HomeMy WebLinkAbout14-15500 \
CITY OF ZEP YRHILLS
5335-8TH REET
�si3)�so oozo 15500
'' � BUILDING PERMIT
,� � ..�- -_ , ,� - - .,-, :;.� �,>,.�
N �;���;2.�pERI1111T�I1VFORMATI'ON g`�z,�=�r�`�r'�, t��� '=�a ��L="O-`'CATION PINFO.RMATION��:3 _#
Permit Number: 15500 Address: 4617 W ISTERIA DR
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: WHISPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0020
Improv. Cost: 5,145.00 � °""��OWNER�INF�O:RMATIO.N��L� n'�.'�� ��-
..� .�:_,�
Date Issued: 7/18/2014 Name: WORKFORCE HOUSING VENTURE INC
Total Fees: 65.00 Address: 4617 WISTERIA DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/18/2014 Phone:
Work Desc: REROOF SHINGLE
�C.ONTRACTO'R S � APPLICATION FEE3 = ��°°'--'�''��--_���,'$�°,=s�`��-.'.�.
FOSTER ROOFING INC REROOF RESIDENTIAL 65.00
i
' •F
�i .
/"
P�. _ ,� ��;,_ . n -�Ins ecfio" s�Re uired - _ - �4�`�"��: ,'��•' = a:�
�.�����
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 easons: a)wrong address b) condemned work resulting �
from faulty construction c) repairs or corrections ot made when inspections called d)work not ready for
inspection when called e) permit not posted on ob site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, th re may be additional restrictions applicable to this property that
may be found in the public records of this county, and th re may be additional permits required from other governmental
entities such as water manage ent, state agencies or federal agencies.
"Warning to owner: Your failure to record a noti e of commencement may result in your paying twice for
improvements to your property. If you intend to btain financing, consult with your lender or an attorney
before recording you notice of commencement.".
Complete Plans, Specifications Must Accompany A plication.All work shall be performed in accordance with
City Codes and Ordinanc s. NO OCCUPANCY BEFO C.O.
C RACTOR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONT S WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIO - 8 HOUR NOTICE REQUIRED
PROTECT C RD FROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
-- Building epartment
Date Received phone Contact for ermitting —
Owner's Name ��� f� Owner Phone Number
Owner's Address � � �(—1 � t �1 � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS —1 l I S���C'— � LOT# �
SUBDIVISION W11�S � � PARCEL I # • (� • 21 '��LO� + �.!'�VZO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK DO�
!�/�/� /'�:"'"
BUILDING SIZE SQ FOOTAGE O'W HEIGHT / �
�
OBUILDING $ VALUATION O TOTAL CONSTRUCTION 5�'��� '
DELECTRICAL $ AMP SERVICE Q PRO � S-E-N GY Q' W.R.E.C.
OPLUMBING $ �
QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION ��
l
GAS ROOFING SPECIAL OTHER �
FINISH�ED FLOOR ELEVATION� � FLOOD Z NE A�REA YES NO �J� �
0 �
BUILDER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address ' License#
ELECTRICIAN CONiP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y./N
Address License#
PLUMBER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
MECHAPIICAL COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMP NY
SIGNATURE �� f2EGIST RED Y/ N FEE CURRE� Y/N
Address X ��J'J� ['� License# G�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new wnstruction,
Minimum ten(10)working days_after submittal date.-Requ red_onsite,Construction Plans,Stormwater Plans w/Silt�Fence-installed;- --� --
Sanitary Facilities&'I�dumpster;Site Work Permit for subd visionsllarge projects _ t� �
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(10).working days•after submittal date. Requ red onsite,Construction Plansi Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1'dUmpste�.Sit'e,Work"Fermit for all n w projects.All commercial requirements'mrfs�tlneet�cdri�pliahce
SIGN PERMIT Attach(2•)s�ts of Enqineered�Pla[�s. 6 .•_ s ��; ,,-. „, �.. 1,� a .,�:`i^ ' � 3 7 ?�ti_t�•
'***PROP�R�-Sl1RV�:Y req'fi'i�ed.for_alkN�W constr"u�tio t'� '�3.�: ;G'�,�`�; ;._, +t-._;.-.a-•`._� 'i- 5`� � , +
Directions: � -` • �
Fill out application completely.
Owner&Contractor sign.back of ap�licatiop,notarize� j � ,, . _, '; ,
If over$2500,a Notice q�'�orhmenee�7 ent.is r.e uired. A/C u� � over$7500 ' n �' � � ?� ' i �+ �:
.4 ti F,,o' ��.f, "._.�. q` P9k� ,y,y��� `t' � �� .1 ��; �+",�':ryo j. S ,,.�i ���• 7e��� t``.-
.* P � '�° �. �d.-��, . �. 4�,� ���-.
Agent(for the contracto�)orrPowe�Tpf Pfttomey(fof ttie o`wri�r)�v�oulil`be�s�`heone with notarized letter from ovimer au�honzing same
OVER THE COUNTER PERMITi'ING � (Front of Application Only) �`�
Reroofs if shingles Sewers Service Upgrades A/C Fences(PI t/Suivey/Footage) �. ,
,_ - •- _ . .
Driveways-Not over Counter if on public roadways..needs ROW � - �
!�.. , . , . - " _ . -
,..:� , , „ „ �, _ , _ .
�
NCITiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed"restrictians"
which may be more �estrictive than County regulatians. The undersigned assumes responsibility for complian4e with any
applicabie deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPlr?NSiB;{I�ITI� �f�t#�p-�S. �ne`� s,'"{'�h'ed��,'r�,'contractor or
s�.f't " r,.i t ���1 C.ti,T'i,�r� -.M..� 'j'.:..: i•-�`v1J
confractors to unde�take work, they may be required to be lice�n�ed,�r���o ����v r�th st�ts an�loca� regt�tations. If the
contrac#ar is not licensed as required by law, both #he awneF'ar�"tf c�ti'rrtt�c�or rit�yt����te�'�1�.,r.r44�,�e�n,�,anor violatian
under state law. !f the owner or intended cantractor are uncertain as to what licensing requiremenks may appiy fQr the
intended work, fhey are advised to contact the Pasca County Building Inspecfion Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
portions of the "contractar 81ack" of this application far which they will be responsible. If you, as the owner sign as the
contractor, that may be an indicakion that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counfy. ;-, -. _:-. ' . E'=, . r =,s--�
TRANSPORTATION IMPACTNTILITiES IMPACT AND RESOI�RCE R���11�'E"RY fE�,S�`The �nde�signed understands
that TransPortation Impact Fees and Recour�e,Recover�r Fees may apply ta the con�struction of new b�il�lings, change of
use':��i:�x�s#in`'�1�1'dirigs�`c�r�e�cpa��ifl�"�f e�sti��.,�.t��lditi�s, as specified in P��d�C.�u�;C}�n.�iii'�'��r,i�tmber 89-07 and
90-Q7, as amended. The undersigned also understands, that such fees, as may be d�ue, 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
, reaeiving a "certifica#e of accupancy" ar final power release. If the project does nat involve a certificate af occupancy or
final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Wa#erlSewer impact
fees are due, #hey must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amendedj: If valuatian of v�rork is $2,500.00 or more, !
certify #hat 1, the applicant, have been pravided with a copy af the "Flarida CQnstrt�r�t�on�Lien Law—Homeowner's
Protection Guide" prepared by the Fiorida Department of Agriculture and Cansume�Affairs�'I�the applicant is someane
ather than the"owner°, ! certi#y Ehat 1 have o6tairted a copy of�tP�e-�a�ove described dacument and promise in goad faith to
deliver it to the"owner" priar to commencement. ''�'`'�`"�"'
C4NTRACTUR'S/OWNEJ�'S AFFIDAVMT: 1 certify that al! the Enformation in this application is accurate and that all wark
will be done in compfiance wi[h,�,�j�a�licable laws regulating construction, zoning and iand development. Application is
hereby made to obtain a permit to .da work and installation as indicated. I certify that no work or instailation has
commenced prior to issuance af a permit and that alt work will be pertarmed to meet sfandards of a!1 lavus regutating
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cer#ify that l underskand that the regulatians of ather governmenE agencies may apply ta the intended wor4c, and that it is
my responsibility to identify what actions 1 must take#o be in compliance. Such agencies include but are nat limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands, WaferMlastewater Treatment.
- Southwest Flarida Water Management Distric#-Wells, Cypress Bayheads, �W.etland Areas, Altering
� Watercourses. - . �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative SenriceslEnvironmenta4 Health Unit-WeOs, Wastewater Treatmen#,
Septic Tanks.
- US Enviro�mental Protection Agency-Asbestas abatement.
- Federal Aviatian Autharity-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of�!1 is i�ot allowed in Flood Zane"V"unfess expressly permitted.
- If the fill material is to be used in Flaod Zane "A", it is understoad that a drainage plan addressing a
°compensating volume" will be submitted at tlme of permitting which is prepared by a pro€essional 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
constructian, 1 certify that fiil wi11 be used only to fili the area within the stem wa(1.
= If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. ff use of fill is found to adversely affect adjacent properties, the owner may be cited far via}ating
the conditions of the bui(ding permit issued under #he attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am #he AGENT�OR TNE flWNER, I promise in good faith#o inform tFte owner of the permitting canditions set forth in
this affidavit prior to commencing constructian. I understand that a separa#e permit may be required for electrical work,
plumbing, signs, we11s, pools, air conditianing, gas, or ofher installatians not specifically included in #he 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 provisians of the technical codes, nor shal! issuance of a permit prevent the Builiiing Qfficia!fram thereafter
requiring a correction of errars in plans, construction or vialations of any codes. Every permit issued shal( become invalid
unless the work..authar•i�ed,,,by.�u�h p��ni�is co.r�r��►enced within six months of permit issuan�e, or if work autfiorized by
the permif is su p:er�le�'d�'of�aband�ined�o�F�a{��eriod of six{6}months after#he time.the wur4��is comrn�e�ced�,�An extensian
may be reques��d, in writing, from the Building Official far a,period nat to exceed ninet (�0) days nd'�will demonstrate
justifiabE�',.��r�s�.,�ifoc}'t�'�e�tettsibn. #f work ceases for ninef�9t���,c�n's�"�Ct�fi,��r�;���`j��c�ins�dd,����abi�ncfoned.
•��.�.�:,,�r �;... . . "
WARNING TQ QWNER: YQUR FAlk,URE TO RECORD A NCITIC� QF CQMMENCEMENT MAY RESULT IN YOUR
--.—�Alf_at�G.'TVV�.�I�_� _t�liP12C��CE�tEN?'$�TO_Y,OUR PRQPERTY. iF YOU 6 D TO OBTAIN FINANCiNG, CONSULT
WITH YOUR L DE OR A�1 A'YTORIdEY BEFORE RECORD9�IG YCl NOT ��OF����f�NC�MEIV�'. �� �
FL0121DA JURAT F.S.117.4 )
OWNER QR AG N7 �.r---' �' COIdTRACTOR
S�scrl��1 y�ndbs (or aff'rimed} efare me t is ab c ib cj�nd sY rrt or affi�ne )bef ine is
. � y - �b 1
Who i�petsoaaUK.kaa�vn to me or has/have produced Who ls/are erson me or has/have produced
as Iden�fica�on. as identificafEon.
� Notary Public Notary Public
Commission No. Cammisslon No.
OSFELD
Name of Rlofary tYRed,prinfed or s r(.►; ��., MY COMM1SStON#FF 072369�Ia of tVotary fyped,printed or sfamped
=a• 2018
. ;;:, ;a; EXPIRES:Merch 2i, ,,,,,
?;,••..••oe�' BcndedThzu No�ery Pun'�c Undenariters ':�:Y^y�, HEATHER D.HOSFELD
�a.
'�;°�,�;;�`' ;k; =t_ MYGOi�ilM1SSlON,�FF072365
"y,;�q �; EXPIRES:March?.1,2018
����;,�' Bonded Thru Nqtary Pubfic UnderwMers
Permit No. Parcel ID No.15-26-21-U16U-00000-UU20
NOTICE OF C MMENCEM�NT ; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
State o$FLORIDA County of PASCO ` 2014115349
THE UNDERSIGNED hereby gives notice that improvement will be made o certain real property,and in acxordance with Chapter 713,Florida Statutes,
the foilowing information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No.WHISPERING AKS:PB 14 PG 86�.L07 2
Street Address: 4617 Wiste"a D` Ze h rhills FL 33542
2. General Description of Improvement Minor Refiab
3. Owner Information:Workforce Housin Ventu�es Inc. a Fiorida nof for �rofit co oration
Name
P.O.Box 948 Dade Cifii : Zio Code_�33526 FL
Address City State
Interest in Property: Fee Sim le
Name of Fee Simple Titleholder.
(If other than owner) `
Rept:1617155 Ree: 10.00
DS: 0.00 IT: 0.00 -,
Address 07/18/14 D. Boni l la, Dpty Clerk
_�'
State
C��4 Contractor: Next Generation HorrSes Inc. Attn: Ms.Mar e nn Weber
Name
26516 Green Wllow Run 1Neslev Chaoel.FL 33544 FL
Address City State
Contractors Telephone No.: Pfione:813.477.0337 Fax:' 8 3.907.1297
5. Surety:
Name
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER'�
07/18/14 02:01 m 1 of 1
Address ' OR BK ���� PG ���� State
� Amount of Bond: $- _ Telephone No.:
6. Lender. Pasco Coun Communi Develo ment Attn:-Jim�Gr bb or Pam Gieskin
Name
� 5640 Main'St�Jet -� � New Port Richey Zio Code 34652 FL �
Address City State
LendersTelephone No.: 727:$34.3445
7. Persons within the State of Florida designated by the owne upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Pasco Coun Commun' Dev lo ment� Attn: Jlm"Gnibb or am Gieskin
Name
5640 Main Street= New Poit Richev Zia Code 34652 FL
Address City State
Telephone Number of Designated Person: 727.834:3445
8. In addition to hfmself,the owner designates Ji Grubb an /or Pam Gieskin of Pasco County Communityr Developmerrt
9. to receive a cop of the Lienor's 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. Expiration date of Notice of Commencement is one year from th date of recording unless a different date is specified: �-_ '
.. w
WARNING TO OWNER: ANY PAYMENTS MADE BY THE O NER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UIdDER CHA TER 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 AIVD POSTED ON THE JOB SITE BEFOF2E THE IRST INSPECTION. IF YOU INTENb TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMEN ING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA �,,,,,,,, D � jyV� .
COUNTY OF PASCO ;o:PR"'�d;�., KARIN M.LLOYD J• Q--- �� s
�'�°' Notary Pudlic-State of Florid i tu of Own �or Owner's Authorized Officer/Director/PartneNManager �
;,: �Q: My Comm.Expires Nov 2,201 C�e D r�i,-�zh l,/ �
'S? P�:
''•.FOF F�q.• Commission#EE 39453 j/
"������" Sig atory's Title/Office
The foregoing instrument was acknowledged ef9re me this day of �� ,20�`�;by Q,����� � ��+^-����--
as ' '�LQ� d �? T—
(ty e of authority,e.g.,officer,trustee,attorney in fact)for _
I ��t< �� V��� �j'1 � (name of party n ehal�of whom instru e/nt waS ezecuted).
Personally Known ✓ OR Produced dentification Not ry Signature � � [ �
Type of Identification Produced Na e(print) � �'2 Y1 im• U UU)C�
��
Verification pursuant to,Section 92.525,Florida Statutes. Under penalties f peryury, I 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&RETURN TO: s ° ���f'�'[i'-�` "�
Pasco County Community Development Si atu f atural Person Signing Above
5640 Main Street
New Port Richey,FL 34652 ,
..�.d..MM..../....t:..........�...w.............a ....f1G9AA0....... _