HomeMy WebLinkAbout14-15358 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 153
' BUILDING PERMIT
�r .` `:�..`: PERMIT'INFORMATION ` LOCATION�INFORMATION � �
Permit Number: 15358 Address: 38635 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: 02-26-21-0230-00000-0260
Improv. Cost: 8,975.00 �=OWNER INFORMATION°�_` . � �
Date Issued: 6/06/2014 Name: SHAFFER BRADY& EDNA
Total Fees: 80.00 Address: 38635 EVELYN LN
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-1689
Date Paid: 6/06/2014 Phone: 813-780-1966
Work Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 80.00
v c�',
� � �
Ins ections Re u re j
DRY IN ROOF INSP
TAPE JOI TS ROOF IN
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 fi) 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.
�w `
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
ALL FOR INSPECTION - 8 HOUR NOTICE RE UIRED
C Q
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department I
Date 6teceiv.d � � � Phone Contact for P�rmitting (,� 7�`� -- b,5 3?
Owner°s i�ame � � Ovuner Phone I�umber g►�'��- �9 ��
Ouvner's�dc9ress �g63�j Ouener Phone fdumber
�ee SBmple Titleholder idame Ouvner Phone Mumk��r
Fee Simple Titleholder dlddress
.co�a�D���ss �g�3S �� .�!�� �.ot� �
SUBDINISIOId PARCEL iD# � � a�' �.(� m�� ��O�b� � O:L�O
(OBTAIfdED FROM PROPERTY TAX NOTICE)
WOR6f P6tOPOSED e NEw CoNSTR e ADD/ALT � SIGN 0 � DEMOLISH
INSTALL REPAIR
�ROPOSED USE Q SFR Q COMM 0 OTHER
TVPE OE COMSTFtUCT10R'I Q BLOCK Q FRAME � STEEL Q
DESCRIPgIOR!OF WORK
�UILDIWG 51ZE SQ FOOTAf:'E 3� 91�IGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
�PLUMBING $ ��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOfV � �
� �
OGAS Q ROOFING ,� SPECIALTY C] OTHER
FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDIER COHAPAfdY
SIGfd4\TURE REGISTERED Y/ N FEE CURREA Y/M
c�ddress License#
�LEC'PRICIdid COMPA�Y
SIG�AYURE REGISTERED Y/ IV FEE CURRE� Y/N
AddPess License#
��u����a cort�Pn�v
SIGiV�►TU92E REGISTERED Y/ N FEE CURRE� Y/IV
Address License#
MEC9iAR91CAl. CO�IIPAfdY
SI(zW�TURE REGISTERED Y/ f� FEE CURRE� Y/N
Address License#
�
OTF{ER CORAPAMY
SICxWt��TURE REGISTERED Y/ IV FEE CURRE� Y/N
Address 3 ZS��e ��-B^2 �i°� d!J-C License# CCC.—O�`7� Z.
RESIDEV�TIAL 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 Facilitfes�1 dumpster;Site Work Permit for subdivisions/large projects
COMME9ZCIAL Attach(3)complete 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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGfd PEBtf1AIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of appiication,notarized
If over 52500,a Motice o6 Commencement is required. (A/C upgrades over$7500)
'° Agent(for the contractor)or Power of Attomey(for the owmer)would be someone with notarized letter from owner authorizing same
O!/ER TEiE COUPITER PERMiIYTIIdG (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-fVot over Counter if on public roadways..needs ROW
I
�
I6�OY'ICE O� DE�� Rf�S�'RfCTIOW�: The undersigned understands that this permit may be subject to udeed"restric�ions°
which may be more restrictive than Caunfy regulatians. The undersigned assumes �esponsibility for compEiance with any �
applicable deed restrictions.
iJ�lLIC��9��� CU�1T���Yt�R� �R�D COR4�@��T�I� ���P��9S1�1l.�Y�(��: #f the av�+ner has hired a cantractor or
contractors #o undertake work, they may be required 4a be licensed in accordance with state and (ocal regulations. If fhe
contractor is not licensed as required by lavv, both the owner and contractor may be cited for a misd�meanor violation
under state law. If the owner ar intended cantracfor are �ncertain as to what licensing requirements rnay appiy far the
intended work, they are advised to contact the P'asco Gounty �uilding Inspectian Division—Licensing Section at 727-847-
, 8008. �urthermore, if the awner has h9red a cae�tractor or contracfars, he is advised ta have the contractor{s} sign
portians of the "contractar Block" of #his application far wrhich they vvill be responsible. If you, as the awner sign as the
contraetar, that may be an indication that he is nat praperly licensed and 4s no� enti#Eed �o permitting privileges in Pasco
Counfy.
YI�iV����Y�►TIQN I�IQ�AC�'IUYILIYIf�� IiWP�►��'�R➢�7 �E�OII��� �f�CO!l��tY F���: The undersigned unders#ands
that Transportation Impact Fees and Recourse Recovery �ees rnay apply to the cansfruction 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 understands, that such f�es, as rnay be due, will be identified at the time of
permitting. It is further understood that Transpartation Impact Fees and R.esource Ftecovery Fees must be paid prior to
receiving a °certificate of occupancy" or#inal pauv�r release. !f th� project do�s not involve a cer#ificate of occupancy or
final power release, fhe fees must be paid prior ta permit issuance. Furthermore, if Pasco Count}r W�fer/Sewer Impacf
fees are due, they must be paid priar fo perrnit issuance in accordance�nrith applicable Pasca County ordinances.
COR��YRk�CT�QN iL���! LAl�(C�a��4�r�9�, (Floecc��S�a�e����, �s �i��nt�eei�: tf�raEuation of work is$2,500AQ ar more, 4
certify that I, the applicant, have been provided with a capy of the uFlorida Construction Lien Law—Homeowner's
Protectian Guide° prspared by the Florida Department of Agriculture and Consumer Affairs. If the app}icant is someone
other than the°owner", I certify#hat 1 have abtained a capy of the above described document and promise in good faifh to
deliver it to the"owner"prior to commencement.
CQi�T�lC1'UR'S/O�ilW��t'S A���lD,fi�VI�': I certify that all the infarmation in this application is accurate and that ai1 vvork
vuill be done in campliance with all applicable laws regulating construction, zoning and land development. Applicakion is
hereby made to ob#ain a perrr�it ta do wrork and installation as indicated. 1 cert4fy fhat no work or installatian has
commenced prior to issuance of a permit and that all work vuill be performed to meet standards of all laws regulating
construction, County and City codss, zoning regulations, and land development regulations in the jurisdEction. 1 also
certify #hat 1 undersfand that the reguiafions of other governmenf agencies may apply to the intended work, and that it is
my responsibility#a identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Departmenf af Environmental �ratection-Cypress �ayheads, Wetland A�eas and EnvironmentaSly Seetsitive
Lands, WaterNVastewater Treatmen#.
- Southwesf Florida V�later �Ranagement District-Wells, Cypress Bayheads, VVetland Areas, flltecing
1Natercours�s.
- Army Corps of Engineers-Seav+ralls, Docks, Navigable V�laterways.
- Department of Hea{fh & Ftehabilitative Services/Environmenta! Nealth Unit-We11s, Waste�ntater Treatrrtent,
Septic Tanks.
- US Environmenta3 Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
t understand that#he follovuing restrictians apply to the use of fill:�
- Use of fill is not allowed in Ffood 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 permifting wrhich is prepared by a professional engineer
licensed by 4he State of Florida.
- If the �11 material is to be used in Flaod �one "A" in connecfiios� v�r'sth a permitted btailding using s#ern wrall
construction, I certify that fill will be used only to fill the area wi#hin the stem wall.
- If fill ma#erial is ta be used in any area, 1 certify that use of sttch fill will nat adversely affect adjacent
properties. If use of�li is found to adversely affect adjacent properties, the ovvner may be eifed fo�violating
the canditions of the building permit issued under fhe attached permit applicatian, for Iots less than one (1)
acre which are elevated by ftl, an ertgineered cfrainage plan is�equired.
If I am the AG�PdT' FOR�'lil� Ci1RlP��9t, I promise in good faith to inform #he owner of the permitting conditions set farth in
this affidavit prior to commencing construction. 1 understand thaf a separate permit may be required far elect�icaf v�rork,
plumbing, signs, wells, pools, air canditianing, gas, or other installations not specificaliy included in fhe appiicatian. A
permit issued shall be construed to be a license 4o proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the#echnical codes, nor shall issuance af a permit prevent the �uilding OfficiaE from thereafter
requiring a correc#ion of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
uniess the work au#horizec3 by such permiE is commenced vtirithin six months of permit issuance, or if vuork autharized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
rt�ay be r�quested, in v�triting, from fhe Building t7�cia! for a period not ta exceed ninety (90) days and �nril! demonstrate
justifiable cause far tF�e extension. (f work ceases for ninety(90)consecutive days, fhe job is considered abandoned.
i�1l�RPlift9fy 30 O{n/Pl��Z: YQt1R �I�,ILl7�l� TCl (��C�J�D � ��TICg Cil� C�}�f#�V�i't9C�i��P�T i�d�,�' �21��UL.'�" lilt Yd3t1�
7�AYIPIG `fVVICE �OR Y[M1HPR01/Eflfl�iUTS Y'f�YOII� P�20PE�Y1f. Y(�S(OU IYVY�NID Y"O O�'v',�I� �'IhYP►Rl�CI�lC, COY��IJ�.li'
N�l1T'Fi YQUIR ���IL��1�Q�t��I t��i'Ql�P1�Y�IE�'O�t� �2��C)��1�lC�YOUgt�4C}TIG�QF�Oii��iEWCi��1�EVT.
FLORIpA JURA`T(F.S�11 03) - -- -
O�t1tYd�R Oft iiG�A�7� Dr�_....��_•�.�,�. CORlT�CTC}R�r�-�--�.�[.�%`�
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me fhis
by bY
VVtio istare personatly known to me or haslhave produced Wf�a tslare persanally known ta me ar hasthave procluced ,
as Identlfication. as identi�cation.
Nokary Public Notary Public
Commission No. Commission No.
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' Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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PertnitNo. Parcel ID No 92-�(��i=m ti3o-oo000���(0 0
NOTICE.OF COMMENCEMENT
state or . Y"� County ot ��G.�
THE UNDERSIGNED hereby gfves nolice that(mprovement will be made to ceAaln real property,and In accordance with Chapter 713,Florlda Stalutes,
Ihe tollowing fnfatmatlon Is pravided in this Notice of Commencement:
1 Desuiptian of PropeAy: Parcel Identificallon No. �� ^ — ^ � 0�� �
Slreet Address: a^'�
2. General Description of Improvement . �• `
' 3. Owner Informatlon or Lessee Informatlon if the Lessee contreGed for lhe improvemenL•
�g�o�i� �ame �� � f1M'lG�—� .
Address C'ily State
Interesl in Praperty: �"�"Q�� 33's�Z'
Name of Fee Slmple Titleholder. '
(If diHerent from Owner Ilsted above)
Address / � City State �z U � �
� �4. Contraclor. ���o �s�--� '� W
.ri7��Nam/%DOtio l�rL. 6Ja�� l-�� � V C7 � � = W U
Address City State Z � � I— J �"
Contractors Telephone No.. S�3"7/�—6537 '3 35z'� Q Q U � J c�l � �
. �- (� � = w � �-
5. Surety: LI,. W � ~ (n n. W
, Name , � �= z J �
� Address Clty Slale �O~ � ¢
Wu. � U �U
Amounl of Bond: b � Telephone No. � Q Q �
6. Lender. � Q O � O �
Name
.,SUU W
' Address City State <( F— F. J
Lenders Telephane No.: � � �"V m L�
• ILW � z OJ
7. VPersons wilhin the State of Flonda deslgnated by the awner upon whom notices or other dowmenls may be served as provlded by o W� � � �G
S'edion 713.13(1)(a)(7),Florida Statutes: Z
� UU � >- O
Name o H Z � �
' Address �� Ciry State W � Q J W Q
Telephone Number of Designated Person: � _�z �-- Q }
8. In addit(on to h(mself,the owner dest gnates of_ GD I—I— � � �- m
to recelve a copy af the Lienars NoUce es provlded in SecUan 713.13(1)(b),Florida Stetules. �
i
ITetephone Number ot Person or Entlty Designaled by Owner:
9. Expiration date of Notice of Commencemenl(the e�iration dale may not be befora tha tompletlon oi wnstruction and final payment to lhe Q'� � �
contrador,but wlll be one year 6om the dale of record(ng unless a ditterent date Is speclfied): �� e �p �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ��� . �.�
ARE CONSIDER�O IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN '
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE d
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT m � ���� �
WITH•YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � . � � � � � �
Under penally of perjury,I deda�e lhal I have read lhe foregoing notice of commencement and lhat the facts stated lherein aze We to the hest (�? � b p • {�
af my knowledge and belleL • . o
� �. tm *' �
STATE OF FLORIDA • ,��" 6"�, ^ ; , �
COUNTY OF PASCO ' � �i":
�� Notary PuWlc Smte of Flodda Sig a re o wner essee,or Owne s or Less ulhorized � + ��
� Sherry Wldner OfficedDirectodPartner/Manager
°iapd� Exqro� 08l207 7 0767 85 ��� S • � .
Signalory's Title/Office � �
The foregoing(nstrument Was acknowledged before me thfs`�"day of�,20�,by _ Q�'
as t e of aulh 'ty,e .,oKcer,trust , ey In fact)for
am fpartyon halfo(whom' sWment ex wted).
Persanally Knawn�OR Produced Identifiptlon❑ Notary Sig
Type of IdenlifiwUon Produced Name(Print) � �
Rcpt:1608105 Rec: 10.00
DS: 0.00 IT: 0.00 Cle�k
�06/06/14 E. liunguia, DPtY _ _ _
ppULN 5.0'NEII,Ph.D.PRSCO CLERK 8 COMPTROLLER�
wpdata�bcslnottcecommencement�c0530�e 06/06/14 11t01Q�,am 1 of 1
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