HomeMy WebLinkAbout14-15785 CITY OF ZE HYRHILLS
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BUILDIN PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15785 Address: 37410 NEUKOM AVE LOT 39
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF NEW Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0390
Improv. Cost: 5,850.00 OWNER INFORMATION
Date Issued: 11/17/2014 Name: WIRTH, OPAL & ROBERT
Total Fees: 65.00 Address: 37410 NEUKOM AVE LOT 39
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/17/2014 Phone: (813)788-3628
Work Desc: REROOF SHINGLES
CONTRACTOR S APPLICATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 65.00
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Ins ection Re uired
DRY IN ROOF IN P
TAPE JOINTS ROOF INSP �cr
FINAL � P-- Z� °� � J '
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 r asons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fi� 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 App ication. All work shall be pertormed in accordance with
City 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 - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021
Building De artment
Date Received Phone Contact for Pe itting —
Owner's Name C7 �(. I � ``' ��'` Owner Phone Idumber b �3 Z f 4 2�
Owner's Address J� � �� ►��c���`"� " �'� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple 7ttleholder Address
JOB ADDRESS � (V W�u V��•�, �/ � ( S � LOT# �
SUBDIVISION PARCEL ID# 3-l— Z - O� ., dp 8 D
_ _ _ _ - - _ _ ___ _ (OBTAINED FROM PROPERTY 7AX NOTICE)_` __ _ � _ _ _
WORK PROPOSED e NEW CONSTR e ADD/ALT ^ SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED IDSE Q S,FR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK Te c�r oT Y" �t- I/` . ��fn �c. U�o��
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION OF T TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE , Q PROGRESS ENERGY Q W.R.E.C.
' !
OPLUMBING $ ��S
;� �S
OMECHANICAL $ 5�5�� VALUATION OF ECHANICAL INSTALLATION
QGAS Q ROOFING [�] SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
BUILDER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAPI COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
�lddress License#
PLUMBER COMPA Y�
SIGNATURE REGISTER D Y/"N FEE CURRE� Y/N
Address L(cense#
MECHANICAL COMPA '
SIGNATURE REGISTE o Y/ N FEE CURRE� Y/N
Address License#
OTHER , COMPA �LC '`DO y i ul
SIGNATURE � REGISTE ED Y/' N FEE CU en Y/N
Address l � �� 0 U p L�i � l- License#
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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities�1 dumpster;Site Work Permlt for subdiv sionsllarge projects
I 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 wl 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 requlred for all NEW constructlon. ,
Directions: .i
Fili out applicatlon completely.
Owner&Contractor sign back of application,notar(zed
If over b2500,a Notice of Commencement is requlred. (A/C upgrades over�7500) � '
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" Agent(for the contractor)or Power of Attomey(for the ownerj would be so eone with notarized letter from owne�authbrizirig same=-�� - -•
OHER THE COUNTER PERMITTING � (Erorit of Application'Only) " � � '`� s !'�--.- �,,, , • ` � ,
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Reroofs if shingles Sewers;; `Service Upgrades A7C;'�c ,"Fences(Plo urvey/Footage) •� � �:�•��. ��, , _ ' •
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Driveways-Not over Counter if ompublic r'oadways..needsROVV ,. ` - - = .,
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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 hired 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 contractor 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 entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/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
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 aiso 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 invo!ve 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.
CONSTRUCTION LIEN LAW(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. ,
CONTRACTOR'S10WNER'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 otfier 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, VVetland 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 Watenrvays..
- Department of Health 8� 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 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 THE OWNER, 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 authorized by such permit is commenced within 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 a 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT
1fVll'1=1 YOIJF?LEPiDEi2�R Q►N TYORNEY�EFOLtE 12ECOEt�IRlG YOUlZ[VOTIC �. OMMENCEMENT.,_
FLORIDA JURAT(F.S. 117.
OWNER OR AGENT � "' � CONTRACTOR �
Subscribed and swom to(or afftrmed)before me thls Subscribed and swom to(or a i med)before me this
by bY
Who is/are personally known to me or has/have produced Who Is/are ersonally known to me or has/have produced
a endficabon. as tdentificatlon.
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..� � '� JOEL .B ary Public �� � Notary Public
� �; •.;: Comm ssion 2018 f � •,�:p$,�,. JOEL E.BACON
Com ssi ` :;: Ex ires June 29 � Commis�fo o;' F=
; q,, �anw �v � , �o: Expires June 29,2018
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',;'s'°.• eonded TFw T Fain Msuance 806385�7018
Name of Notary typed,printed or stamped Name of Notary'
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saw++•wo. �E �oNaio a�o P iZ O P O S A L
�,c�7�Y`'��? ESTIMATES
CIoLL MIK TIiURSTON
Office: 352-437-40?3 Cell: 352-650-7101 Page No. of Pages
TO: PHONE: DATE:
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JOB NAME/LOCATION
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DEPARTMENT: OFFICE: FLOOR:
�j �'�L}��F �� �t� �1��''�� JOB NUMBER JOB PHONE:
We hereby submit specifcations and estimates for:
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We Propose to furnish material and labor-complete and in accorda ce with the above specifications, for the sum of:
Dollars:$ C ��� n'�
Payment to be made as follows:
All material is guerenteed to be as specified.All woAc to be campleted in a professionnal manner
according to standard predices. Any alteration ar daviation from the ebove specifications which
involve extra costs will be made only unpon receipt of an authorized,written changa order and will be
shown on subsequent imroiees as amounts over above the original estimate.It is understood that we AUthOfIZ2d
will not be penalized_for delays caused by strikes,accidents or other delays caused by acts of God.
Our wo�lcers a�e cavered by Workers Compensation insurance.Owner agrees to fumish all other Signature
apPropriate and necessayinsurance wverages.
Note: This proposal may be withdr wn ay.us if not accepted within
ACCEPTANCE OF PROPOSAL- The abo prices., specifications nd conditions are satisfactory and are accepted.You are authorized to
do the work as specified. Pa ment wil b ad as outtined above.
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Signature , Date of Acceptance:
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2014181767 , _
Key No. Permit No. ` �
' Rcpt:1642331 Rec: 10.00 `
NOTICE OF COMMENCEMENT Ds: o.0o IT: 0.00 �
11/17/14 T. Stine, Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be
Made to certain,and in accordance with Chapter 713, Florida State PRULR S 0'NEI L,Ph D PRSCO CLERK & COMPTROLLER
Statues,the following information is provided in this Notice of 11/17/14 11:23am 1 of 1 '
Commencement: OR BK �� 1� PG '1��
1. Description of Property: Parcel No.: 3�-2.5-2,I °D qo -OoDOO - D 3 RO •
(Legal descri ion of the property and street address if available)
2. General Description of Im rovement:
R�Pc.A er N o F
3. Owner Information: Name: O L L o�Q U t�J��2'r�l
_ Address: 37�10 IllEu oM E Ci Z R tLLS StateFL Zip 335 1
Interest in Property: O w�1
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. Surety: Name Amount of Bond: $
- Address: Ci State_Zip
Phone No. Fax No.
6. Lender: Name: 0
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 793.13(1)(a)(7) Florid Statutes. �
Name: O,PF}L L s,Q rQD,�C�T l,L Lv r 1P'T�
Address: 3� (D E.I.�( bAll � Ci �c.LS State F2 Zip33541
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 specifi�d.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTE THE EXPIRA710N OF THE NOTICE OF COMMENCEMENT ARE
- CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
- PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTIC OF COMMENCHMENT MUST BE RECORDED AND POSTED ON THE
` JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBT N-FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C MMENCEMENt.
x y • o�,v�c1�
Si tu of Owner or Owner's Authorized OfficedDirector/Partner/Mana er Signatory's Title/Office
"*Signature Required by same below by`X"mark'*"
State of �OQ l.�R County of ��s �-�
The forgoing instrument was acknowledged before me this �� ay of NOd ,20��by �N�L L. l.t�r R'T�-�
(Printed name of person acknowledging)
as for
pe of authority e.g.,offlce,trustee,attomey in fact) (Name of parly on behalf of who instrument was executed)
� .�2�1�1�2,�' �. ��"�\
Sign tu tary Prin Type or 5tamp Name of Notary
Perso all wn OR Produced Identification
Type of Identification Produced:
Verification pursuant to Section 92.526,Florlda Statutes:under Pena ies of perJury,I declare that I have read the foregoing and that the facts
stated In it are true to the best/�knowledge and belief. =
� ,,��v Pf��,, �.,.
X s �' �+�•, JENNIFER A PASH
Si ature of Natural erson Signing Above :� ? Notaty Publlc-State of Florida
���My Comm.Explres Dec 12,2017 NEWNOCOB.doc Rev-2008
�%„�o�������`, Commisslon�FF 062163