HomeMy WebLinkAbout14-14985 , • CITY OF ZEPHYRHILLS
5335—8TH STREET
` � (sis)�so-oozo 14985
BUILDING PERMIT
; . , _:,
�Permit Number: 14985 � � � ��� � ��
Address: 6124 11TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200 0090
Improv. Cost: 6,200.00 �� sr �����, ��� �� ��,,
Date Issued: 2/18/2014 Name: SRP SUB LLC
Total Fees: 70.00 Address: P.O. BOX 447
Amount Paid: 70.00 ODESSA FL 33556-0447
Date Paid: 2/18/2014 Phone: 813-675-0916
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 financing,consult with your lender or an attorney
before recording 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.
RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
RA13-780-C^20 City of Zephyrhilis Permit Application Fax-813-780-0021
' , Building Department
Date Received � _ -
Phone Contact for Permittin __
Owner's Name �� , �(�/� �G� Owner Phone Number
Owner's Address �� �o ���S�i¢ /��, pvmer Phone Number
Fee Simple Titleholder Name —� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS f7 �Z '� � '�'a/-. Z�� �/�%GGS �L. 3��� LOT# ��� �..
SUBDIVISION v '� �p� (� PARCEL ID# a Z-2�-2� `d4�G�dD��'—C��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CoNSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE � SFR Q COMM �� OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTI N OF WORK %N6/�}LL /�/E�/ l��fl//�/���� �v'�� ���(�!-�/��t/� ���J��-
BUILDIN SIZE � SQ FOOTAGE�� HEIGHT
BUILDING St�` �., �9 � VALUATION OF TOTAL CONSTRUCTION
; __
QELECTRICAL $ AMP SERVICE Q P GRESS ENERGY Q W.R.E.C.
OPLUMBING $ j ��
/� �'�`�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA
QGAS ROOFING �] SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER " COMPANY IAL��5 P���` � �yJ��fJ�`, %�/�
SIGNATURE " REGISTERED Y/ N FEE C RE� Y/N
Address License# �—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �— —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 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 Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
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&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (NC 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 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 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 misdemeanor�vif�lat{he
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 Buiiding 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 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 "certificate of occupancy" or final power release. If the project does not invoive 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 musi 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 �egulating
const�uction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify 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 Envi�onmental Protection Agency-Asbestos abatement.
Federat 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 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
prope�ties. 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 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, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUE N'TSTO YOUR PROP RT1f.TIF YOU tN�END TO BTAIN F NANC NG CONSULT
PAYING TWICE FOR IMPROV
WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N CE O MENC M NT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR me this
Sub e S� a
Subscribed and sworn to(or affirmed)before me this by ,
bY o I ersonally kn n o me or haslhave produced
Who is/are personally known to me or has/have produced as identlfication.
as fdentlfication. , � j�
� '� � ' �
� E ' �� ublic
Notary Public . `' '
Commission No. Commission No. gg�E S.SWETLAND
:�'�Py�*: Com
Name of Notary ' ��ary 22,2016
Name of Notary typed,printed or stamped '•.,n,,,,!;•�' BaMedTluuTroyFanlnsurence800.385-7019
a � � �iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
' " 2014024721
NOTICE OF CONII�NCEtI�TENT Rcpt,:1582542 Rec: 10.00
� DS: 0.00 IT: 0.00
PermitNo. 02/18/14 S. Shulf.z, Dpty Clerk
TaY Folio No r`J�-2� -'Dd — � ^�D�Q
THE Wi DERS[GNED hereby gives notice tha[improvements will be made to certain real property,and in accordxnce with Section
713.13 of the Florida Statutes,the follo�ving informAtion is provided in this iYOTICE OF COVI�IENCEMENT.
1.Description of property(lega!descrip(ion: Sbf `p � � 0% � . �UC'I� G �$J`-(p c�3��a{�i
a)Street(Job)Address: 2
2.General description of improvements:
3.Owner]nformation Clly� � y //
a)Name and address: �� JV/�J 1� C,_ �D �x ��r � �,S,S(��_�,3�j��
b)Name and address of fee simple titleholder(if other tTian owner) N/A
c)Interest in property �/�
4.Contractor Information
a)Name and address: /9 FTt/v� If����+U-� �(J��O 1J'� V/}�/Z/��' f=L. 3 3S��
b)Telephone No.: . ��� �-� Fa�c No.(Opt.) N/A
S.Surery lnformation
a)Name and address: N/A PqULA S.0'NE I L,Ph.D.Pq5C0 CLERK & COMPTROLLER—
b}Amount of Bond: N/A 02/18/14 01:23 m 1 of 1 '
c)TefephoneNo.: N/A OR BK ���5 PG 1�g3 -
6.Lender
a)Name and address: N/A
Phone�lo. N/A
7.Identity of person within the State of Florida desi�nated by owner upon whom notices or other documents may be served:
a)Name and address: N/A
b)Telephone No.: N/A Fax No.(Opt.) N/A
B.In addition to himself,owner designates the followino persan to receive a copy of the Lienor's Notice as provided in Section
713.13{I){b),Florida Statutes:
a)Name and address: N/A
b)Telephone No.: 1V%.4 Fax No.(Opt) N/A
9.Expiration date ofNotice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified): One year from the date oE recordinQ
WARNING TO OWNER: ANY PAYMENTS(VIADE BY THE OWNER AFTERTHE ECPIRATIOIY OFTHE NOTICE OF
COMMElYCEMEiVT ARE CONSIDERED I1�tPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTIOIY 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYiNG TWICE FOR IMPROVErIENTS TO YOUR PROPERTY.
A NOTICE OF CONINIENCEd1ENT i�NST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
lNSPECTION. IF YOU INTEND TO OBTAIiV FINANCING,CONSULT YOUR LENDER OR AN RE
COMMENCING WORK OR I�ECORDING YOUR NOT[CE OF COMhIENCEMENT.
sTarE oF F�oxina
COI;NTYOF ��'�5����„ / IO.
`,^� Signa f—"7ner or O„�er's Auti�eTi�e �c /DirectodPartncr/Mannger
0 J(fii�'L et j�
Prin[N¢me
The fore�oing instrument was acknowledged before me this �Q day of ��iv� ,20�by �/
/��� py }�
U//� as �(/�(����/ (type of authority,e.g.officer,trustee,
��n� SU13 L�C '
attorney in fac!)for � (name of party on be oli o(whom in trument was executed).
1� �� /�� v (�_
Personally Known_oR Produced Identification V Notary Signature , t..� �/
TypeofldentificationProduced ��./� Name(prinQ�'`�(��'�awa� (/VC�,1C-1�5
L '�p� —�
LrTn �tyu:y
Verification pursuant to Section 92.523,Florida Statutes.Under penalties of , e that 1 have read the� that
the facts stated in it are true to the best of my knowled�e and belief.
voR�csmoc,na:om �OtpR'�P�B/c NIPH�WANTFiIAhiPCANYJATEAS
* � * MY COMMISSiO EE Si of Natuml Person Signing(in line p!0.)Above 7
EXPIRES:August 30,2016
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�'ID �, . � T�LIE r'��,;D����RECT COPY GF"�HE GUC'��NiENT
� F�,�;C�;- oijBLiC RECORD IN THIS JFFIG�
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