HomeMy WebLinkAbout13-14574 , CITY OF ZEPHYRHILLS
' S335-8TH STREET
(si3)�so-oo20 1457
BUILDING PERMIT
Permit Number: 14574 Address: 5745 YORKSHIRE DR
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: 10-26-21-0120-00000-0820
Improv. Cost: 8,800.00
Date Issued: 9/26/2013 Name: ZOLINSKI, ROBERT SR & JAHUNTA
Total Fees: 80.00 Address: 5745 YORKSHIRE DR.
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/26/2013 Phone: (813)715-6020
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL ��1-I�3'��
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 acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
T TOR S GN E PERMIT OFFI R
P RMIT IRES IN MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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. � 2013166871
Rept:1552407 Rec: 10.00
Effective: ectober1,2o11 D5: 0.00 IT: 0.00
Raumto: 09/25/13 E. Munguia, Dpty Clerk
u077CF OF Ok'�`�^c�y �J
State of FI da '
��y�� Permit No.
•� Tax Folio No.
Tha undersigmd herebY 8�'�;�'tia that improvert�ent will be made'to a;rtein real
Chspter 71],Florida Shtutes the following inlomufoe is provideA in Ihia Notice of Cwn �0��•a�in accordsnce with
P�Q: ►o�Z cQ-a i•o t zo.o000o c�a o
�� �eacription of Property --�u,r,J
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2. o im vemenu: �� 1 F 11 PPJ o'�1 Q� ��-Il-)
, enera
3• Owner Informetbn or Leasa information iPth��,e�y���U e�f o r t h e i m provertieek
' °• P�mne and Addrqs: o
� b• Interest in Property . �11(��
�c... 33S'�Z
c. Nmne/edd�esa of fee flmpie tltleMolder pfdifferurt from Owner listed above):
4• Contraotor:
R e Name and Address: � _ !l,.ec
�.1.�,�
b. Phone number. Yl�. � �J 3S� �
•1e0��
� 5� Surdy(if aDD�icabk.a copy of P�ent bond'u uua6ed); I .
a. Neme and qddress:
b. Phaia numba: •
ArnOUntOfbond: s �RULii S 0'NEIL,Ph.D PqSCO CLERK 6 COMPTROLLER
090R BK3 v3��� P�0 224
6. Lender;
a. Name end Address: .
b. Phane nomber:
� Paeau within the Stm of Fbrida desi
aaved s�provided 6y Sectan 713.13(Ixa)9,Florlda StaWhs:�d bY�ner upon whrnn rrotices a mha docummb may be
e. Nmc and addrqs:
b. Phc�ne�wmbers ofdesi ated
� Peraons:_ ,
� g. � � LL l r
a. In addition W himaelfahuaelf,Owne�daign�us U � W
Suertes. ro receive a copy of the Liena'a Notice ag providcd in Sect';nw 7I j3 j �r �' l.t.k y �� �
3(xb).Fbrida �� �� It - D J U
Cy �. �,Q � J y.
b. Phone number of penon w rntiry desiQnated � C1�/} � � i--,
_�__ by mvner.
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9. Expiration date of.natia of �1' Z
conshuction and final WY�+u�6 but will be 1 �(the expiratia�date may nM lie before the compktion of Q � - -.,
Y��n�he date of raording unless a di9'erent date is epecified) y. � e- p <C 0 !
HtARNMOTOOWNER: ANVPAYMF]�17'SMqpgBY'fHEOWNER r '�[J �' �U U
AFTER TF�E7�IRATION OF T}�Tlp7'�CE OF Z � Q Q ti �g
��E�►�1T ARE CONSIDERED IMPROPER pAy�g�DER CHAPT6R 713,PART t,SECTION 713.13, o F- �- � � Y
FIARIDA STA7UT5S.pNp Cqp�R��,T IN YOUR PAYINQ 7yyl�FOR Ov�ROVEI�7JTS TO YOUR PROPERTY � Q a U� �
A NOTTCE OF CO Q �" M- -t �[ '�
R'A'1ENCEI�NT MIJST BE RECpRpED ql•!p ppS7�D pp�.�.�]OB SITE BEFORE 7}¢FQtST 0 �"' L'?' m � �- �
MSPEC17pTJ_ 1�YOU M7ENp TO OBTAIN FINANCQJG,CONSULT Wlifl ypUR LENpER OR AN q77�p�y Q � � � Q > W
� � �' d
BEPORE COA4�-N�IN6 WORK OR _,.y � g �
RECORDWG YOUR Np7TCE OF COMMENC�T � � Ca y Q Z
Unda paulties of � U�' '� z
DaNry.1 declare that i have rud the fore8o� 'u of Commencunent and that�he fscls atated'm it me `3� U)
tlue to�he best of m kn o � �
Y owledge and belief. C�i�l/► - W f� Q J � Q
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�5�� O �use.ee'a Ownu's a Iss�ce's (n I- !- O � :�]
Au ' rectodPeitnaMfanager) * *
� S��ery�s Title/OflSa: -' J�� •� *
STATE OF G • � 6
COUNTypF� Q. Qw
CJ� y `,,�l �o
The foregoinQ iireWmmt wes �
--�-�wwledged beCae me this dey of�?p�y�, ZO�i f)�a • �, � � • �
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Notary Pub Strie o �_� O' �,� .' �I
PersansllyKnown OR Identlfiulian� P� ne: ^ • � ��Q.
Type of Idrntl ' • ' f^
�e""� HOLLY HAPPER ' MyCommissionExpiros_� I�p�'Zbl�' I7� • • �
;�� MY COMMISSION k EE070488
EXPIRES May 16,ZO15 �$ * , �
�oi»oea�sa Fw�w.r�a. s.ma.00m
u ia-iesu-uucu C:iry of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone CoMact for Permittin 3 --� �a __ (�c:;�-�
Owner's Name e Owner Phone Number ��_��� •(pb p,
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee 3imple Titleholder Address
JOB ADDRESS �J �[Of� �.� 33���p LOT#� ��
SUBDIVISION � PARCEL ID# �U'Llo Z �I Z� •C�X�. „ �,
(OBTAINED FROM PROPERTY TAX NOTICE)
MIORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR � �����
PROPOSED USE � SFR Q COMM �� OTHER
TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK I �; � -(�ja �
BUILDING SIZE SQ FOOTAGEr-� HEIGHT
[ �BUILDING �Q�'�('� VALUATION OF TOTAL CONSTRUCTION
a v u I.J�J •
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a � � /� �(`
� (� T
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS ,� ROOFING Q SPECIALTY [�� OTHER � �U���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# r
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE Y/N
Address E • 1� �i License# ��,�j�S�� �
RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Fadlitles&1 dumpster,Site Work Permit for subdivisions/large proJects
COMMERCIAI Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compBance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••""PROPERTY SURVEY requlred for all NEW constructlon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over i2500,a Notice of Commencement ia 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 Appiicatlon 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: 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 Iicensed in accordance with state and local regulations. If the
contracto� 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
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation �mpact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildi�gs, 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 does not involve a certificate of occupancy or
final power release, the fees must be paid prio� 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 that I have obtained a copy of the above described document and promise in good faith to
delive�it to the"owner"prior to commencement.
CONTRACTOR'SlOWNER'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
construclion, 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�esponsibility 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 Watervvays.
- 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 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 affidavit prior to commencing construction. I understand that a sepa�ate 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 ptans, 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 YOUFt
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 COMMEN� ME ENT•
FLORIDA JURAT(F.S. 11 .03)
� � CONTRACTOR
OWNER OR AGENT --
Subsc�lbed and swom to(or affir before e � �scribed and swom (or a ed)before e i
by �� bY
Who islare personally known to me or has/have produced Who Islare pe ally kno to me or haslF�adve p�r��OCd�u�Ced
as Idendficadon.
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'� ' �7�J�-' .�,..ue.+ Notary Public
Notary Public �$
, " JACQUELINE Q�h��
Commfssfon No. Commfssi n =�
'•; � Expires December 12,2(? . .
Fain U�eu��"�"R,.-�
Name of Notary typed,printed or stamped Name of Nota