HomeMy WebLinkAbout14-15838 - CITY OF ZEPHYRHILLS
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BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15838 Address: 4749 5TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-03500-0030
Improv. Cost: 9,790.00 OWNER INFORMATION
Date Issued: 12/11/2014 Name: FLORIDA HOMES LLC
Total Fees: 85.00 Address: 3119 FERNDALE ST
Amount Paid: 85.00 HOUSTON TX 77098-2009
Date Paid: 12/11/2014 Phone: (772)209-0135
Work Desc: REROOF SHINGLE �
CONTRACTOR S APPLICATION FEES
BAKER'S R OFIN INC REROOF RESIDENTIAL 85.00
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Ins ec ions Re uired
DRY N R OF INSP
TAPE JOINTS ROOF INSP
FINAL
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 correctionIs not made when inspections called d) work not ready for
inspection when called e) permit not posted bn job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit1 there may be additional restrictions applicable to this property that
may be found in the public records of this county, and�there may be additional permits required from other governmental
entities such as water mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a nqtice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording ybur notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT G'ARD FROM WEATHER
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� � e��-�so-0o2o Ciry of Zephyrhills Permit Application Fax-613-780-0021
� ,.__ � � Bu Iding Department
Date Recelved phone Conta t for Permltdng � 7" U
Owner's Name i� I Owner Phone Number O
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� Owners Address 3�� C�" ��, s �,� ���ner Phone Number
Fee Slmple Titleholder Name ' I Owner Phone Number
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Fee Slmple Tltleholder Address I
JOBADDRESS � S� LOT# �
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. SUBDIVISION PARi EL ID# � "a�I'� �'� �vf�' � JdC7�' d✓�
(OBTAINED FROM PROPERTYTAX NOTICE�
WORK PROPOSED NEW LONSTR ADD+ALT � SIGN Q Q DEMOLISH
i B INSTALL e REP IR
PROPOSED USE Q SFR Q CO M � OTHER —
' TYPE OF CONSTRUCTION Q BLOCK Q FRA E Q STEEL Q
DESCRIPTION OF WORK � yi► I .� r ��G� t '� / 7��
BUILDING SIZE SQ FOOTAGE HEIGHT
�, �94rDING $ Q� VALUATII N OF TOTAL CONSTRUCTION
��
�-
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ . ���
�. QMECHANICAL $ VALUAT ON OF MECHANICAL INSTALLATION � ��
QGAS Q ROOFING Q SP CIALTY 0 OTHER ,
FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO
���BUILDER " r COMPANY CL��� •
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��� F-� l l�f"LGZ'th�`G License# � (�C.���O o7��
337ss'
ELECTRICIAN COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1 set of Energy Forms;R-O-W Pertnit for new conslruction,
Minimum ten(10)working days after submittal dat . Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 81 dumpster;Site Work Permit for subdivisions/large prajects
COMMERCIAL Attach(3)complete sets of Building Plans plus a L fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working deys after submittal dat . Required onsite,ConstrucHon Plans,Stormwater Plans w/Siit Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All wmmercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"`PROPERTY SURVEY required for all NEW wOstrucUon.
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Dlrectlons:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is requlred. (A/C pgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing seme
OVER THE COUNTER PERMITTING (Front of Application Only�
Reroofs if shingles Sewers Service Upgredes A!C Fences(PIoUSurvey/Footaga)
' Drlveways-Not over Counter 1f on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigne 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 CONTRACTO RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required t be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both th�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 contr�ctor 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 A D 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 buii ings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understa ds,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportatio� 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 involve a certificate of occupancy or
final power release,the fees must be paid prior to pe�rmit issuance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florfda 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�opy of 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 th t all the information in this application is accurate and that all work
will be done in compliance with all applicable laws re ulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and i stallation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that�II work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulatons, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other�overnment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take tc�be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection�Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Manageme t District-Welis, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Dock,,Navigable Waterways.
- Department of Health & Rehabilitative $ervices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-As estos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions appiy to th 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 Flo d Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitte 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 Floo Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used nly 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 adve�sely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit iss�ed under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engine red drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in ood faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I un�erstand 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 p�oceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor�hall 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 comm nced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period o�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 RE�ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR QROPERTY. IF YOU IN TO OBT FINAN ,CO SULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR O CE OF C ENC E .
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or irmed)before m his �
by by
Who is/are personally known to me or has/have produced Who is/are personally kno n to me or has/have produced
as identificatlon. as idenGfication.
s`"'� ''� JOE E. ON
Notary Public otary Public
Commission No. Com � - Expires June 29,2018
'•�R,� rw e�n nswena
Neme of Notary typed,printed or stamped N e of Notary typed,printed or stamped
State of f LUKIUH � County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be m I de to certain real property,and in accordance with Chapter 713,Florida Statutes,
;the��!lov�'ing:�nformation is provided in this Notice of Commencement:�
1. Description of Property: Parcel Identification No. �4-2�-Z�-OO�O-O3rJOO-0030 I IIIII�IIIII IIIII IIIII IIIII IIIII II�II IIIII IIIII IIIII IIII IIII
streetAddress: 4749 5TH St. Zephy�hllls �L 33542-5735 2014195426 I
2. General Description of lmprovement
RE-ROOF removal of existing and inst�llation of new shirigte roof 28sq and flat roof 4 sq
3. Owner Information or Lessee information if the Lessee contr'acted for the improvement:
FLORIDA HOMES LLC
3119 FERNC��1eE ST I HOUSTON TX
Address City State
Interest in Property: OWNER Rcpt:1647344 Rec: 10.00
DS: 0.00 IT: 0.00 '
Name of Fee Simple Titleholder: 12/11/14 L. 5. , Dpty C 1 erk I
(If different from Owner li�ted above)
Address Leroy L Baker� city state
4. Contractor.
ame
1267 N iqhland Ave , , Clearwater �_
Address City State
Contractors Telephone No.: Z77�I.dR_1 dflfl/ 77�_R�1_M�fl
5. Surety• 1 PRULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEf�
Name 120R1BK ,��'�i� 1PG� L��2 J
Address - City - State
Amount of Bond: $ Telephone No.:
6. Lender:
Name
� Address City State
Lender's Telephone No.: �
7. Persons within the State of Florida designated by the Iwner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
.
_ Address City 5tate
Telephone Number of Designated Perso�:
8. In addition to hirriself,the owner designates of
to receiv i a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida 5tatutes.
Telephone Number of Person or Entity Designated by Owner:
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9. Expiration date of Notice of Commencement(the expirat� n date may not be before the completion of construction and final payment to the
contractor,but will be one yea�from the date of recording�nless a different date is specified):
WARNING TO OWNER:-AN�!.PAYMENTS MADE BY THE UWNER AFTER THE EXPIRATION OF THE NOTICE OF CDIVIMENCEMENT
ARE CONSIDERED IMPRQPER PAYMENTS UNDER I CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
� RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON'fHE JOB S1TE BEFORE4THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN A7TORNEY BEFORE COfV�MENCING WORK OR RECORDING YOUR NOTICE OF COMMEfdCEMENT.
Under penalty of perjury,I declare that I have read the forelgoing notice of commencement and that the facts stated therein are true to the best
of my{vlowledge and belief. �
1�J ��,, � ''' -
STATE OF FLORIDA , • �����''� `_ ��� ,
COUNTY OF�PASt'O�/�,{ �
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Signature of Owner or Lessee,or Owners vr Lessee's Authorized
, � Offcer/Direct�lPartnedNlanager
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, Signato s Title/ f6ce
The foreg/oing instrument was acknowle ged before e this 1' day of/�./1f,.1LL?l/�i.7�'�,bY l?C.l�f�-/I9l�G[°��
� / ' as , /1S . - (type of authority,e.g.,officer,trustee,attnmey in fact)for
^ / �f � ��� ��`: ��t�Q �+�. CLARKS(1A}�a of partv on behalf of whom instrument was executed).
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