HomeMy WebLinkAbout13-14438 CITY OF ZEPHYRHILLS
r 5335-8TH STREET r'�
• (si3)�so-oo20 144
BUILDING PERMIT
Permit Number: 14438 Address: 4754 5TH 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: 14-26-21-0010-03400-0130
Improv. Cost: 8,810.00
Date Issued: 8/12/2013 Name: THAIN, JUDY
Total Fees: 80.00 Address: 4754 5TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/12/2013 Phone: (717)385-8385
Work Desc: REROOF SHINGLES
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TAPE JOINT {�O F INSP3
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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 t) 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 Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3-�eo-oczo City of Zephyrhills Permit Appiication Fax-813-780-0021
Building Department
Date Received �' `•� '"> > ' �` '�
Phone Contact tor Permittin _���`: .�..'.� -- ,:..�;=".-'—'
Owner's Name � ,� � � i Owner Phone Number ���'���'�� �' '��
i
Owner's Address �� ."r� � .S� ✓ i; � Owner Phone Number
Fee Simple Titleholder Name !"1 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ~ r .S � • �- / � LOT# �
'�S � ���y
SUBDIVISION � PARCEL 1D# J-/ ' � �v -��' ✓ -�1�`�J!�' -- i�' ;%
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CoNSTR� ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM Q OTHER n '
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
OESCRIPTION OF WORK � f7 CG'I/l���jc� �/d_�'r/.� m/-9�` G�'W J',, '_�,/.�1 ^.. �c�f.r'�N�:� _-�,;, ,r r"
BUILDING SIZE � SQ FOOTAGE[�..!> � HEIGHT -,=,-� -�' �' -"���r
�/�, .�rrv
QBUILDING $ '�� °� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING a � �c� �3�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n .�1�C��
��� ��
QGAS � (�ROO�Q SPECIALTY � OTHER
FtNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILOER COMPANY �^ �
SIGNATURE REGISTERED Y/ N �E cu Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address Ucense#
MECHANICAL � COMPANY
SIGNATURE � REGISTERED Y! N FEE CURRE� Y 1 N
Address License# —�
OTHER � COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsUucGon Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facflities 8�1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuctlon.
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice oi Commencement is required. (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(Plot/Survey/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 more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictfons.
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 misdemeano� 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 applfcation for which they will be responsible. if you, as the owner sign as the
cont�actor, 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�ew 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 Resource Recovery Fees must be paid prior to
receiving a "certiflcate of occupancy" or final 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 fn accordance with applfcable 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 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 ce�tify that ali the information in this appiication is accurate and that ali 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 regutating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify 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 inciude but are not limited to.
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy 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 & 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 materia) 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 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 flll, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, 1 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 wo�k 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 perfod 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. ) � �
OWNER OR AGENT � CONTRACTOR
Subscrib s tp(or a )b me this
S scrib swo o(or afli )b fo me this �( _ �3 bY � ��,,,���
Y
o Is/are pe t�me�r has/have'roduced Who is/are personal�cnown to me or ha as den fica on.
asldentlficatlon.
i '
� � � �, <- � Notary Public
� ��- ��>>.- Notary Public �
Commissfon No. Commission No.
Name of Nota qr si�rr�� Name of Notary typ�,1���Gatan►Ped-� ,;�;5
1., �!;' i, � �deS ..,,. =1�, ;� > 0
:Cor�t�_•..;on;'�DD99412'1 :Corrlr,`„`s•o";}DD99412?
,,•. :�IAY 20,201�t
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aon�,�n°r�; " �•c[��wco,r�c. ���:nr`
� I IIIIII Illll IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII N!I IIII
��'� 7� 2013139673
Rcpl:1S41869 Rse: 10.00
! DS: 0.00 IT: 0.00
! Key No Permit No. 08/12/13 B. McBee, Dpl.y Clerk
NOTICE OF COMMENCEMENT /I/l oor�S �D I�� I �C�
THE UNDERSIGNED hereby gives notice that improvement will be 5� Ld�S 1'3 � �� �/��
Made to certain,and in accordance with Chapter 713,Florida State �/ or 2Q�y ,/
Statues,the following information is provided in this Notice of 3'7 �� / /G 7
Commencement:
1. Description of Property: Parcel No.. �'7�1X��7i�'�D/�� Q,3y(�-- ��,_,3(�
(Legal description of the property and street add�ess if available)
2 General Description of improvement: /� m�
. 2 r�oT
� °�rn
3 Owner Information: Name: /
Address: .5�'� Ci , N�'
ry "// state=Zip ^ SS�L ��o
Interest in Property: Fee Simple '�'z
Name and Address of Fee Simple Titleholder(If other than owner) : ���
�
4. Contractor: Name: Alan's Roofinq, Inc �D
Address: 14498 Ponce De Leon Blvd Ciry Brooksville State FL Zip 34601 �,
� Phone No. 352-686-3330 Fax No. 352-754-8902 .���
5. Surety: Name Amount of Bond: $ �' �
�A
Address: City State_Zip � �
Phone No. Fax No. �"'°°
6. Lender: Name: w �
Address: City State_Zip .A �
Phone No. Fax No. °
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be �
served as provided by Section 713.13(1)(a)(7) Florida Statutes.
Name:
Address: City State_Zip
Phone No. Fax No.
8 In addition to himself or herseff, Owner designates N/A of
To receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is 1 year of recording unless a different
date is specified.)
WARNING TO OVWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART'f,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIR3T INSPECTION.IF YOU INTENC TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDINt3 YOU OTICE F COMMENCEMENT.
(.,� !/l,�c.----/
Signature of Owner or Owner's uthorized O�ceNDirector Signatory's Title/Office
•••Slgnature Requ red by same below by'X"mark•'•
State oi ��d'%A'al County oi ��SG U'
The forgoing instrument was adcnowledged before me this�day of���by , )��i'� ;/')
(Printed name of pe►son ackno Iw edging)
as �Vs �� for
(Type of au rity .g.,office,trust e,,attorney in fact) (Name oi party on behalf of who insVUment was executed)
� NOTARY PUBLIG:�A'f t:%F FLORIDA
Signature o Not Print / T or St ��
Personally known OR Produced Identifi�tion ✓ Comni sio�
Type o(Identification Produced: I-�/_ '�— �.�Expires: MAY 2U,2014
BONDED 1'HR!'A1 LF\"fic eon'nIICC co.,INc
Verificatlon pursuant to Section 92.626,Florlda Statutes:under PenalUes of perjury,I declare that I have read the foregoing and that the tacts
stated In It are true to the best of my knowledge and belle(.
x%�/�!'���7t.u�r' �,(_�—�.
Signature ot Natural Person Signing Above n���.���s��
��
vo►c�c�
�,� , • • • R�+G STATE 0� FLORIDA, COUNT�'C?� �"�A��f�
y� I� i HIS IS TC3 i,�f'�'i'iF'Y i���1T T}-I�f=Q�d�!;��ifV�'+ IS A
�v. � TRUE Af�1L�Cvi�RECT CC7PY CF TN� I�OCUCVIENT
�, � ON FILE OR O�'PUBLIL Rf CC1RC) IN"fHIS OFFICE
* • i„�oa�+�T,�u� • WIT E,�}Ml'HAND A �J�F'tC,l;i_SEAL THIS
'k' � !►'' * � �1/•. DAY QF 2 O� —
S '_' �* PA P,S O"NEIL C�R _ +';C]I�PTROL(_ER
� , a�81' - I ' I
,� � � . P t�� _ W(,�Q.lQiyk.._ ����;!T�-����f,
, ,���
08-12-'13 09;36 F�OM-Alan Field 13527548902 T-311 P001/001 F-615
LIC.#CCC046942
���+� "Home of the FREE Roof Inspection"*
ROOFING,fNC.
8/12/2013
To Whotn�t May�oncern.
I, Alcut J. Field,hereby grant authorization to Alicid Field,to act on my behalf with City of
ZephryhiNs Building De,partment while conducting activities related tc obtaining permits and
tontrnttors licensing. These activities spe�ifitally include signing all docun�ents requirir�g signature
of"co�rattor".
Alicia Field is to be considered ar�age.nt of my business and therefore the signature of sotid aigent is
binding and eauses me to ctssume all responsibilities conneeted to or asso�inted with the signature
as#hey ntay relnte ta my roofir�g business.
xf you have ary questions regarding this matter,please do not hesitate to contact tne.
Sincerely.
Alan 3. d
The forgoir�g instrument was acknowledged before me this l�day of. 20f�by
Alan Field,who is per�sonally Iv�own to me and did not take an oath.
�. ..
• DE�ORAH MEINNARDT
=�• a- MY COMMIS8idN*EE4679+8
'�..
F�IR�S Febn�►07.�01e
otary Si ure �,�
Commerci�l&Residential
Hernsnda:(352)686-3330 • Citrus:(352)341-1400 • Pasco:(72�8i6-9278
Toll Free:(800)309-5667 + Fax:(352)754-8902
www.alansroofinginc.com
'Restrkbons Ap�+y