HomeMy WebLinkAbout14-15613 (
H CITY OF ZE HYRHILLS
5335-8 STREET
� (si3��s�-oozo 15 13
BUILDIN PERMIT �
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. ._,,. .. `> PERMIT INFORMATION - LOCATION INFORMATION '
�Permit Number: 15613 Address: 38634 EVELYN LN
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0060
� Improv. Cost: 10,876.00 OWNER.,INFORMATION "" �:��~Y�y�M�=;"_.-4�`�
Date Issued: 8/28/2014 Name: HEINZMAN, JERRY
Total Fees: 90.00 Address: 38634 EVELYN LN
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/28/2014 Phone: (813)838-4820
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES � �
WIDNER ROOFING INC REROOF RESIDENTIAL 90.00
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� - Ins ections Re uired ,,..Y�.;,, K,,., ,x�:
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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 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� 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 , 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 properly. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
e�saeo-oozo City of Zephyrh Ils Permit Application Fax-813-780-0021
Buildi g Departrnent
s
Date Received - -Phone Contact f r Permittin ��3 7�`f' -- �p S3
Owner's Name 2�(Q l.- �1 e,�/V Z Owner Phone Idumber
ONme�'s Address 3863� �� �} �A•�•� Owner Phone fVumber
�
Fee Simple Titleholder IVame Owner Phone Number
Eee Simple Titleholder Address
JOB�1DDRESS 3S��T G�I� N � � ' Q L.OT# ��
SUBDIbISION PARCE ID# ��-o�'�,� -O Q-O o0 O�� O�(o0
' (OBTAINED FROM PROPERTY TAX NOTICE)
MlORK PROPOSED NEW CONSTR ADD/AL �� SIGN Q Q DEMOLISH
I B INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
T1fPE OF CONSTRUCTIOId Q BLOCK Q FRAME 0 STEEL Q
DE�CRIPTION OF MIORIC
BUILDING SIZE SQ FOOTAGE 3� HEIGHT
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
[�ELECTRICAL $ AMP SERVI E. � Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION -� �����
OGAS Q ROOFING � SPECI TY �] OTHER
FINISHED FLOOR ELEVATIONS � � _ - FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN CO PANY
SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address � License#
PLUMBER CO PAMY
SIGfVATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL CO PAWY
SIGfd�1TURE tte ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER` ' C PANY � � ��
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/
llddress 3 ,7 v ���SZ �. �. License# �-CC"'Q s7� �Z�
RESID�MTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set f Energy Forms;R-O-W Permit for�ew construction,
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
___, ___ _ _ ___ __ .`_ SaNtary FaGlities 81_dumpster�Site Work Permit for s bdivlsions/large projects
COMMEFtCIAL Attach(3)complete sets of Buiiding Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Pemiit�fo�new construction.------ --
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Alf commercial requirements must meet compliance
SIGM PERMIT Attach(2)set5 oYEngineered Plans. --`• - - -- _ -- ' � ,
"•"PROPERTY SURVEY required for all NEW constru tton.
Directions:
Fill out applicatfon completely.
Owner 8 Contractor sign back of application,nota�lzed
If over E2500,a Notice of Commencement is required. (AIC upg ades over�7500)
•• Agent(for the contractor)or Power of Attomey(for.the;owner),would e someone wlth notarized letter from owner authorizing same
. . .r
OVER THE COUNTER PERMITTING�`�,' (Front of Application:Only)
Reroofs if shingles Sewers �Service Upg�ades'A%C,:- •,,Fe�ce (Plot/Survey/Footage)
, . .. . .,.,. .�. , - _..s
Driveways-Not over Counter if on�public roadways..needs ROW
NOT'iCE OF DEED R�S'TRIGTIONS: The �ndersigned 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. :'- � - � '�-•�, �� �. ;-'- -
UNLIC�NSED CONTRACTORS AIVD CON'TFt�iC'TOR Rf�SPONSI�I'LITIES: If the owner has�hired a contractor or
contractors to undertake work, they may be required to be licensed in accotdance uVith state�and local.re�ulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misd'emeanor violation
under state law. If the owner or intended contractor are uncertain as to wrhat 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 entitled to permitting privileges in Pasco
County. .� _ • . ` __°: _ ., .
TRANSPORTATIOtV IMPACT/UTILI'TIES IIIAPAGY AIVD �ESOl1RCE RECOVEFtY FEfES: 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, vvill 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 County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COIVSTRUCTION LIEN L.�1VU(Chapter 713, Florida Sta�utes, as arr�ended): :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 fhe'above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
� CONTRACTOR'S/OVIINER'S !d►FFIDp►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 wrork 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, VNetland Areas and Environmentally Sensitive
Lands, WaterM/astewrater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. .�
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays: � �' �.� ', '`�
- 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 proper�ies, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT�OR TFIE OlhlNER, 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 auttio�ized by such permit is commenced within six months of permit issuance, or�,if w;ork authorized by
the permit is suspended or abandoned for a period of six(6) moriths after the time the�work is'commenced: An extension
may be requested, in'�writing, from the Building Official for a..period not to exceed ninety (90) days;and.will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)aonsecutive-days, the job i� considered abandoned.
Y'VARIVING TO OWIVER: YOUR fFAILl1RE TO RLCORD A F10TICE Of� COMIIAENCEnA�WT IIAAY RESUL7 IN YO111?
PAYING 'TVHICE FOR IIIAPROVEMENTS YO YOU12 PROI�ERYY. I�YOU IfVYEND TO OBY�11N FINANCING, CONSUL7
WITH YOl1R LEPIDER OIZ�1N EiTTORiVEY�E�O�tE fRECORDIIVG l�OUR NOTICE OF COBIifl1iENCEI�ENT:�
FLORIDA JURAT(F.S 117. 3) ` t
OWNER OR AGENY � CONTF3�4CTOii OU�J¢�W _
Subscribed and swom to(or affirmed)before me this Subscrlbed and sworn to(or affirmed)before me this
by bY
Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
as Idendfication. as identification.
.•`�`•r;''•, JOEL E ry PUbllc
Notary Public ,'� Nota
s*: ::: Commission#FF 137073
Commisslon No. Commission �+ '= Ex iresJun
•P�u.�` Bonded Ttw imy Fdn Insurenee 800385d019
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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014137384
I Permit No. Parcel ID No � r� �� �—����-'QQ b�
�/ NOTICE OF COMMENCEMEN
Sfate of �1�/� County of �
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,an In accordance with Chap[er 713,Fiorida Statutes,
the following informalion is provided in[his Notice of Commencemenl: �
1 Descriplion of Property: Parcel Idenlificalion No. - '� � � ��00 '�C
Slreel Address: Z
2. General Descriplion of Improvement c.) !- �
3. Owner Information or Lessee infortnation if the Lessee contracted•for the improvemenl:
/'
Q
�3 863�f �''�e C v,✓ 1-..��•2. �
Address City Slate
Inlerest in Praperty 3 Z
Name of Fee Simple Titleholder.
(If diHerent from Owner listed above)
Address City State
4. Contractor.
Z 7.�L �O OiGQ. �2. - _ .
Address G �J Cily State /
Contractors Telephone No. A I����` ��� ( 3.360�
5. Surety:
Name
Address City State
Amount of Bond: $ Tetephon No..
6. Lender.
Name
Address Clty State �
Lenders Telephone No.. � � �
7 Peisons within the State of Flo�ida designated by lhe owner upon whom notices or ther documents may be served as provided by _`�-e .� �
Section 713.t3(t)(a)(7),Florida Stalutes: V � � 6,�
Name �� �`�j ,
� °,..�' doJ
a
o � 1� � Y�
Address City Slate v � {b-
Telephone Number of Desfgnaled Person: � "" � �
� , ° , �
8. In addilion lo himself,lhe owner designales � of_ � �
to receive a copy of the Lienor's Notice as rovided in SecGon 713.73(1)(h),Florida Slatutes. �,►� � " � 4j
Telephone Number of Person ar Entity Designated by Ovrner. �
9. Expiration date of Nolice of Commencement(lhe e�cpiralion dale may not be before the c mpletfon of construdion and final paymenl to the �`t�� e ' � � �
contraclor,but will be one year Gom the date of reco�ding unless a ditferent dale is specified: � �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIR TION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC ION 713.13, FLORIDA STATUTES, AND CAN
RESUIT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y U INTEND TO OBTAIN'FINANCING,CONSULT 'Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORD NG YOUR NOTICE OF COMMENCEMENT. �Q z U � � �
Under penally of perjury,I dedare that I have read lhe foregoing notice of commencement a d t t lhe tacls slated lherein re true to the besl Q �� W LL � W W
ol my knowledge and belief. � U I��LL = J J
STATE OF FLORIDA �Ia � ° ~ p o
COUNTY OF PASCO �I � = Q N �
kotery pubi{p g�p p�F�� ign t e af Ow r or Lessee, r ners or Less ut ze �Q F w �
����: ShertyYVldner Kce irector/P rtnedManag r LL � � �
��r C a n m b�l o n F F 0 1 6 1 l S., ;1 � �� z J
S � .� E.v�en�voaaon � u. � o _ O
• ignatory's Title/Office �-- LL., �
.Z.�da ofl'��_,20�s b =�/Q �I�O O � �
The foregoing instrument was acknowledged be(ore me lhis y y � („� �
as (typ of aulhorily,e.g.,oRcer stee,atlomey in faG)for �� O � �
e o aAy n behall f who tru ent was executed). � (� () z
Personally Known�,OR Praduced Identification❑ Nolary Sign �" Q � V m Q U
p1 !!_I � � �'i'
Type of Idenlification Produced Name(Print) J n " � �.. Q.` � a Z O J
O � � Q } W
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Rep :1625194 Ree: 10.00 � � p p � O
DS: 0.00 IT: 0.00 0 � Z w �
08/ 6/14 E. Munguia, Dply Clerk � �� J w J
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