HomeMy WebLinkAbout14-15112 ! CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 15112
BUILDING PERMIT `''�
Permit Number: 15112 Address: 5830 9TH 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: 11-26-21-0010-02400-0170
Improv. Cost: 8,835.00
Date Issued: 3/21/2014 Name: VIENS WILFRED C & SUE E
Total Fees: 80.00 Address: 5830 9TH ST
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-3612
Date Paid: 3/21/2014 Phone: 813-838-0623
Work Desc: REROOF SHINGLE
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TAPE JOINT ROOF I SP
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 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 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 accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
rn L�� �c�� .
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Recsived . 6
Phane Contact for Parmlttln ���
Owners Nama �• � Owner Phone Numbar D��j "� 2.3
Ownars Addrsas
Ownar Phone Numbsr
Fee Slmple Tltlaholder Name Owner Phons Numbsr
Fse Slmple Tltleholder Addrsas
JOB ADDRESS r � '�35�2. LOT# ��V�/S
sueawsioN G� t-�s PARCEL IDIt 1 -Z�- 2�..��V,.d2 � - i �
(08TNNED FRON PRppERTY TA%Np710E)
WORK PROPOSED NEW CONS7R ADD/ALT SIGN � � DEMOLISH
B INSTALL B REPAIR ��R�F
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �—��
DESCWP710NOFWORK r.e,�m�;/¢,rr�c,5ti r�y��� .��� �..nrn /'� �
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BUILDING SIZE SG FOOTAGE �f S ' " /SJ.�N, �j ����,�
� � � � � � � � � � � � r,
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QBUILDING a
'� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / i, %� / � 2/
QGAS ���� /
Q ROOFING a� SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO n �7
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BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREI.
Y/N
�d�$ License# —�
ELECTRICIAN COMPANY
SIGNATURE
REGI5TERED Y/ N fEE CURREA Y/N
Addresa �
License#
PLUMBER COMPANY �
SICaNATURE REGISTERED Y/ N FEE CURREA Y/N
Address �
License#
MECHANICAL COMP/WY
SIGNATURE
REGISTERED Y/ N FEE CURRE� y/pJ
Address
License#
OTHER COMPANY �AY,�,���� �Qyy�� �
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ' ."�
�,d.e.s i 7 �5 �Ui SUSSo���# � 2� 22
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W pemi�t for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities$1 dumpster,Site Woilc Pertnk for subdivisionsAarge projects
COMMERCLqL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuction.
Minimum ten(10)walcing days after submittal date. Required onsite,Construcfion Plans,Stormwater Plans w/SiR Fence insTalled,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.AII commercial requirements must meet cpmpliance
SIGN PERMIT Attach(2)sets oi Engineered Plans.
""'PROPERTY SURVEY required for all NEW consWction.
Direetions:
Fill out application completety.
Owner&Contrector sign badc of application,notarized
N over 52500,a Notica of Commenc�meM Ia rsquired. (A/C upgradaa ovx 57500)
" Agent(for the contractor)or Poo�rer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OV R PERM1TTiNG (Front of Application Only)
eroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FootaAe)
Driveways-Not over Counter if on public roadways..needs ROW
n NOTICE OF DEED RESTRICTIONS: The undersigned undershands 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 violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply 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 contractor or contrectors, he is advised to have the contractor(s) sign
poRions 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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE30URCE RECOVERY FEES: The undersigned understands
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 spec�ed 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 involve a cert�cate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco Couniy Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accorclance 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"owne�',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'S/OWNER'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 certiTy that no work or installation has
commenced prior to issuance of a permit and that all work will be pertortned to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certity 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,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Heatth & 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 pertnitted.
- 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
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building pertnit 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 pertnitting 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 inGuded 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 fime 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
just�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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
WRH YOUR LENDER A RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 77. �
OWNER OR AGENT � CONTRACTOR
Subscribed and swo to o��rrned)be{ore me this
by �J� Subscribed and swo to r afirtned)befo e this
Who isJare personally known to me or has/have rodu by �a� �� ���-�� d`��'
P Who is/are oe.e��s�� � ,.,n tr,me ar has/have
a identficatlon. - produced
as identification.
� '�`� " �� Notary Public a �-
• �,�,.,,��'�5�o Notary Public
Commi on ����� D
Commission
Name of Notary typed,printed or stemped Name of Nota
ry lYped,printed or stamped
��;'a�•`"�% JOY A.VfTO a°,�::;�•� JOY A.VITO
* � * MY COMMISSION fi fF 039560 *��* MY COMMISSION/FF 039560
� EXPIRES:August 3,2017 ,�,r � EXPIRES:AUgUsi 3,2017
��p����0 Bended firu Budpet Notary Smlat 7rEpf FLO�'�� B�ded ThN Bu�tpet Not�ry Senkea
. . � lilllilli1111101lIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIII
2014043788
Rcpt:2590380 Ree: 10.00
DS: 0.00 Ii': 0.00
ThisInswmentPreparedBy: 03�21/14 K. Garcia, pp{y C�erk
Affardabie Roofing Systems,lnc. � - �
12573 US Higltway 301 `
Thonotosessa,FL 33592
NOTICE OF COMMENCEMENT
� Permit Number Tax Folio Number �����^Q7�d�0� —�(7O w D
Parcel ID Number —
State of Florid �N D
Counry of �Q (�b ; ��v+
��ao
� A z
THE UNDERS[GNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713, �m~
Florida Statutes,the following information is provided in this NoNce of Commencement: i �+�►r
, ��m i
l.Descrlptlon of prope (legal cription): ���� ^0�f(�"�Z�(�--0�'�d �3�a
, a)Svat(job)Address:J`�� . � � N
' 2.General descriptlon of improvement. Reroo �.+o
3.Owner infortnaUon or Lessee informaUon if the Lessee eontracted tor the im rovemenG � �
(a)Name and address: � O m
(b)Interest in property: 'Z ,�"'x
��F+w
(c)Name and addross of fee s�mpk t�tleholder(�f other than owner): �
� 4.Contracto►Infortnation: I� 3
(a)Name and Address:At[�rdeble Roofina Svstem Inc 12 73 N Hwv 301 Thonotosassa FL 33592 �
I � (b)Phone number,f813)986-6683 �
' S.Surety �
i (a)Name and address: �
(b)Amount of bond -
I (c)Phonc number.
6.Lendsr
� (a)Name and address:
� (b)Phone number:
; 7.Persons within the State of Florlda designated by Owner upon whom notices or other dceuments may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
I (a)Name and address:
i (b)Phone number:
8.In addlUon to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section
7I3.13(1)(b),Florida Statutes:
(a)Name and address:
(b)Phone number:
' 9.ExpireUon.date oi noGce of eommencement(the expiraqon date is I year from the date of rocording unless a different dau 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 I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING T1MCE FOR I
' NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON HEJ OB SITE B FORE THE FlRSTRTY.A
� INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
� BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein e true to�,h e best �ny knowledge and belief • /'
.�� G . �/'ft.x,c� �u �. �� . V �' ns
(Signature of Owner or Lessee,or Owner's or Lessee s(Authonzed OfficeuDirectoNPartnedManager) (PMI Wme an0 ProvN�Slpne�ory'a TNIsrO�Ma)
The foregoing instrument was acknowledged before me this /3 T� day of MA�R.CI�F ,2014
gy_S u E �. V I�NS as a1.�/�tlL�R Qype ol awhalry,eq.ofllcer.tnutes,enomey In hci)
For SELF � � o'sa�.tl"F.R
(Nama ol Person) (typ�d�ulhorlly,,,,s.p.oRl�ir,ln�nss,�Qomey tn f�
FOr SE� (name of party on behalf of whom instrument was executed).
Personally Known Produced ID'X �
Type of ID
Notary Signature
Print name �
JOHN M MaCRETTON
NOTARY PUBUC
STATE OF FlOR10A
� Cornrt�EE879880
Expiros 3M8/2017