ��
SUBDIVISION ���V� � ',r,�'_> PARCEL ID# �
(OBT/UNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �
DESCRIPTION OF WORK �\d�. "� �I�C.�C•� J�-� ' `_� N I. ��� C:' L� ��
BUILDING SIZE � � SQ FOOTAGE�� HEIGHT �
QBUILDING $ ✓- ,L, `�`,� VALUATION OF TOTAL CONSTRUCTION
C'
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING a _ � �
,�)t__��,
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` � �
C 1'`
OGAS Q ROOFING Q SPECIALTY � OTHER �� ;�n `
FINISHED FIOOR EIEVATIONS FLOOD ZONE AREA QYES NO
G� �� � � y
BUILDER '� �f COMPANY �``; ''f itfi � J . �r_
SIGNATURE !`' ' z�.-�L� � �' REGISTERED Y/ N FEE U RE� Y/N
Address License# C -�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
PIUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� 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
Address License# C
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
Minimum ten(10)worlcing days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsAarge 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 construction.
Minimum ten(10)wo►king 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.All commercfal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consVucdon.
Directfons:
Fill out application completely.
Owner&Contractor sign back of applicaHon,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500)
" Agent{for the contractor)or Power of Attomey(for the owner)v�nould be someone with notarized�etter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppBcation Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"d'eed"re.�trictions"
which may be mo�e restrictive than County regulations. The undersigned assumes responsibility for compiiance with any
appiicable 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 Iocal 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
po�tions 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 understands
that T�ansportation 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, wiil be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resou�ce Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or fina) 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. 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.
CONSTRUCTtON LIEN LAW(Chapter 713, Florlda 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 1 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 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 A�eas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercou�ses.
- 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 mate�ial 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
prope�ties. 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 Iots 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 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 O�cial 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 O�cial 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) -- . , � . .
OWNER OR AGENT X L ��t�� �^{ � CONTRACTOR� -��`�4�u� L
b 4 g�and swom to(or affl�etd�)be�ore me this,
S s bed and swom to�or a(flrmed)before m�thls �� b y o�, �`. V j '`:; ' t
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Who Is/are personally known to me or hasmave produced
Wh�is/a Le ersoqa l ly known to me or haslhave produced r-� r �r�r �," as identlfication.
�,�,� (, ce.�sR as identlflcatlon.
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