HomeMy WebLinkAbout13-14697 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3��so-oozo 14,b97
BUILDING PERMIT
�
Permit Number: 14697 Address: 5427 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14800-0030
Improv. Cost: 3,600.00
Date Issued: 11/05/2013 Name: ROSE, CHAD & JEBB JOSHUA
Total Fees: 55.00 Address: 1529 TRACY LN
Amount Paid: 55.00 IOWA CITY IA 52240-5832
Date Paid: 11/05/2013 Phone:
Work Desc: REROOF SHINGLE
55.
��
t � s
l�`�� �
/�l � c
LJ
� �
TAPE JOINTS ROOF INSP
FINAL
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) woNc 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 properly. 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.
�
CONT OR SIGNA E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"'- '�` �°'" ���y �� ��pnyrnms rermtt Hppncat�on Fax-813J80-0021
Building Department
Date Received j� _ � . � 3
Phone Contact for Permittln
Owner•s Name G 4 f o S�c 727 Z
Owner Phone Number p.�� 1800
Owner's Address /,$�1 el �%' G ,[i1 • lOw�L �'.i� .jQW�•. y�
Owner Phone Number
Fee Simple Titleholder Name �
Owner Phone Number
Fee Simple Titleholder Addresa
JOBADDRESS ,sS/27 /lj T�` s� 2* � ����� F'!4 33�yZ �
LOT#
SUBDIVISION PARCEL ID#
B (OBTAINED FROM PROPERTY TAX NOTICE)
lJVORK PROPOSED NEW CONS7R ADD/ALT � SIGN
INSTALL 8 REPAIR � O DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL �
DESCRIPTION OF WORK ��C✓`OO� (,�/i t1�-� 2,s t4.— s�j;h �,�5
BUILDING SIZE SQ FOOTAGE�
HEIGHT ��
OBUILDING $
,j(�QQ, �� VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL �� AMP SERVICE O PROGRESS ENERGY [� W.R.E.C.
OPLUMBING a
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER � 2 CJ
FINISHED FLO\ELEVATIONS FLOOD ZONE AREA � �
QYES NO
BUILDER COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE�
Y/N
Address license# �
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y J N
Address License# �— —�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address
license#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER �jMt�1 trS �y�i• I�t L COMPANY �PO trlt�'S �pe�J�►' r 1i1, L
31GNATURE REGISTERED , Y/ N FEE CURRE� Y/N
Address �ZS—SD�et�i,r�r�V,'Yw License# �C� 132G919 �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans wl Sift Fence installed,
Sanitary FaGlities�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 Permit for new construction.
Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construcUon.
Directions.
Fiil out application completely.
Owner 8 Contractor sign back of appliqUon,notarized
If over:2500,a Notice of Commencement is requlred. (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
ONER 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
�OTICE OF DEED RESTRICTIONS: The undersignes The undersigned a'ssumes resp nsibiity for compl ancestw th any
�hich may be more restnctive than County regulation
pplicable deed restrictions.
INLICENSED CONTRACTORS AND CONTR�►e�7 o beECe��edSiBaacoEdance th s ate a d local egulationsc Ifrthe
ontractors to undertake work, they may be req I for the
ontractor is not licensed as required by law, b�c�o hare uncerta n as to what licens n9 r quiremen'ts may aPP y'o'847-
nder state law. I f t h e o w n e r o r i n t e n d e d c o n t r a
�tended work, they are advised to contact thea contr ctor orBcolt rac to sp helo s advi ed o'have he co tnt actor(s) sign
�009. Furthermore, if the owner has hired
�ortions of the "contractor Block" of this applicatio� fo�r eiic I censedi1and is not enttled t yper�mitting pr v legesgn Pasco
:ontracior, that may be an indication that he is no p p Y
;ounty.
'RANSPORTATION IMPACTIUTILITIES INIPACT oN� R ees�may applEyCoVh R o�tn��t�on of new b 9de gsnchange odf
hat Transportation Impact Fees and Recourse Rec ry
�se in existing buildings, or expansion of existing band's9that such feles,'asPmay be d etyw�'�Il�be 'tdentifed at he time ��f
�0-07, as amended. The undersigned also unders �
�ermitting. It is further understood that TranspoWe��eleaseaClf the p ojecRdoesrno Rnvolve a certificatetof occ pancyact
eceiving a "ce�tificate of occupancy or final po
inal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County o dinanceser mp
ees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County
500.00 or more, I
:.ONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a of rthe aF orida Construct on L en L aw—Homeowner's
�ertify that I, the applicant, have been provided with a copy
�rotection Guide" prepared by the Florida obta ned a copy of thetabove descr bed docum'ent and prompseantgood fa th to
�ther than the°owner", I certify that I have
�eliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: le Iawl s reau alting construction!zoning anld aand developmentn Appl ca�tion is
will be done in compliance with all applicab 9
hereby made to obtain a permit to do W and that'all work will be perfoemed t m ettstandards of all Iawsllaegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development reg{oathe ntended,work'and thatatSs
certify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions I must take to be ess Bali heads,SW tlagd A eas and Environmentla lyt Sensitive
- Depa r tmen t o f E n v i r o n m e n t a l Protection-Cyp Y
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
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 ofessionalreng neer
"compensating volume" will be submitted at time of permitting which is prepared by a p
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 wal
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is 10 be used in anadverself affect adjacent propert es�lthe''owner mayrbel cit d for v�o at ng
properties. If use of fill is found to Y
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 pro n�s i��nde stand thatna�separat permit may be requ ed for lelectr cal work,
this affidavit prior to commencing construct
plumbing, signs, wells, pools, air conditioce se os oceedewith the work and not as author'ty t�o violatee anc'elaa'Iter, or
permit issued shall be construed to be a I P
set aside any provisions of the technical code uct on oalviolations of any codesprEverytperm t iss ed shall become inv I d
requiring a co r r e c t i o n o f e r r o r s i n p l a n s, c o n s t r
unless the work authorized by such permi ais e°,oa of s z(6) mhonths after the t mpe the twork as commenced. An hextension
t he per m i t i s s u s p e n d e d o r a b a n d o n e d f o p
may be requested, in writing, from the Bk ice'asesO orininetY(9U)r on ecutive days, th�j b is Ocons dered b landoned stra e
justifiable cause for the extension. If wor
1fVARNING TO OWNER: YOUR FAILURE YOUR PROP RT1f.TIF YOU INTEND TO OBTAIN FINNANCSNG, CONSULT
PI'�YING TWICE FOR iMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIIAMENCEMENT•
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENTL[/.���•A� �ti�{S CONTRACTOR G�•����"" ��''�� '�
Subscribed and sworn to(or afflrmed)before me this Subsctibed and swom to(or afffrmed)before me this
by
bY Who Is/are personally known to me or haslhave produced
Who islare personally known to mas Id ntl atlonroduced as idenUflcatlon.
Nohary Public
Notary Public
Commission No. --
Comm)ssfan No.
Name of Notary typed,printed or stamped
Name of Notary typed,Pnnted or stamped
F�om: - -
1O/Zl/2013 �0:51 #406 P.003/003
ILb spct for or by Cierk d 16t CImW Couet ooly. � )� �� .
K �
����:
�O�CE OF CO�NCE�NT � �IIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
7'a Fo1io No.
'h uodrnlp�ed herebY p�e+oetlee Wt Aepe�eeents wltl 6c o�de m eatab retl ProP�7.�In acoordaees�qh S�etloa 711.13 of Ws �-.O�
ilorfd�S4tMea,tMe fellarlee kofot��tMe h pe�{dcA ie t6c NO7TCE OF C011�1tE]HCEMFIVI'.
.�v�n
1. t.eg,�naai�pean cf �..�
P�°P�Y(f�addras reqnirod): 5427 16 M st Zeohvrhilts FI -`a 2�tt� �R ew
f m..
� r\+mUl
W m Of
2 Genad daaiptioc of impravanaus: Reroofin R1 f�..
• N
3 �
3a. Owner Nane:_�d Rose C
Owner Addrcas SC27 7fith af �..,�. �a � 2 ' 1�C 1�
C •• A
36. Owper's artant m site:�QpgL �•• A
W m..
3c. F«S'anple Tide lalda(of olha than owner)�/A �►+
Addirua: �O m B
� 4. Coatoowr Name: Brothers R�ofmo! �C m
CCC73ZM79
��:-�.0.����2 Tam�e FI 33887 n
Phme: 813-985-6592 .-•
3. Surety Namr.� �p
Addrea�: AmouM of boad: �
P6onc:
6. Leada Name: N/w �t
:\ddRts:
Phoue:
7. Puwn wid�m the Sta�e of Florida deaignated hy owna opon�Wwm noGca or otha docummts may be ccved a
Seesim 773.13(lxa)7,Florida Shtutn. provided bY �„�D
N
Nux: WA ��D
Addraa:
N
Phone Number: ���
8. In+dditiam rn hmud�Ow�daignato Nx folloWin � 7�r+o
713.13(IXE),Fbrida Staw�ea. B Pa+on W raxive s coPY of the Limor'�Notia as provided'vi Sectian /��m
W~�
rt,��:_wa ______ ��
aea�a�: '��w'J�
Feone2J�mba: W °
�3 �
9. Fxpurruioo due of Notice of Commeacemm[(etPcation date u one 1 D
spec�ied). � )Y�fioen d�of rece�d'mg imksa a diff�eat dare ic ��o
� r
il'A�NWG i0 pW►VeQ'ANY PAYA47VT31�tADfi 8Y TIiF OR'NER API'YA 7Rfi 6XPIRA7'WN OF iHC NOTICE OF C011�lFNCEI1g]�R UtE O 7m�c
COIVSCDi=�UtpAOtCR PAYII�TPIS UImEQ QIAPTER Aa PART�9TCilON h3.U,FL01tlM STAI �
PwYOVC�VICB FOp 11�YOVP�1m7YIS TO YOUR�RDPCA7V.A NOTICE OF OOA9�JVCTAQ7YT MUSL BE ReCORDF��pLp9iID ON 7H6 I"'1,",0^
JO�SITC BfiFORH 7H6 fTRSf IN9P0CC7'fON. �'YOU i0087AW/�VANC �
BCFDRTCOIIQtII�ICp�rG{yORt(OR G YOUR Qy� �ti C�uLT Wi77[VOOR L8ND6R OR AN ATiORNEy N 3
�
1
� A
r
Signanve of a Leaseq or Ow�a'a ac 16erized� �� A
_ O�t�Yle,{�
SfATE OF FIARIDq S��ry t TtlldO$ece j
CO[1N'[Y OF HILLSBpROUGH �
The faegoing auvtuoent wn eelTOwledge 6efare me t)m d��d yY o��_'Yn Y1'e✓ :0 �3 I
� .� !'�� 1 n P+1' c� . —
PasonaUy Kmwn OR Produced idmtifin[im�_ i
1'ype orldemiGn6onPro�c�d PL T� c
�j�*�' Sl�o�G�q 5�t g � �,�
S �- ix
t1 uet of Pc � dee I heve the f md�hat�hc Lct+stated in il ae vue oo thc ben
� Y��'ledge ond 6elief.
5�8nome of 1 P bove
(��4!�f n►hr/Isrt br r+drA a4�we drsed�3e ddi�Ns'se dCaOee�eo��
UMr�l7fNOVSef2
.�„ i
�:,,,• �,k SHEH►illyNN �
.+3 MY COMM►SSION N�pp g� I
EXPIRES:June 1 i 2014
B°nded Tf""1��yY Pubhc unde�wiffery ,
-----— -- --- -- I
��,UD
n
��,�t�:; �;, ,.. :�d�:��.�, �(�iJN�'Y QF PASCC� y�' • �•Q
'�F,�: � � _-c��-��Y�C;.=Y ���A'r��H�FCR�GOfn!G fS h �° �G
��1.1�:�t p,.;, ,,:;;r�'RF;T CC7?'�'UF i'i-sE pC7Gt1MENT � � .n�" • :1
.�I� �iLE C:n �.:�= F�UB�IC F',EGORD IN THIS UF�'iCE � —:�' �n>n,r
JVi i N �,,�.:,��`�y ±��.i��/�i�' ��'FICI�' S�tii_ THiS �'�' �.� �c ";" • �r
�-
,.�� ,_�h� a-�V��t'I'l') r: U/c� �''; A .
UAU!_F�S ;� ��Fli_ C.L K �"C� PTF���I_1.�� } �#� . 'f
, ;>
� :- / � 3 w �
r.r " ---. ..G�-:.— i,'`- � �"�' �'!��,�0{`