HomeMy WebLinkAbout14-15761 CITY OF ZE HYRHILLS
5335-8T STREET
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BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 15761 Address: 5213 17TH 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: 11-26-21-0010-19600-0050
Improv. Cost: 20,000.00 OWNER INFORMATION
Date Issued: 11/04/2014 Name: LOWELL, ROBERT & DIANNE
Total Fees: 135.00 Address: 5213 17TH ST
Amount Paid: 135.00 ZEPHYRHILLS FL 33542
Date Paid: 11/04/2014 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
CAPST E CONSTR CTIO RER OF RE IDENTIAL 135.00
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Ins ections'Re uired
DRY IN ROOF I P
TAPE JOINTS R FJ P
FI NAL -'
REINSPECTION FEES: Reinspection fees will comply th 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 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 , 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 n tice of commencement."
Complete Plans, Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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Cq CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WE14THER
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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021
Buitding De artment
Date Received Phone Contact for Pe itting , � � (� — � 7
Owners Name � �U%'v� N ' 7 '' Owner Phone Number
Owners Address �5�. � � Owner Phone Number
Fee Simple Titleholder Name Owner Phone fVumber
Fee Simple Titleholder Address
JOB ADDR�SS � ��" `� ' LOT# [�
SUBDIVISION PARCEL IDl�
(OBTAINED FROM PROPERN TAX N0T10E)
WORK PROPOSED B NEW CONSfR e ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER f c�._ ' d 1 •i •►�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK ,fl i� ;,� (7Cl ��v� 1/' � S'� ` r —'��+�;�q.,
BUILDING SIZE SQ FOOTAGE Z HEIGHT � .
QBUILDING $ VALUATION OF T TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ /r��j
��S �
QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION
QGAS ��� ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
.
BUILDER �" ��`Ol'""� O o''",S�n COMPA Y i ' , i�p tt� . �i'; '1'. `7' . �^c.-t...
SIGNATURE - RE�isTER L� N FEE CURRE� Y/N �
�. �C�C:/� �Z I
Address 'Z �r License# i-,• .
ELECTRICIAN COMPA Y
SIGNATURE REGISTE Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPA Y
SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPA Y
SIGNATURE REGISTE ED Y 1 N FEE CURRE� Y/N
Address License#
OTHER COMPA Y
SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N
Address License#
Illllllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, --
Sanitary Facilities&1 dumpster;Site Work Perrnit for subdiv sionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age,(1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all ne projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NE1N construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTIfdG (Front of Application Onty)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
il
NOTICE OF DEED RESTRICTIONS: The undersigned under tands 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
contractors to undertake work, they may be required to be lic nsed in accorclance with state and local regulations. If the
contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are un ertain 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 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 properly I censed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings, change of
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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 such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impa t 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 is uance. Furthermore, if Pasco County Water/Sewer 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, I
certify that I, the applicant, have been provided with a c py of the °Florida Construction Lien Law—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"owne�' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all t e 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. Application 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govem ent agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Aftering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navi able Waterways.
- Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- 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 Zon °An, it is understood that a drainage plan addressing a
°compensating volume" will be submitted at tim 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 II 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 filt is found to adversely a ct adjacent properties, the owner may be cited for violating
� the conditions of the building permit issued und r the attached perrnit application, for lots less than one (1)
acre which are elevated by fill, an engineered dr inage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good fa' h to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed ith the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall iss ance of a permit prevent the Building Official from thereafter
requiring a conection of errors in plans, construction or viola ions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety 90) consecutive days,the job is considered abandoned.
WARNING TO OWNER: YO A URE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMP MEN S TO YOUR PROPE TY. IF YOU INTEND T IN FINANCING,CONSULT
WITH YOUR LENDER NEY BEFORE REC RDING YOUR NOTI O MENCEMENT. - ---
- FCORIDA JURAT(F.S. 117 f
OWNER OR AGENT '• CO TRACTOR �
�bsc� d and sy� rn to(or affirmed)before me thi S b ' d and''orn to(or affir efore m is� �'
Who is/are � nown to me or has/have pro ced Who is/are per nally nown to me or has/have produced
as identification. as identification.
, � � � Notary Public � �.lZ- Notary Public
Com i Co ssion
,��►y"" JACQUELINE 60GE5 � ,,,, ,,
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''� �'�'= mmission#EE 1.�10520 'a ,.•�t�+��Y�.,, JACQUELINE BOGES
Name o fsty, '" �j�1iiH�Bm�leslbm�1201L: � Na e of No �Y i @ 520
Fg�;��.,•' BondedThruT�oyFainlnswanw80G385•10t::1 ;;� o�� p�res eCember 12,2014
�-u�. . +�.� P„;�: Bonded Thru Tmy Fan Insurar�ce 800.385�7019 �
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Permit No. Parcel ID No '-' � � � - �"'Q��Z
NOTICE OF COMMENCEME
State of �[ON//7��4 CauMy of C
THE IINDERSIGNE�hereby gives natice that improvement will be made to cenain real property,and in accordance with Chapter 713,Rorida Statutes,
the fo0owing irAorma6on is provided in this Notice of Commencement:
1. Description of Property: Parcel IdeM�ca[ion No. — d " �� �
Street Address: �"� N � �
2. General Description of improvement Q �
3. O er Information or Lessee IMatmation if the Lessee eoMracted for lhe improvement:
�5��dx --�N7� � Z�=�
Address City State
Interest in Property:
Name of Fee Simple TRleholder
(If different hom Ovmer listed above)
Address /7 � City State
Cont�ador: l� c�i
,�p�X .�v.� �
Address q CRy State
Contractor's Telephone No.�ts iG 'd,,���i—7�,S 3
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5. Surety: ��`� •p �
Name _ _ � o �
Rcpt;1638679 R c: 10.00 q �
State
Add�ess DS: 0.00 IT 0.00 �iF �
Amountaieond: $ 10/29/14 D. Bani la, Dply Clerk � � i
- �� � �o
�.. . � �� �� �. �
6. Lendef: - PqULR S 0'NEIL,Ph.D p 5CO CLERK d COMPTROLLER �
. �
Name 10/29/14��� ° ° � � � d
Address OR BK P��1912 State � o �� _ �
.,
Lenders Telephane No.. �� • �eF��'
7. Persons within the State of Florida designated by the oumer upon whom notices or ther docianeMs may be served as provided hy �yt o
i Sedion 713.13(1)(a)(7),Florida Statutes: �� �
� �
' Name
� Address Ciry State
Telephone Numher of Designated Person: � W `1
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8. In addition to himseH,the owner designates oi_ � LLE ti. �T W J
0 ��1� � � J U
to receive a copy of the Lienor's Na6ce a provided in Section 713.13(1)(b),Florida.Statutes. (, � O J y-
Telephone Num6er of Person or Entity Oesignated by Owner: � �U � J O � ~
�tOp� � `" � a
9. Expiretion date of Notice of CommencemerK(the expiration date may no[he 6efore the mpletion of construction and final payment to the LL � � f— W a
contrador,6ut will be one ear irom the date of recordi unless a diNerent date is e fie �
Y �9 I� )� � �=zJ
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFiER THE EXPI AT10N OF THE NOTICE OF COMMENCEMENT � u.. F � Q
ARE C�NSIDERED IMPRaPER PAYMENTS L1N�ER CHAPTER 713 PART 1 SE TION 713.13 FLORIDA STATLITES AND CAN 1— � V- � U
RESl1LT IN YOIJR PAYING 1WICE FOR IMPROVEMENTS TO YOl1R PROP�RN A NOTICE' OF COMMENCEMENf MUST BE � ��� LL
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF 011 INTEND TO OBTAIN FINANCING,CONSULT �� y. U LL..
� WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENGNG WORK OR RECOR ING YOUR NOTICE OF COMMENCEMENT. � ¢R��OQ �
Under penafty of perjury,t.dedare that I have read the foregoing notice af commencemeM and that the facts stated therein are true to the best Z U U �
I of my knovAedge and hehet, �}— F J �
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STATE OF FLORIDA � 1� �1-t� z O J
I COl1NTY OF PASCO C/ � F— OC L1- Q }.
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� Si ature o wner r Lesse ,or Owner's or Lessee's A�6horized = Q W
OfficerlDireetalPartnerlMan er � � � � � O
� +�- e� a � �
Signatory's TMeJOffice � � Z � � �
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The foregoing instrumeM was aclmowledged before me this�day of�201�6y �� �"��� � '1— �� I.i Z �
� —� 1—
j a Q� (type of authoriry,e.g.,officer,trustee,attamey in fact)for a--' � F.L' z — Q �"
� (name f a n ehalf m instrument was executed). � � � � � � m
IPersonally Kno R Produced Identification❑ Notary Signature
� Type of Ident�cation Praduced Name(Print) ��Yl�Q,S p�y
t
:�r��4%4 STEPHANIE WISNIESKE
' 3 = Nottry Public-St�te o1 FlaiGa
i 3y�� ' �F�NY Comm.Expiras N1ar 21,201.7
"+.ti,„ NY�t` Commission i�FF 001603 •
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CITY OF / / / / BUILDIN�
ZEPHYRHILLS DEPARTMENT
OF ADDITION R CORRECTION
, � • • - •
l5761
ADDRE55 D�T,E� o PERMIT�,
����i ��l��� �, � ��11�1-,� ���
THIS JOB HAS NOT BEEN COMPLETED. The following a ditions or corrections shall be made before the job
will be accepte .
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It is unlawFul far any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample lime to approve
the installation. __!��(f/_�Ci'"V3 l
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR ' � ,�