HomeMy WebLinkAbout14-15636 f
° CITY OF ZEPHYRHILLS '
i 5335-8TH,5"f'REET
(sxs)�so-oo20 156 6
BUILDINC� PERMIT
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�` = � ' ;� °.�PERMIT INFQRMATlON 'LOCATlON WFORMATION�
Permrt Number: 15636 Address: 5829 �2TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Glass af Work: Rt30F REPL.ACEMENT Tawnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Black: Section:
Square Feet: 5ubdivision: CITY OF ZEPHYRHI�LS
Est. Value: Parcel Number: 11-26-21-0010-0370q-009Q
Improv. Cost: 6,465.OQ " C?WNER INFORMATlQN
Date tssued: 9/09/2014 Name: HABER TED
Total Fees: 70.00 Address: 5829 12TH ST
Amount Paid: 70.00 ZEPHYRHI�LS, FL. 33542
Date Paid: 9/09/2014 Phane:
Work Desc: Tl4 REPLACE SHINGLES & MODIFI D t�N HOUSE SLOPE
CONTRACTOR S APPLICATION FEES
YOWELL'S ROOFlNG REROOF RESlDE T1AL 70.04
G a.it"
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Ins ections Re uired
DRY IN R t7F IN P
TAPE JOINTS ROOF fNSP
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any ane of the follawing re sons: a)wrong address b} candemned work resulting
from faulty constructian c) repairs or corrections no made when inspections called d) wark not ready for
inspectian when called e) permit eot pasted an jo site f} plans not at job site g)work nat accessibie.
NQTICE: In additian ta the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this caunty, and ther may be additionai permits required frorrr other governmenta(
entities such as water manageme t, state agencies or federa! agencies.
"Warning to owner: Your failure to record a notice f cammencement may result in yaur paying twice far
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
befare recording your atice af cammencement."
Complete Plans,S ' cations Must Accompany Application. All wark shall be performed in accordance with
Code and Ordinances.�N4 t3CCUPANCY BE�O C.O.
ONTRACTOR SlGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HC?UR N�TICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021
�
Buildin Departrnent
Date Received 1� �G�'9 -- G/'JC`�
Phone Contact i r Permittin
Oe++ner's fVame e /� ���� Owner Phone Mumber
Oumer's a4ddress 0"0 !i d 3! �i(0 ��� p� �J. � D Owner Phone Number
Fee Simple Titleholder Name Gt/ Ow►ner Phone Numbea
Fee Simpie Titleholder Address �?
JOB ADDR�SS S .r—� S� P N � �3�� LOT# �
SUBDINISION PARCE ID# �/Of b"���o%`�3�DO"��'�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CoNSTR ADD/AL 0 SIGM Q ' Q DEMOLISH
e INSTALL B REPAIR
PROPOSED U�E Q SFR Q COMM 0 OTHER
IYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL �
DESCRIPTIOM OF lNORK � O /1'e / �' S/�c �� �I O��J�� � h(�Li/ S/� �
BUILDIMG SIZE SQ FOOTAGE n�0 O S HEIGHT
QBUILDING $� /�� S� ��
.� VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �f_
� f_ {U
t Ip
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATIOfV .�f,r �
QGAS Q ROOFING Q SPECI TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGM�ITURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License# �
EL.ECTRICIAN CO PANY
SIG(dATURE 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
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER C MPANY ��`�` � �O t P l
SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address pQ� D �/G ' f S C `��+N �°� �1� �^•3 y�� License#
� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
M(nimum ten(10)warking days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects -
COMMERCIAL Attach(3)complete sets of Building Plans 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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constru tion.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over y2500,a Notice of Com[nencementJs.�equired.....(AI,C_�P9 ades over�7500)
•' Agent(for the contractor)o�Power of At#omey_(for the owiner)'woul'd e someone with notarized letter from owner_authorizing same_. _
l, `: � . ,- _ . -. -� ..., . . .
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 __,-„ . ;;,_,� ... .-:_, _ .� ,,:. _. �-. . ..
}
NO�'ICE OI� DE�� Vt��T�IC�'IOP��: The undersigned undersYands that this permit rnay be subject to°deed" restrictions"�'
uvhich may be more restrictive than County regulations. The undersigned assumes respons9bility for campliance w3th any
applicable d�ed restrictions.
UNL.IC�N�ED Ct3NYR��TQi�,� 6A�ID C�1N�'��'��� ���PON�!l�IL�'YI��: !f the owner has hirsd a contractor or
contractors #o undertake evork, #hey tnay be required to be (icensed in accordance with sfate and lacai regulations. tf fhe
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under s#ate law. If fhe ov�ner ar infended contractor are uncertain as Eo wha# licensing req�ireme�ts may appEy for the
intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 72?-847-
8Q09. Furthermore, if the owner has hired a contractor or cantractars, he is advised to have the contractar{s) sign
portions of the "contractor Block" of #his application far vvhich they witl be responsible. If you, as #he awner sign as the
contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
County.
76�►N�PORTATIOPI 6nYiPAC'TIIJTILI'�I�� I�flf���7�R�[9 R��OU��E RECOV�RY��ES: 7'he undersigned unders#ands
that Transportation Impact Fees ancf Recaurse Recouery Fees may apply to the construction of nev�r 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 undersigs�ed also understands, that such fees, as may be due, vuil! be identified at the tirne of
permit#ing. If is further understood that Transportation Impact Fees and Resource Recovery �ees must be paid prior to
receiving a "certificate of occupancy" or final power release. If th� project does not involve a cer#ificate of occupancy or
final power release, the fees must be paid priar to permEt issuance. Furthermore, if �asco County V1laterlSet+ver Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
GONST�tUCT1�N L.11E�9 ��►1tV(Ch�p��r'7 93, �1������f��ut��, �s a�rtend�z�}: If valuation oi work is$2,500.OQ or more, i
certify thak I, the applicant, have been provided wi�h a copy of the "Florida Construction Lien Law—Hameowner's
Proteckion Guide" prepared by the l�lofida Department of Agriculture and Consumer Affairs. !f the applicant is someone
ofher than the"owner", 1 certify that I have obtained a capy af the above described document and promise in good faith ta
deliver it to the"owner"prior to commencement.
CO�1'TR�CT��t'SIQltVN1�R'� i��F11��.VIT: 1 certify#hat all fhe informat+on ir��his applicatEon is accurate and that all v�rork
will be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made ta obtain a permit ta do vuork and installation as indicated. t certify that no vuork or instatlation has
commenced prior to issuance of a permit and that all work vvill be perfarmed to meet standards of all taws regulafing
construction, County and City codes, zoning regula#ions, and land development regulations in the jurisdiction. I also
c�rtify that I understand that fhe regulations of other government agencies may apply to the intended uvork, and that if is
my responsibility ta iden#ify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Depaetmer�f of Environmental Protection-Cypress �ayheads, Wetland Areas and �nvironmentally Sensitive
Lands, WaterNVas#ewater Treatment.
- Sauthwest Florida Water iVianagement District-Wells, Cypress Bayheads, Wetland Nreas, A{tering
Watercourses.
- Army Corps of Engineers-Seawalls, C7ocks, Navigable VVaterways.
- Depar#ment of Health � Rehabilitafive Servicesl�nvironmen#al Nealth Unit-Vtlells, Wastewater Treatment,
Septic Tanks.
- US E�vironmental Protectian Agency-Asbestos abatem�nt.
- Federal Aviation Authori#y-Runways.
1 u�derstand that the following restrictions apply to the use of fill:�
- Use af fill is not ailowed 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" vuill be submifted at #ime of permitting uvhich is prepared by a prafessionat engineer
licensed by the State of Florida.
- If the fill materia3 is to be used in Flood Zone "A° in connection w'sth a permi#ted bui4ding using stem vuall
construction, I cer#ify tha#fill will be used only to fill the area writhin the stem wall.
- !f fill material is to be used in any area, ! certify that use of such fill wiA not adversely affect adjacent
properties. If use af fill is found to adWersely affect adjacent properties, the owner may be cifed 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 ftll, an engineered drainage p3an is required.
If I am the B�GEN7 FOf�TF9fE C11iil�d��, I promise in good faith to inform the owrner of the permitting conditions set forth in
this affidavit �rior to commencing canstruct'son. I understand that a separate permit may be required for electsical wark,
plumbing, signs, wells, pools, air conditioning, gas, or other insfallations nof specificaliy inciuded in the application. A
permit issued shall be constru�d to be a license to proceed with the +�vork and not as autharity ta violate, cancel, alter, or
set aside any provisions of the technical cades, nor shal3 issuance of a permit prevenf the Buifding Officia[from thereafter
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
ur�less the virork authorized by such permit is commenced withir� six manths af permif issuance, or if vvork aufhorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. An exlension
may be requested, in writing, from fhe Building Official for a persod not to �xceed ninety (90) days and wil! demonstrate
justifiable cause for fhe extension. if work ceases fQr ninety(90)consecutive days, the jab is cansidered abandoned.
{�II�►E2t+i1�9G 'TO O{�tN�FE: 1(C3U� ��iiL�Et� TC? R���R� � �IQT'1�� C1� �t��fINfEW�E���1T iitA�Y i���U�.T 1ii1 VQEJ�2
9��YIP1(� '�ICE �t2R I�H@�R(3!l��I��lT� �'O YC113R ��20pfER'Tl(. 9�l�011 IPII'�Pl�TCl 0�3'Y�►IiV FINAWfC1�9C, CO�l�ll�.�'
1t1�tTF!Y�U�t LE�IQER dJR�1�I Ci�tP��Y f���t}iFtIE 62�C��lD1NC�YOt1�R��TiC�Gii- ��Ei���NCE�L�l�.- --�.
FLORIDA JURAT(F.S. 117,�3 �'="�
./��°~�� �
0�11�2E42 Oi21�CaEfdg -�� CQEV�' �,.,.,
Subscribed and r rmed)before me this Subscr' or a�rmed)before me this � �
by
Who lstare pe onally known ta me ot haslhave produced Who IsJare personally known to me or haslhave produced
as Identlfication. as identification.
"•rN�•. JO E.BACON
,�, _____ ary Public • . . Notary Public
.•"..y¢•., ::13�6N �',° E i s June 29,241
Commiss '1'd '�= Commission FF137073 Commissio •
:;,� ir un .,�,�
�
��� To,a
Name of No typ ,printe or s ampe IVame of Notary ty ,prinked or stamped
�
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I{Illll I{II{I{III11�11 illl111111 illl11111111111 f1�1111111111
2014144160
� Ropt.1627$69 Rec: 10.00
DS: 0.00 I'T: 0.00
09/09/14 T�. Sf.ine, Dpty Clerk
° NOTiCE OF COMME CEMENT PRULR S.0'NElL,Ph.D.PRSG4 GLERK & GOMPTROLLER
` g9 R��K ���� PGQ{15��
PemuF No.i
.Praperty Idenrification Mo. 13-2G-21-Q414-03740-D09Q
"1"SE UNDERSTGNED tsoreby give izifamu you Yhat the improveauat wi be made ta certairi raal propetty,aad ia accardanae wr th
`Sectian T 13;t 3 af the Florida StaEUtes,tha follawiug infornsation is provid 'ut this NOTICE OF COMMENCEMENT. �
t.bescription of propercy{legal descriptton:) CI7Y OP ZEPHYRHILLS PH!P 54 LOT 9&lOINCL BLK 3'7 OR 9016 PG 7 7
8)StTCCt AdtlfeSS:582912TH STREE"C ZEPHYRiLLS FL 33542 ;
=2.Generai descrigtion of improvements; �MOVH AND REPLACE SHlhGLE ooF •
3.Owner Iafarmariaa �
a)Vame aud addrOSS: �GIONS BANK C!O RUSH MARgHpLL]ON6S KELLY-Pp BOX 3146,ORLANpp FL 328 2
b�Name and address af fee simple titleholder(i£other than awn )
c}Intercst in property• '
A.Contractor Inforn�adon
a)Name and address: YotvBtL'S ROOFING COMP,2Z20 QLD CYPRE S CREEK RD LOL FL 4 9
b}TelephoneNo.: 8I3-949-4561 FaxNo,(Opt) Bt3-94E-6102 ,
" `S.Surery Information
a}Name and address:
Ib}Amount of Bqnd: • i
e}Tetephone No.: Fan No.(Opt)
�6.Lender . /� -
, a}TVame and adcfress. �-t'!T�S k7� 1 r'Y"l j �-
Phoae Na. ' ,r_..
-'� idenrity af'penon within the Staie F►orida esignated by owner ago whom aodces ax ot er documen may ba served:
a}Name and address:
b}Ttitghone No.: —• Fax AIa.(pp�) ' i
8.In addirian[o hiu�solf,ownet dosigaates the follo�ving persoa to rcceiv a copy of the Lienoz's Noace as psovided in Sectibn � �
:713.13{1 j(b),Ftorida 5zatutes:
' a)Name and address:,
• h)Telephone No.: Fax No.(Opt.)
' 9.Facpirarian date ofNorice,of Commencement(the expirarion date is o e year from the date of recording uniess a different date is
�sgecified): �
~WAiRMNG'IQ OWNER; ANY PAYMENTS MADE BY 1'HE Q R AFTER THE EXPIRATION OF THE N4TICE C}F
COIVIMENCEMENT ARE COIVSIDEREU IMPRQFER PAYME UNDER CF3A.pTEIt T23,PART I;BECTl4PI 7!3.13, `
.�FLORiDA STATUTES,AND CAN RESULT IN YOUR PAYING CE FQR IIl3F'ROVEMENTS TO YQ(3R PRflPERTY.
A NbTiCE OF COMhtENCEME3VT MUST$E RECORUED PCISTED ON THE JOB SITE BEF4RE"FHE FlRST
� INSFECTIQtK. IR XOU INTEND TO QBTAIN F£NANCING,CO SU�'T YOUR LENDER 4R AN ATTORNEY BEPORE
'� 'COMMENCIIYG WORK flit RECORDIlVG YOUR Pt0?'iCE OF OMME2YCEMEI�i'i'.
!
� STATE 4F�6R�A+ �
� COUl�iTY OF'P�t!lCOr' � Ct'�"E ' ��������•
igna wner'9Aut uriu OffeedDireCWr/ParfierlManag��'Q� M(s�►fs+•�
•
Print ;�Q, � St,� �.�•
� 'ih ore oing instru�n ent was aeImowtedged�f�1'�e me 's� y of�,� ;20��,by +4J' � �p ;
� b�t� as Y�wC.i (type of autharity,e.g.affice tzustce, meY p �.�
in fact for ` (name an behaif of whom instcume t was execu � it?#9',�252 •
' N07ARY P���-1'� ;
' �xpirea ;
, Personaity ICno _,_OR Produced Identificatioa^ No Signahue �� �b,4,2817 � ;
. �+�� �� .
.
• ;
` Type of tdearificatiott Produeed �S*"_,_,�� N c{grint) •.�����Q� •°
« .. �''
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.
� Verifcarion pursnant ta Seetioa 92.525,Florida Statutes.Undat pen tics of petjtay,I declare that I have read the foregoing nnd t[�at
�° thc facis s�ated ia it are true to tha bcst of my]moivleilgo and b�lief. - ' „
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- Si edm of.N Pars igntng Abpve
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3����� '�'�
��°r �`�- � ' ° �Ci ������� �L�RIDA, COUNTY OF PASCO
� TMIa IS`TO CE�TIFY THAT THE FOREGOING IS A
�' ' �' � • � TRUE AND CORRECT COPY OF THE DOCUMENT
' � '� : � ON FILE OR OF PUBLIC RECORD W THIS OFFICE
� � WI NESS NY HAND A OFFICIAL SEAL THIS
rn Go�t'we T,-usr �
/"s'•, � •
�i DAY OF 2 �J
� , ?`�`�" '� PAULA S. O'NEIL, CL`�R &C MPTROLLER
� . 1887
'•��.� e o ��Q� BY � J° � DEPUTY CLERK
�� �OF F�.�� _