HomeMy WebLinkAbout14-15544 , CITY OF ZE HYRHILLS
� 5335—8TH STREET
' (sis)�s -oozo 155 4
BUILDIN PERMIT
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Permit Number: 15544 Address: 7411 APPLEGATE 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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1070
Improv. Cost: 6,900.00 �`'�. �����.:"�.;�3�'9�O.WNER�NFORMAtTION=
Date Issued: 8/06/2014 Name: MYERS BRUCE
Total Fees: 70.00 Address: 7411 APPLEGATE DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33540-1034
Date Paid: 8/06/2014 Phone:
Work Desc: REROOF SHINGLE
�.�x�C:O'NTRA�CTO'R S �` ` `,� .� : �-�-���,>•�..'_ , ` APPLICATION�FEES . _ �':` ;�� ��������`�-��
A.BARTLETT ROOFING OF C NTRA F REROOF RESIDENTIAL 70.00
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E��_ �������� ; ..;. _ - ;°;Ins ection�-�Re ui�ed a _,.��x� r�,� � r;�s _�,,.� _.�
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL 1�� "�3 °l�
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REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following r sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
i entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f 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 otice of commencement."
Compl Plans,Specifications Must Accompany App ication.All work shall be performed in accordance with
�
City Codes and Ordinances NO OCCUPANCY BEFO C.O.
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ON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NATICE REQUIRED
PROTECT CAR FROM WEATHER
a���-�o�-�uzu City of Zephyr ills Permit Application Fax-813-780-0021
Build ng Department
Date Received Phone Contact or Permittin __
Owner's Name Owner Phone Number
Obmer's Address Ov�mer Phone Number
.
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
`� �JOB ADDRESS LOT#
SUBDIVISION PARC L ID# �
-- —_ � - — - — - - - - (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/A T 0 SIGN Q Q DEMOLISH
INSTALL REPAI
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAM � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTA HEIGHT
QBUILDING $ rn f VALUATIO OF TOTAL CONSTRUCTION
VV
QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�'��,
QMECHANICAL $ VALUATIO F MECHANICAL INSTALLATION ,
� , .
QGAS Q ROOFING SPECI LTY 0 OTHER � '
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO l/"
BUILDER C MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License# �—
ELECTRICIAN C IlAPANY
SIGNATURE RE ISTERED Y I N FEE CURRE� Y/N
Address License#
PLUIVIBER C MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL C MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address - Lic e#
OTHER C MPANY
SIGNATURE RE ISTERED Y/ FEE'CURRE� /N
Address r— License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new aonstruction,
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for ubdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Life S ,fety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. R quired onsite,Const�uction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties 8�1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
'••'PROPERTY SURVEY required for all NEW consVu Uon. -
Directtons: �
Fill out applicatlon completely. �
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (AIC upg ades over 57500)
•• Agent(for the conUactor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same �
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fence (Plot/Survey/Footage) _ , , , _ - �
Driveways-Not over Counter if on public roadways..needs ROW - `
. .+ � � �•; � �
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that lhis permit may be subject to"deed"restrictions"
which may be more re5trictive than County regulations. The undersigned assumes resPonsibility for compliance with any
applicable deed restrictions. - - - . . � , � ' -
UNLICENSED CONTRACTORS p►ND CONTiZACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed�in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor.may�be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing recjui�ements may 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 responslble. 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
County. �
TRANSPORTATION IMPACY/UTILITIES IAAPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, 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
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 be paid prior to permit issuance. Furthermore, if Pasco Courity Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in_accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAIIV(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 Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", 1 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. _ ��
COfVTR�4CTOR'SIOWNER'S AFFID�►VIT: I certify that all the information in this application is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to 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, WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & 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 OWNEFt, 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 b license to proceed with the work and not as authority to 'elate, cancel, alter, or
set aside any provisions.of th ni codes, nor shall issuance of a permit prevent the Buil ' g,.Official from thereafter
requiring a,correction of ecro s in pl s, construction or violations of any codes. Every per ' iss[ied�shall become invalid
unless the work authorized y su permit is commenced within six months of permit ' uance;�or if,,w,ork authorized by
the permit is suspended aban oned for a,period of six(6) months after the,time t wor is commenced:_:An extension
may be requested, i riting, f om the Building Official for a petiod not to excee ninet (90):days and will demonstrate
justifiable cause for he exten ion. If work ceases for ninety(90)consecutive d s, the 'ob is considered abandoned.
WARNING TO OIiVNER: OUR F URE TO R@ D A NOTICE F OMM CEMENT MAY ftESULT IN YOU12
PAYING TWICE OR I ROVEMEfV S TO Y PROPEftTY. IF YO INTEN TO OBTAIN FINANC,ING, CONSULT
IIAIIITH YOUR L DER R AN 14T1'O NE EFORE RECOitDING YO R NO I E OF COMMEIVCEfVIENT.
FLORIDA JURAT . 117 3)
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OWNER OR A T CONT R `
Subscrlbed an s n r a�rmed) efore me this Su� ed and s o o affirmed)before me this
Who Islar II kn to e or has/have produced 'Who is/are erson Ily k o o me or has/have produced
' as(dentlfication. as identification.
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�� � �� � Nota Public
otary Public rY
Co Issl Commf n No.
;�.••�; ELINE BOGES ,,,�,��,,
:*- :.= Cammission " �
Name of ,,; �temt�rdl2,2014 Name of ;� . j� �������12�20 4
'�p,������•� BomledThm7royFainlnsuranceB0o,385-1ot9 .
�'r�'r' '�.P,f����` �71ru TroyK9m hia�noe 8043BS7019
�. ��.�tY�tt �.o�fi�� � �e�t��c� ,�'ro�ib�, ��.c.
C/O Richa d Bartlett
38408 3 d Ave.
Zephyrhills, FL 33542
One of the Largest, OI est, Most Dependable OFFICE
Roofing Companie in Central Florida PHONE
Specializing in Mobile Home White Co mercial Rubber& Color Meta!Roofing �g 13) 782-5585
RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LlCEfV�ED - INS RED - BONDED (352) 523-1944
, • MEMBER OF THE CH MBER OF COMMERCE
& BETTER BUSI ESS BUREAU • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, �uail Hollow, Wes ey Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(18,000)in the past 3 years, than the four/oca/leading roofing companies combined.
We do not charge extra fees for credif card urchase.Most companies charqe 3 to 5%.
.
Date ���"�
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Name ���
Address
Phone
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.. DE RtRT[C?1V" : � , � " - At�[��1t�T
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President & A. rt tt ofin of entral FL, Inc.
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Sig
ard C.Bartlett
THANK YOU
Your Business is Apprecia d.
Payment upon completion unless previous arrangement mad .Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.0 ner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance:Customer s liable for any charges incurred in collecting this bill. � ' _
Rotten wood is an extra$35.00 per sheet(4-ply).Rotten f scia is$2.00 per linear foot. TOtal �
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2014119118
Permit No.
ParcellDNo L �'� ''VV "' � '/Q �
NOTICE OF COMMENCEMENT
State of �Y �'K/`Wi County of
THE UNDERSIGNED hereby gives notice thal improvement will be made to certain real property,an in accordance with Chapter 713,Fiorida Stalutes,
the following infortnation is provided in th(s Notice of Commencement:
1 Desuiption of Property: Parcel Identification No.
Slreet Address:
Or.2 . 3 '�
�
2. General Descriplion of Improvement
3. Owner Infarmation Lessee fnfortnaUon if Ihe Lessee contracted for the Improvemenl: Q z U �
(n � W
— WL�._ � J
Name � � � Ur � V- _�J U
�U! I ��e�o I�Y'. 3 3 2 � � z � o �1 p J ,-
Address � - City le � Q O �,J N � �
Interes!in Property: p
1�- ~(13 0- LLl
Name of Fee Simple Titleholder. � W z a
(If diflerent from Owner listed above) � � F � Q �
Address City Slale � w � � �
Conlraclor: / _
� Name � Z � 0 6-- �- �' e
Address �In-^����� City State �� � ��' a.
Conlradors Telephone No.. .T � �
� u- tJ.l � � �
5. Surety: z O
Name � �" � Q- Q �.. •
� 4= v= !.L =' <C- y
Address Cily Stale u tU � (�.}
Amount af Bond: 3 Telephon No. � J Q CL 4~^
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6. lender, i � u� Q L;J (!� �?�:i
Neme � � W �. �
Slate � � �� �
Cit `� —
Address Y t z f°=' •�
�I Lenders Telephone No.. (n fS-- � � � t�L,a,�"��
7 Persons within the State of Florida designated by lhe owner upon whom notices or other documents may be served as provided by
Seclion 713.13(1)(a)(7),Florida Stalutes: '
l►o� � 0��� ���-
Name � �
� • i..�-,���, � ��=�,
Address Cily i Slale ��� � '` , � 0�
Tetephone Numher of Designated Person: �
m '� '��): ' �
l -r>�-_ 'c.; a u'�-
8. In addition lo h(mseit,the owner designates of_ � `,��, , ,;� �
i to receive a copy a(lhe Lienors Notice provided in SecUon 713.13(1)(b),Floride Slalules. � • °.�: �^- '� �'" � �'
� Telephone Number of Person or Entity Designated by Owner: _ P � 4 �,�;' �r •�h
�+ �+ . �Jf•�, ,• ��•
9. Expiration date of Notice of Commencement(the e�fradon date may nol be before lhe omplellon of constructfon and finai payment to the ° /
�se 's; . .,��,-a' �
contractor,but wiil be one year from the dale of recording unless a ditferent date is specifi ): �"� ' ' j
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPI ATION OF THE NOTICE OF COMMENCEMENT �L,�q� , • �/'
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SE TION 713.13, FLORIDA STATUTES, AND CAN �d�. �,
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE , ;n,�,I/
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF OU INTEND TO OBTAIN FINANCING,CONSULT ,
WITH YOUR LENpER OR AN AITORNEY BEFORE COMMENCING WORK OR RECO ING YOUR NOTICE OF COMMENCEMENT `� _ -
' Under penairy of perjury,I declare Ihat I have read the faregoing nolice o/cammencemen and thal the facls stated the�ein are true lo lhe besl
' af my knowledge and belief. -
STATE OF FLORIDA /
� COUNTY OFPASCO
, Signa e of Owner or Lesse Owners or Lessee's Aulhorized
��RICHARD C.BARTLETT OttcerlDirectorlPartnedMan r
nn�cornMissio�r.rrr_o�a d
�e� FJ�IRE$:JYIy11..Ci7
Signat ry's 'tlelOffice
The toregoing instrument xias acknowledged before me lhis day o( .2Q�— :
as �� (t ol thori e.g.,oKcer,Wstee,attomey in lact)for
(n -e of om instrument was executed).
Persanalty Known OR Praduced Identification❑ No Si ature �
� Type of Idenlificalion Produced Name(Prinq
R p1.:1618672 Ree: 10.00
D : 0.00 IT: 0.00
0 /25/14 E. Munguia, Dpty Clerk
wpdatalbcs/noticecommencemenl_pc053048 �pp LR S 0'NEIL,Ph.D Pi75C0 CLERK & COMPTROLLER
0 25/14 03:16 m 1 ofr�1
OFt BK �0�3 P� G2$8