HomeMy WebLinkAbout14-14885 1
CITY OF ZEPHYRHILLS
` � 5335-8TH STREET
(sis)�so-oozo 1488
' BUILDING PERMIT
Permit Number: 14885 Address: 6225 SILVER OAKS DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Biock: Section:
Square Feet: Subdivision: StLVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-1130
Improv. Cost: 9,200.00
Date Issued: 1/10/2014 Name: BURGESS, DANIEL SR& BEVERLY
Total Fees: 85.00 Address: 6225 SILVER OAKS DR
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/10/2014 Phone:
Work Desc: REROOF 30YR FIBERGLASS SHINGLE
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TAPE JOINTS ROOF INSP
FINAL /� Z Z- �C�
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 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 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 reoording your notice of oommencement."
Complete Plans, Specifications Must Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
. '1�
CO RACTOR 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
Phone Contact for Permittin
Owner's Name ,�/V� '`Z [1 � ( _C�S� Owner Phone Number �
Owner's Address � �. =� ..�1��/C/''�_� �j/�t�_� ���'� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Addreas
JOB ADDRESS 1"�--�-� �S/L�//-�� ��j��/S ��� ��
LOT#
, ,�]
SUBDIVISION �%C-UL�� ��/�S PARCEL ID# :�'� �r�/- Q Z� - 4�OO "` ,3�'
(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 � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK ��� /C.f��J�` ��/� (,{//7;�{ �� �'�, ����y'�/,�� S/S1/h/G�S
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
��,
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���"-�
QGAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILOER 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#
r
OTHER j ��� COMPANY Vir✓ �O��I1���
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�( � ,
Address �„ �vC�� j 3�',� f//*L�� L'i�,/ License# �C��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitfes&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians 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 commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""'PROPERTY SURVEY required for all NEW consVuction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over s2500,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 if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTION Count re ulatgons. The undersigh d alssumest resp ns bilbty for compl annce tw th any
which may be more restrictrve than Y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or
contractors to undertake work, theired b b aw,Qbotht he ow'ner a d ontractoa may beh c ted for al m sdemeaanor violat on
contractor is not licensed as requ y I for the
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
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 1MPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERY��FEES{' n of neweb 9de gsnchange of
that T�ansportation Impact Fees and Recourse Recovery Fees may app y
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 Water/Sewer 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 8� 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" wil! 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 Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER�truction!S I'understand that a�s pahat permit may be requ9ed forlelectrcal work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed chn cal codesenor shall ssualncehof a pe mitprevent thehBu ding Off ceal from thereafter
set aside any provisions of the te ermit issued shall become invalid
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work authorized by such defor'a'S e od of six(6) mhonths after the t mpe thetwo k is commenced Anhextension
the permit is suspended or abandone p
may be requested, in writing, from i hWOrk'ce'a e�or'ninety(90)r on ec tive days, the job isocons dered bandonedstra e
justifiable cause for the extension.
WARNING TO OWNER: YOUR FAILUREO OUR PROPERT1f.TIF YOU INTOENDETO BTAINnFI�ANCSNGTCONSULT
PAYING TWICE FOR IMPROVEMENTS T
Wf�fFi YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) � , '
�r---___--
����.�--�- CONTRACTOR �='� �
OWNER OR AGENT Subscrlbed and swom (or affirmed)before me this
Subscribed and sworn to(or a�rmed)before me this
bY o is/are ersonally k wn to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
as idenUficatlon.
/ �
' �' Notary Public
Notary Public ,,,
Coyh ' sion �� 5 ••. �ACQUEL! B
Commission No. ' '" � ��
=? � Expires December 12
Name of Notary typed,printed or stamped
Name of Not , t� �-�-�o�a
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2014003583 _.
PertnitNO. ParcellDNo 83��(p -��- 0�z//�' OOdO����3l7
NOTICE OF COMMENCEMENT
State o! ���� County of ��.5'G�
THE UNDERSIGNED hereby gives notke Mat impovement will be maAe lo ceAain real property,and in acwrdance with Chapter 7t3,Florida Statutes,
the following infortnatlon is proWded in this NoUce of Commencement
t. Desaiption otProperty: Parcel Identlfication No.
I StreetAddress: _(O�.SS J/Ll�G� �/�"�fS �ie. ��Pi����L.L,f�fc_ 3�57�...
2. General Descriptfon ol Improvement � �04�/�� �dGS��—
�3. Owner Information a Lessee infortnation i/the Lessee contracled for the improvement:
�f}�/�LL b u/1d-�.SS' '
(o�-SS SI'LVE�e. OA-�ts D2._ ,2�1yi��`4! ��
Address . City � State
Inferest in PropeRy: �����-
—�
Name of Fee Simpk Titleholder:
Qf different hom Owner listed above) ,____
Address � City Slale
� ConUactor. �t-/�/� �OB�/�li-
�0 Qi,�el36.� ,fli9�OE- Girf' ,�L
Address Cit� State
Contradors 7elephone No.: 3�� S/�'-.SD.7 y
5. Surety:
Name ��
Address �_ Rept:1674076 R�e: 10.00 siaie
nmauntotBond: S _DS: 0.00 IT: 0.00
�� 01/09/14 D. Bonllla, Dply Cl�rk
� 6. Lender: � � - �
Name
Addresa �_ City � Slale
� LendeYs Telephone No.: �
7. Persons within the State ot Florida designatea by the owner upon whom notices a other documents may be served as provided by
Seclion 713.13(1)(a)(7),FI�yQaStatutea:
Name �� -. -- <[ �- W Y
� z �� �
PAULR 5.0'NEIL�Ph.D.PRSCi�Of�'��TROLIER � — � � U) �
Address 01/09/141,0�1�a� P� 5 6 � w -'
f[ State C� � j Q S J U
Telephone Number ot Designated Person: �� � BK v7� � � i) �� �-� ;_
� � C7 7= Q cv'� �
8. . In addition to himself,lhe owner tlesignales ^ ol_ � '-� F- LlJ �F-- �
�y W W
r� to recelve a copy of the Lienors Notiee as provided in Secffon 713.13(1)(b),Florida Statutes. (� O � � �'� 1 O
Telephone Number of Person or Entily Deaignated by Owner: �- � LL. � u Q I
� � � ~ l.Ll "'- � il U
9. � Expiration date of Notice of Commencement(lhe expiralion date may not be beforo the completion�o�f c/q��1/w ction arW final paymenl to the � � } J i�
conVactor,but wlll be one year trom the date of recording unleas a diHereM date W speciRed): �'!/f?� � � a �� O �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � � '.'� -Y t� (Y.
ARE CONSIDERED IMPROPER PAYMHNTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN Z. �� J >�W
RESUIT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �Q f"- �- J � J
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �"] >- LJ pp � iL C„)
WITH VOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Le_ ly .� .�
of myrknovAedge and beliedeclare that I have reaa Ihe toregoing notice of commencement and that the facts slated therei�are irue to Ihe best � jY � � = O �
O Q � p 7
STATE Of FLORIDA �� /� f� � � n- y � �, Q' � O
COUNTY OF PASCO . k-J�VN�XiW ��lN1�Xl /i'�_ ry' i, '� � S.
. Signature of Owner or Lessee,or OwneYS a Lessee's Authorized LL, �� � L�l (!j L �
� � OKcedDireUOdPartnedManager . ,w' - LL(�"
. �."' _ � Z �--��
Si natory's Title/Oifice � F- �-- Q ? �� m
The foregoing inslrumenl was acknowledged before me[his�day of�,20�by �U 111L�(���
as ���.r (type of authwity,e.g.,o(flce, ustee,attorney in fact)for *
(na of pa y on behalf of whom in ent was executed). GV,T *
Personally Known�gg Producetl Identlficetion Notary Signature �� � • � � *
Type of Identificatlon Produced `Y1 1 V L�l7�a�. Name(Print) � ��
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,,,�N,.1��4 SUE ELIA 8R06UEN �• ,� � ��
' 4s NWary Publk-Slata ol Flarid� +, • �r��
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Commlasion M EE 103741 t � . t-`
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wpdata/bcs/noticecommencement�c053048 ��1 • •��
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.. �ro�osttl PageNo. of Pages
. Gavin Roofing
Quality Roofing Since 1984
�� � P.O. Box 1363 12 6 5
Dade City, FL 33526
' � Lic # RC 004 241565 Yea�Leak warranty
PROPOS(Fj�L SUBMITTED TO
////IN/�' ��6 ,iJ G�� PHONE
!� v�,/(_ DATE
STREETJ
/��� ��J �/�� O � /�� . JOB NAME
�' G-(/ ��
CITY,STATE and ZIP CODE
Z���L �lL`� � �_� JOB LOCATION
G�
ARCHITECT
DATE OF PLANS
JOBPHONE
We hereby submit specifications and estimates for:
-lG��_ �y=-� fy,✓l� ��c��� �G�� �,r,/�� �- 3 0 .�
,� _ _ _�/� -�j����Gi�'.TS
U/!vI��V_SQi�r/�-C� S'�`f/�/G-CC �J , __ _ _
_ _ �/�_/�(/ �it�`t�'sS� '�,j 2� .�EG.T /(✓Eu/�i�uC
1',�1%�' f/�� �Li�S�ir✓i=J _ �'�D�'-C— �/E,vT.�� _ _ _ _
/��"1�-���rQ � _ / �9"�,� _r1/,�Gt��/ �/C���. �O ,!s'� _
��y G+/nOD / _
_ � r,r/o/��l >o �� ,r��,,��c- �is �/'��oE,D� �!� __
%/�/�s" � _ ___
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�P �rOpDSP hereby to furnish mate�I and labor—complete in accordance with above specifications, for t
�j��7 ��� !�'l��Q/f�"-„(, � h e s u m of:
�
Payment t e made as follows: 2oD
L����J-��� �� � dollars($
)•
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders, and will become an extra SignetUr2
charge over and above the estimate. All agreements contingent upon strikes, accidents �
or delays beyond our control. Owner to carry}ire,tornado and other necessary insurance. Note:This propOSal may be
\ Our workers are fully covered by Workman's Compensation Insurance.
� withdrawn by us if not accepted within
� days.
�1rrP�t�nrP of �ropos�l _Tne aeOVe pr;�es, specifications n 1
and conditions are satisfactory and are hereby accepted. You are authorized Signature �✓ �'�i�'�� �f ^_
to do the work as specified. Payment wiil be made as outlined above. ��h� � //
Date of Acceptance:
Signature