HomeMy WebLinkAbout14-15499 /
CITY OF Z PHYRHILLS
"' S335-8 H STREET
' (sis) so-oozo �5�.�g
- BUILDI G PERMIT � �
� � PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15499 Address: 4800 TIMBERWAY
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: COURT SQUARE
Est. Value: Parcel Number: 15-26-21-0200-00000-0170
Improv. Cost: 5,960.00 OWNER INFORMATION
Date Issued: 7/18/2014 Name: WORKFORCE HOUSING VENTURES INC
Total Fees: 65.00 Address: PO BOX 948
Amount Paid: 65.00 DADE CITY FL 33526-0948
Date Paid: 7/18/2014 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
FOSTER ROOFING INC REROOF RESIDENTIAL 65.00
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Ins ections Re uired •
DRY IN ROOF INSP
TAPE JOINTS,ROOF INSP
FINAL ��
REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: 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� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 o commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans,Specifications Must Accompany Appli ation. All work shall be pertormed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFO C.O.
�
C NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT C/�RD ROM WEATHER
Foster's Roof i ng
P.O. Bo 10553
Brooksvi I I , FL 34603
352-7 9-6626
352-799-0045 - ,
Fax 352- 44-1003
Lic # CC 1327265
I, David Foster, owner/license h Ider of Foster's Roofing nuthorize
to np ly, si�gn, and receive permits in
r ,
Building De�nrtment. If there nre
nny questions, plense contnct me nt th number nbove. - ,
Thnnk ou �
.,
,
Duvid Foster srat of _
coun y of_ � `
On t is day of
befor e personal ,-,:.
Y�'r� ; ��d
to me known to f�e th���;;:;��c j��o�uted the
foreg ing instrument,an�acknp�,yle��that he
NOtQ�/' execu d the sa e s�is fre
SEAL( igned)
`1jPY P�
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;2q.••••1;e�c: HEATHER D.HOSFELD
=*; +. MY COMMISSION#FF 072365
:,;,., �; EXPIRES:March 21,2p1g ,
'•.p,'�R°,••' Bonded Thru Notary public Underwriters
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
Building epartmen�
Date Received Phone Contact for ermitting —
Owner's Name W d�1�.��(��1� � Owner Phone Number '
Owner's Address �� V(.�X q y$ C � � (p Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addre /
JOB ADDRESS -�1�1 j LOT# ��
SUBDIVISION �1 � PARCEL ID •a�,Q�p! ` • —��a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �Q�OC��
BUILDING SIZE SQ FOOTAGE N�� HEIGHT
[�BUILDING $ VALUATION OF OTAL CONSTRUCTION"5q��
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHANICAL $ VALUATION OF ECHANICAL INSTALLATION ( (`� �,�
� l
V�
�GAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
BUILDER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address ' License#
ELECTRICIAPI COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPA 1 !U S �C
SIGNATURE REGISTER D Y/ N FEE CURRE� /N
Address ��� ���V� b3 License# � j
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene gy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requfre onsite,Construction Plans,Stormwater Plans w/Silt Fence-installed, - -
Sanitary Facilities&1 dumpster;Site-Work Permit.for sdbdivis ons/large projects
I- COMMERCIAL Attach(3)complete sets obeuilding P`ans plus a Life Safety P ge;(1)set of Energy FormsaR-O-W Permit for new construction.
Minimum.ten�(1�0)wo�kirg days aftel.sub�}Jtt�l date. Require onsite,Construction Plans,$tormwater Plans�d Silk Fence installed,
Sanitary Facilities&1 dumpster.Site 1%Vork Permit for all new rojects.All commercial requirements musYmeef'compliance
SIGN PERMIT Attach(2)s`et�o n�et,kd�'la`s.s�;y'� �������.,i` •� �f�•�a:��`�:� p;;;`Y;�^;,`;� ��_;�j.�
- "` PROPER ��V�Y req�ired�or all�IEW constr ction.
- ---...._�__..— -._ +
Directions:
Fill out application completely.
Owner&Contractor si n bac o a lication�notarized� - ! ^ •• � • .--. '
9 tf PP : � . , , �
If over$2500,a Notice of Go :m�q�e��i_s"required.�_(aAlF,�p���e�s;o��er$7500) s; �� .��,v_°_-_,' ;�: . _ V,�. �`..�`� �A� •'
** Agent(for the contractor)or Power of Attomey(for the owner)would be som one 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/S rvey/Footage) _
Driveways-Not over Counter'if on public roadways..needs ROW , , �
�--
NOTICE OF DEED RESTRICTIOfdS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED COiVTRACTORS ARID CONTRACTOR RE�SPOPISIB�L,ITIES.: .. If the;o,w�er,,t�as.�hi�ed,-a contractor or
contractors to undertake work, they may be required to be licerts���in�ac�ofc�ance�w'ith ���Ce�and9'iic�l�re'gulations. If the
contractor is not licensed as required by law, both the owtie�,�a�tcr'con��tor.rinay be;�cite��fo�,�{�isdetr.�eanor violation
under state law. If the owner or intended contractor are���icer�ain as to what licensirig r�quirerriehts"m�y 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 application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURC�;Ft�COVE'�;'f._�ES;:�"he,urjd�e��igned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in e�Ci�ting.d�uildin��„�w�e�qansio�,vf exist�r�q�.b�ilc#�Cjs, as specified in F.as�cp�}Co.u�ty,�lr�li,�ar�ce;'yiUmber 89-07 and
90-07, as �mended'� he uridersi�e also dnderstanct�', that such fees, as may be du ', will�e i�entified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy° or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees-must,.berpaid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be pa�'d�prio�-fo'�permit 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 Cor.�st�uctjon�.Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer AYFairs�rlf the applicant is someone
other than the "owner", 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. '��;�s--'�'
CONTRACTOR'SIOWNER'S AFFIDA�IT: I certify that all the information in this application is accurate and that all work
will be done in complianc�rv�it�akk�ap�i icable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit t��'do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �-
.� �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed 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 permitting 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, I 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 certify 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 conditions of the building permit issued under the attached permit application, 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 commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included 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 Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work autho,r�ized by sucF,�permit is comrr�enced within six months of permit issuance, or if work authorized by
the permit is.su�pend�ti.+o�:.;al,�aridor3ed:�o1_:a�pe�'iod�of six (6) months after the time the work,is'comrra.enced.. An extension
ma be re uested, in'writin from the Buildin Official for a eriod not to exceed�ninet 90-da�s and"Jvill demonstrate
Y 9 9, 9 p Y � ) Y
justiiiable�,cayse.forft�ae extgnsion. If work ceases for n�inety�90�)Yco��e�uti�e d�.�j s�-,the�ob�c�o�sidgr�d.:abandoned.
��.,�!.._.:`1,`� v', `1„�� _. Y� o. ',.n, +.•._�_9�°',,;j-'a..'� " -� -. + _ c .•'`.�..t. 3'_ .a
WARNING TO OWNER: YOUR FAILURE TO RECORD A IdOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCiNG, CONSULT
WIfFI YOl1R LE 9t Afd��'!J�?R�Y-3�FOR� R�CURUING TICE OF COMMENCEMENT.
FLORIDA JURAT .S. 117.03) -`- --- —
I OWNER OR AG NT ,/L-� CONTRACT
Subscribed and s o o(or a i ed before me this bs ribed an wom or af6r d f re e thi
7��y-I4 bY���� � ��'72f � by
Who Is/are personallv known to me or has/have produced Who is/are personally known to me or has/have produced
as identlfication. as identification.
1 Notary Public Notary Public
Commission Na. Commission No.
;
,,.�,;!'P�;-•,, HEATHER D.HOSFEID
Name of Notary typed,printed me of Notary typed,pri '.' �
`.4PpY�ny�c,, HFJ�THER D.HOSfELD : . . �p EXPIRES:March 21,2018
'?4 MY COMMISSION#FF 072365 'r• '`= Public UndenvrAers 5
-'' �� 8fCh21,2018 n 'e•••••'O°�' 9ondedThNNotary �
- : ro; EXPIFlES:M � '"''I14����''��
"•',;'• o;;•' gonded Thru Notary Public Underxriters �,9ea�
•�°f�f�•
Permit No.� Parcel ID No. 15-26-21-b200=00000-0170
, ►
. NOTICE OF C MMENCEMENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
State of FLORIDA County of PASCO 2014115351
THE UNDERSIGNED hereby gives notice that improvement will be made t certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No.COURT S UA E PB 33 PGS.63-64�LOT 17
Street Address: 4800 Tmber Wa Ze h rhills FL 33542
2. Gener�l Description of Improvement Minor Rehab
3. Owner Information: Workforce Housin Ventures Inc. a Florida ot�for rofit co orafion
Name
P.O.Box 948 Dade Citv " Zia Code 33526 FL
Address City State
Interest in Property: Fee Sim le
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt:1617155 ITecO 1000.00
, ,, Address DS: 0.00 C 1 erk
07/18/14 D. Bonilla, Dpty State
4 Contractor. Next Generation hiomes Inc. Attn:�Ms.Mar e nn Weber
Name I
26516 Green�Ilow Run VVesley Chanel,FL 33544 FL '
Address City State
Contractor's Telephone No.: Phone:813.477.0337 Fax: 8 3.907.1297
5. Surety:
Name
pRUL41 S 0'NEIL,Ph D PRSCO CLOf 1 COMPTROLL
07/18/14 02:01 m 1PG ����
Address OR BK ���� State
Amount of Bond: $ Telephone No.:
6. Lender. Pas Coun Comrriuni � Develo ment Attn' Jim G bb or Pam Gie in
Name
5640 Main Street New Port-Richev Zia Code 34652 FL �
Address City State
Lender'sTelephone No.: 727.834_3445
7. Persons within the State of Florida designated by the owne upon whom notices or other documents may be served as provided by
Sectian 713.13(1)(a)(7),Florida Statutes:
Pasco Coun Commun' Develo ment Attn: Jlm Grubb or am Gieskin
Name
5640 Main Sfreet Neinr Rort Richev Zia Code 34652 FL
Address City State
Telephone Number of Designated Person: 727.834.3445
8. In addition to himself,the owner designates Jim Grubb n /or Pam Gieskin of Pasco County Community Development
9. to receive a cop of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner. 7 7.834.3445
10. F�cpiration date of Notice of Commencement is one year from th date of recording unless a different date is spec�ed:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE O NER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDEREp IMPROPER PAYMENTS UNDER CHA TER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING NVICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE IRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMEN ING WqRK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA ,,,,,,, / �
COUNTY OF PASCO �'��""'`'•d'� KARIN M.LLOYD G . �� o �.
;2�� �`�:': ° `
� Notary Public-State of Florida ig a of Owne or Owner's Authorized OfficedDirectodPartnedManager
?�,: ` : �= My Camm.Expires Nov 2,2014 /�jr)�,� � r�-�h �/�c��
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��:;FOF F��;��' Commission#EE 39453 ��
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The foregoing instrument was acknowledged b f re bne is '" iiay of l.L L20�by ��Sep' ` �' �Z�'✓��
as ���� d er � ��(type of authority,e.g.,officer,trustee,attorney in fact)for
Q r T CQ.� U S 1 V,Q yl fL�'S -�n ° (name of party o beh�IFof wh�oml instrument�s executed).
Personally Known OR Produced Id ification Not ry Signature Ua r ��
Type of Identification Produced Na e(print) r(V) �1• Lj U LI C�
Verification pursuant to Section 92.525,Florida Statotes. Under penalties of perjury,1 declare that I have read the foregoing and that the facts stated in
it are true to the best of my knowledge and belief.
PREPARED BY&REfURN TO: �� �� r�
Pasco County Community Development ' ature f N tural Person Signing Above
5640 Main Street
New Port Richey,FL 34652
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