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Home My WebLink About14-15324 . � /' CITY OF ZEPHYRHILLS �� 5335-8TH STREET � �sis)�so-oozo 15324 BUILDING PERMIT !� ,__.._ . . ,._.. �. .- ,:,�:r�=� _, : :��PERMIT INFORMATION LOCATION INFORMATION � ' Permit Number: 15324 Address: 37128 CULLENS TRL LT 77 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0180-00000-0770 Improv. Cost: 6,500.00 OWNERzINFORMATION.�� a� �`��°T�:''``:� Date Issued: 5/27/2014 Name: KUPCZYK, RAYMOND & PAMELA Total Fees: 70.00 Address: 11S351 DOWNERS DR '� Amount Paid: 70.00 LEMONT IL 60439-9693 Date Paid: 5/27/2014 Phone: (630)484-6264 ' ' Work Desc: REROOF 26 WITH DEMINSIONAL SHINGLES �� CONTRACTOR S APPLICATION FEES �- I GAVIN ROOFING REROOF RESIDENTIAL 70.00 � �� / ` ; �� V � �� ' �\�C. � /:�� 'U � � . � Ins ections Re uired DRY IN ROOF INSP 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 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. (� ONTRACTOR 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 ,�/� ��C� d!. Owner Phone Number Owner's Address J 6 �-� ��G-LG�� Owmer Phone Number , Fee Stmple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � 7`�� GdC�L�/� LOT# � SUBDIVISION s//�crs/L �/¢�� PARCEL ID# o�^�-�-�1'�'� �G�-� (��0� °� Q �� (OBTAINED FROM PROPERTY TAX NOTICE) � WORK PROPOSED e N TALLSTR B REPAIR � SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM 0 OTHER� TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK /`�-�-� ��e� /' � �G7l,� � �vj�ir/SjO�c�'.�-L J�/I�'�GC� ' BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ ''� VALUATION OF TOTAL CONSTRUCTION (� SB 0 QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ' �� S QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS �/ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGMATURE REGISTERED Y/ N � FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHAPIICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER �� COMPANY G-"�l�Il+J �00��'�� SIGNATURE `�//^�'l REGISTERED Y/ N FEE CURRE� Y/N Address � �� il'f� � License# l�GOO �`L I -RESIDENTIAL --Attach(2)Plot P-lans;(2)sets of Building Plans;(1)_set of Energy Forms;R-O-W Permit for new construcGon, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Buildfng 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,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Faciflties�1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""'"PROPERTY SURVEY required for all NEW constructfon. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement ts required. (A/C upgrades over aT500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter ftom owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 CONTRi4CTOR5 AND COIVTRACTOR 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 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. T�tANSPORTATION IMPACT/UTILII'IES IMPACY AND RESOURCE 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 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 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 LAVII(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'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 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 tFiat 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, WaterM/astewater 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 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" 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 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 elect�ical 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 tech�nical 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. WAF�PIIPIG-TO-OWPIEFt:yYOliR-FAIL"l1FtE-TO-RECOFtD�►-IVOTICE�OF-COMMEiVCEiiIIENT ��4Y�RESULT IN YOiJR PAYING T1fVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IBVTEND TO OBTAIN FINANCING, CONSULY 1nI1TH YOUR LEfdDER OR AN�►TTORNEY BEfFORE RECORDING YOUR NOTICE OF COMMENCEnAENT. � FLORIDA JURAT(F.S. 117.03) OWiVER OR AGENT � CONTRACTOR Subscribed and swom to(or affirmed)before me thls Subscrlbed and sworn to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as Identlfication. as identification. Notary Fublic Notary Public Commfsslon No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped I IIIIII�IIIII�III�IIIII�III _ Rept:1605178 Ree: 10.00 — � IIIIiIIII�III�IIIIIIIIIIIIIIIIIIII DS: 0.00 IT: 0.00 05/23/14 B. MeBee, Dply Clerk ! 2014083149 ppULH S 0'NEIL,Ph.D.PR5C0 CLERK 6 COMPTROLLER _.. --- • 080R BK4 1 :1 P��f 320 • �0�� _ 3 ,. PermitNO. ParceIIDNo ��Y��-V�OV`��QDf��!/' NOTICE OF COMMENCEMENT • State of ��2/�� CouMy ot /a/SCI�. THE UNDERSIGNED hereby glves natice that improvement will be made to certain real praperty,and in accordance with Chapter 713,Florida Statutes, the following infortnation is provided in thls Natice of Cammencement: 1. Desuipdon of Property: Parcel Identificapon No. 0 3^Z�-2/"D/8��m00��O�}�� StreetAddress: � /�a--o �u��ys /� 2. General Dasuiplion of Improvemenl �E'^/LO 0�/s✓�- !"OLC SE� i � 3. Owner Information or Lessee Infortnatlon if the Lessee canVacled for the improvemenl: P�M !� P�z v . �ame 37°1.�i' G'�lLGG/✓.S' T.�_ �,/4�/LGS �`�S2LR Address ��` ,C� City State Inleresl(n PropeAy' /✓ Nama of Fee Simple Titieholder. `� pf difteren!from Owner lisled above) Address ��v�� e��G� CIry State Confractor. Name p9 ��7� �3D� D�1DE C��' �� Address ! ' City Stete Contraclors Telephone No.: 3S�-cS �5�,3y • 5. Surety. Name Address City Stale Amaunt of Bond: $ Telephone No.: - 6. Lender. � " -�� `._..� �e'� �a � Name L �d , • � 4° Address �1 City State �� Lenders Telephone No.: „ � . � �� 7 Persons wilhin the State af Fl�rida designated by the owner upon whom notices or other dowments may be served as pravided by 0 � �w' �' � � �:- � Section 713.13(1)(a)(7),Florida Sta!utes: s�+ . 'Y�'� �' �_ p �y. �!a e Name � • E 3 . �� .� .'��WC' Address �� City s Slate �_ Telephone Num6er of Designaled Person: d��1��. � �, 8. In addition lo himself,the owner designales �� o(_ '°�' ,.� � `� lo receive a copy of the Lfen/pr Nalice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designaled by Owner �/�• � 9. Expiration dale ot Notice of Commencernenl(the expiraGon date may not be befare the compledon of wnstructlon and final payment to lhe .,Q {- U � contrador,but wlll be one year fram the date of recording unless a differenl date is speGfied): ��:�� W J WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT '.'�% ��- "- -� U ARE CONSiDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN ;�'��fl � O } RESULT IN YOUR PAYING TVJICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 8E ��.�Y'$��y�}� � RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ' ��•�g � N Q.' W WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � Under penalty of perjury,I dedare�hat I have read the foregaing notice of commencement and lhat the facts stated lherein are true to the besl �• �1.1-1 z� � � af my knovAedge and belleL �fl� p � O STATE OF FLORIDA � 11.. � C� U � COUNTY OF PASCO �� O O og Signeture of Owner ar Lessee,or Ow r r Les Authorized � y- � �� Officer/DiredodPartnedManager � � EL � �'3 "_�Ci'_� Uz Signalory's TitlelOtfice Q}- ti-- J Q `1 \� f/ � rU � d u- The foregoing instrument vias acknowledged before tY4s7��day of 20�,by `pGYV�� 0. � l`�k��Z.\I F- �- u�� Z O CSC _as C�LL� (lype of authodly,e.g.,officer,Wstee,al:omey in faU)for . � � � � � Q _ ' ` (name ol party on behall o(whom nslrumenl was execuled). � ��^% � >- - n - - u- JU � �� Personally Kno�gl3 Pr ucped�Identifica4or� Notary Slgnalur��'�(��-Q G _ U. (� p Q U� _ � Type of Idenlificalion Produced�C/�� Name(P�tL��C�� AVVi�n��,� S a F- z � � (I� Q J LLl � H �LL. � :�:a��J• MELISSA A CU � _ �z � ��.. �� ro� e,�= MMINGS (/� F-- {-O �7 Nolary Public-Stale ol florida ;;� �•;My Comm.Expires Jun 20,2015 •T,E�c Commission k EE 69439 i BonEea 7hrougA Nalional Holary Assn. wpdatalbcslnoticecomfhencemenl�c053048 I , , - - _�. „ � � �� rnJu��.i I i o . . " .. ' _ - ,_ . ��II�tti Page No. of Pages � ��' �:J�vP��J lv��U/liLcJ� ' 1 ti; t��r`� J�P,";:��1� e��.'�?�d'e:a'T �^E'li.�_• .��:"�� lir�� .�. !�0): �:iu'? _ ..,. v .i,-; - j j - �� Cii,, FL ��2� ��`�%-',=- �:;`�.'-��;r"_s��'s �=' � �,K:: �� 1�'�'��? F� �`��r �� °�a�t�� PROPOS({L SUBMITTED TO PHONE DATE / � ��j��, . !11 � �}C� �3.�I!/ ,.y�! /�� / t �r / STREET � / � JOB NAME ' f � ,e�i i�'2 ;� (��•z�L L rf�' L'/�� CITY,STATE and ZIP CODE JOB LOCATION �`--[J`�%�%'��l(LL.� . ,.;�'".i ARCHITECT � /� DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for M1 l�'fi dL� �'J��`�= �```,�i'fL� >C.0 t_t7ti�'i/� ��a�Dr� ��!% �%;% ��% >�"'��_ r''��C'r�lG t:;�� r-� �{% j'1/' 1A�1()r'�� -= S�1f�t/�L�� t'�'-�lls' (��-G-r=i� %'�ILi��G !t ��..0 f i�i�'•'. - I //f i _ . �, . L.- i J', y /.� /� / 1 '1 a —� �.� �'r� '��L-I:� lf'�� y l�L y c=o�s hr'1��j .�(_J f`'�` //"J ie`JL.�,��,/-/., J�G�— %rI �=��,r,L ,,�� f.'. ,�' ��Z 'v,>L G%� � f I li , �P �PQ�DSP hereby to furnish material and labor— complete in accordance with above specifications, for the sum of: r� / _ ✓! / �� °� / �/� ��t' i-`:` �—�r�! ��I��a�f��.�.� , dollars($ �a:�� . Payment to t�e made as follows: �1 ° ..T�:.� �i._:'��;;i;� "�c�%i fi�`--� G',i-- � `� ! �� 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 Autho�ized ��,i�� involving extra costs will be executed only upon written orders, and will become an extra Signatu�e !� charge over and above the estir�iate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,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 dByS. ,�CCP�tFIYTCP II� �PII�IIISFII —The above Prices,specifications { ��,�,,,�f�f .� i 1 and conditions are satisfactory and are hereby accepted. You are authorized Signature ��'�`�� -�*--�✓`r°�FS"'—"'�� to do the work as specified. Payment will be made as outlined above. ,� �°:1 Date ofAcceptance: Signature