HomeMy WebLinkAbout13-14618 CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-oozo 14618-'
BUILDING PERMIT
�
Permit Number: 14618 Address: 37533 LORENA AVE LOT 110
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcei Number: 34-25-21-0090-00000-1100
Improv. Cost: 4,490.00
Date Issued: 10/09/2013 Name: PRATT FAMILY TRST,INEZ
Total Fees: 60.00 Address: 37533 LORENA AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/09/2013 Phone: (813)788-9919
Work Desc: REROOF SHINGLE
. ���;�{ �
TAPE JOINTS R OF If�
FINAL l "
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.
NQTICE: 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 aommencement 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 Acwmpany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�. ��.�tY�tt �.00ft�g �f �1Ce��r�Y ,�Yorib�, ��c.
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable pFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home White Commercial Rubber& Color Metal Ro��fing �813) 782-5585
RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LICENSED - INSURED - BONDED (352) 523-1944
• MEMBER OF THE CHAMBER OF COMMERCE Lic. #CCC 1325499
& BETTER BUSIIVESS BUREAU •
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or reparred more roofs(18,000)in the past 39 years, than the four/oca/leading roofing companies combined.
We do not charge eutra fees for credit card purchase.Mosi companies charge 3 to 5%.
� _�-��
Date
Name
Address � ,� ��
Phone � ��-�
_.._.. . _ ......... _ _
_
...
� ' ��` ..
�
A , ... . ; __ :�:: :.;: : �s �
_�
�
President & Own r A. a let R o ' of Centrai FL, Inc.
Sign:
Rich C Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an e�1ra$35.00 per sheet(4-plyj.Rotten fascia is$2.00 per linear foot. TOt81 KJ
i�iiiiiiii►iiiiutiii�iiiiiiiiiiiiu�iiiiiiiioiiiiii�iiiu�
��1�y
2013172857
Permit No.
Parce110 No�y'7J ���`^������w_��OO
NOTICE OF COMMENCEMENT
State o1 "�hY�Wa.. • Counry of I��"w ,
THE UNDERSIGNED hereby grves nolice that improvement will be made to certain real property,antl in accor0ance with Cnap�er�i3.Fiorida Staiucee.
the fdlowing infom+ation is provided in this NoUCe ot CommencemenP
� Descriplion of Properly Parcel Identificalion No.
Street Address: � d R� '0. � � �� � �
2. General Description af improvement 1 r b �
3. pwner Information or Lessee information if the Lessee contracted for lhe improvement: � �� ,���
�X'P Z PtA� -
���^ ' - , , � �h �
Name ����� �V1�C!✓�"G.�"�c• �_ �� , 3?J`I� S�vale -
Address City �
Interest in Property:
Name of Fee Simple Titleholder -
(It ditlerent from Owner Gsted above)
Address City State
��.�y 4. Contractor 1 c � ►, �,,1 , ''
Name J 8 r ��—�`M'rl�.�Y�� �3�Z S�_
Address GI��Oj2���C"�� Gry
Contradors Telephone No. O i ( J
5. Surery' .
Name
Address Ciry State
Amount of Bond: E Telephone No. -
6. Lender
Name
Address , City State
Lender's Telephone No.
7 Persons within lhe Slale of Florida designaled by the ovmer upon whom notices or olher documenls may be served as prowtled t�y
Secllon 713.13(7)(a)j7),Florida Statutes:
Name
Address Ciry State
Telephone Number of Designated Peraon: —
8, In addiNon to himseli,the owner designates ot__
to recelve a copy of the Lienols Notice as provided in Sectian 713.73(1)(b),Florida Statutes
Telephone Number of Penon or Entity Designaled by Owner: —
9. Expiration Aale o(Notice of Commencemenl(ihe ezpiration date may not be belore!he completion of construcbon antl final payment to the
contredor,but will be one yeer from lhe date of recordinq unless e different dale is specified): —
ARE CONS DE�DEMP OPER PAYM NTMSDUNDER CHAPTER 7�T PARTE, SECTION N13�13,HFLORIDAESTATUOTESEANOMCAN
RESULT IN YOUR PAYING iWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMEN7 MUST ESE
WITH YOUR LEN ER OR AN ATTOR EB BIEFORE�COMMENCING WORK OR'RECORD NG YOUR NOTI�CE OF COMMENICEMENTSULT
Under penalty of perjury,I deGare that 1 have read lhe foregoing notice of canmencement and that the facls stated therein are We to the be:st
of my knowledge and beAef.
STATE OF FLORIDA ,{/��
COUNTV OF PASCO
Signature of er or Leasee,or Ovmer's or Lessee s A�honzed
��°RICHARD C.BARTLETT ���er/Direclor/PaAner/Manager
� n+rca.n.asswnr�ei»9. , nL�2a' S —
�o.� ��'�Y��'��� Signatory'sTitlelOtfice
The loregomg instrument was acknowteEged beforo me tbis�day of�_.Z��bY — ,
as (type of aulhonly,e.g.,o ficer,trus�ee,etlaney in lact)for
ol part of wh n instrument was execute0).
PersonaAy Known �Froduced Identification❑ Nolary Signature —
Type oi Identification Produced Name(Print) —
Rcpt:1534847 Rec: 10.00
D5: 0.00 IT: 0.00 �
10/07/13 K. Gareta, Dply Clerk I
ppULL7 S 0'NElI.�Ph � PQSCO CIERK & COMPTROIIER
�00�BK ���� 1PG�f355?
wpdata/bcslnoticecommencemenl_pc053048 '
I
�
�`�'�v`T � *' * *
• �� �, �TAT�(�F �I.t�FtlaA, COUNTY t3� PASC(3
P" ��� � Trii`.:• I� iC:,C:�FZ'T'IFY TI1AT 1'HE I=ORc(�Oi�JG IS�
a • h �', � �
� � � � ^ . � rRi.��A(�G CG)RRE�T CC)PY 0�THE QC�C�1McNT
� • g ao �� GI�I Fli_E C)F�C��° PURL(C RFGORD !T��F;iS�FFiGF
� ����' Vu'lTNESS�"'r HANL AN���E. ' 5�.�.�_THIS
y� . .• ��` ���_._VAY�1F L �<
, , R C�ROLL
� � a� �A�1Lfi�� ,�?N�IL.Gl�E
� .* * �r� i�E�t:-�, r,;.�.�au
._ � ._ - -����-._ .
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received p o Contact for Permittin --
Owner's Name Owner Phone Number
Owner's Address ( -� � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number C
Fee Simple Titleholder Address �
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONS7R ADD/ALT [� SIGN Q [� DEMOLISH
INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM [� OTHER [-
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE�� HEIGHT �
QBUI�DING $ ALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENFRGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C_ �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# C �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C -�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' ense#
OTHER COMPANY
SIGN REGISTERED FEE CURRE� Y/N
Address License# C �
RESIDENTIAL Attach j Plot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGI(ties&1 dumpster;Site Worfc Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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 Plans,Stormwater Plans w/Silt Fence installed,
Saaitary Facilities&1 dumpster.Site Work Permit for all new proJects.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'*PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Conuactor sign back of application,notarized
If over s2500,a Notice of Commencement is requlred. (A/C upgrades over ST500)
"" 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(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 wi#h 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 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 "contracto� 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 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, wili 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 Water/Sewe� 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 "Flo�ida 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'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 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 & 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 permiited 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, wells, pools, air conditioning, gas, or other installations not speciftcally 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 i uance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the ork is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed n' ety (90) days and will demonstrate
justifiable cause for the xtension. If work ceases for ninety(90)consecutive days, e job is considered abandoned.
WARNING TO OW R: YOUR FAILURE TO RECORD A NOTICE OF O ENCEMENT MAY RESULT IN YOUR
PAYING TWIL F IMPRO A�ORNEY BEFORE RECORDING YOUR IC T F COM' ENCEMENT.' CONSUL7
WITH YOUR
FLORIDA JURA .03) _...�
_�..----_-.._..�_�.
OWNEg.OR A l CONTRACTO _:
Subs�rr(6ed an rn to(or r efo e this Subscrib nd svw o(or afflrmed)before this
by
o islare r nally kno o me or has/have produced Who i re personall known to me or has/h de p ficatl o
as IdentlficaBon. —
� ° f - --- ----.___-__.___�.._-.-
``�, ..�' ,
��., � � ,:� Notary Public
Notary Public
Commission No. Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P