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HomeMy WebLinkAbout14-15124 .� CITY OF ZEPHYRHILLS � J 5335-8TH STREET ,. . _ ,_ (si3pso-oo20 15 4 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15124 Address: 38712 EVELYN LANE 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: OAK CREST ESTATES Est. Value: Parcel Number: 02-26-21-0230-00000-0020 Improv. Cost: 7,379.00 OWNER INFORMATION Date Issued: 3/26/2014 Name: MILLER JERRY K & SHARON E Total Fees: 75.00 Address: 38712 EVELYN LN Amount Paid: 75.00 ZEPHYRHILLS FL 33542-1690 � Date Paid: 3/26/2014 Phone: Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 75.00 � '/ x(� V� �jUl./ / ' ��}/�l� �� l.� ' • Ins ections Re uired DRY IN ROOF INSP TAPE JOI J S ROOF I SP . FINAL - s 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 perFormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. � �=-e.JC��/ o CONTRACTOR 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 Rec�ived 2(p � phone Contact for Permitting g l 3 � ��1 — __�y�,3� , Owner's Pfame / -2 Owner Phone Number Owner's Address 3��� Z 1�.� � Owmer Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � I Z � �� LOT# C� SUBDIVISION PARCEL ID# 'a..I � o a3 0 -o o � �c�--�D� Z O (OBTAINED FROM PROPERTY TAX NOTICE) lNORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK cS I 9h.v�_ BUILDING SIZE SQ FOOTAGE S HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ p0 VALUATION OF MECHANICAL INSTALLATION �� '2� ��� � QGAS �— ROOFING Q SPECIALTY Q 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 License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER � , ]�`'�_ ��� ��� COMPANY � SIGNATURE w ��w REGISTERED Y/ N FEE CURRE� Y/N Address � c� �t'�.2_ r2 �,� License# 'L-C-C- —��7�7�Z- 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities�1 dumpster;Site Work Permit for subdivisions/large projects CORBMERCIAL Attach(3)wmplete 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 submittal date. Required onsite,Constructfon Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facitities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructlon. Directions: Fill out applica6on completely. Owner&Contractor sign back of application,notarized If over�2500,a Notice of Commencement(s required. (A/C upgrades over 57500) •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only)1 • Reroofs if shingles Sewers ,� Service Upgrades A/C , Fences(PIoUSurvey/Footage) , , . . , . Driveways-Not over Counter if.on public roadways..needs ROVV, -- - . -• , . � 5� NOTlCE�F DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed"restrictions" which may be more restric#ive than Caunty regutatians. The unders4gned assumes responsibility far compliance with aciy applicable deed restrictions. UNLICENSED CONTR�lCTC1RS ANO CONTI�ICT�R RESPON51�lLITIES: If the owner has hirsd a contractor or cont�actors to undertake work, they may be required.to be iicensed in accordance with state and local regulations. If the contractor is no# licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation Under state law. if fhe owner or in#ended contractar are uncerfain as to whaf I�censirtg requiremenfs may apply far the intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Fu�thermore, if the awner has hired a contractor or cont�actars, he is advised ta have the contractar(s) sign portivns of the "contrackor Black" of this application for which they witl be respansible. If you, as the awner sign as fhe contractar, thak r►tay be an indication tha# he is not prqperly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPAGT ls►ND RESOURCE RECOVERY FEES: The undersigned.understands that Transportation Impact �ees and Recourse Recavery Fees may apply to the constructian of new buildings, change of use in_existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-0? and 90-07, as amended. The undersigned also unc4erstands, Ehat such fees, as may be due, wi1! be identifisd at the tims o# permi##ing. it is further understood that Transpartafion 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 certificate of occupancy or finai power release, the fees must be paid prior to permit issuance. Furtherrrtore, if Pasca County WaterlSewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION �.1EN I..P►W(Chapter 793, Elartcla Statutesf as amended}; if valuation of work is$2,�00.00 or mare, 1 certify tha# I, the applicant,_ have been provided with a copy of the "Florida Construction Lien Law—Hameowner's Protection Guide" prepared by the Florida Depa�kment of Agriculture and Consumer Affairs. If the applicant is someone ofher than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith ta deliver it to#he"owner"p�ior to commencement. CONTRACTOR'S/OWNER'S AFFlDAVIT: 1 certify that a11 fhe infarmation in this applicatian is accurafe and fhat a11 work will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is hereby made to obtain a permit to c4o woric ancf installation as indicated. 1 certify that no work ar instailation has commenced prior to issuance of a permit and that all work will be perFprmed #o meet s#andarcls of all laws regulating construction, County a�d City codes, zoning regulations, and land developmenk regulations in the jurisdiction. I also certiiy that 1 understand that fhe regulations a€o#her gavernment agencies may apply ta the intended work, and that it is my responsibility to iden#ify what actions I must take ta be in complfance. Such agencies include but are not limited to: - Departmen# of Envirortmenta! Protection-Cypress Sayheads, Wetland Areas and �nviranmentalty Sensitive Lands, WateNWastewater Treatmenk. - Southwest Florida Water 1ltlanagement District-We!!s, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Depa�#ment of HealtFt & Rehabi[itafive ServiceslEnviranmental Nealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protectian Agency-Asbestos abaEement. - Federal Aviation Autho�ity-Runways. I understand that the follawing restrictions apply ta the use of�R;� � - Use af fil(is not allowed in Flood Zone"V"uniess expressiy permitted. . - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "campensating voiume" wRll be submitted a# time of permifting which is prepared by a prafessional engineer licensed by#he State of Florida. - If fhe fill material is to be used in Flood Zdne '"A" in connecfion with a permitted buiiding using stem wal) construction, I certify that fill wilf be used onfy fo�II the area wifhin#he stem wali. - If fi!! material is to be used In any area, I cer#ify that use of such �II will not adversely affect ad}acent prope�ties. 1f use of fill is fotand to adverseiy affect adjacent properties, the owner may be cited for vialating the canditions of the building permit issued under the attached permit application, far Iots less than one (1) acre which are elevated by fill,an engineered drainag�plan is required. If I am the AGEN'T FOR YHE OWNER, I promise in good faith to inform the owrner of the permitting conditions set farth in this afFidavit priar ta commencing construction. I understand that a sepa�ate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or ofher insfallations not specificaily included in the appiication. A permit issued shall be construed to be a license#o proceed with the work and not as authatity to,violate, cancel, alter, or set aside any provisions of the#echnical codes, nar shall issuance af a permif prevent fhe Buiiding Q�cial from thereafter requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid unless the work aufhorized by such permit is commenced within si�c months af permit issuance, or if work authocized by the permit is suspended ar abandoned for a period of six(6) months after the time the work is commenced. Nn extension may be requested, in writing, from the Building O�cial for a period not to exceed ninety {9Q) days and wil! demanstrafe justifiable cause for the extension. If work ceases for ninety(90}cansecutive days, the jab is considered abandoned. WARNING TO CIWNER: YOUR �AILURE TU RECORD A NQTlCE OF CONfMENCEMENT MAY RESU�.T EN YOUR PAYING TWICE FOR IMPROVEM�NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAPICING, CONSLILT WITH YQUR tENDER OR AN ATTORNEY BEl=C1RE_RECORDING YOUR NQTICE C�F COMMENCE[it6ENT. _ _ FLORIDA JURAT(F.S.1 03) OWNER OR AGENT���itL��v�`— CQNTRACT{}R a���/ � Subscrlbed and swom to(or affirmed)before me thfs Subscribed and swom to(o�affirmedj before me this by by Who isJare personatly knawn to rne or hasthave prodsaced Wha 4slare personally known to me or has/have produced as idenUfication. as identtFca6on. INotary Public ��' � �- Notary Publlc � °„Y P.., ACQUEl1NE�4GE Commisslon No. Commi ' :►d � _Q�: F�pires December 12,2014 Name of Notary typed,printed or stamped Name of -� — — I II DSp�01000833 =Tg�0.00�00 IIIIII�IIIIII�IIIIII�IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII 03/24/14 8. MeBee, Dpt,y Clerk 2014044117 PpULR S.0'NEIL.Ph.D.PiiSCO CLERK B COMPTROLLER a 030R BK �0��� P�of 1�5� I ' PertnitNo. ParcellDNo PZ`��—af—D730—o00oo—oozo • NOTICE OF COMMENCEMEN� '�D c State of `F"�^ County oi a-Q'�-*� THE UNDERSIGNED hereby gives notice that improvement will be made to ceAain real property,and in accortlance with Chapter 7�3,Florida Slatutes, lhe following informattan is provided in lhis Notice of Commencement: - � �_ �O�O� O�2� 1 Description of Property: Pareel Identificatfon No. O ' - , Street Address: 7 � 'V 2. General Description of Improvement 3. Own Infarmatian or Lessee intartnation if the Lessee contracted(or the improvement: �—O ^ � ,_ - me n ! ��A�� -��iX�r/� ���°°!i ir- L..tl Cit State Address y 335'�Z Interest in PropeAy: ' Name of Fee Simple Titlehotder - (If diHerenl from Owner listed above) ��Ty State Address . � Contractor: � �-i7�D�e � � Cit Qr-�° State Address G� y 33SZ5 ConVactors Telephone Na.. D{3 -7�'`�— �53'7 5. Surery: Name Q ~ V � � City Slate Cf) W LL � W w Address � � 11. —'� J (_) A moun t o f B o n d: S Tetephone Na.: � z U O ~� 0 � J g. Lender. L�j„ �� S Q N � n Name City State r+- � �W z � �- p Address � Q Z -' � Lender's Telephone No.: • �" u- ~ � — � 7 Persons wilhin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by �"" � �- � U U� � � 00 ��,� Seclion 713.13(1)(a)(7),Flodda Statutes: � 1- a �� Y � Q �� � Name z U U � w Q � 1- � Q J City State � } (} m � � V Address Ct- �� � O J Telephone Number ot Designated Person: � � � � � � z/ of_ J4tlfl � p _ g, In addition to himself,the owner designates O to receive a copy of the Lleno�s Notice as provided(n Section 713.13(1)(b),Florida Slalules. u- U U � Telephone Number ot Person or Entiry Deslgnated by Owner: , � � � � � � � Q � g, E�fration date o(Notice of Commencement(lhe expiralion date may nat be belore the completion of constructton and final payment to the a (�� Z � contraclor,but will be one year from lhe date of recarding unless a ditterent date is specifiec�: � �� O � a m ARE CON IDER DE MPROPER PAYMENTS UNDER CHAPTER 713, PARTE SECTION 713.13, FLORIDAESTATUTESEANDMCAN RECORD D AND POSTE�D ON HE JOB SITE BEOFORE THE FI ST NSP CT ON R F YOU NT�END TO OBT�AIN F NANC NG,CONSULT �p � WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING�YOUR NOTICE OF COMMENCEMENT �-@ � Under penalty of perjury,I deciare that I have read the foregoing notice of commencement and lhal lhe facl`stated therein are true to the best �J�� ' '�1 of my knowledge and hetlef. �. l .•�� STATE OF FLORIDA f� � "� `� T� � � � � COUNTY OF PASCO Signatur f Owner or essee ers ar Lessee's Authorized � m �,'-.. d c@ M Q ��er� NotarypuMicSmteofFlo�id� OKcer/ uector/PaAn IMana er � „ . � � ld] ,` , Sherty wdner � � im • � c�ag My Canmiuton FF 076785 � � • ��� �o,,,�r ezqre.�yoeno» Signatorys 7We/Office // 0 � '�,zo�by �2kR r���I I 2f' �A The fore going instrumenl was acknowledged before me this day of e o utho r i ty,e.g.,o K c e r, s t , riome y tn fact)for � . a � , as � • � (na of pa n behatf of wh nst me w s execuled). �� � Notary Sign Personally Known �Produced Itlentification❑ Q� Type ot Identification Produeed Name(Print) wpdalalbcslnoti�ecommencement�c053048 ♦ q - V '�,. . ,�._,�-n„�,, � ,�;.�,._ .,-Rst��r�^°�v�eazW�.....:�;"= _ -.- _ • ��ti--+.,:::^a.^°M•M!� . �_ _ - -_ _. - , - • ....�r °°YYoic-^' _ _-- _ - ...- • - . - � . ^\�nt-�»F4S�"oa�.'v..rm!'^'Y`. . . � _ .. _ , ' . . - ' _ _ �SyPM�_� �Wb1�,"�. • , - i., I�• `� ��j•�1 j: �t"=�!.'F.� �-Ei v 1 � `, � �J � SHIP T ! +' / ��'� ��— • {}���� �..�.f � � r J,G'��i•��'S.- "��-�"'�^(,I�' 'J ..i ;OLD TO ry,J�,J� f ,.��^'"`"`" o� , � �i ���, .� ADDRESS c.� J �( �J f�^�J i—J �_ ADDRESS ������ �� �,t �..., !,S . 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