HomeMy WebLinkAbout14-15408 - - - -. ---- - - - - - -
� CtTY OF ZEPHYRfi1LLS
+ 5335-$TH STREET
(813)780-0020 �p$
BIJILdING PERMIT
Perrr�it Numbear: '15408 Addr�ss= 5�442 SLACKBE Y
Parmit Typ�a: RE-RCIrOF Z�PHYRHILt_S, FL.
Glass o�F Worlc= ROOF REPLACEMENT Township_ Range: Boo1c:
Ptopo��d U�t3: NOT APPLICASI.� Lot{sj: Biook_ S@ction=
Squar�� Fe�a#= .'�ubdivision= WELIGEWQC?6 MANOR
Est. Valus= Parc.erl Numbar: �0-26-2'I-CI'1 20-fJO00C1-036C1
Imprarv_ Ccrst= 6,500.00
�ate Issu�erd= 6/"18/20"14 Name= RO N SHIRL Y
Tata! Fe�ers: �O_60 Addr�sss- 37442 BLACKB�RRY CT
AmounY Paid- 70.00 ZEPHYRHiLLS FL 33542-7941
Ua#g Paici: 6/1$/2l?14 PhcanB:
Work ��sc= RO F SHI—NGi._E �
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TAPE JOINTS RC7ClF IN9P
FINAL
REINSPECTSQN FEES: R�insp�c.tion fee:a�wi11 Comp/y with Florida Staiut� S53_80(2�(C�wh+en esxtra inSpeCtion
trips are nacessary duo to any one�of!he following reasons: �) wrong adtlress b��ondemned work r+�su�ting
fr+om faulty consiructio�c� repairs or correckior�s�ot made wtien inspac�tfons cal�end d�wor�c not r�ra�dy far
inacpection wh�en c:t�Ied.a� permii raot posted on job sOte fj p�ans not at job site g)work not accesasGble.
N(JTICE: In addition to tha requlrements of this permit, there may b�additional r�strict(ons applicabla to tltis praperty that
may I�c found in th� public records of th�s county, a�d thare may be additianal p��mits requir+�d from oth�r govcrnm�ntal
�nt9tiC.s suct� as water management,. staYe agenciGS or f�deral agenCi�s_
^Warning to owner_ Your Yai�ur�to record a notice of comm�ancement may rexsailt in yaur paying twtce far
improvem+�nts to your prop��Ty_ If you int�nd to obtain fnancing�con�u�t with your lender or an attornuay
_ before recording your noti+ee oY ieommenoament."
ComP��te Pla�s:a"'.pecifications Must Accompar�Y APP�ir�tio�_A�� wdrfc slyalt bee...PecFOr-med irf accorAat�ce with
����ty Cod�s and Ordinar�c�s_ NC7r OCCI�PANCY BEF_'��� K►.c.+l� s
�..
CONTF2ACTQR utGNATUF2E � PEF2MIT L7FFI��
PERMIT EXPIRESC IN 6 MONTHS WITHOt7T APPROVECJ► INSPECTION
CALL FOR INSPEC'1`ION - 8 HOIJR NClTICE REQUIRE�
PROTECT GAR� FROM WEATHER
s�s-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin --
!�,/� �f
Owner's Name 7/T ,L� �/✓• Owner Phone Number
Owner's Address ��� � ��/r.,� �' Owner Phone Number �—
Fee Simple Titleholder Name Owner Phone Number
Fee Simple ti�eholder Address
J08 ADDRESS �� L. ��� L'7 LOT# �
SUBDIVISION WCU6'E'wF/0 PARCEL ID# � ���° ��/-' 0���^��� �'O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B new coNSra 8 ADD/ALT Q SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED U�E Q SFR Q COMM Q OTHER
TYPE bF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK — /C.��� �� ���� 3Q � �lL��z� Sl�/�/l-4�f
BUILDING SIZE SQ FOOTACaE� HEIGHT
QBUILDING $ rO� VALUATION OF TOTAL CONSTRUCTION
J
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �� �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � (�� �
QGAS Q�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 (J" lN OD���
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �� f � ���C e/`T �' License# r����76�Y�_
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,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 81 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)compiete sets of Buiiding 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'"'PROPERTY SURVEY required for all NEW consUuctlon.
Directions:
Fill aut appiication completely.
Ovmer&Co�tractor sign back of application,nota�ized
If over 52500,a Notice of Commencement is required. (AIC upgrades over s7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMiTTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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, Z014097057
Pertmt No. Percel ID No,JO:Lb��B��O��OOOO��3p�
NOTICE OF COMMENCEMENT
State ot ��iel�� County oi��r�
THE UNDERSIGNED hereby gives notice lhat improvement w71 be made to ceAaM reat DroPerty,and in aaordance with ChaD�er 713,Flaida Statutes,
lhe fdlawing infamation is provided in th(s Ndice of Commencemenl: �
1 DescripGon of PropeAy: Pateel Identfitatlon No. I���-f9�2� '�����-��6� �
Street Address:
� � �� � i
2. Generel Description of Improvement^`C� �G ���G �
3. Owner Information or�essee informetion if the Lessee contraded tor the improvement:
S�%2CE�' Q uJ�✓.
�
3�y�f.Z�a�L/9CtY/�.kie/� (�T _Z��,��,cGS ��—
Address •.9 City State
Inlerest in Property� �W���� , �,
Name o!Fee Simple Titlehdder. �
(If diHeront Fom Owner Rsled abovej
.�-�
Address /�w_i�� D,.�.��, City State
�4. ConlraUor. o-7r� �-v��
Name ,/� J
lv ,80� 13G.3 17�E ��rr fL
Address tY ^� `/ r Ciry Slate
ConUadors Telephone No. �d^SG/`-5�37� �
5. Surety: �_
Name ,�-�
Address City State ;
Amount of Bond: b '�— Telephone No.. I
6. lender:
!'"�� . -``� � *
Name .�_' �vV • • •� �
Address - - CIty Stafe `
Lmder's Telephone No. � 6,
7 Persons witl�in lhe State o!Flaida desfpnated by the owner u0on whom notices or olber doameMS may be served as provfded by � � � � �
Section 713.13(1)(a)(7),Florida Slalules: • h
- v ef �' � �
. ^
Name � � � �
�� � • C7�� �
k
Address �_ Gty State ''t� ''�
Telephone Number of Desi�ated Persai: "7J �,��
8. In addition to himself,the owher desipnates �_ o�— `��1 � *
to recelve a copy ofthe lienors NoUce as provfded in Secdon 713.73(1xb),Florida Statutes. * *
Telephone Number of Person or Entity Designaled by Owner: �� '
9. Expiration date of Notice of CommencemeM(tl�e e�Uatlon date may not be before the compledtor�,��aWCtlon an0 Bnal payment to the I
conlradw,but wiN be one year hom the dale of rocording wdeu a dMferent dale is spedlfed): /•�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 773, PART 1, SECTION 713.13, FIORIDA STATUTES, AND CAN� LLJ Y
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE' Q � �
RECORDEO ANO POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANqNG,CONSULT �z V � J
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT O ��LL�. _�J U
Under penalty ol perjury,I dedare that I have read the foregoing nollce o(commeneement and thel lhe faUS atated lherein are true to lhe best V z� � �. J �
of my knowledge and behef. � Q O O = a � � a
STATE OF FLORIDA ���� �'� � n' � 0 E- W � W
COUNTY OF PASCO � fy1 ' lL �W Cn �- �
Signalure of Owner a see,a Owners or lessee's Autho�ized ��= z J �
� ��� OtfiudDirectalPartnedManager ��F- p Q Q
du�n�✓ i � �. � � �
'= EXPIRES�.�Slpq�bwl�,1�6 . Z=O O LL. otf
. , eatleenwrwryvu0leu�wwYn Signa�orysTiue�omce , �F- ��U u- Y
The foregdng inswment was ackno edged oro me ia�day o(�_,20�,by_,...�, 1 Ir e�1 r�.l�f 1 � �Q Q�
as (type of aulhoriry,e. .,officer,Wstee,anomey In/ad)for =��
t` U
(�ame of pa rt y on behaN W whom�ent was executed). �y_.��� LL
Persona�ly Known❑QR P.roduced Identification� Natary Signature � �� �� a �J
Type of Identificalion Produced.&In�-JIR3-�-���-0 Name(Print) �� Q � = p �
' - - . �y � � � �
Repb:1610578 Rse: 10.00 �Q 1r- Z �
p5: 0.00 IT: 0.00 �,c�:Q � Q
06/18/14 E. Mun9uia. DplY Cl�r'k �.- W.t �
--- � -- M�- � � Zf-' �"
� PM1Li1 S.0'NEIL�Ph.D.PR`.+�0 CLERK R COMPTROLLER 'I q��.- �-- Q �S n- m
wpdatalbcs/noticecommencementyc053048 06/18/14 �9�.04� 1PGof�1�
OR BK y 1 -
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2014097057
Permit No. Parcel ID No ��%�6 �`�'��� �^°������-�3�j r�j
NOTICE OF COMMENCEMENT
State of_����/�� County of �%�,rCv
TF�E UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the followir�g information is provided in this Notice of Commencement: 'A ,
1 Description of Property Parcel Identification No. J�"�.�' �c.,/" ���� �������- ���� �
StreetAddress: �77 /j�a'7►�.'(,���`/�-L� �� ��.(��L��J ��- �
2. General Description of Improvement C'-/��y''�� /T�GLf� �
3. pwner Information or Lessee information if the Lessee contracted for the improvement:
• S!�/,el.�Y Q�uJ.�✓
_ -
�3?��f� a�3���.ev GT �'E�J'r����' �c..,
Address City State
Interest in Property ��iff��-
Name of Fee Simple Titleholder•
(If different from Owner listed above)
��
Address ���/ o�, � City State
4 Contractor �/`/Tr'�� �-S'����
Name � ,c��� 13�� �0`�� �l�?',( ��� '
Address `/ City State
Contractor's Telephone No 3�-56 7�SD�7�
5. Surety �-
Name �,
Address City State
Amount of Bond. $ '"�- Telephone No.
6. Lender �-
Name �
Address � City State
Lender's Telephone No
7 Persons within the State of Fiorida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
��
Address �_ City State
Telephone Number of Designated Person.
8. In addition to himself,the owner designates �_ oi
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner• �—
9 Expiration date of Notice of Commencement (the expiration date may not be before the completi���nstruction and final payment to the
coniractor,but will be one year from the date of recording unless a different date is specified).
T�
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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENC�NG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of pery'ury,I deciare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA �
COUNTY OF PASCO �y/ �
..�.,�.,■ Signature of Owner or see,or Owner's or Lessee's Authorized
�, �""'�'� , ��E� OfficerlDirector/Partner/Manager
�.�°*: MY COMhNSSION i EE 132885 ��1 �LI�/
�••... E:XPIRES:September 22,2p15
�pf�� go�7��,p�� Signatory'sTitle/O�ce
The foregoing instrument was acknowledged be ore me his�day of��,20�,by
as (type of authority,e. .,officer,trustee,attorney in fact)for
(name of party on behaif of whom in ment was executed).
Personally Known�OR Produced Identification� Notary Signature
Type of Identification Produced���-�"13' J���7.1�-� Name(Print) -I
Rept:1610578 Rec: 10.00
D5: 0.00 IT: 0.00
06/18/14 E. Munguia, Dpty Clerk
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
wpdata/bcslnoticecommencement_pc053048 06/18/14 09:49am 1 Of`l��
OR BK ��+�� P� Q
�rn�n�tt 1 Page P1o. af Pages
• � Gavin Roofing
Qua{ity ;Roofing Since 19$4 13 4 2
�i � P.�. Box 1363
- Dade City, FL 33526
".� 352-567-5034
-'' Lic # RC 0046�41 5 Year Leak warranty
PROPOSAI SUBMITTED Tf3 PHOPlE DATE
� ' �/'. /
STREET JOB NAME
� � �h' �-� c. <
GTY,STATE and 24P CpDE JOB LOCATION
�,��'!� 1�L
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for•
\
�„""�i9 fL- 6�.�i� �y/✓,Q �-G-d r/c��.. �Od�� t�t.�'6�� �-- 3 0 ,Yl�'- �� .._-
/`
ji�--�-f},�.�' .$/�!n/�Lr,G ,. /�d�. l/l.J t�t.l�7�� � �� %+�L-�" �1,,1`G—� �t,F3fi`-�"
1�.�
, �
V'��j ��j?�- ��.-f}-.�`f�ar��=� �},�.►�3 C,�f/� t'1�'f' �'`�r �=" 1�/Sr.�-u�--�
�1-� �"��'�f �'� ,�� ,�,�-�n��r
�p �CUpOSC hereby to furnish material and labor—complete in accordance with above specifications, for the sum of:
.S l`h-� '��i�� i'��v�f� '�/y dotlars($ ����• � }.
Payment to made as follows:
��i P��'t�,� �,� SQ.�
All material is guaranteed to be as specified. Ail work tq be compieted in a workmanlike AuthOPi2ed ��
manner according to standard practices.Any alteration or deviation from abpve specifications Si nature
invo{ving e�ctra costs wiii be executed aniy upon writ€en orders,and witt b�ome an extra 9
charge over and above the estimate. AIi agreements contingent upon strikes, accidaMs
or delays beyond our control.Owner ta carry fire,tornado and other necessary insurance. Note:This pPOposal may be
Ou�workers are fully covered by Workman's Gompensation Insurance. withdi'�wn by us if not aCCepted within d3yS.
,�rrr�t�nre of �ropos�tt —The ab�,�p���es,specifications '
and conditions are satis#actory and are hereby accepted. You are authprized Signature
to do the work as spec'rfied. Payment will be made as outlined above.
Date of Acceptance: Signature