HomeMy WebLinkAbout14-15835 f
CITY OF�ZEPHYRHILLS
' S335-8TH STREET
(s�s)�so-oo20 158 5
BUILDING PERMIT
PERMIT INFORMATION b LOCATION INFORMATION
Permit Number: 15835 Address: 5131 18TH 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: 11-26-21-0010-20200-0030
Improv. Cost: 7,000.00 OWNER INFORMATION
Date Issued: 12/10/2014 Name: CHILDERS JAMES W & RHODA A
Total Fees: 70.00 Address: 8611 HANDCART RD
Amount Paid: 70.00 ZEPHYRHILLS FL 33545-5207
Date Paid: 12/11/2014 Phone:
Work Desc: REROOF SHINGLES � -
CONTRACTOR S APPLICATION FEES
CAPSTONE CONSTR CTIO RERO F RESIDENTIA 70.00 '
� ��c� ; � � � � �
� j — �] �— I � I
.�;��
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Ins ec ions Re uired
DRY I ROOF INSP
TAPE JOINTS ROOF INSP
FINAL i - 7 � ��
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi�g reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit;there may be additional restrictions applicable to this properly that
may be found in the public records of this county, andlthere may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 tio obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifcations Must Accompany�Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� CONT OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MON�HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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f 2015001643
Permit No. Parcel ID No `` -�(�i -z��(I,l(�i`�CJ`.LC�C7-�O3L�
NOTICE OF COMMENCEMENT
State of ,�'���r�„�r�,� � Count y of �/,�_S'Ld Pl'
THE UNDERSIGNED hereby gives notice that improvement will be m ide to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:�
1. Description of Property� Parcel Identification No. - � - � ' '
c � � �-
Street Address: .� d I -- "�',0;' �i��r �r • �� �
2. General�escription of Improvement ( - D
, � /
. �
3. Owner Information or Lessee information if the Lessee cont'cted for the improvement:
� �s �9�r/�c�e`�.S' �
Na �
��l/ l' ��������� ������. �i�.o�_f 3,��YJ—�
Address f Cfty ��— State
Interest in Property: I
Name of Fee Simple Titleholder: !
(If different from Owner liited ahove)
Address � � City State
4. Contractor: ,.w , ,�,/ W
am �G . I
� ��4Cr0o ��e �� 3Jo? 7 �
Address � � City Sta}e
Contractor's Telephone No.:c�S � - ���' �(n c� �
5, Surety� �
Name {
f
Address f City . State
Amount of Bond: $ I Telephane No..
6. Lender: �
Name f
I
Address I City State
Lender's Telephone No..
7. Persons within the State of Florida designated by the f wner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(�, Florida Statutes:
Name �
Address � City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates ! of
to receive a copy of the Lienor's Notice as pravided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencemerit (the expirati�n date may not be before the completion of construction and final payment to the
contractor,but vwll be one year from the date of recording unless a d'ifferent date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY T�E OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPR�PER PAYMENTS UNDERI CHAPTER 713, PART 1, SECTION 713.13, FLORtDA STATUTES, AND CAN
RESULT IN, YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECqRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I dedare that I have read the for Igoing notice of commencement and that the facts stated therein are true to the best
oi my Imowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO J`�..���,��A `��� � � �'�_
Sig a—e wner or Lessee,or O er's or Lessee's�itmnzed
OfficedDirector/Partner/Manager
� Signatory's Title/Office i "
�
The foregoing instrument was aclmowledged befare me this�� day of�_,20� ��l;l,t I iC`> �""'I � �
I a _ti ��``.0� ` (type of auti�o'ty,e.g.,officer,trustee,attomey in fact)for
�� � (nam' n � of whom instrument was executed).
Personally Krrown�OR Produced Identification❑ Notary Signatur
Type of Identrfication Praduced Name(Print) � ��/�..i�
Rcpt:1652006 Rec: 10.00
DS: 0.00 IT: 0.00
01/07/2015 E. M. , Dpty C l erk ;O�PKY"UB��i� S yEPHANIE WISNIESKE
'2j '°= Notar Public-State of Florida
PRl1LR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER y�„� �oe�My.C.omm.Expires Mar 21,2017
v� P�,•
01/07/2015 10:33am 1 ofq 1 '••.;o����;., �-Commission�FF 001003
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AIE Materiat is guaranteed to 6e as specified,and ttte abave urtork was perfarmed in accorcfance with the drawings
, and specifications for the above work and was completed in�ubstantial workmanlike manner far the agreed sum
� af
� � Dollars($ )•
i
This is a ❑ Partial� Full invoice due and payable by:
Date
in accordance with our � Agreement ❑ Proposal No.
Dated
Month Day Year
6�0 6��d ua��ar�a�oa�-�oqui�s sa��o�pauuE
s��-�8aoozo City of Zephyrhills Permit Application Fax-813780-0021
. !r � Build ng Department
• �- .
Date Received Phone Contact r Permittin —
Owners Name { Owner Phone Number
Owners Address � Own�r Phone Number
Fee Simple Titleholder Name I Owner Phone Number rT �
I
Fee Simple Tdleholder Address f
JOB ADDRESS ' cS 3 l � LOT# ��
SUBDIVISION PARCEL ID# — °' O O"`��
(OBTAINED FROM PROPERTY TAX'N0T10E)
WORK PROPOSED NEW CONSiR ADD/A LT Q SIGN Q Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COM� Q OTHER d
TYPE OF CONSTRUCTION Q BLOCK Q FRAM� Q STEEL Q
DESCRIPTION OF WORK ^ Od ' �s°�C`
I �
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATIO�OF TOTAL CONSTRUCTION
� QELECTRICAL $ AMP SER�ICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ����
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION
��
QGAS � ROOFING Q SPEC ALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
, '7 d�� �
BUILDER COMPANY
SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N
Address I License#
ELECTRICIAN IOMPANY
SIGNATURE REGISTERED Y/ N FEE WRRE� Y/N
i
Address I License#
PLUMBER IOMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
i
Address License# �
I
MECHANICAL COMPANY
SIGNATURE �EGISTERm Y/ N FEE CURRE� Y/N
Addres's I License#
OTHER COMPANY Oli✓� Ow 'O
SIGNATURE � REGISTERED N FEECURREA Y N
�
Address .Q. . 1 License# ��, � �l���a p !�I
Illlllllllllllllllllllllllllllllillllllllllltlltlltlllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
_ Minimum ten(10)working days after submittal date. �Required onsite,Construction Plans,Stormwater Plans w/Silt Fence ir�stalled,
Sanitary Facilities&1 dumpster,Sife Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life�Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,__
Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercial requiremerrts must meet compliance � - ----
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'*PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . .
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A!C upIgrades over S7S00)
•' Agent(for the contractor)or Power of Attorney(for the owner)woultl be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only) I
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Ddveways-Not ove�Counter if on public roadways..needs ROW
1
f�OTICE OF DEED RESTRICTIONS: The undersigned understands that th,s permit may be subject to°deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compllance with any
applicable deed restrlctlons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI S: If the owner has hired a contractor or
contractors to uridertake work,they may be requlred to be Ilcensed In accordance with state and local regulations. If the
contractor Is not�icensed as requlred by law, both the owner and contractor may be clted for a misdemeanor violation
under state law. If the owner or Intended cont�actor are uncertaln as to vrhat Iicensing requlrements may apply for the
intended work,they are advised to contact the Pasco Caunty Building Inspection Dlvlsion—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors,(he ts advised to have the contractor(s) sign
portions of the"contractor Block"of thls applicaUon for whlch they will be responslble. If you,as the owner sign as the
contractor,that may be an indlcation that he fs not properly licensed and is not entttled to permitting privileges in Pasco
Counly.
TRANSPORTAT6aN.IMiF'ACTIUTILITIES IMPACT AND RESOURCE REC�OVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bufldings,change of
use in existing build(ngs,or expansion of existing buildings,as specified ir�Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may 6e due,will be identified at the time of
permitting. It is furlher�lnderstood that�Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certificate of occupancy"or flnal power release. If the projectldoes 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.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuaUon of work is$2,500.00 or more,I
certify that I, the appiicant, have been provlded with a copy of the °Florida-Construction Lien Law—Homeowner's
Protectfon Guide°prepared by the Florida Department of Agriculture and�onsumer Affairs. If the applicant is someone
other than the'owner",I certNy that I have obtained a copy of the above descrfbed document and promise in good faith to
deliver it to the°owner�prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certffy that all the information In thfs applicat(on 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 installatfon as indicat�d. I certffy 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 regulatfons, and land development regulations in the jurfsdiction. I also
certify that I understand that the regulations of oltier government agencies may apply to the intended work,and that It is
my responsibility to identffy what actions I must take to be In compliance. Such agencies include but are not Iimited to:
- Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florlda Water Management Dlstrict-Wells, C�press Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers�eawalis,Docks,Navigable Waterways.
- Department of Health 8� Rehabflitative Services/Environme �tal Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions appiy to the use of flll:•
- Use of fill Is not allowed in Flood Zone"V°unless expressly permitted.
- If the flll material is to be used In Flood Zone "A°, It Is understaod ihat a drainage plan addressing a
°compensaUng volume"will be submitted at time of permitting which(s prepared by a professional engineer
Ifcensed by the State of Florida.
- If the flll material is to be used In Flood Zone °A" in conne�tion with a permitted building using stem wail
construction,I certify that fill wlll be used only to flll the area within the stem wall.
- If fill materlal is.to be used in any area, I certify that use�of such flll will not adversely affect adjacent
properties. if use of fill is found to adversely affect adJacent�properties,the owner may be cited for violadng
the conditions of the building permit issued under the attachled permit applfcation,for lots less than one(1)
acre which are elevated by flll,an engineered drafnage plan Is�requfred. �
If I am the AGENT FOR THE OWNER,I promfse In good faith to Inform tfie owner of the permitting conditions set forth in
this affidavft prior to commencing constructlon. I undeFsta�d that a seperate permlt may be required for electrical work,
plumbing, signs, welis, poots, alr conditioning, gas, or other Installation� not specffically included in ihe application. A
permit fssued shall be construed to be a license to proceed with the work and riot as authority to.violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent tlie Buildirig Offictal from thereafter
requiring a correction of errors In plans,construct(on or violatfons of any codes. Every permit issued shall become invalid
unless the work authorized by such permit Is commenced withln six mor�ths of permit Issuance,or ff work authorized by
the permit Is suspended or abandoned for a period of slx(8)manths afteq the tlme the work Is commenced. An extenston
may be requested,in wriling,from the Building Officlal for a period not tb exceed ninety(90)days and will demonstrate
jusliBable cause for the extension. If work ceases for nfnety(90)conseculive days,th�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 FINANGING,CONSULT
WITH YOUR LENDER OR AN ATTO EY BEFORE RECORDING YOUR NO ENCE NT.
FLORIDAJURAT(F.S.117.03) �� `� y
OWNER OR AGENT CONTRACTOR �_ �� -' � '� � "�/—G��Y
Subscribed and swom to(or aflirmed)before me thls Subsalbed and swo a(or afry "�� efore me tliis
by by %
Who is/are personalty fmown to me or hasJhave produced Who Islare personally known me or has/have produced
asldentlflcatlon. I asldentlftcadon.
I
Nohary Publlc f Notary Public
Commisslon No. Co sion No AiM���"''-• JOEL E.BACO
.;� ;r ommission#FF 137073
�� += Exptres June 29 2 1
Name of Notary typed,printed or stamped Name of Notary � nt ri7pHel��ma
r
, .� � _ ..
� � • , .
Prepared by and Reriun to:
Sunstate Title Agency,Inc.
13937 7th Street _
Dade City;Florida 33525 � '
File Number: S-30266
FHA CASE NO.: 093-598036
W rranty Deed
Made this�_day of ��PJYY)�JV 2014 A.D By SECRETARY OF HOUSING AND URBAN DEVELOPMENT,
hereinafter called the grantor,to JAME5 W. CHILDERS,whose post office address is:
f ,hereinafter called the
gcantee:
(Whenever used herein the te 'grantor"and"grantee"include all the
parties to this instrument and tk�e heirs,legal representatives and assigns
of individuals,and the successors and assigns of corporations)
e et that the rantor for and in considerafion of the sum of Ten Dollars 10.00 and other valuable considerations
Witn ss h, g , , ($ ) ,
receipt whereof is hereby acknowledged,hereby grants,barg�ins,sells,aliens,remises,releases,conveys and confirms unto the grantee,
all that certain land situate in Pasco County,Florida,viz:
Lots 3 and 4,Block 202, CITY OF ZEP I LS, Also known as a Map of the Town of Zephyrhills,
according to map or plat thereof, as record d in Plat Book 1, Page 54, of the Public Records of Pasco
County, Florida.
Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither
Grantor(s)or any members of the household of Grantor(s)reside thereon,nor is it contiguous thereto.
Parcel ID Number:11 26 21 0010 20200 0030
Together with all the tenements,hereditaments d appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple orever.
And the grantor hereby covenants with said grantee that the grantor is lawfally seized of said land in fee simple;that the grantor
has good right and lawtul authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend
`" � the�same against the lawfui claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing
subsequent to December 31,2013.
DEED Individual Warranry Deed-Legal on Face
, , ., �' .
. , • ,
• �ti. .�
: • .
P
Prepared by and Return to:
Sunstate Title Agericy,Inc.
_ _ 13937 7th Street
Dade City,Florida 33525
File Numbgr: S-30266
FHA CASE NO.: 093-598036 ,
In Witness Whereof� the said grantor has signed and sealed these presents the day and year first above written.
Signed,sealed and delivered �
in our presence:
1
'� SECRETARY OF HOUSING AND URBAN DEVELOPMENT
�
Witness#1 Sig '�rLe , � (Seal)
Wimess NI Primed Nome lJT Pi���{P_ °�(�'�� By pri ted name:
Title: �e 'sIDesignetCdElgent
Address: 40 Marietta Street,Atlanta,GA 30303
Witness#2 Signatu„re I�� �I r��
Wi�ness k2 Printed Nnme �F1�� �
TWO DIFFERENT WITNESSES
State of�r�0(
County of ���
The forego'ng instrument was acknowledged before me this � day of Dec�.rnL�.�' , 2014, by
(Name) �eR'►�� ���/'-�-�a/1 (Title) As FIIUYD�§Des�gne , g�' of the SECRETARY OF
HOUSING AND URBAN DEVELOPMENT,who is/are pe�sonally known to me or who has produced driver's license identification and
who did/did not take an oath.
�
Notary Public `���•��y i f t I 1 t 2;����`
Print Name: `��' \`(�n ��ic
��-�_.... ;TV' .qi
My Commission Expires: ��` �'yA�`"SIOryF�,(� .��
+ (Notary Seal) _ •— ��V 9°'' —
V'�' 7 :7�?
- .,�, 2Q 15 �,; c
������'vCO.,C;��Q��,\G����
� �� � �
�����'���rr�r�i tp�+����`�
�
DEED fndividual Warranty Deed-Legal on Face
�