HomeMy WebLinkAbout14-15453 `
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CiTY OF ZE HYRHILLS
' S335--8TH ST'S2.£ET
- (si377e -0020 1545
BUIL�IN PERMIT
Pe�mit Numb+eer= '15453 Addra�s= 6642 N RT LA �R
Permit Type�: R�-ROCiF Z�PHYFtHILLS, FL..
Class of Worlc: RC70F REPLACEMENT Town�hip: RangB: BooKc
Proposad iJSa3= 81NGL� FAMILY RESiOENTiAL t_ot(s): Biocic_ Sgction:
�3quar�ae FB�t- Subdiv�s�an: SILVER OAKS
Est. Valuee= Parcerl Nur7tbgr: 03-26-2't-d150-fJ0000-0204
Imprcrv_ Cost: 12,300-00
I7ata Issu�sd: 6/3Q/20'14 Nama: RUBIN, HARVEY 8. JIJ�ITH
Tota/ F�B�� 10t7_00 Addra:ss= h3642 NORTH LAKE L7R
Amount Paid= 104.00 ZEPHYRHiLLS, FL. 33542
Ua�tQ Paid: 6/30/2014 Pf�ona�_8'13)$62-3822
Worlc �esc= F�iEROOF SI-11NGLE � �
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TAPE JOINTS RC?C}F INSP
FINAL
FR.EINSPEGTION PEES: R�+inspti+ction feea,wi1��COmply ith F�orida SEatute� 553.8Q(2)�c�wh�er��xYra inazpeGtion
trips are netnessary du+�to any ona of the following sons: a) wrdng adt�ressc b�cdndemned worK ressulting
from faulty construction c� repais-s or correckior�s t� made wf�en inspeections ca��+e�d d�woHC not resady for
inspectivn when ca�ted e� permiY not posb0d on j �ite t7 p�ans s�at at jab site g}wocic r�ot acceassibi�.
N4JTZCE: In addition to tFi+� requirem�rrts of this p�rmit, ther may bC. additional r!�stridions applicabl�to this property tF�at
may b�found in th+e public recards of this caunty, and thar may be additional p�rmits requir�d fram oth�r gov�rnmenital
ent�ties suck� as water mar+ageme t, state a�nci�s o�faderai agenci�es_
"Warni�g to owr�er: Your P�ai)ures to r+encord�a rsotice t'commenc�r»ent may rasuit in your pay�ng twice for
improvem�ants to your prop+��ty. If you int�nd to ab ir�financing„ con�u�t witti your lender or an aXtorn+�y
before rezcording your otice of commer�oarr+ent.°
Com t�te Pians S �- -..... ----- . _.^-
P � pe�ifications Must Accomp�rfy App ic�atio�_ A�1 worK sh��1 b�perFarmed ir�accord�nce with
CitY Cocies and Oe�dis�anc�s NO OGC.t7PANCY BEFO C_O. �
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CONTRACTOR SIGNATl3RE PERMiT OFFI R
PERMIT EXP"IRES IN 6 Mt?NTMS ITHOUT APPROVECf ZNSPECTION
�CALL FOR IN"5CPECTION - 8 HOIJFt NOTIC� REQUIRE�
PROTEC'T CAR �ROM WEATHER
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E� ���fll����i���l���l����{i������fN���i�l���l�ll�����
�,FTF�(LFCpRD(NG–RET IRNTO' Z0 41�7�
Re l:16�2974 Rto: 10.00
DS @.@@ IT: 0.00
� 06 30/14 D. Bonllla, Dply Clsrk
� PERMIT NUMBER:
� NOTICE OF COMMENCEMENT
'ihe undersigned hereby gives notice that improvement wilt be made to certain real pro ,and in accordance with Chapter 7t3,
Florida Statutes,the fotlawing informatian is providai in this Notice of Commencement.
1. DESCRiP1'ION OF PROPERTY(L.egai tiescriptiat of the prop�tty&streG adckess,if availabk}TAX FOLIO NQ: 03-26-21-0150-0040-0200
�sp��$t�N STEPHEN'S GLEN AT StLVER QAKS BLO�K .��. 20 a� �.
6642 NORTH I.AKE DR,ZEPHYRHILLS,FL 33542
2.GENERAL DESCRTPTION OF IMPROVEMBNT:
RER4QF
3. QN7VF.R iNFORMAT10tV OR L£SSEB tNFORMA'1'ION EFTHE LBSSBB CONTRAtTED FQR E Q1iP60N�MCK[';
8.Nameand a6dress: �UBIN,HARVEY N.8�JUDITH J.-6642 NORTHLAK DR�ZEpHYRWILLS,FL 33542
b tnierescin�oFcaY: FEE SIMPLE TITLE NOLDER
c.Nsme a�u!address af ftt simpie Utlehotder{if differtM from Otmu li�ted lt6ave):
�a �N.rr�ci.aa•sNnMS• NEUMANN ROOFING,lLC
�onu�ctar'saed�ess:34427 COMMERCE DR.�SAN ANTONIO��L$3576 �p��my� g13•782-9080
S. SURETY{Sfappticabie,a copy oCUx paymem bond is astached}:
a.Name and address: p Pp5 p CLERK=�O�TR�'�"'ER
PRU4A 5 0'NE1L�Ph.
b.nhonenumt�r Q�6J30l14 ���� p�°fl��'�
OR SK
b.3.LEND£R'S NAME: ��� �Y
Lendar's address: b.Phoiw nwnber: �`�;���'1"'� (!J �
'7. Persons within tho Stste of Flar'rda designated by Owner upari wiram a#3ets or otha documents may be servaf as provided by �`—��� '-� >-
Sect ion 713.]3{1){a)7.,Florida Statutes: ,��EI� Q cv � �
Ia. itf'CT`�-- ll.i �
s.Namc a`ui address: � kkJ�� C� �
��—J
h.Pho�e num�rs o(designated persons: }LL F"(>Q
Z!l3� �L�
8.a.ln addieian to himself or herself,Owner designates af � O��r
to receive a copy of the Lienor's Notice as provided in 5ectian 713.13(1)(bj,Elorida S . ��Q��
�O
b.PFrone number of person pr cntiry designe�ed by Owna: �U U -,�
1--
9. Expiracion date of notico of commencernent(the expiratian date may not be before e completion of construction and final Q}. � q"'}p "'�
payment ta the contractor,but wil!be i year from the dste of txad'mg unless a diff t dato is specifitd): .20� ���Q � �
p a �cr� x aw
r .iorRr_ +j- v fl ��.. a
TNYn RPA F 4. �� 0�
R �1�'�D P T 0 F— ,Z (!)
WffH YC1L�R 1_�N � Y (,t,j tt� d � �
� � W�y
Under penalry of pery'ury,t deciare at i have read the fptegang notice of cqmmmcem t and that the facts stated therein aro true to Q — �
tlte best my knowledge and i . {� }.,,.��}} _
� �
� '� . �� �►��
{Signature of 4 ncr or Le ,orOwner's ar L,essee's (Print ame aad ovide Stgnatory's TtNelO )
Authorized Offi er/Director/Partner/Manager)
State of FLOR DA
Cou�t}�of{',�SCO �v�/'T� k
,�. s ' •a
The�or�grnu;in;�rumeni was acknowiedged before me thes �r'� day of 24 �y '� • *
�� !� o d
bY.1y��.'!� 1Z1. /*����n .as .�, � . Q
(name af person) (type af suth ity,...e.g.officer,trustce,attomey in fset) �'„� � ` ..�' �G
for Q i �' �, •�
ir,;�rncol,�.u;yonbehalfofwhominstrummtwase�ceaited} a • � �
'� k�4 • Q
Pers��n.�lly F.�,�,��n�arRoduced identificatian Typeoftdentifica' Pr ucad +f„ • �
, ,►OHN W.7HEEDE Y�s • •��
NdTARY�`i�I.IC� '�
STATE OF FL(�tlM { i�natare ot Notary Pubtic) * .*
• • ����� 'nt,Type,cx tamp Commissioned Name ofNotary Public)
Rev i��.ni.i i t:F;eco' ��;} Ex9Tt�8t1$12Q14
I �
� s�aaso-aozo City of Zephyrhills ermit Application Fax-813-7$d-0021
. Building D artment
Date Received Phone Contact for Pe� itt[l I 813 7 8 2 __ 9 0 8 0
ttlillii
Owner's Name Rubin, Harvey N & �7udith J Owner Phone Number ._.,
Owner'sAddress 6642 Northlake Dr. Zephyrhills, FL 335420wnerPhoneNumber � �
Fee Simple Titleholder Name Fee Simple Owner Phone Number � �
Fee Simple Titleholder Address
JdBADDRESS 66�2 Northlake Dr. Zephyrhills, L 33542 ��T# 24
SUSDtVtSiON Silver Oaks � PARCE�tD# 03-26-�1°0�50�t}OQOb-(?200
(48TAINEp pqAM NROPER'YY TAIt NO'RCEy
WCtR!(PROPOSED e NSTA��STR� A��b/�A�� � SIC3N � �J DEMOLISH
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF C4NSTRUCTION Q BLOCK � F'RAlNE �,� STEEL Q
DESCRIP7'ION OF WOF2K T�� �FF EXZSTIIVG 12C7fJ�' �YS�' M AND FtEPLACE WITH TIMB���,,It�TE k�D T20C1F
BUILDING SIZE �— � SQ FOOI'AC+E ��g 4 HEIGHT �_�
QBUILDINC�ROOFIN 12 r�0�.p Q VALUATION CJF O"�AL CONSTRUGTION
QELECTRICAL �� AMP 5ERVICE � PROGRESS ENERGY � W.R.E.0
OPLUMBING �� � ��/�
,"C
OMECHANICAL �;6� VALUATION qF ECHANiCAL INSTALLATION
L
QGAS Q ROOFING Q SPECIA�.1"Y � OTHER
FINISf-IED Ft40R ELEVATIONS E� � FLOOQ ZO E AREA QYES NO
BUILDER `_ / _ ..� COMP Y ��SdN NEtTMANNjI��UMANN ROdFING
SIGNATURE �IV ��-`� REGISTE ED Y/ N FEE CURREN Y/N
Address 30427 COMMERCE DR, SAN ANTONIO, FL 576 License# �CC7326266 �
ELECTRiCIAN � � COMP Y
SIGNATURE REGISTE ED Y/ N FEe CUFtR�N Y/N
Address License� � i
PI.UMBER � CQMP Y
SIGNATURE I REGISTE ED Y/ N FEE CURREN Y/N
Address License# �` ��
MEGHANICAL G{}MP Y
SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N
Acidrsss License# �— �
OTHER � COMP Y
SIGNATURE REGIST REp Y 1 N FEE CURREN Y 1 N
,qdd��$ License# �—y �
IIIIIIIIIIIIIIIIIIIIIIfillltiittl11111tttilit � Il / 111iiIlIilllilliif
RESIDENTIAL Attach(2)Plot Plans;(2)sets ai Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction,
Minimum ten(10}working days after subrrsi#a1 date. Requi ansite,Construciion Plans,Starmwater Pians wl Silt Fence insfaited,
Sanitary Facilities&1 dumpster;Site Work Permit for subdi isions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten{14}workir:g days after submittal date. Requi d onsite,Constructian Pians,Stormwater Plans w!Siit Fsnce insta0ed,
Sanitary Facilities&1 dumpster.Site Work Permit for all n projects.All commercial requirements mus#meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•*'"'PROPERTY SURVEY required for aII NEW constructia .
Dlrections:
FiII out application campletely
Owner&Contractor sign back of application,notarized
If over S25Qp,a Notice of Commencement is required. (AIC upgrade over S750p)
" Agent(tor the cantractor}or Power of Attomey{far the owner}would be s meane wifh notarized ietter from awner autharizir�g same
OVER THE COUNTER PERMIT7ING (Front of Application Only)
Reraafs if shingies Sewers Service Upgrades A!C Fences{PI tlSurveytFootage}
Driveways-Not over Counter if on public roadways..needs ROW
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I
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N07tCE OF DEED RESTRICTIONS. The undecsigned unde tands that this permit may be subject to"deed"restrictionsA
which may be more restrictive than Counry regulatians. The ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBIUTtES: tf the owner has hired a can#ractor or
cantrac#ors to undertake work, they may be required to be lic nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violatian
under state law. If the owner ar intended contractor are un ertain as to what licensing requirements may apply for the
in#ended wark,they are advised ta cantact#he Pasco County Building Inspectian Division—Licensing Sectian at 727-847-
8009. Furthermare, if the owner has hired a contractar o contractors, he is advised to have the contractor(s) sign
portions of the "cantractor Block" of this application for whic they will be responsible If you, as the owner sign as the
contractor, that may be an indication that he is not properly censed and is not entitled to perrnitting privileges in Pasco
Coun#y.
TRANSPCIRTATI4N tMPACTIUTILITIES lMPACT AND RE OURCE RECpVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the canstruetion of new buildings, change ofi
use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
9�-07, as amended. The undersigned also understands, th t such f��s, �� may b� d��, wili be identified at the time of
permitting. It is further understaod that Transportatian Impa t F�es �nd Resource R�i�c�very Fees must be paid prior to
receiving a "certificate af occupancy" ar flnal pawer release. If the projeCt does npt invc�lve � cer#iflcate af accupancy or
final power release, the fees must be paid prior to perrrtit i� u�nc�, Furthermore, if Pasc4 ��unry Vtlater/Sewer Impact
fees are due,they must be paid prior ta permit issu�nce in�� brd�nce with applicable Pas�p��u11ty ar�linances.
CONSTRUCTION LtEN t.AW(Chapter 713, Florid��tatute ,���m�nded): If valuation pf w�t��C 1�$2,St�0.00 or more, 1
certify that I, the applicant, have been provided with a � py of the "FlArida Constru�tlon l.ien l.�w►--Hameowner's
Protectian Guide" prepared by the Flarida Department o�Ag iculture �hd Consumel'AftEtlr�. !f the applicant is someone
other than the"owner�, 1 certify that 1 have ob#ained a copy o the�bov�d�scrib�d�14cum�nt�nd promise in gaod faith to
deliver it to the"owner"prior to commencement.
CONTRAC70R'SIOWNER'S AFFIDAVIT: 1 certify tha#a!l t ir�#�rm�tiot� ir�tnl��p�lic�tlrtn i��ccurate ar�d that all work
will be done in campliance with all applicable laws regulatin constru�tion, taning 2�nd I�r�d d�v�lopment. Application is
hereby made to obtain a permit to do work and installati n as indicate�. I Certify th�t n� +�vnrk t�r installation has
commenced prior to issuance of a permit and that ail work wii{ b� p�r��rmsd to meat �t�ndards of al1 laws regulating
construction, County and City codes, zoning regulations, a d land dev�lt�pm�r�t reyul�tlr�ns in the jurisdictian. I also
certify that I undecstand that the regulations af other govern er�t�genc�es may�pp1y tct th� intended wark, and that it is
my responsibility to identify what actians I must take to be in ompliance Such agenCieg include but are not limited ta:
- Department of Environmental Protectian-Cypre Bayheads, Wetland Ar��s and Envi�onmentally Sensitive
Lands,WaterJWastewater Treatment.
- Southwest Florida Water Management Dist ick-Wells, Cypress �ayhe�ds, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navi able Waterways.
- Department of Mealth & Rehabilitative Service /Environmental Waalth Unit-Welis, Wastewater 7reatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- Federal Aviation Autharit}r-Runways.
I understand that#he following restrictions apply to the use of fill:
- Use of fill is not allawed in Flood Zone"V" unless expressly permitted.
- If the fi11 materiai is to be used in F4oad Zon "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at tim af permitting which is prepered by a professional engineer
licensed by the State af Florida.
- If the fill material is to be used in Flood Zone `A" in connectian witM a permitted building using stem wail
construc#ion, I certify that fill will be used only to dl the area within the stem w�ll.
- lf fiH material is to be used in any area, 1 ce ify that use of such fill wi11 not adversely affect adjacent
properties. If use of fill is found to adversely a ct adjacent prc�perties, the owner may be cited for vialating
the conditions of the building permit issued und r the attached permit application, for lots Isss than ane (1)
acre which are elevated by fill, an engineered dr inage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good fai h to inform the owner of the permitting conditions set farth in
this affidavit prior to commencing canstruction. 1 understan that a separate permit may be r�quired for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or athe installations not specifically included in the applicatian. A
permit issued shall be construed to be a ficense to praceed ith the work and nat as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall iss ance of a permit prevent the Building Official fram thereafter
requiring a correction of errors in plans, construction or viola ions of any codes. Every permit issued shall become invalid
unless the wark autharized by such permit is cammenced ithin six manths of permit issuance, or if wark authorized by
the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
may be requested, in writing, from the Building O�cial far period not to exceed ninety (94) days and wil! demonstrate
justifiable cause for the e5c#ension. If work ceases for ninety 90}consecutive days,the job is considered abandoned.
WARNING TO OWNER: YUUR FAI�URE TO RECQRD Nt�TIGE OF Ct�MMENCEMENT MAY RESU�T IN Y{?UR
PAYING TWICE FOR IMPROVEMENTS TO YOl1R PROPE TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W1TN YOUR IENDER OR AN ATTORNEY BEFORE REG RDING YOUR NOTICE OF COMMENCEMENT.
FlOR1dA JURAT(F. .117.
)
SubscnR�ar�d swHQ�m.Io( r a ed before me th�� S b cribed a d swom (or affirme�} ��~
}� ore me this
�Z2'7�ty by VA 46�P1 .] �o��rr.cs.r►+^ by J S O N W. N E L T M A N N
Who islare�pt3aLL}�Jco�va-ta me or haslhave produced Wh is/are personallY known to me or has/have produced
as identification. PERSONALLY KNOWN as identificafian.
� • r. _,=.�� �Z _��Cr.r�Notary Public ` �- Notary Public
Commissian No. ��..1��'✓� � -1 Go mission No. ti..-� �!G�_'�,.,'`��
� �`� � �-► � 1C , �(]�~��: C�fi r ` �"''
Name at hlatary typed,prirrted or stamped�— Na e af Notary typed,printed or stamp
��pRr CHRfSrIE K MAJOR CHRI57IE K MAJOR
R ° NOTARY p1�gLlC �' NOTARY PUBLIC
4
a o STATE(}F�Lp#2i[}A � -+STATE OF F}.tJRIDA
�"' ?Camm#EE143314 � '�Comm#EE1A3314
s�'��f�s�� Expires 111212015 s�NCE ig��' Expires 1112120'15