HomeMy WebLinkAbout14-15025 . CITY OF ZEPHYRHILLS
- � 5335-8TH STREET
(813)780-0020
025
BUILDING PERMIT
Permit Number: 15025 Address: 5929 17TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Townshi
Proposed Use: NOT APPLICABLE p� Range: Book:
Square Feet: Lot(s):7-9 & S 1/ Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: 4,000.00 Parcel Number: 11-26-21-0010-04200--007
Date Issued: 2/28/2014 Name: PALMER, JOHN & JENNIFER
Total Fees: 55.00 Address: 5929 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/28/2014 Phone: �3�3 -t( p�
Work Desc: REROOF SHINGLE
� 55.
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TAPE JOINT (�F I
FINAL_ �U ''�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 2 c when extra ins
trips are necessary due to any one of the following reasons: a) wrong address b)�demned work resP I ng
from faulty construction c) repairs or corrections not made when ins u ti
inspection when called e P e c ti o n s c a l l e d d)wor k not ready for
) 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 ro
may be found in the public records of this coun and there ma be additional p PenY that
�� Y 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 recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in acxordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION R
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 � - � O ��(,� �(�
� Phone Contact for Permittin �{�`$ __ ��(
Owner's Name �6�� r�A�•�n.e,l
Owner Phone Number g l�'y�'� –y8p(
Owners Address a ' ,5�I'.ze� Owner Phone Number �
Fee Simple Titleholder Name �
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��
LOT�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT SIGN
INSTALL REPAIR �� 0 0 DEMOLISH
PROPOSED USE [� SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME C� STEEL �
DESCRIPTION OF WORK �e '1' ,� ,� �
BUILDING SIZE SQ FOOTAGE�� HEIGHT ��
QBUILDING � �
� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a 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
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE�
Y/N
Address o, 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# �—
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 constructian,
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 subdivisions/large 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)+nrorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""*•PROPERTY SURVEY required for all NEW construcBon.
Directions:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
.. If over 52500,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(Plof/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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2014031357
Rcpi:1583273 Ree: 10.00
DS: 0.00 IT: 0.00
02/28/14 E. Munquia, Dpty Clerk
PM1LR 5.0'NEI�,ph,p,pqSCO CLERK 8 COMPTROILER
02�28/14 1: 1 of 1
OR BK �0� pG 343
Permit No.
NOTICE OF OMMEN Q ENT
Property Identification No.J�Z�e-�_�r d� 2(��{�7(J
� Tf�UNDERSIGNED heraby gives notice that improvements will be made to certain real property,and in accordance with Section
� 713.13 of the Florida Statutes,the following infotmation is provided in the NOTICE OF COMMENCEMENT.
i �
� 1. Description ofproperty(lqga/desc�/p�n: � ? ,.S�p�/�G-S
ia) Street Address: V�O c!L .§
2. General description of improvements �Cr _
� 3. Owner Information �o� �A� _
' a) Name and address: �'`'�� �a.� /'�� 'f�i.e.¢,'{' z����6ti��S� L 3J.�yZ
b) Name and address ot tee simple trtleholder(if other than owner)
� c) Interest in property -
4. Contractor Information
' a; Nam�eandaddress: ��e� Qp(,y�„�,r ��L� �r�"t�'� S.k.�� Z���,/�/IS,(_' ��, {, -
i b Tel honeNo.: �� N�68�Y801 .. �~' �� �� -
5. Surety Information F�x No.(Opt.)
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender Fax Na.(Opt.) -
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be urved; Q ~' � Y
a) Name and address: z V �
b) Telephone No.: w
Fax No.(Opt.) - O � � ��( LL! -�
S. In addition to himself,owna designates the following person to receive a copy of the Lienor's Notice as provided in Section Q O U� 1-�- "' -'� �
713.13(1)(b),Florida Statutes: }
O
ia) Name and address: � w Q � W cv � �
b) Telephone No.: Fax No.(Opt.) - � � w z � �-
9. Expiration datc of Notice of Commencement(the expimtion date is one year from the date of recordin g u n l e s s a d i ff e r e n t d a t e i s �
s p e c i f i e d):_ n I-�- O I.L � ¢ O
R'ARNING TO OWNER:ANY pAYMENTS MADE BY THE OWNER AF"TER THE EXPIRpTION OF TSE NOTICE OF 2 = O O � �
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13 � Q � � Y
FLORIDA STATUTES AND CAN RESULT IN YOUR PAY[NG TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A 2 U C,) W
NSP CT ON.I YOUNINTEND TO OBTAW FINp1VCING,CONSULT YOUIt LEN ER OR AN TTORNE BEFORE � ~ ~ J � � V
COhIMENCING WORK OR RECORDIlYG YOU NOTICE OF COMMENCEMENT. � �" � � Z O J
. STATE OF FLORIDA � � � � _ � W
COUIVTV OF PASCO � � O � } p Z
OF� �,„w„rror s wutho+ttM Oftiea/DueetodPumer/Manager ��•. (.� p � .
c�P .�e�,�+�R.o c,�,,.�r C�..' r-- z � v�
Pnnt Neme �+� � Q� Q
1'he foregoing inswment was acknowledged before me this_�y o}' '� ��� z �
20 ,by !-� � p! Z ~
� of authority,ag.officw,trustee,attomey in tact)for � � � O � a �
(name of parry on behalf of om in trument was executed).
. Personally Known_OR Produced Identification • � �_ _``,� '� �C
�/—
Type of(dentification Produced 1 ������,�yp� f�`,�' ��.Gd • � �,
�.� y��, � �
Verifiwtion pursuant to Scction 92.525,Flo �Tp1 d
�are that I ave rcad the foregoing and that the facts stated � �
in it are We to the best of my knowledge an u � '��1 � . �
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