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Home My WebLink About14-15545 /'/ CITY OF ZEP YRHILLS . ` 5335-8TH STREET - � (si3)�8o oozo 15 45 BUILDING PERMIT �;.r,r,��.,:t�.;<f,.._;<� - --_ -- a - - - � _, • . _ - - -- N.,�-- -- - pT - .,:��_, ; w,�; ;��.�r.� �-�,�;��._�•;. ;P„ERMIT.,INFORMATIO,N� .` F �,. � ,',LOCATIO ,. NF�ORM". :I'ON.. s.�� g`� ;Permit Number: 15545 � Address: 5636 19TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-11000-0085 �- - ��.�. � ,r Improv. Cost: 6,400.00 "-��` �`°'"��OWNER�INF�ORMApTIO.N�"��`=�=��°�' �x; :�..��;��.�:_:. �,... . Date Issued: 8/06/2014 Name: WUJTOWICZ, JAN & HENRIETTA Total Fees: 70.00 Address: 5636 19TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/06/2014 Phone: (813)788-4488 Work Desc: REROOF SHINGLE t;.-:„� '.'C:ONTRACTOR S � � APPLICATION FEES°-�yM � � �� 'rv�.� A.BARTLETT ROOFING OF C NTRAL F �REROOF RESIDENTIAL 70.00 �� C�v 'lJ i i � �� `� � , ° ` ' Ins ectioii *Re� uired � -�:�.R�� `4" ;��:'�: s_��<�:<<.�xa��'r"�'�' � �,,.'N - ;. _. . ,...... ' - - ' �- .: .,4-.� . � . , . ..,,: , �.,.,.�., . .. , _ ,�. , � DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL I�f, " � "l� ��L , ii I ith Florida Statute 553.80 2 c when extra ins ection REINSPECTION FEES: Reins ection fees will comp y ( )( ) p P 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 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 property that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agencies. " to owner: Your failure to record a notice f commencement ma result in our a in twice for Warning Y Y P Y 9 improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your otice of commencement." Complete •s, Specifications Must Accompany App ication.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. ' TRA SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER a��-�ou-uuzu City of Zephyrhiils Permit Application Fax-813-780-0021 Buildi g Department Date Received p e ontact r Permitt(n __ �\ Owner's Name Owner Ph�ne Number Owner's Address � � Obmer Phone Number Fee Simple Titleholder Na Oarner Phone Number Fee Simple Titleholder Address • � t_ � JOB ADDRESS LOT# SUBDIV1510N PARC ID# � " - ----- ------- --- - >---- - - - - —_----- -----_ - -- ---IOBTAINED FROM PROP.ERTY TAX NOTICE)' - -- --- - -- - 1NORK PROPOSED e NEw CONSTR e ADD/A T 0 SIGN � 0 DEMOLISH INSTALL REPAI PROPOSED USE Q SFR Q COMM [� OTHER`" � TYPE OF CONSTRUCTION Q � BLO�K Q FRAM � STEEL Q DESCRIPTION OF WORK - BUILDING SIZE SQ F OTAGE HEIGHT QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION QELECTRICA $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. QPLUMBIN $ �� l � C�� QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION � _ / V QGAS Q ROOFING Q SPECI LTY � OTHER � �G � FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO �� BUILDER C MPANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAId C MPANY SIGNATURE RE IS7ERED Y/ N FEE CURRE� Y/N Address License# PLUMBER C MPAMY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N Address License# - MECHANICAL C MPANY SIGNATURE RE ISTERED Y/ N FEE CURRE� Y J N Address cense# OTHER C MPANY SIGNATURE RE ISTERED Y 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles 8 1 dumpster;Site Work Permit for ubdivfsionsllarge projects COMMERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minfmum ten(10)working days after submlttal date. quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciNtles 8 1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. � ••••PROPERTY SURVEY required for all NEW cons ction. , ` Directions: Fill out application completely. - , Owner&Contractor sign back of application,notarfzed ' If over 52500,a Notice of Commencement fs required. (AIC upg ades over�7500) '• Agent(for the contractor)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 - � - � - NOTICE OF DEED RESTRICTIONS: 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 CONTRACTORS AND CONTRACTOR_RESPONSIBILITIES: If the owner has:hir�d 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 contra'Ctor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements 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 responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not en;9tled�to permitting privileges in Pasco County. TRANSPORTATION IMPAC'T/UTILITIES IMPACT 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 i 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, af Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pa'sco County ordinances. CONSTRUCTIOIV LIEN LAlnf(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", 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. . CONTRACTOIZ'SIOWNER'S AFFIDAVIT:. 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, 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 & Rehabilitative ServiceslEnvironmental 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 volumen 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 YHE 011YNER, 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 O�cial from thereafter requiring_a correction of errors in plans;,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of-.permit is'suance,�or if work authorized by the.permit is suspended or ab ndoned for a period of six(6) months after the time the work is co menced. An extension may be requested, in writin , from the Building Official for a period not to exceed ninety (9 �"ays and will-demonstrate justifiable cause for the e nsion. If work ceases for ninety(90)consecutive days,the jo considered.abandoned. WARNING TO OW : YOUR FAILURE TO RECORD A IdOTICE OF C M MENT MAY RESULT IN YOUiZ PAYING TWICE F R PROVEMENTS TO YOUR PROPERTY. IF YOU I OBTAIN FIN�►IVCING, CONSUL7 {RII7'H YOUR LE OR AN ATTORNEY�EFORE RECOIZDING YOU.� T F COMMENCEMENT. FLORIDA JURAT .0 OWNER OR AG CONTRACTOR � Subscribed and to(o m )before me thls Subscribe o (or a_ffi_rmed� ore me this s/ar s kn f to me or has/have produced Who Is per onally kn �to m as/have produced as identlfication. as identification. � ,, w, •�lo�`aiy Public � ,%A_ Notary Public _�:' :�: Commission# U�(;520 ti ,,,,,�.,,,,, Com s �: r'�= �r 19 0 � � Com on N ,, ��`�7� �— �'�� Commission#E�Q40520 ��Ra� BondedThN7royFNnUWamrw�80a3BCr7019 ?�� s rz Name of Notary lyped,prfnted or stamped Name of Nota '` � ' nt � a��e��9 - iiuiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii►iiiiiiiiiiiiiiiiiiiii � 2014122716 � ` Zcpl:1620282 Ree: 10.00 DS: 0.00 T: 0.00 - a8/01/14 T. S! ne, Dpty Clerk Pertnit No. Parcel ID No '2� Z�� — b� � \ . NOTICE OF COMMENCEMENT State o( V l�� County of THE UNDERSIGNED hereby gives nalice lhat improvement will be made to certain real propeAy,and in ccordance wilh Chapler 713,Florida Statutes, Ihe tollowing infortnation is provided in this Notice of Commencement: 1 Descriptian of Property: Parcel Identificalion No. Slreet Address: � ��• � • 2. General Description of Improvement e. 3. Owner Infortnation or Lessee in(ortnation if the Lessee conlraded far lhe improvement: 2r�rt�#"a. � � Z Name S�3(n 19�&J�• 2 2 � Address City Slate W Y U Inleresl in PropeAy: �w � u,J w c� U Name of Fee Simple Titleholder. � J y� (If diflerent from Owner listed above) (n z V � ~ �� F= � J N � � Address City S�ate ��„ (� 0� w f— W 4. � Contractor. • � � � 1- il. � w � a � Name �(��/Op �� dl, n• { Xr z J � i��t �� r�� r State � � � � Q � Address �I� �p��c� ��Y �.. LL � U V ContrectorsTelephoneNo. � J`� �qULR 5 'NEIL,Ph D.PiiSCO CLERK B COMPTROLLER � = O O � s. surety: a8/01/ 4 03:11 m 1 of 1 = ~ � W O Name OR B 906�6 P� 1324 0 =� U 0 W Address Ciry Stale �f— � J Q 'J Amount of Bond: 5 Telephone o.. � �ri.. W m � O J � 1— �' d' Q � �jJ 6. Lender. o � � �- = Q z � Name J W OO � � - Address Cily Stale O O z O� � Lenders Telephone No. � 7 Persons within the State of Flonda designaled by lhe owner upon whom notices or ol er documents may be served as provided by � � Q �� Section 713.73(t)(a)(7),Florida Slalutes: � � =z~ a m Name � ~�� Address Cfty Slate y� {� � Telephone Number of Designaled Person: Q� •0 • �� 8. In addition to himself,lhe owner designates of_ � 0 • �" �. lo receive a copy of Ihe Lienafs Nolice as rovided In SecGOn 713.13(1)(b),Florida Stalules. �i� `� �+ � �� a � Telephone Number of Person or Entily Designated by Owner• � b,•-�� 'a.�'� e` m 9. Expiration date of Notice of Commencement phe e�iralion date may nol be befare the co pleticn ol canswction and Mal paymenl to lhe a' E,� � O � contractor,but will he one year from the dale of recording unless a diflerent date is specified. � '� � �'� Y zs� � . �' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIR TION OF THE NOTICE OF COMMENCEMENT � . �� ' �jS ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC ION 713.13, FLORIDA STATUTES, AND CAN 9 �a � RESULT IN YOUR PAYING NlICE FOR IMPROVEMEN7S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �,d� RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y U INTEND TO OBTAIN FINANCING,CONSULT -;y� � WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORD NG YOUR NOTICE OF COMMENCEMENT � � � Unde�penally of perjury,I deGare that I have read the(oregoing nolice of commencement a d lhat lhe fatls staled therein are true lo the best `�b�� • '� of my knowledge and 6elie(. STATE OF FLORIDA COUNTY OF PASCO ignalure of Owner or Lessee,or ners or Le ee's Authori OfficerlDirectorlPartnedManag r �� g �t� ��Qr°RICHARD C.BARTLETT WJ `tC�W �G7� ��nnrco�.Q.nssioN a�eizose • �a FJ�I[tES:luly71.2017 ' n lory'sT' / ffic�//,�� The foregoing instrument vias acknowledged before me ihis day o( ,2gG' as (ly uth ty,e.g.,oncer,truslee,attomey in fact)for (name whom inslrument was execuled). Personally Known�OR Produced Idenlilcation❑ Notary ignalur Type of Identificalion Produced Name(Prin . . � wpdatalhcs/noticecommeneement_pc053048 " , ,r.. _ . , _ q,;" - , . ;.i., .. '._ . :y�: ,. .:r �:'}'', .."4:.. , -"S_I:y `:uf!i�y ,.4"t..�?'�,...�.�-J� _t.__:;•. '^:r:T�.]�y.��..�'�r << ..v,•Tr' , - . ,. -.- ' �'�� .. ' -• -._ . . . K .� -i . . ' � / , � a �. ��.�tY�tt ,�o�fi�g � �Cer��r�.Y ,�'Yo�i��c, ��c. C/O Richa d Bartlett r ` � 38408 3 d Ave. �J�/t'� Zephyrhilis, FL 33542 � � ' �, � One of the Largest, OI est, Most Dependable OFFICE � `, Roofing Companie in Central Florida PHONE �; �Specializing in Mobile Home White Co. .,mer.cial Rubber& Color Metal Roofing ' \ � .�� :;�: ��:,,��; �= (813) 782-5585 I . ✓ � RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737 ! � LICENSED - INS RED - BONDED (352) 523-1944 • MEMBER OF THE CH MBER OF COMMERCE ! _ & BETTER BUSI ESS BUREAU • Lic. #CCC 1325499 ' � -- Serving Zephyrhills, Dade City, Quail Hollow, Wes ey Chapel, Land O' Lakes and Surrounding Are� We have re-roofed or repaired more roofs(18,000)in fhe past 3 years, than fhe fourlocal]eading roofing companies combined. � We do not charge extra fees for credif card urchase.Most companies charge 3 to 5° � , , �r �� / , s , �� / _ �� - - i / N ame ��f �---�"t ` ' ,. �-- � ��c---�' Address ` `��V �� — / � � � � �'� ;� , , ' Phone ;� n�,,r i� � ` � . .,`',--`�` .�,, / ; , ,;: , , _ _ ... . _. _ - ,;� �w r ' , a��1: � v G�7�I�/P Ia[�� - . . � ,' ��wi��'l , � s_...-.-- . r'� � r: �.� �� -':� .<. i ( _ __ ._�.._ r. . .. . .... .. . _...._. . • .. . . -� ; , ..� �. ' �I,• . ` _� . �r ' -. , . . j �_�_—L��` � � `..., , _._. ._,. , ` /. / I °' ,'`� l,r(',�iLA.��-_..��P� C� 1�,�.;7�_P �- _�'f �,t ��P ./�-�s� � � � / r / ( `�f/�J — � r�F1,�.r1' Y- (I�__ �,�' �-7'.l 1I J�--��' �r �r .�%�--7/.r �?t*/ � / , �,� ,� - _ � N ! _ � � , � _� ,! i IJ ll / .� � <' a'--' , , � / / f ' ,� `�>>--� j" / � �_..9��` �'.�% �.� o// ---��`- �..� .� ,� ' , ,, �� ----�- � ^ .� � U. //�'`P��.`� � ��/.�-'��--� r��;�,�� , �=--___ , , � _, � � d��r�--^.,�"" (1. 1L-�`��-�:.� t �'. ��.�-� �i � % -'='--�'L-�°� ; l/V'`✓C--� �c�� J �� v T f ��.�2 f\ � � �`;'�(� „ �/ f , _ }, S 1 ! � �'" ( � � � !� �j � � i' � � �` V �- ��\ r`�./� � �� ' � L/(:L�! ./' �� '-f/� /�-`}�f' � n ��1�sf r�� % � r ! " �� _./ ' �V ;�// � . ° �I v / � ��C��,��.,�_,��.�,� Lv��.,�c_ , � _.�__ President & Owne�fA. Ba lett Ftoofing of�,e�tral FL, Inc. �t ��J, �� S I C1'— � ��„�� , � � � n ..� g ' � ' 1 „ ,, �.�/� � ' �+ A��i Richard C.Bartlett �� ;�/ %,,L�{J v �� THANK YOU � ` �. O. dl,!�' Your Business is ApQreciat cl. � � ;�� -� Payment upon completion unless previous arrangement made Warrant es pe.am o original owner / I All arrangements contingentupon strikes,accidents or delays beyond our control.Ow er to carry fire,tornado and other necessary insuran� —� Our workers are fully covered by Workmen's Compensation Insurance.Customer i 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 �� ' � , l � �',.... _ ,.�. ,. , , � .. .:' ;