HomeMy WebLinkAbout14-15384 - CITY OF ZEPHYRHILLS
,. 5335-8TH STREET
(sis)�so-oozo 15� 4
BUILDING PERMIT "'
��"'' �` PERMIT�INFORMATION: ':`'�``" P � �..,� ,-.'�'?-=LOCATION:�INFORMATIO`�N "���'����._:��.
Permit Number: 15384 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
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Improv. Cost: 91,000.00 ' , `� ,,,..:k._aOWNER-:INF�ORMA�TION��=:� � �;�:�
Date Issued: 6/24/2014 Name: S C NURSING HOMES OF ZEPHYRHILLS
Total Fees: 673.50 Address: 38250 A AVE
Amount Paid: 673.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/24/2014 Phone: (813)546-7295
Work Desc: REROOF SHINGLE
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i..����CONTRACTO'R S �'� T � � i4PPUCATION'FEES� °fi -
PREMIERE ROOFING AND A PENTRY I REROOF COMMERC AL 673.50
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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 fl 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1�' , �` • �
813-780-0020 City of Zephyrhills Permit Applicatian �^ Fax-s���ao-oozi
T � Building Deparlmeni � (�/,r�(}
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' Date Recefved � "'�� Phone Corrtact for Permittin
Owners Name �°�N�l.e��� '�Y�2� Owner Phone Number
Qwners Address ��1.i { �U\M s 5 � Owner Phone Num6er � �
Fee Simple Titleholde�Name � � Owner Phone Numher �� ��
Fae Simple Titieholder Address
� SOB A40RESS �� �/ � t ZE' � V L � LOT� ��
SUBQMSION � � PARGELlD# I - (� � -�ft7�p13aU-aa�t�
(t�STNNEO Fl20M PAaPE{2TY T1UC Hpi10E}
, WQRK PROPOSED � NEW CONS7Re ADD/ALT Q SIGN Q � DEMOLISH
1NSTALL REPAIR
I FROFOSED USE Q SFR Q COMM � QTHER
7YPE OF CONSTRUCTION Q 6LOCK Q FRAME � STEEL Q
DESCRIPTiON OF WORK �� t le �I t��� �cr'-�J '*"
EtUtLD1N6 S12E C � SQ FQOTAGE ���� #lEtGHT ��
�BUILDING � � �r� VALUATION OF TOTAL CONSTRUCTION
QELECTRIGAL �� AMP SERVICE Q PROGRESS ENERGY � W.R.EC.
QP4UNi8EFlG �� ��
QMECHANICAL $ VALUATION OF MECHANICAl.INSTALLATIOP! `�" �`{ ��
/y J/�� � �
0f3A5 Q ROOFING Q SPECIALTY � pTHER � �
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� FINISNED FLOOR Et.EVATI6NS FIOQD 20AIE AE2EA QYES N (A}'�j_�y j� C
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6UiL0ER (• V' CQMPANY ��m'�f� 6�� � 'r��� �"��
SI�NATURE REGISfFREG Y/N �CURRea Y!N �
Addsess 1�} Y1C`J 17s-°. � c! I l.icense# C��t_��7� } �(,�,�!'A�{���
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ELECTRICIAN CpMPANY
S[Ot+IATUR� REGi5TERED Y t N F�CURREN Y t N
Address Llcense# �� ��
P1.UMBER � � COMPANY �� �
SIGNATURE. REGI5rERED Y/N Fff CURREN , Y/N �
Address Clcense#� �
ME.GHANlCAL � � CQMPANY
SIt3NATi7RE R��rst�o �,_Yt N �cuFt�FSa �Y!N
Address Ucense# I I
SI NATURE � F2E�GI�SiERED �,.Y/N FE5 CURREN Y/N � �
Address License#� (
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111
RESIDENTtA4 Ariach(2)Plot Plans;(2)sefs ot 9uilding Piens;(Sj set of Energy Fotms;R-Q-W PemtR tor new conslntdion,
Minimnm ten(10]working days after sahmitlai date. Required onsite,Gonstcuc#ian Pians,Starmwater Ptar�s w1 S'stt Fen�instatted,
Sanitary Factlilies�1 dumpster,Sile Work Pertnit for subdiuisions/large projects -
CQMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit Tw new conslriutlon.
Minimum ten(1Q}wwking days after su5mittat date. Required pns'ste.Constcuction Pia�s,Stmmwater Pians wi Slit Fence�(nstalted,
Sanitary Faa�Tiqes 8,i dumpster.Site Work Pesmit for aH new pmjects.ASt cammerciat reguirements must meet com�iance�
SIGN PERMIT Altach(2)sets of Engineered Pla�s.
'""PROPERI'Y SURVEY required for all NEW consWction.
Dtrections: /
FII out appiiption completely. �
Owner B,CoMractor sign back of applica6on,rrotar¢ed
If over S25D0,a Notice of Commencement Is nequ€resf. {AtC upgrades over 57500}
" Agent(for the conGactar)or Power of Attomey(fnr the owner)would be som�ne with notetized latter from owner authori�ing same
DYER THE COUNTER PERMRTING {Front of Applicatinn Only)
Reroofs ii shingies Sewers Service Upgrades AtC Fences{PtottSurveytFootaga}
DNveways-Not over Counter if on public roadways..needs ROW
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'� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� which may be more resVictive than County regulations. The undersigned assumes responsibility for wmpliance 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 ihe
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 applicaUon for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indiption that he is not properfy licensed and is not entiUed to permitting privileges in Pasco
County_
TRANSPORTATION IMPACT/UTILITIES IMPACT 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"cerlificate 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 pertnit issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance 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 Flarida Department of Agriculture and Consumer Affeirs. 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/OINNER'S AFFIDAVIT: I certify that all the information in this applica6on is accurate and that all work
will be done in compliance with all applicable laws regulating construcbon,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indiqted. I certify that no work or installation has
commenced prior to issuance of a pertnit and that all work will be perfortned to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govemment 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, WeUand Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment.
- Southwest Florida Water Management District-Wells, Gypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays.
- Department of Health & Rehabi�itative Services/Environmental Health Unit-Wells, Wastewater TreaUnent,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not aflowed 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 pertnitting 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,l 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 cerGfy 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 condiGons of the building permit issued under the attached permit appliqtion,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 wmmencing consUuction. I understand that a separate permit may be required for elecVical 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 Offiaal 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. M extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifia6le cause forthe 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 INTEiVD TO OBTAIN FItJANCING,CONSULT �
WITH YOUR LENDER O A ATTORPdEY BEFORE REC RDIfdG YOU NOTICE OF COMMENCEMENT. F=-
FLORIDA JURAT(F.S.117.0 � Z Q h
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OWNERORAGENT CONTRACTOR _. � J � N O
Subscribed and swom to(or affirmed)before me this Subscribed and swo��'�(or aftirmed)bef re me this � m � y �
by by "'t:.d'b c� 1—L.��� � � � O c-
Who Is/are personally knovm to me or has/tiave produced Who islare persqpally knQwn to me or has7l��ve produced O a k �L �
asidentifiraiion. (,�f3�?Y��.II�/ ]LYbti..:�'� asidentification. � a � � �
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Name of Notary ryped,printed or stamped Name'of Notary typad,printed or stamped ��., ; �
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NOTICE OF CpMMENCE1UlENT
staceot fLOR1DA Cavn1y01�QGl,�CP
7NE UNAERSiGNED hmeby gtuu notia�m�t improvement wip bamodc to mtnin teN�aopetc/,anU in accortlarrc8 With Ghaptqr7t3,f lodtl6 6iBNttn,
tha!0➢av�1�g iMMnolidn ia provided in Uils NoCw cl Common ent .
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S�t a��� ��2r r� t-3 �1�pc'_r�t,�:.�,,�,�.r� {rhi li�s, �t., �3.�'�l�
2 Gennral bes�ripuon of�mpmvanem. Replacemeqt of RooE
' 3. Ovmer Info�maUan ar Lo¢sae informetian if thn Lessee enntradad tarthe Mpravemenu
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ContncipCs TNephOne No.: E7
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Lender's Tdephone'No.:
7. Petsvns tvit}im fhB Stata af Plaritla dasigrtatad by iho ewner upan x3rom+mGces or ou�er stocumvraa may no rrrvad ns pm�ded iry
Set2tan 713.13(1)Ea1(7y,Ffaiida Sfatutes:
Name
Addmss c�,r sm�c
Teiephbne Number et.Designated Persom
8. In aclditian to tiimmsett.ihe aumcr.tessanatan ot�
ta rece4ve e apy of Ihe Llenors NoUce as pmvCtletl In SeGion 773.13(1)(b),Flarida St�tutes� �
Tetephone Numbcr uf Pe�son crc F�tiry Oesignafed tiy Ovmer.
s. Expuetton date of Nauce ot C.wnmimcemeat(ihe eypiraHan date may npi Oe 4efore ihe eompietlon of cansWCtion and finai paymerA to the
wnlradar,bul vrill be one yearlrom Ihe dete of recotding unlass a d�terent dete is apacifibar
WARMN6 TO QWNER: At+SY PAYMEN75 MAO�qY�HE BWNER AFTER SNE E%PIRATlON QF TkE NdTICE Of GQMMENCFS�1ENt
�ARE COC3StO5R&D tMFRdPER PAYMENtS UND£R CHAFTSRT4�,PAR7S, SECT70N7S3.93,F�OR@A STAtUTES, AND CAN
RESUI,T IN YOUR PAYItJG 7WICE FOR IMPROVEMENTS TO YdUR PROPERTY. A NCTCE OF COMMENCEIIAENT MUST 8E
RECpRDED ANri POSiEO ON TNE JOB SITE BEFORE THE FIRST INSPEr.nON. iF vou.lnrr�vo TO oaraN Fiwwcwc3,coNSUIT
VriTFi YpUR LENQER OR AN ATCORNEY BEFQRE COMM�NCINO WORK OR RECOROINO YOUR NpT[CE OF COMMENCEMENT.
unne�panmry ot puqwy,T aadar�mnt i hmre rcad the fw�ppttvp no�5ca qtcommeneameN nne that ttae focss Nexea tl�ee+rFn am ttvt to!!�e troat �
oI my knouAeOge antl eanef.
STATE OF FLORIDA
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�•Z'�` ° ~ ��,, THIS ISTO�CER7IFYTHATTHE FOREGOING la�
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ON FiLE OR OF PUBLiC RD (N THiS��FI���.�= •
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