HomeMy WebLinkAbout13-14836 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 1 36
BUILDING PERMIT
Permit Number: 14836 Address: 39422 9TH AVE
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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0330
Improv. Cost: 2,505.00
Date Issued: 12/19/2013 Name: MATTHEWS JAMES & MILDRED & SHEL
Total Fees: 50.00 Address: 39422 9TH AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542
Date Paid: 12/19/2013 Phone: 352-626-0930
Work Desc: REROOF SHINGLE
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TAPE JOINTS OOF 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recordiny your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C � T G PERMIT OFFI R
PE T EX ES N 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
p . ._.. ,,,,_.. �,,�y c„ ,�Cpirymms rermi[Hppncation
Buliding Department Fax-813-780-0021
Date Received
Phone Contact for Permittin ��j � �y� _ ��''i
Owner's Name �� � �
Owner Phone Number �j�� _�� v�'1 �
Owner's Address ���-� , �� � .
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS `�"I��� �'��
�� �
LOT#
SUBDIVISIOM ���� ��"�� pARCEL ID�
M/ORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR e ADD/ALT � SIGN �
INSTALL REPAIR DEMOLISH
PROPOSED USE SFR � � ��"e�
, � COMM � OTHER
�XPE OF CONSTRUCTION � FRAME � �
STEEL —�
DESCRIPTION OF WORK _� � � _.�� �� �� ���� ��,�����
BUILDING SIZE SQ FOOTAGE� HEIGHT ��� � �.
�]BUILDING $
`�� ��. � VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY
0 W.R.E.C.
OPLUMBING $
OMECHANICAL � VALUATION OF MECHANICAI.INSTALLATION � (�U ��
OGAS � ROOFING Q SPECIALTY � OTHER
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 Ucense# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# `�
OTHER (� �-{.� COMPANY ��,
SIGNATURE S� ��
�� REGISTERED Y/ N FEE CURRE� Y/N
Address � L C- �Z.- 3�jSt� license# �t.���`������
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wroricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilitles 8 1 dumpster;Site Work 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERNIIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
"lT III�I��1��1�IIT111lf1�11�1
Li-LL 1 �
Directions.
Fill out application completely.
Owner&Contractor sign back of appHcadon,notar(zed
If over s2500,a Notice of Commencement la requlred. (A!C upgrades over 57500)
`" Agent(fo►the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
01/ER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
TRICTIONS: The undersigned understands that thisS mes esp ns bilbty for compl ance tw th any
�OTICE OF DEED RES
�hich may be more restrictive than County regulations. The undersigned a
pplicable deed restrictions.
INLICENSED CONTRACTORS AND CONTRAC70 be E en�sedsiBac'coEdance th s ate and locai egulationviolat on
ontractors to undertake work, they may be required to
ontractor is not licensed as required by
law, both the owner and contractor may be cited for a misdemeaao � for the
nder state law. If the owner or intended he Pasco County B ilding Inspectioni Divssionr--L ciens ng S c1 on at727-847-
�tended work, they are advised to contact t
which they will be responsible. If you, as the owner sign Pasco
�009. Furthermore, if the owner has hired a contr�a`tor or contracto�s, he is advised to have the contracto'ns sign
�ortions of the "cont�actor Block of this application f rivile es
:ontraclor, that may be an indication that he is not properly licensed and is not entitled to permitting p 9
;ounty. CTlUTILITIES 111APACT pND RESOURCE RECOVERY FEES: The undersigned understands
'RANSPORTATION IMPA I to the construction of new buildings, change of
hat Transportation Impact Fees and Recourse Recovery Fees may app y
in existing buildings, or expansion of existing buildings, a such fe'es,'as may be due, w Il�be id ntifi d at he�menof
�se that
)0-07, as amended. The undersigned also understands,
�ermitting. It is further understood that Transportation �Sea��f the p ojecRdoesrnoRnvolve a certficatetof occ pancy o�
eceiving a "cerlificate of occupancy or Tinal power relea
inal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County o d�nan eser impac
ees are due, they must be paid priorter 713,'Florida Statutes, as amenided)Pllf valu ton of work s$2,500.00 or more, I
:,ONSTRUCTION LIEN LAW(Chap of the "Florida Construction Lien Law—Homeowner's
�ertify that I, the applicant, have been provided with a copy
�rotection Guide" prepared by the Florida Department of pof thetabove d scr bed document and promPseantgood fa th to
�ther than the"owner", I certify that I have obtained a copy
�eliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVI7: � Ce��S�eau altingeconst uction,'zoning anld land developmentn Application is
will be done in compliance with all applicable law g
hereby made to obtain a permit to do W a�d that'all work will be perfoemed to m ettsta dards of all tawsl'aegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development ri9to the ntended�work! and that it is
certify that I understand that the regulations of other government agencies may app y
my�esponsibility to identify what actions I must take to be r ss Bali heads SW tland A eas and Envi o ment'a 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
_ �;S Environmental Protection Agency-l�sbestos 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 ue submitted at t me of permitti g which is p eparedrby agprofessionalreng neer
"compensating volume" will b
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 to be used in anydve sell affect adjacent propert esf�the�Iowner mayrbel cit d for vaolat ng
properties. If use of fill is found to a 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, � ction!S t lu derstandhthat a�s pah at permit tmay be req g ed for Ielectr cal work,
this affidavit prior to commencing constru
plumbing, signs, wells, pools, air conditioning, gas, or other inslallations not specifically included in the application.
permit issued shall be construed to be a codesenor shall ssualncehof a pe mitprevent thehBu ding Officeal from therteafter
set aside any provisions of the technical ,
requiring a correction of errors in plans, constrc�ct�omenceld'within s zamonths of perm t P s aIn es o aif wolrk autho zed by
unless the work authorized by such permit is
the permit is suspended or abandonhe Build nerioOd�c al fosa per od noteto exct edtn netyr(90) days and will demonstrate
may be requested, in writing, from t 9.
justifiabte cause for the extension. If work ceases fo�ninety(90)consecutive days, the job is considered abandone .
WARNING TO OWNER: YOUR FAIL.URE TO RECORD A NOTi�YOU INTENDETO OBTAIN FIANANC NG CONSULT
PAYING TVVICE FOR IMPROVEMENTS 70 YOUR PROPERTY
WI7H YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO NCEM T.
FLORIDA JURAT(F.S. 117 03) � 1
, CONTRACTOR
OWNER OR AGENT Subsc�ibed and swom to(or a ) efo e
Subsc�ibed and sworn to(or affin e before �t i bY
bY Who Is%are ersonally known to me or haslhave produced
Who isla�e personally known to mas Identlficatl nroduced P as idendflcadon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,printed or stamped
Name of Notary tYped,printed or stamped
I IIIIiI IIIII Iliil IIIII Iltll illll{Ilil IIIII11111111111111 illl`
2013213482
Rcpt:1570134 Ree: 10.00
NOTICE OF CONIIVIENCEMENT DS: 0.00 i T: 0.00
12/18/13 B. McBee, Dply Clerk
PCiT111tN0. � PAULA S.0'NEIL,Ph.O.PRSCO CLERK 6 COMPTROLLEh
Tax Folio No. — . 12/18/13 3:3 1 of .
THE CTNDERSIGNED hereby gives notice that the im rovem OR BK �C��� PG 2��7
P ents w�ll be made to real propc�ty,and�in accordance with Section 713.13 of
the Florida Statutes,the following information is provided in this NOTICE OF CO1vIIVtENCEMENT.
1.Descri tion of ro �� ! 33
P P Perty(1e8e1 d�rtptinn : s 1 p I'a .o�{• C7�Q('). �p, 3��
a)Street(job)Ad�ress:
2. General description of improvements:
3.Owner Information
a)Name and addrass: s S �9�-(o1.a �`�}p .� ,p�. FL 33SLf3
b)Name and address or ree sunpie htleholder(if dther than owntr)
c)Interest in pioperty Owner
. ontractor Information
Name and address: Low ox o�� (�
b)Telephone No: - -- D Fax No: � `���
5. Swety Information ' . � 2e�� � 3 3 S �
a)Name and address; NA .
b)Amount of Bond: NA
c)Telephone No: NA
6.Lender
a)Name and address:_NA
b)Telephone No: NA Fax No: NA
7.Identity of person within the State of Florida designated by owner upon whom natices or other documents may be served
a)Name and address iVq
b)Telephone No: NA Fax No.`NA
8.In addition to himself,owner designates the following person to receive a copy c�f the Lienor's Notice as provided in Section 713.13(I)(b),
Florida Statutes;
a)Name and address: NA
b)Telephone No. NA Fax No. NA
9.Expiration date of Notice of Commencement(the expirstion date is one year from t6e date of recording unless a different date fs
specified):
-�_
WARNING TO OWNER:ANY pAYMLrNTS MADE By THE pW�ER AFTER TAE EXPIRATION OF THIS NOTICE OF
CO1VII�IENCEMEIV'I'ARE CON3IDERED IMpROPER PAYMENT3 UIVDER CAApTER 713,PART 1,SECTION 713.13.FLORIDA
STATUTES CAN RESULT IIV YOUR PAYIIVG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF C011�A�NCEMENT
MUST BE RECORDED AND POSTED ON'fHE JOB3ITE BEFORE TaE g�2S'f�(gp�TION.Q+'YOU INTEND TO OBTq,W FW�►MCING,
CONSULT YOUR LENDER OR AN ATTO1WFrY BEF01tE COMII�ENCING•WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENI', .
State of Flori
County Of ��-� �O
s aro�«,�o�.��.ti, �
udutro�rR,n�e.n�u�gs
Pnnt Name
The fongoing instrument wu aclmowledged bef'ure me this� 1
� �Y�f WITASWI A 6l�NANAN
for (�YP�of authority.e.g oAScer,trustee,att mey In fact) �
(name of party on behalf of whom i ent executed), �'���
Personally Known_OR Produced Idendfication �"�����
NotarySignature ' BondMMaonphiri�YDl4iNqlnN
Type of idendfication produad_��- � _ Neme(Print)
,r,W� �'�Q �•��!',t.l-L�r�r�Yl
Verification pursuant to Seaion 92.525,Floride Statutes.Unde,r peneltiq of perjury,I declere th�I hav�e read the f�
my knawlcdge end belief. Bo�B�d that the facts atated in it are t���e best of �
�
STORE�
Snatute ofN Pe igmng(in tine]0)Above I
--- ..
-- - �
,� � y 6?ATE 0� FLORIDA,H O�HE FOREGOSN oSN
*,� THIS IS TO C��T
� • �, fiRU�ANp�OR PUBLjC RECORDHN HIS OFS►CE
,�.� �.�' �� .� N FILE�R�HAND AND. FFICIAL SEALTH 1
C� "`�.° •_, '' aVVITN S5�,, �; 2��
�
°' QAY�F COMPTROLLER
tj , �`�, ` �< p�NEit.,C�
*rw�UL �.
4, gEpU7Y CLERK
��� * gY_ ' _-
♦� • • �
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isoprt 75 8138389008 »
SSZR135A ��wT , P 1/2
PAGE: 2 HOME CENTERS, INC.
, DAT�: 12/16/13 ZPF �4
7921 GALI, $OUI,EVARD
ORDERE�J FOR: JAMgg MATHEWS ZEPHYRHILLS
ADDRESS: °T� 3q�LZ 9�� PHONE: I(813)838-9000 FL
ZEPHI'RHILLS
FL 33542 PHONE: (352) 626-0930
VEIVDOR NAMg; RyMAN ROOFING, I1�7C I
ADDRESS: 36413 STATE R4AD 54 CONTACT:
PROJECT: 395945240�PSE�ROOF�LABOR Z'HONE: (g13��g2_6094
F�: (813)788-i 773
LOWES PO: 173722947 LOWES INVpICE: 89g 3WS
EST DELIVERY: O1/01/00 ASSOCIATE:
AR NU'MBER: RY IZZO
4TY ITEM ITEM DESCRIPTION
__" BIN VEND_PART#
-----------------
1 -----'---- COST E%T COST
225228 BRING UP TO CODE
--------
----------�-------------
1 228228 LOCAL DISPOSAL FEE 190.00
1 228239 LABOR TO INSTAI,L 2 4X8 SHE 190.00
ETS PLYWVppD DECKING 95.00 95.00
1 235811 Y I 120_00 120.00 �
LABOR TO REMOVE AND COVER
1 OLD STOVE VENT 10.00 10.00 ✓
322256 LAgOR TO INSTALL 19 SQUARE
S OF ARCgITgCTU.RAI, SHINGLE 2090.00 2090.00 ✓
S
FREIGHT $ 0.00
TOTAL $ 2505.00
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