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Home My WebLink About14-15861 CITY OF ZEPHYRHILLS 5335-8TH STREET ,. � ' (si3)�so-oozo 1 61 ' BUILDING PERMIT , PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15861 Address: 5913 20TH 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: 11-26-21-0010-04600-0010 Improv. Cost: 4,500.00 OWNER INFORMATION Date Issued: 1/26/2015 Name: BUBOLTZ FAMILY TRUST&LOREN Total Fees: 90.00 Address: 1534 COBBLER DR Amount Paid: 90.00 LUTZ FL 33559-3311 Date Paid: 1/26/2015 Phone: 813-385-1366 Work Desc: ALUMINUM REROOF CONTRACTOR S APPLICATION FEES SUN TATE ALUMINUM INC RER OF R IDENTIAL 90.00 � O� V � Ins ections Re uired DR N RO F INSP TAPE JOINT ROOF IN P FINAL -�i�- 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 following 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� 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, and there 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 to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with I City Codes and Ordinances. NO OCCUPANCY BEFO C.O. -- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER $: � ( U . � , � � ' City of Zephyrhills ' BUILDING PLAN REVIEW COMMENTS , `,/� � Contractor/Homeowner: ��-h 5�� I-��-C.�l►�C� Date Received: � 2 " ��'� � Site: s� f 3 2a� ��— Permit Type: � l�{-h'l r�r"t { Approved w/no comments: � Approved w/the below comments: ❑ Denied w/the below comments: ❑ '°}; k � � 1 I � I � � � . P i, This comment sheet sh 11 be kept with the permit and/or plans. � %��-`� '� Kalvin witz lans Examiner Date Contractor and/or Homeowner (Required when comments are present) I O'13-/CU-UULU C;ity ot Zephyrhills Permit Application Fax-813-780-0021 Building Department - Date Received Phone Contact for Permittin - Owner's Name E,+�1 Owner Phone Number �13`" 3� ' �� Owner's Address � �� Owner Phone Number Fee Simple Titieholder Name Owner Phone Number Fee Simpie Titleholder Address ' JOB ADDRESS J � LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) 1MOR6C 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 0 STEEL Q DESCRIPTION OF WORK I��OVL (J��.N1 � �� BUILDING SIZE t�O� � SQ FOOTAGE� HEIGHT � �BUILDING $�•�� W VALUATION OF TOTAL CONSTRUCTION — 1 � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION °°°��q /� �/ , � / I QGAS ROOFING Q SPECIALTY 0 OTHER , � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ' BUILDER ~•-a` -V� - MrOMPANY �� CJUclYV✓1 SIGNA7URE -- � ,_._--- REGISTERED Y/ N FEE CURRE� Y/N _�-- Address �, � License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/M Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER COMPANY SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# -� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FacillUes 8�1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set af 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 FaciUttes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. • •"•PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Ovmer&Contractor sign back of applicallon,notarized If over 52500,a Notice of Commencement Is required. (AIC upgrades over a7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same , OVER THE COUNTER PERMITTING (Front of AppUcation Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � N0710E 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 fZESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance virith 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 IMPAC71l1TILITIES I(�IIPAC'T 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 also 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 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 LAIfV(Chapter 713, Florida Statutes, as amended): If valuation ofiwork 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'SlOWNER'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 fo 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, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other 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, Wetland Areas and Environmentally Sensitive Lands, WaterMlastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. , . - US Environmental Protection Agency-Asbestos abatemen4. - Federal Aviation Authority-Runways. I understand that the foflowing 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 pe�mit 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 Mi�Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT VNITH YOUR LENDER OR�1N.ATTORN�Y.�EF-O� ` CORDING YOUR NOTICE OF CQNIME CEIIAENT. FLORIDA JURAT(F.S. 117.03)''� -'"l- • - -- -=--"-" _ • __..---__-- - ,,,,,.-r .:�=�"`-- ----�--"�'✓=�-K''�`�—.� ",�...�- -_.._`„' �,. �r,.�•- _�___. -�--=-=-_ ` OWNER OR9 i6EN �._--.��_-�-�.—=�.`°-- ,__. _ Subscribed�.a � - rm�d)"6efore me thls.++ Subsc woTrfto��affirmed)before me this by Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced'` as Identlficatlon. as identifica6on. � Notary Public Notary Public Comm(sslan No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped . , `',.�1_`;��. ,``:�';ci '. " q! � . _' / ;� . i . � �� l): � - ; -K �A�.�u�� '�,�� , Page No.� of ' � Pages _ a:: °�.�:: '� • • r� °� � • ' �. _ � t�;��,�..�i� �f��z' ' �SUN STATE.ALUMINUM, INC��=°�"�� ;}± ,r � ti ��R�'1,."�., , . „ ;,;, � ��.,�;�-,,,�� 6154,Fort�King Rd. �a--- . , , � ..,,:' "��`', �" ' ZEPHYRHILLS �FL 33542 �� c�-�� r:� C" � t�M�'`�' � ! � �(813) �788-7308 __.._.._._.. �'�� :� � , , �. , , . - , . , . , ', . , � .. : ,. , � �� ' S BMITTED TO * � J D'FE `� t � a. PHONE --- �_��z ��' � ��..::�� ; �'� "�`=:�� 4�� `�� 1 4 �.'' . STREET , - JOB NAME "�" ' �� ' j - ��' �.�'� �'�� °�="°�,�'� ' , � , CITY,STA7Eta\nd ZIP.0 E ,,,,.....---»--�•, �� ' JOB LOCATION • .G+1C�`.J�.dM.\C.s9.� 'Y�✓�. �!. Y� - � ARCHITECT� � DATE OF PLANS `•' JOB PHONE , ' � � � � < I�i,'�1 , We hereby submit specifications and estimates for;' ' , , ! , , �-' _ , �• F. �.-v! \,\ '1��J V,��' �.; ��rr-�.r+ � �•�...7,`:/�•\��\ / ' !. \r��.��, �,� ' ._... ._. ... ..... ..... ,�� l. �.,..- � , � , ... . ._..... , ., . _ . ... _. , , .. �,�,.�...�._:.. , - , - � . , __ , `' , ,..,.:. �. , �,�� .��..y. ... ._. ... _� ...: ... � , .. , , „�.f . .... ...... .. ... � : . . , � .�. , ...... ... _. .....�. , i � � , � ` � � _. ... ... , r ... .. ... ._. _ i ' , , , � ' , � � . .,. .. ._. . ... Y�� ... .._. .., . ._ , � � , � ° F,/_,._„!�^�^^� , . --- �'"� `\,' , ' t .J � �,.,. - , , + �� ,�-��Q'�D`'�Lt:hereby.to}urrir��aterial and labor—co plete�/�ccordance.with above specific tions,for the�_sum of:, � 1� t , � � i` � ) . !� '�•-�- `v../ ,-� dollars($� �..��i� �, Payment to be ma�e�s follows V � ^�"'- ' . ' � ii --^"'-----�— _.. �_ ' . �,...- -,_-_-- ' ;---•_.__.....-..,�.. ,�-"""-�', �"��„-M.�.-=-`'�=---.=�_'�.:...,,�,,:��,, All.unpaid balances subject to 1.5%monthly iriterest fee. .�- ,�:--��`�^^'=` �-°��, ' .� .,,- ..-"_�-,,,�-•`�r.�°°.."'�j-�-^_Mi..N�.:-�.-�.^�'"". � ..��. P m�,--°^"",.,,;•--+�.,s°°'-:,,,°„'��'°-",��--r—�'"""....-�-- All material,is guaranteed to be as specitied.All work,to be com leted.in a workmanlike �� manner accordin to standard ractices.M afteration or'deviation from above s AUthorized��_;,.�.�—--' ' 9 P Y pecifications ,f=:�, involving extra costs will be executed only upon written orders,and'will become an extra �Sign�fe _�..--�-^' charge over and above the estimate. All agreements contingent,upon strikes, accidents or,delays beyond our control.Owner.to carry fire„tomado arid other necessary.insurance. Note:This p�opOSfll mfly be ' Our workers are fully covered by Workman's Compensation insurance. withdPawn by us if not.accepted within days. � �C�Q�L��CQ (�.f �Cl��tr��t—The above prices,specifications � r?�� 1 / � ' ' � /� r�� `�7 �-_ arid conditio,ns are satisfactory and are hereby accepted. You-are�authorized Signature� �-'�`� ° °� J•��'�-+" .� +� '� ,to do the work as specified. Peyment will be made'as:outlined above. , � )� r . ' / Date of Acceptance: ' Signature � ! , , , _ � , � ` �,��R�� : , I Illiil IIIII IIIlI IIIII IIIII IIIII IIIII IIIII IIIII IIIII Ilil IIII 201500087 . ��13�� , Y A ��7�- -x��%�.�/�` S�Dt- '�' Rcpt:1651725 Ree: 10.00 ' � �d� DS: 0.00 IT: 0.00 _ �� / �^�� / 3?,y�� 01/06/2015 D. B. , Dpty Clerk �y � ( `.'u 7 ��+��-+� �� -+��'+�� PAULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER' 010R6BK lg 131 m PG 1952 Permit No Property Identification No ��—��' �'�l— d��- ��-"�/ � THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and m accordance with Section 713.13 of the Florida Statutes,the following mformation is provided m this IV�'d'��E�l�CO1V�IVV�IEIVCEM[�1lT'T 1.Description of property(legal descGri,C ion:) C 6�� 4�-� '� � �d , �� L��`� ��C 7� ` g� l a) Street Address• S 7/� (!2 � � � l'f 2. General description of improvements. � �� ...�.J�.�r� �� 3 Owner Information / / ,�, �// � ��('�/ a)Name and address: Gvrt'd1 �U�'Jd�� .��'3 p2.�� `f1" �1D�c/�/'�-�(�' �/"`""I`� b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4 Contractor Information ` � �/ /� � ✓��l� a)Name and address ��-4� �� G�-� � �L • �(J 7 �i`-� �� b)Telephone No.: Fax No (Opt.) .,�� 5. Surety Information � a)Name and address� b)Amount of Bond: c)Telephone No � Fax No. (Opt.) 6 Lender a)Name and address• _ " Phone No 7 Ident�ty of person within the State of Florida designated by owner upon whom notices or other documents may be served. a)Name and address: b)Telephone No Fa�c No (Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided m Section 713 13(1)(b),Florida Statutes. . a)Name and address• b)Telephone No. Fax No (Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recordmg unless a different date is Specified). � WA.�2N�1VG'I'�Oi�I�i�l�: r�I�1�'�.�i�'11'I�1V'�'S M[AYD�+ 33X'g'�E OWNE]t�,.�7CE�t`I'�IE�X�IRA'I'IO1V OP'TgYE 1V0'TICIE��'+ C�1VXIVYENCEIVV��IVT'f4.��1�15k�ER�&�I1VI]PiZ��'�kt IPA�'1@�1E�1'�'S iJI+1D�A2 CHAP`�'IEAt 713,PAllt'I'�,S�C'�'ION 713.13, �'LOJf��DA S'�A.'A'VJ'fi'�S AIV�➢CI�N�SYJI.'g'BI�I I'OU�t�'�?,�'�1VG'9.'�V�CE�'OI2 gMPRO'6��MEN`%'S T�YOYJR PROPER7['Y. A IVO'A"�C]E O�'COMIlVI�IVC�M(�IV`d'M�JS'�'B�g2l�CORIDE�AN�POS'TEID O1V'�'I�E�O�SI'I'E BE�OItE'I'HE FTRS'A' �NS��CTyON. �fi XOU Il>I7C�1V➢�'7C�O�TA�1V IFIN�AIVCIl!'�,COIVS�J�;`&'XO�I�t I.,El!'I)Ei2 OIE�AN A�"TOh2N�Y B�]FOi2� C�1V&NY�NCTIVG'VV�➢.tK��t&t��ORD�I+IG�'O�JR'l��'g'YC�O�C�1V�1Vg�IVC�IVI�IVB'. STATE OF k'LORIDA . / / L��/i'/IJ�� COUNTX OF PASCO �� t � Signature of Owner or Owner's Authori ed O cer i ctor/Partn /Maoager L d�� / �U.�o��z Print Name �T e foreg/oing mstrument was cknowledged before me fhis 18�y of �(lLG�✓- ,20� ,by L0�/1 U�� as (xl�/�-` (type of authorrty, e.g. officer,tivstee,attomey in fact)for J � - - ^/- (name of party on behalf of whom instrument was executed). � c �� Personally Known OR Produced Identification �� Notary Signatut b � � � � Type of Idenhfication Produced� Name(prmt) v �} �� Verification pursuant to Section 92.525,Florida Statutes.Under penalties of peijury,I declare that I have read the foregomg and that the facts stated in rt are true to the best of my knowledge and bel�ef. ` � FORMS/NOC,rvsd2007 :?o�!'��•°`°��:�STACIE LYNN HARTVNIG �6'nature Natural Person Signing Above :•; •� MY COMMISSION#FF064897 �y'•... '�Qft �,,�aF�;oa.••- EXPIRES October 21,2017 (ao7)s98-ot53 FlorldallotaryService.com � � -