HomeMy WebLinkAbout13-14608 CITY OF ZEPHYRHILLS
5335-8TH STREET -
, (si3)�so-oozo 608
BUILDING PERMIT
Permit Number: 14608 Address: 4926 16TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-00400-0110
Improv. Cost: 6,915.00
Date Issued: 10/07/2013 Name: SANTIAGO, ERIN
Total Fees: 70.00 Address: 4926 16TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL 33542
Date Paid: 10/07/2013 Phone: 813-695-0308
Work Desc: REROOF SHINGLE
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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 f) 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 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.
C CTOR SIGNATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' ais-�ao-oo2o City of Zephyrhills Permit Application Fa,r.-813-780-0021
Building Department
Date Received
Phone ConWCt for Pertnittin Z
TI-T-Tf-r —
Owner's Name Er i�n S A ? � Owner Phone Number ��3'" 1
Owners Address ��� Z �j t» S�(`44� Owner Phone Number �--�
Fee Simple Titleholder Name Er i n ,S q Y1 T i q C[J Owner Phone Number ��
Fee Simple Titleholder Address � 1 Z(s 16�-ti S7�E 7 �
JOB ADDRESS � Z � }h S�T e e 7- }1 r�I I� L LOT# �I I ��Z
SUBDIVISION M Ccres �S;t1Glpj�i0j� PARCEL ID# ��1 �2 6'"Z� �aQ�0'(7Q"�O�,"1- U,�Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW coN57a B ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 1% SFR Q COMM Q OTHER —�
TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q r—�
DESCRIP110N OF WORK {L�Q� 0��� G7'i�C� �PAjAG L' S I+i nr�e ("C� 4!��� i h;��s a
p�Fl n s�,�,�
BUILDING SIZE SQ FOOTAGE I L G>�' HEIGHT ��
�BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL WSTALLATION i � �� � (
�GAS Q� ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA �YES NO
1 1 1 1 1 •
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# �
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address
License# —�
OTHER /��(1_ / COMPANY �5/'Q� incDc�nalcl 1eC�10`�n1'�
SIGNATURE '��' t�wiil. REGISTERED Y/ N PEE CURRE� Y/N
Address 7'�y3 SR 5'N �l4 P12 � 3�S3 License# C.�-t �,�Z S$;33
1111111111111111111111111111111111111111111111111111111111111111111
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)worki�g days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facililies&1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Bwlding Pians plus a Life Safety Page;(1)set of Energy Forms R-O-W Permit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wf Silt Fence installed,
Sanitary FaciliLes 8 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 atl NEW construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notanzed
If over 52500,a Notice of 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 rf shingles Sewers Senrice 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
ccntractors 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 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 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,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 prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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"owne�",I certiTy 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'S/OWNER'S AFFIDAVIT I certiiy 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 identiTy 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 separate permit may be required for electrical work,
plumbing, signs, welis, 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 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT � CONTRACTOR � �
Subscribed and swom o(or affirtned)before me this Subscribed and swom to(or ffirmed)before me tpis
Id•7-►3 br� Mcvc��k~��c;� �D-7-t3 bv� !Y►cD�ncl�e�l
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
F�t. .T D as ident�cation F L T� as ident'fiication.
T_J Notary Pubhc ����l��� ' t�_Notary Public
mis n N Commi�on No.
����,pY P����r R.TY ALD
Name of Nota sta�. P Na of Notary typed, nted.t�� d
- , �* _ y ubiic-State of Floritla �
;f� . •;My Comm.Expires May 30,201q ?_°• .`�= Notary Public •State of Florida
=; �oc f :•;My Comm.Expires May 30,2014
",.FOF1`�e:,. Commission#DD 993556 ?N„ «o<,
�"����"' Bonded Through National Notary Assn. '�;r o-,. Commission#DD 993556
� �O����'� Bonded Through National Notary Assn.
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2013172769
NnTICE OF COA�IlVIENCEMENT
Permit No
Rept,:1554808 Rec: 10.00
�� -2� -zi--deia -vc�l�r �vli0 DS: 0.00 IT: 0.00
TaxFolioNo. 10/07/13 S. ,Shultz, Dpty Clerk '
THE LTNDERSIGNED hereby gives notice that improvements will be made to certain real property,and ir►accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COA'Il�NCEMENT.
1.Description of property(legal descri tion): /�'� ���rc�s /=i rs-� Ac������`� P J? •� s ) Lu f., I I j' J�2..
a)Street(job)Address: t'^ S�4'�eA4 t e .�(,.: S 1. S
2.General description ofimprovements: ��.J S�t� �
3.Owner Information �f
a)Name and address: F�S 1� �ratU..'�'4�-� -1�� ���"' S� �'Clp�yrG�!��I S 1'L 3..���p�
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property l��./n E�r
4.Contractor Information � � -e_� ,�.�
a)Name and address: �✓� ���`'�' �� °� �Aqg-�dy�*tR�,�, h1+�3 S�2,St� ��q� /�� ��, �,53
b)Telephone No.: �1'?� SI�( - L{ 3 Fax No.(Opt.)
S.Surety Information �/�
a)Name and address:_ �au�q s o'NEIL,Ph D PASCO CLERK & COMPTROLLER
b)Amount of Bond: 10/07/13 1�0�.�4�m 1 of 1
c)Telephone No: OR BK 1 PG ����
6.Lender A�/� Q�
a)Name and address: /�
Phone No.
7.Identity of person within the State��oa-ida designated by owner upon whom notices or other documents may be served:
a)Name and address:_ /�
b)Telephone No.: Fax No. (Opt.)
8_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: N /�
a)Name and address. �
b)Telephone No.: Fax No.(Opt.)
9.Ezpiration date of Notice of Commen ement(the eapiration date is one year from the date of recording unless a different date
is specified):_ /I���
,
R'ARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF°i'ER THE EXPIItATION OF THE NOTICE OF
CO1�In�NCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPTER 713,PAIiT I,SECTION 713.13,
FLORIDA STATLJTES,AND CAN RESULT IN YOUR PAYING TR'ICE FOR Il�IPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMIVIENCEMENT MiJST BE RECORDED AND POSTED ON THE JOB STTE BEFORE THE FIRST
INSPECTION. IF'YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMIVICNCING WORK OR RECORDING YOUR NOTICE OF M1t�N NT.
STATE OF FLORIDA
couN7-Y oF s�ss Re�� r ARKELA C.TEARTT 10 � �� �
NOTARY PUg��CSia ature of Owner or er.s Autho � ed Officer/D ctor/Partner/Manager
STATE OF FLORIDA �r� �`�l �-�-i(� D
• Comrr►#EE872057 �
Pnfit Name
Explre�4l0/Z017" �-h
The foregoing instrument was acknowled,�g/ed/before me this�V day of �`J1�1� �ZO��,by , �.e�
- �QG( ✓�-f—"� as_ /11d1��S�d�'/`c� ��� C
� (type o tho 'ty,e.g.officer ee
attorney in fact)for ��� j (name f-pa o e of nt w e ted
Personally Known OR Produced Identifica on� Notary S a
Type of Identification Produced ��vr�� �j�,/QV C�(7Cl'(5'e Name(Print) �a � y
-1��-�
Verification pursuant to Section 92.525,Florida Statutes.Under penaltie�f peijury, eclare at I hav j read the foregoing and that
the facts stated in it are true to the best of my Imowledge and belie£ ,}� �
Fo�smroc,rvsazoo� �/� /
Signature of Natural Person Signing(in line 0)Above
V�G�.CIR���r
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