HomeMy WebLinkAbout14-15424 CITY OF ZEPHYRHILLS
5335-8TH STREET
_ (sis)�so-oozo �5 4
� BUIL�ING PERMIT
P@rmit Number: 15424 Address_ 39'155 '1'ttFi AVE
Permit Typg= RE-ROOF ZEPHYRHILLS, FL.
Class oT Worlc: ROOF REPLACEMENT TownsF�ip: Range: Boo1c:
Proposed Use= SINGLE FAMILY RESI�ENTIAL Lot(s): Blocic= Sgction:
Square Fget= Subdivisior�= CITY OF ZEPHYRHILLS
Est_ Valug_ Parcgl Number:
Improv_ Cost: '1'1,750.00
Uate Issued: 6/24/20'14 Name= CROCIATA FRANCIS J 8. ANNA C
Total FBas= '142_50 Address: 39'I55 '1'ITH AVE
Amount Paid= '142_50 ZEPHYRHILLS FL 33542-44'15
Uate Paid: 6/24/20'14 Pt�one= 8'13-469-5570
Work Uesc= REROOF 26 SQUARES OF GAF SHINGLES S 3 SQUARES OF CERTAINTEE� MO�IFIEC
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TAPE JOINTS ROOF INSP
FINAL
REZNSPECTZON FEES: Reinspection fees will �omply with Florida Statute 553.80 (2)(c�when e�ctra inspection
tNps are necessary due Lo any one of ihe following reasons: aj wrong address b) cor�demned worK resu�ting
from faulty�onstruction c) repairs or�orrections not made when inspections called d)worK not ready for
inspection wF�en called ej permit not posted on job site� pians not at job site g) worK not accessib�e.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to tF�is property tF�at
may be found in tFie public records of this county, and tF�ere 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 twi�e for
improvements to your prope�rty_ If you intend to obWin fnan�ing��onsu�t witF�your ler�der or an aitorney
before recording your notice oP oommencement."
Complete Plans�Speclticatlons Must Accompany Application_AI� work SF�a11 be performed in accordanCe wlth
Ci Codes ar�d OMinances_ NO OGCUPANCY BEFO C_O_
\
CONT C OR SI PERMIT OFFI R
P IT E7 IN 6 MONTHS WITHOUT APPROVE� INSPECTION
CALL POR INSPECTION - 8 HOUR NOTICE REQUIRE�
PROTECT CAR� FROM WEATHER
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City of Zephyrhilis
BUILDING PLAN REVIEW COMMENTS
ContractorlHomeawner: {`V�Gt.Y� �l
Date Received: {�? ' � �'j— � �
Site: � f l �S� ����
Permit Type: _ ����,Y1 I�2� C.�}f�.�tN-cz`�,`aY► ��s�K%
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Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pern�it andlor plans.
. .
alvm Switzer— Examiner 4 Cantractor andlor Homeowner
' (Required when comments are present)
Plorida Building Codc Online Page l of 2
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ApplltBlion Type 0.eviSlon
CodC Versbn 7.010 'i j -� _
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Address/Phone/Emeil PO 1100
1400 Union Meetlnq ad
Blue 8e11,PA 18�12
[215)27�-7350
Stevm�.T.Lawrey Qsalnt-pObe i n.CO m
AuMorized Sfgnature Stevsn Lawrey
$�n.T.Law r�yQ s e n t-poba i n.[o m
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Technical Representetfve Stevan tewr�y
AddressJAiw�lllEMlil B�ebBM,PA 1�4422� CiTY t7F zE},F-�y �
t2��T�s4�ss�n►-qo��n.���-ANS RHILLS
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Qvellty Assuronce rtepresentative
Address/PhonelEmail
Cateqory NooRnp
Subcateflory Mod�ed ettumPn Roof Systwn
CpnplFanc!NI![hOd EvpIUOGOn WpOrt Trpm a Fbrida R6qI5tV@d NChitlLt Or!LirinStd FIOrid!
Proresstonal Enqtn�er
� Evaluatbn Aeport-HerdcopY Received
Florida Enpinoer or Architect Neme who deve:oped tAe Robert Ni�ninen
Evahrotbn Report
FlOride Lian4! �E-�J15G
Quality Aswranp Entity UL Llt
Quelity Assurance{onvact Expirat�on Oah 02/13/2016
Vaiidated By ]ohn W.Knezevlch,iF
+� ValldatlOn CfieeWkk-Herd�apy RecNrtd
Certlflcat!of lrtdepefldence F'.?::: �:.::�:?i '�'':�t:��:C-_."_+._.�.......__...
RefereMed Staedard and Yoar(of Stantlertl) ffi�� yy��
ASTM 06163 2000
ASTM D6164 20D5
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ASTM D6509 20Q0
FM M70 ]992
FM 447� 2D04
EQuh�eien�e oi Wotluct Standards
�eror�ey
Sections from tha Gbde
Florida Building Code �nline Page 2 of 2
Qrotluct Appoval MeNOd MeGwd t Opt�on o
Dete Submitted 08/27/�012
Date Vslidsted 0�/M/2012
Dete Pen0lnp FBC Approvel OS/27/2012
DatE Approved 10/09/2012
DatC RCVi58d 08/27/Z013
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mRs oT Uca Lstallstlon tnstructlons
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e EK tor atl tems snd mau des� n wes. Created Inde ndent iekd Part:Yes
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ihe State of Fbrida is en AA/EEO e+np�oyer.[ewrlehc 20u7-2D1�Slate W Fbrlde.::Ovh+acv Statenrnt;;�{arw'Litv St�temenl::�(�ept
U�dv Horida law,email aAdmsses arc pubYc recards.If you Uo nat mnt yar rmrl bdrus rekased N respoinr m a puhlk-rccoMs rcquast,do nat feM tlectram�
rrNM to thN�nMy.IntOtad,caNact the ofBce by phone ar by tratlltlonsl mall tf you Mw a�ry quaNOnt,pleau mnlaa R50.�87.1395.•Purcu�nt m SW imi�55.275
{3],Fbrida Statuaa.eMactMe 04ober 1,2012,IY.wees Yewed uMer[I�ta 455,F.S.mnt proviQe lM D�pertm�M wih an emal address i Mey heve ane.7M
envlk provtled mey be u�ad Por olrkiM communintion with the Mee�we.Mowever ana11 atldrcssas an pub4c ncor0.L you da rot wlsh to�uppy a persond address,
pkau povide the Depsrtmmt w1M en emetl addrcss+nhkM1 un be mede ar�lahle tn the puhit.To detnmine M you are a Ike�nee under Gh�qter 455,FS.,pkau
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produa AOpronl Accpts�
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a�aaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � g .-� phone Contact for Permittin � C'�`-
Owner's Name T� �` �rClGI�� Owner Phone Number �' S �
Owner's Address q 15�J � `� 1 Jl�° � Owner Phone Number �-
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titlehoider Address
JOB ADDRESS S � �� 1 ►�f" �_ � � LOT# �
SUBDNISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q DEMOLISH
INSTALL REPAIR D„ ���
e
PROPOSED USE Q SFR � COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q
r
DESCRIPTION OF WORK � PfQ� � � �'j r S
BUILDING SIZE SQ FOOTAGE� HEIGHT C.��(1�
+���Ce�
UILDING S �,�'/{O �� VALUATION OF TOTAL CONSTRUCTION
! J
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING � �
��dC ��.s�-�
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION _ ,(
�:/ �e.��� ��
QGAS � ROOFING Q SPECIALTY �] OTHER �a
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRtCIAN 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 QU�(t 'V�C -
SIGNATURE \ REGISTERED Y/ N FEE CURRE� Y I N
Address � � �� License# ��.� � ��
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 instalted,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects
COMMERCIAL 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)wortcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities&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 construcdon.
Directfons:
Fiil out application completely.
Owner&Contractor sign back of application,notarized
If over i2500,a Notice of Commencement is requlred. (A/C upgrades over 57500)
•• Agent(for the contractor)or Power of Attomey(for the oWner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sevpers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pubtic rvadways..needs ROW
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, � ' 2014096154
Effative:Oclobu 1,201 l - - - -
Retum to: Rep!:1610139 Rse: 10.00
NOTICEOFCANN�NCEW�NT DS: 0.00 IT: 0.00
06/16/14 D. Bonllla, Dply Clsrk
Shte of Florida Pertnit No. -
Caunry of�[�(� Tax Folio No.
The undersigned hereby gives rwtia the[improvanrnt will bo made W oertain resl Propary,and in sccordsnce wilh
Q�apta 713,Flaida Swu�the folbwing informetion is provided in this Ndia otCammencement:
1�� �.•c3c�.a1•(�.lof�•011oGb• �CMG
�. ��w�,or`�r:��i►ss 1 H�.►�ive.. 2.n..p�..t-- 3 3 s4'a
C�dorw�tk'� �.�-nret_ P1A} �a1- iny�6zc,� � So�-►.� -�
2. Grnerel ipti improvemenu: oZ•'-I I �'_
3. Owner Infametion o�informatian if the Lessa contrected for the improvanent:
a Name and Address: FY A'Y����<i�-a �. 3s�-�a
3�j 5
b. Intaat in Properry: /1e7(1F(Z
c. Namdaddress of fa simple titkholdw(if different from Owner listed above):
4. Condeaor:
� a Name and Address: �,���ZQg�'l� 3S�!�
.#�L�����_�_�
b. Phone number: p�L�
5. SurUy(if applicable,a copy of payment bond is�):
a Name and Address:
b. Phak number: - - -. — . _ _.
�PRULR S 0'NEIL,Ph D PNSCO CLERK i COIWTROLLER
ama,morno�a: a 06/i6/sa i of 1
� b. ►.�: oR � �0� � 2133
e. Name and Addras: a � U Y
�
b. Phaie numbu: � � w li..tn � J
� � �S J >-
7. Pasons within the Smte of Florida designated by Owrkr upon whan ndica a aha dowma�ts mey be t� Z C.� (�J Q Q =
saved as provided by Seaion 713.13(Ixa)7.Florida Statuta: N
a�oswa
a N��a eaa�: � ,u.t w F— �y d a
z
n. Phoix�wmners of aesi�uua pasms: �� ►�-- p Q O
8. a In addi0m W hin�self ar haself,Ow�iu dasignates of � �1L � U U
a
S��. ro raeive s copy of the Liaar's Ndia as provided in Satiaa 713.13(1 xb).Florida � �� � Y
q ��� �
b. Phone m�mba of pason or a�tiry devipnatod by owna: � S i.� U J
.:� E— F-- J Q C�
9. Expiration date of�atia oloortu�neN(the expiratia�dete mey not be before the complaia�of � IL W�z � -J
�ion and final paymai;but will be 1 year fiom the date of raading mkss a di@bront date is specified) � 5�- � �" Q �- W�
. O (COC11. = �Z
WARNQJG TO OWNER:ANY PAYWfEM'S MADE BY THE OWNER AFI'ER TFIE EXPIRATION OF THE NOTICE OF ��O O O
0..'
COhONENCEMENT ARE CONSmERED ONPROPER PAYMENTS UNDER CHAP7ER 713,PART 1,SECT[ON 713.13, O� Z � (n
, FLORIDA STATUI'ES,AND CAN RESULT IN YOUR PAYMG TW10E FOR OvfPROVEW�NI'S TO YOUR PROPERTY � V� W � �- �
A NOTICE OF COA�A�NCEMENT MUST HE RECORDED AND POSTED ON THE JOB SITE BEFORE 7'F�FIRST �„a„ _�Z ~ a m
' cnf-- hO�
MSPECftON. IF YOU MTEND TO OBTAIN FINANCING,CONSUL'f WITH YOUR IENDER OR AN ATCORNEY
BEFORE COMIv�NCIIJG WORK OR RECORDING YOUR NOTICE OF COIoA�fENCEMENT _`�� �� * *
G� • �
Unda penelties of pvjury,l declarc thffi 1 have roed tlu fore�ing N ' f ComtrwxYm that the facts stafed in it aro � 6�
we to the best of my knowkdge and belief. �`
• � .�.�1 ,� • �
� � uro�«iasu,o�o�•sa�s � ° • �
a ar�«m�rca«rn,�n,�n�mu�� �
r • �, �RI
s TitkJOR'ke: 09 • � .' `it'
STATE OF�-��� � �^
�Y��� ti,�y� � �,
7tie foregoe�g enswmaN wss ack�wwkdged befrne me this 1�day of�20�,by�1rPo�C�S C�',O•f"� �Is * • *
fa � �1 ,� c� �_"6�1c__1
�D.SZ�,�-
Notary P�liq of�_
Name: �
Pasorolly Known OR Pradxed IdrnGfication T_.�_1'��
Type of Identifice6on Prodked �
My Canmission Expires:� 1�P, ���
.....�
, HOLLY HOPPER
MY COMMIS310N A EE070468
•,,� EXPIRES May 18,Z075
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