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Home My WebLink About14-15693 / CITY OF ZE HYRHILLS 5335-8 STREET • (813)7 0-0020 156 3 BUILDIN PERMIT PERMIT INFORMATION � 'LOCATION INFORMATION '� :="_ �"'- � Permit Number: 15693 Address: 37411 NEUKOM AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-1050 Improv. Cost: 5,830.00 _ OWNER INF.O.RMATION.:�°. �_��'��`-Y.de=�`:��. Date Issued: 9/29/2014 Name: MILLER RUSH W Total Fees: 65.00 Address: 37411 NEUKOM AVE Amount Paid: 65.00 ZEPHYRHILLS FL 33541-9321 Date Paid: 9/29/2014 Phone: 813-779-3251 Work Desc: REROOF SHINGLE/ MOBILE HOM . CONTRACTOR S APPLICATION FEES , , °�-•<�'�`. ,` TLC ROOFING LLC REROOF RESIDENTIAL 65.00 , � � Ins ection Re uired � ' -��` ` DRY IN ROOF INSP TAPE JOINTS ROOF INS FINAL ��°' l(�"�� = l 1�f �L �� REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when e�ctra 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 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. "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." Complete Plans,Specifications Must Accompany Appl cation. All work shall be performed in accordance with ' City Codes and Ordinances. NO OCCUPANCY BEFO C.O. , CONT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER i � I I III�II IIIII IIIII III�I II�II IIIII IIIII IIIII IIIII�II�I IIII IIII � � 2014154025 ' Key No. Permit No. � Rept:1632185 Ree: 10.00 � NOTICE OF COMMENCEMENT �s: 0.ee IT: e.ee � � � 09/29/14 K. Garcia, Dpty Clerk , I THE UNDERSIGNED hereby gives notice that improvement wiA be Made to certain,and in accordance with Chapter 713,Florida State PpULR S o�NE 1 L,Ph D PRSCO CLERK B COMPTROLLER i Statues,the following information is provided in this Notice of 09/29/14 08:33am 1 of 1 Commencement: OR BK 90g0 PG 3086 1. Description of Property: Parcel No.: 34-25-21-0090 00000-1050 � (Legal descri tion of the property and street address if available) 2. General Description of Improvement: � RE-ROOF MOBILE HOME WITH GAF ASPHAL SHINGLES � 3. Owner Information: Name: RUSH W. MILLER � Address: 37411 NEUKOM AVE Ci ZEPHYRHILLS State FL Zip 33541 , Interest in Property: OWNER Name and Address of Fee Simple Titleholder(If othe than owner) : , 4. Contractor: Name: TLC ROOFING LLC Address: PO BOX 1745 Ci DADE CITY State FL Zip 33526 Phone No. 352-473-4073 F x No. 352-473-4073 5. Sure : Name Amount of Bon : tY d $ Address: Ci State`Zip , , Phone No. Fax No. 6. Lender: Name: Address: Ci State_Zip ' Phone No. ax No. 7. Persons within the State of Florida designated by O ner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7) Florida Statutes. Name: Address: Ci State_Zip ' Phone No. Fax No. 8. In addition to himself or herself, Owner designates of To receive a copy of the Leinor's Notice as provided i Section 713.13(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement(the ex iration date is 1 year of recording unless a different date is specified.) WARNING TO OWNER:ANY PAYMENTS MWDE BY THE OWNER AFTE THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED lMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, EC 713.13,FLORIDA STATUTES,AND CAN RESULT!N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTIC OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 7HE FIRST IN3PECTION.IF YOU INTEND TO OBTA N FfNANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE C MMENCING WORK OR RECORDI G YOUR NOTICE OF C MMENCEMENT. X Signature of Owner or Owners Author¢ed OfficeNDiredodPartnedManag r 5ignatory's TitleJOifice '*'Signature Required by same below by'X"mark"' stateot FLORIDA Countyof_PAS[:n The forgoing instrument was acknowledged before me this�d y of ,20�by !"til�,t.J k� /t�f j�.o. , T (Printed name of person adcnowledging) as for jl' p of authority e.g. ffice,trustee,attomey in fact) (Name of party on atf of who instrument was executed) �C�� t��,l�s. � Signature of Notary ' t ' , ' Type or Stamp Name of Notary Personally known OR Produced Identiftcation � ; �- � Type of Identification Produced: ��L� �� , . ,��,, M �c,.n•�;y., HI�OA M.LYCANS Verlflcation pursuant to Sectlon 92:525,.Florlda Statutes:under Penald ot perjury,t declare at li 2!d�S�fr�1i�di�btlM ts stated tn it true to the best of my knowledge�nd ief. � • - Y Comm.Expf►es Jul 24,Z6,1� • /�� lic� ' 1 - '• �`� Commlae �''FOFV�d':�'' Ioil I Ff 012217 x � � •� ��,,••• Boiided TArou�N�fJtllt�rAii11: Signature of Natural Person Signing AboVe , . " NEWNOCOB.doc Rev-2008 � ,_ i � i il , S�Al'E OF FLORlDA,CCIUNTY C'J�'P,�+S�� j THiS iSTO"CERTiFYTHATTFi��@��QiNG iSA �� * � " ��G TRUE ANq C�RRECT GC1F'Y��THE DOCUMENT � . �,.� ON FI�E C}f�OF PUBLIG REC4RD lN TN4S dFFICE . . WIT, ESS MY HANQ AN OFF CIAL SEALTHIS � • InGod"We7nut � "�` 0 _��DAY OF 2 f :=":'^.. PAULA S. 'NEIL,CLE K&COMPTROLL. R �ak � i� . * �� gY DEPUTY CLERK '� •, Y��T *' sr'��oF FI.��'��P I a»-�so-oozo City of Zephyrhilis P rmit Application Fax-873-780-0021 • Building Dep rtrnent . Date Received phone Contact for Pe itting — Owners Name Owner Phone Number 813-77 - 251 OwnersAddress 37411 NEUKOM AVE OwnerPhoneNumber Fee Simple TiUeholder Name Owner Phone Number Fee Simple TideholderAddress JOBADDRESS LOT# � SUBDIVISION GRAND HORIZONS PARCEL IDq (09TAINED FROM PROPERTY TAX NOTCE) WORK PROPOSED e NEW CoNSTR B ADD/ALT SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q DESCRIPTION OF WORK RE-ROOF SHINGLES ON M BILE HOME BUILDING SIZE SQ FOOTAGE HEIGHT � QBUILDING $ 5,830.00 VALUATION OF T TAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � �� QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � \� QGAS Q ROOFING � SPECIALTY O7HER FINISHED FLdOR ELEVATIONS FLOOD ZON AREA QYES NO BUILDER J�V10�Ll�Gq11J COMP r TLC ROOFING LLC SIGNATURE r�GIS D Y/ N F�cua�n Y/N address PO BOX 1745 DADE CITY FL.33526 ucense� CCC1328205 ELECTRICIAN COMP Y SIGNATURE REGISTE ED Y/ N �cuw�n Y/N Address License� PLUMBER COMP SIGNA7URE REGISTE ED Y/ N F�cua�n Y/N Address License# MECHANICAL COMP Y SIGNATURE r�cis D Y/ N FEE CuruiEn Y/N Atldress License� OTHER COMP NY SIGNATURE �cls� o Y/ N �cuwxEn Y/N Address License# IIIIIIIIIItllllllllllllllllllllllll IIIIIIIIIIIIIIIIItllllllllllllt RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Fortns;R-O-W Pertnit for new consUudion, Minimum ten(10)working days after submittal date. Requi d onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence instalted, Sanitary Facilities&1 dumpster,Site Work PermR for subdi sions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safe Page;(1)set of Energy Fortns.R-O-W Permit for new construction. Minimum ten(10)warking days after submittal date. Requi d onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed, Sanifary Facilities&1 dumpster.Site Work Pertnit for all ne projects.AI!commercial requirements must meet compliance SIGN PERMIT Attach(2)sets M Engineered Plans. ""PROPERTY SURVEY required for all NEW constructio . Directions: Fill out application completely. Owner&Contrador sign back of applicadon,notarized It over SZ500,a Notice of Commencement is required. (A/C upgrade over a7500) " Agent(for the contractor)or Power af Attomey(for the owner)vrould be s meone with notarized letterfrom owner authorizing same OVER THE CaUNTER PERMITTiNG (Front of Application Only) Reroofs if shingles Sewers Service Upgradas A/C Fences(PI t/Survey/Footage) Driveways-Not over Counter'rf on public roadways..needs ROW a NOtICE OF DEED RESTRICTIONS: The undersigned unde stands that this permit may be subject to"deed°restrictions" ' which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or I contractors to undertake work,they may be required to be li nsed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are un rtain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County�uilding Inspection Division—Licensing Section at 727-847- i 8009. Furthermore, if the owner has hired a contractor o contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for whic they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properiy icensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,th t such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impa Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'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 is uance. Furthermore, if Pasco County WatedSewer Impact fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,l certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Lavv—Homeowner's Protection Guide"prepared by the Florida Department of Ag'culture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy o the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all th information in this application is accurate and that all work will be done in compliance with all applicable laws regulatin construction,zoning and land development. Appfication is hereby made to obtain a permit to do work and installati n 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, aId Iand development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other governr�1ent agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in c mpliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypres Bayheads, WeUand Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Distr ct-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Service�/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos a atement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of ill: - Use of fill is not allowed in Flood Zone"V"unless xpressly permitted. - If the fill material is to be used in Flood Zon "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 " " in connection with a permitted building using stem wall construction,I certify that fill will be used only to fi I the area within the stem wall. - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely aff ct adjacent properties,the owner may be cited for viofating the conditions of the building permit issued und r the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered dra nage plan is required. If I am the AGENT FOR THE OWNER,I promise in good fait to inform the owner of the permitting conditions set forth in this a�davit 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 specificalty included in the application. A permit issued shall be construed to be a license to proceed 'th the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issu nce of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violati ns of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced wi hin six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6) onths after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a eriod not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety( 0)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMtNENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IN7PROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIfd FINANCING,CONSULT WITH YOUR LENDE R AN ATTORNEY BEFORE RECO DING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.1 .0 ) r OWNERORAGENT CON RACTO ' �"' Subscribed and swo r affirtne be e this Subs 6ed and rrt to(or affirtne o me this by _,�_by Who i ersonally known to me or has/have produced Who'aef�pe- onally kn n to me or haslhave produced s identification. s identification. „y.o,, ••':�: e'•, /pE ACON y�,. C N �' �;: . ' r�ublic • •� C - Not Public ' �o,: x ires June 29,2018 co mi i n ��= �xpires June 29,2018 Co i io '%�o• o":,• p '•�R��•' on e m rvy em nawwe es'lots Na e of Notary typed,printed or stamped Na f Notary typed,printed or stamped I _