HomeMy WebLinkAbout13-14823 , CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14823
BUILDING PERMIT
Permit Number: 14823 Address: 4929 17TH 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: 14-26-21-0010-00400-0050
Improv. Cost: 4,890.00
Date Issued: 12/16/2013 Name: LUDVIK, L J & KAREN
Total Fees: 60.00 Address: 2415 COTTER CT
Amount Paid: 60.00 MERILL, WI 54452
Date Paid: 12/16/2013 Phone:
Work Desc: RE-ROOF WITH SHINGLES
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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) 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 properly. If you intend to obtain Fnancing,consult with your lender or an attorney
Com lete Plans S �O��O��ng your notice of commencement."
P , pecifications Must Acoompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C NT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' Building Department
Date Received ��
Phon Cont for Pe Ittin __
Owner's Name �r Owner Phone Number
Owners Address � � Owner Phone Number �
�
Fee Simple Titleholder Na Owner Phone Number
Fee Simpte Titleholder Address
JOB ADDRESS LOT p �
SUBD�VISION PARCEL ID#
(OBTAINED FR�OM PROPERTY T�ricE)DEMOLISH
WORK PROPOSED NEW CONS7R ADD/ALT � SIGN
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ,.�� �
BUILDING SIZE SQ FO T E HEIGHT
QBUILDING $ � ��
VALUATION OF TOTAL CONSTRUCTION
QELECTRICA $ AMP SERVICE Q PROGRESS ENERGY
�] W.R.E.C.
QPLUMBING $
,i'�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO r/(1/�'�
1 � �v-
OGAS ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYE ..
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
MECHANICAL COMPANY
SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N
Address nse#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
RESIDENTIAL Attach(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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 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 Pertnit for new construction.
Minimum ten(10)working 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.All 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 8 Cont�actor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over s7500)
" Agent(for the contractor)or Power of Attomey{for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of ApplicaHon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/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 fo�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 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 misdemYan�opyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 cont�actor 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 understan s
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 ce�tificate 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 WateNSewer 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
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'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 foltowing 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 uA", 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. 1 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 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, irQOm theork celases�orininety(90)rc n ecutive days, the jo isoconsyS and ba�ndonedstrate
justifiable cause for the extens
WARNING TO OWNER: MEN'TS TO YOUR PROP RTl(.TIF E OU �NOMM E BTAIN FI,NANCSNGTCONSULT
PAYING TWICE FOR P OVE
WITH YOUR LEND AN ATT RNEY BEFORE RECORDING Y U T OF COMMENCEMENT.
FLORIDA JURAT(F.S. 17 3)
OWNER OR AGE CONTRA R
r a ned before me this Subscrf a o(or d)before me this
Subscribed and ) y
Who is! pe nall own to me or haslhave produced Who I e personally known or has/have produced
as Identification. as idenGfication.
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�- '• B S. �liC Notary Public
Notary Public ,
— �,� �r_ fl11THS910(1
com � ' Ex 'res Fetxua 22,2016
Commission No. �id�T""'r10�'F�"�"�"`B80°`�7019
Name of Notary typed,printed or stamped
Name of Notary tYped,printed or stamped
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� 2013206963
Rep1.:1'367993 Rse:. 10.00
DS: 0.00 IT: 0.00 Clerk
12/09/13 D. Bonilla, Dpiy
PermitNo. ParcellDNo/y'.1��2I-DO/D-OoyOD-o�s�
NOTICE OF COMMENCEME�
sta�e or �� co�nty ot y0�(J .
THE UNDERSIGNED hereby gives noNce that improvement wiN be made to certain real property,and in accortlance wtth Chapter 773,Flwida Stalutes.
the following infortnation is provitled in this Notice of Commencement:
1. Descriplion of Property: Parcel Identificatlon No.
� Street Address: � 3 Z—
2. General Description of Improvement
3. Owner Information or Lessee infortnation if the�.essee contracted for the improvement:
��1�
Name �Z ZP���� 33J`��- �
Address � Cit�—r Slate
Intercst in PropeRy:
Name of Fee Simple Titleholder:
�� pf different from Owner tisted above) .
Address City Sfafe
Contrada:
Name �O`-1�� J Y�.Fi4f' . Z �
Address �I� �����Y Cily 51ate
Contractors Telephone No.: �—`��`
5. Surety:
Name
Address City State
Amount of Bond: S Telephone Na.:
8. Lender:
Name
Address City State
Lender's Telephone No.:
7. Persons wifhin the State of Florida designated by the owner upon whom notices or olher documenls may be served as provided by
SecUon 713.13(1)(a)(7),Flonda Statutes:
Name
�i
Address City Slate
Telephone Number of Designated Person: �
8. In addition to himself,the owner designates o�_
to receive a copy of the Lienofa Notice as provided in Section 713.13(1)(b),Florida Sfatutes.
Telephone Number ot Peroon or Entily Designated by Owner:
9. Expiration dafe of Nottce ot Commencement(the expiration date may nol be before the completioa of consWCtion and final payment to the
confractor,bul will be one year trom the dale of recording unless a diHerent date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.73, FLORIOA STATUTES, ANO CAN
RESUIT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON TNE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA�N FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOT{CE OF COMMENCEMENT.
Untler penatly of perjury,I declare that I have read the foregdng notice of commencement and that the facls slated lherein are true to lhe best
of my knowledge and belief.
STATE OF FLORIOA v `
COUNTY OF PASCO � �1.G
Signatu of Owner a Lessee,or Ownefs or Lessee's Authorized
j j°R1CApRp C,gpRJLE1T OHicer/Dlrector/PaAneNManager
���MY Con9rflsS�pN r Fp�y19� ����1
FJ�QIE4:JulY71.2017 ��T���LS��✓
Sign ory's TRIelOffice
The foregoing instrument was acknowledged before me this day oj/�r!2��,by
e� (ty o u h y,e , cer,(rustee,attomey in lacf)for
� (name alf of wt�om Instrument was execuled).
Personapy Known �ProduceO Identificatlon❑ Notary SI
Type ot Ident�cation ProduCed Name(Print)
PRULA 5.0'NEIL,Ph.D.PRSCO CLERK 6 COMPTROLLER
12/09/13 ���p� 1PG�f3647
OR BK (7
wpdatalbcs/noticecommencemenlyc053048
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,V�� � STATE OF FLORIDA,COUNTY 0���►���
�.'�� � � � C�'�� TH�S�$Y�CORRECT COPY OF T�HE DOC MENT
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• � ON FIL��M�HAND AND OFFOIC AL SEAS OFS G
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1� * PAULA S
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, C/O Richard Bartlett
f �` ' 38408 3rd Ave.
' Zephyrhills, FL 33542
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� �" , r,;�r�,�' � �, ' - One of the Largest, Oldest, Most Dependable
� �� � R o o f i ng Companies in Centra/ Florida O F F I C E
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�.-i; ; S�Ss�lizing in Mobile Home White Commercial Rubber& Color Metal Roofing
� i'"� �` � RESIDENTIAL• COMMERCIAL � MOBILE HOME �813� 7$2_5585
` ( 3) 973 7737
LICENSED - INSURED - BONDED (352) 523-1944
� • MEMBER OF THE CHAMBER OF COMMERCE
& BETTER BUS/NESS BUREAU • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes_and Surrounding Areas
We have re-roofed or repaired more roofs(18,000)in the past 39 years, than the four local leading roofing companies combined.
We do not charge extra fees for c�edit card purchase.Mosf companies charge 3 to 5%.
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�� 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. i
Rotten wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. -;f
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