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HomeMy WebLinkAbout14-15884 i � CI OF ZEPHYRHILLS 5335-8TH STREET �� , �sis)iso-aozo �i5884 B ILDING PERMIT �� � PERMIT INFORMATION i LOCATION INFORMATION Permit Nurnber: 15884 Address: 6546 FOXMQOR DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: Rt?OF REP�ACEMENT Township: Range. Book: Proposed Use: NOT APPLICABLE L.ot(s): Block: Section: Square Feet: Subdivision: SlLVER QAKS Est.Value: Parcel Nurnber: 03-26-21-0'i20-00000-0540 Improv. Cost: 2,700A� ; OWNER INFORMATION Date Issued. 12-�°t Name: HEATH JESSE A& HQ�LY Total Fees: 50.00 Address: 6546 FOXMOOR DR Amaunt Paid: 50.00 ZEPHYRHILLS F�33542-0613 Date Paid: 12/30/2014 Phone: 813-299-1279 Work Desc: REROOF SHlNGLE � CQNTRACTOR S i APPLICATION FEES H W ER R OOF SID T AL 50. 0 ����� �� . � � �� � � ,� � a Ins ections Re uired DR IN R F!N P TAPE JOINTS F200F INSP FINAL � REINSPECTION FEES: Reinspection fees will amply ith Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the foil winq reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or carre ions n�ot made when inspections called d)work not ready far inspection when called e) permit not pos ed on job site� plans not at job site g)work not accessible. NOTICE: In addition Co the requirements of this p rmit, there may be additional restrictions applicable to this properly that may be found in the public records of this caunty, and there may be additional permits required fram other governmental entities such as water m nagement, state agencies or federal agencies. "Warning fio owner: Your failure to record notice af commencement may result in your paying twice far improvements ta your property. If you int nd to obtain financing,consult with your lender or an attorney before recardi g your�notice of commencement." Compte#e Plans,Specifications Must Accom any Apptication.All wark shali be pertormed in accordance with Ci Codes and Or inances. NO OCCUPANCY BEFO C.O. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi M NTHS WITHOUT APPROVED INSPECI'I8N CALL FOR TNSPE ION � 8 HOUR NOTICE REQUIRED PRtiTE CARD FROM WEATHER I I � i , i � , i . ._ �- : � � Illlllllllllllllllllil�llillllii�llllllillilllllllllilllllli 2015007106 .,� u NOTI OF COMMENC�MENT Rep!:1654087 Ree: 10.00 Permit No. l� � � -1 DS: '0.00 IT: 0.00 01/15/2015 K. G. , Dpty Clerk PropertyIdentificationNo. �l -•�'�� ^Cil O��OG i -OSzf� � , TI�iINDERSIGNED hereby gives notice that improve ents will be mad�e to certain real property,and in accordance with Seciion 713.13 of the Florida Siatutes,the following information is provided in the NOTICE OF COMMENCEMENT. f � 1. Description ofproperty !e al description:) Se . ' 3 ocu ' S'c -�� vi e ��a a) Street Address: r- I � r 33 2. Gencral description of improvements � - - I (.,"v� I 3. Owner Information U, s S r � ,�1_ , ,�s a) Name and address: -S rl Z; b) Name and address of fee sim le titleholder�{sf-o her than owner) �� - . • � , .'�N ��'1f`✓�G�•G�Y" �r' ,() , i�r h,'1, c �35�%2 4. Contractor Information � �_� �// a) Name and address: J Q � s '��i�, (�� -+c.n .�'GX``'iCG,r' �/ ZP/���/C�� ��5 b) Telephone No.: � I Fax No.(Opt.) ' 5. Surety Information a) Name and address: b) Amount of.aond: I m b : c) TeIephone No.: I„Fax No.(Opt.) o�� 6. L,ender �n y a) Name and address: x�� � '�i/ r 7. Identity of person within the State of Florida desi�� ted by owner�r�i�n whom notices or other documents may be served; �� a) Name and address: I `�"'�w T � �) Telephone No.: -. I Fax No.(Opt.) Wi;�° 8. In addirion to himself,owner designates the followi g person t'o receive a copy of the Lienor's Notice as proyided in Secrion �O1 N 713.13(})(b),Florida.Statutes: ,o� o a) Name and address: ' cv,..� b) Telephone•No.: I Fax No.(Opt.) � 9. Expiration date of Notice of Commencement(the e piration date is one.year from the ilate of recording unless a dif�'erent date is �°,�, ' specified): . I ��,,,o . F� � � WARNING TO OWNER:ANY PAYMENTS MAD� BY TftF.OWNER AFTER THE EXPIRATION OF THE NOTICE OF o .; COMMENCEMENT ARE CONSIDERED IMPRO. IIt PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, ' m l FLORIDA STATUTES AND C.��]V RESULT IN YO PAYIIVG TWICE FOR IPROVEMEIVTS TO YOUR PROPERTY.A � � NOTICE OF COMA'IENCEMENT MUST BE REC RDED AND POSTED ON Ti HE JOB SITE BEFORE THE FIRST ! INSPECTION.IF YOU INTEND TO OBTAIN FIN CING,CO�NSULT YOUR LENDER OR AN ATTORNEY BEFORE I COMMENCING�YORK OIt RECORDING YOIU N fIC�(3F CClMMENCEMENT. STATE OF FLURIDA I I COUNTY OF PASCO X� Q� Sign rc GF Owner ur Ownsr's Authorized OfScer/Director/Permer/Meneger I�L'S S� ���eh..� �Prin1 Name � � The foregoing ins e t was acknowledged before me this� �day of�C�� ,20_�,by , ��T s,$� {�� as I � (type of authority,e.g.o�cer,trustce,attomey in fact)for (n e of pazty'on behalf of o insirument was executed). I � Personally Kn�wn__OR Produc�Idenrification_ No t i r y Signature Type of Identification Produced TC,� �t�s��2, - N ie(print) � � Verification pursuant to Section 92.525,?�'lorida Statutes.Und r penaltr�s of perjury,I declare that I have reacl the regoing und that the.factc stated in it are true to the best of my knowledge and belief. - ,' . 1 � F01lMSRiOC.rvsd2007 ��. (/ I� � 11 ' ,SiQM4jbE0( �taal uconSigninYAtove ' . \ + t��'•:'i%yk JACQUELINE80GES � `�:��.: Commiss(on#FF 150422 t-� .0•1 Expires December 12,2018 �%f;?��;.��`' BOnd�lTWTroyFdnlntireiwt8005GS.7019 i . �, � ������0 9� srar�oF����in�,�c�r���rv�� ������ ,��� � ° �� ��� ���� TN1S 1S i'C CERTIFY TNAI'T(-IE FQR��QfNG!�A ��'� �'�, '� TRUE AND C(3RRECT COPY OF 1"HE QOGUMENT ° � ON FfL.E OR 4F PUBI_IC RECORD iN TH(S OFFiCE � � . ,� WITNES Y HRI�l�}A FFtC �S�AL THIS �" • �n r,��M'��"�,_a� e e\'+ ._�_D Y�F � (�f� � ' /},...,} � PAULA S �iJa,C � K&GOMPT�iO�LER ` {`� 6 , � ' , 1�$] � BY �`� , � DEPUTY CLERK a�'�' , � ° ��a��'' � .�A?����r-���:� i s��aaa-oozo City of Zep yrhills.Permit Application Fax 813-780-4021 uilding Department �' M Date Received Phane Con act for Permitting - ,Awner's Name ,.,� L�'S � V \ Owner Phone Number �t 3�_I 1 -�d�� Owner's Address l�2�'1 C..P � GG (� I� Owner Phone Number � Fee Simple Titleholder Name �— Owner Phone Number I Fee Simple Titleholder Address �rJ l/�"1C�f� �,..iOB ADDRESS � �7�t.p LOT# �__� BUBDIVISION � � P CEL ID� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 A DlA�T � SIGN Q Q DEMOLISH INSTALL X R PAIR PRQPOSEQ USE � SFi2 Q C {UIM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q t I DESCRII'TION OF WORK r � tn�� S . � BUI�dING SlZE � � SQ FOOTA,raE HEIGHT �—� BUt�DING � /"�/`, VA�U tON OF TOTAL CONSTRUCTION lJ �E�ECTRtCAL � � AMP S RVICE 0 PROGRESS ENERGY Q W.R.E:C. �PLUMBlNG � � QMECNANICA� � � VALU TIQN OF ECHANtCA�INSTA�lAT10N OGAS Q RQQFING Q S ECIALTY � OTNEFt FINISHED FLOOR ELEVATIONS ��� F OOD ZONE AREA �YES NO BUILDER COMPANY �Q{!� �'j YtiLJ(f SIGNATURE � � �,�,4,,.,v REGISTE�eo Y/ N FEE CURRE� Y/N Address License# �� � E[.ECTRICIAN COMPAINY SIGNATURE ,, REGISTE�iED Y/ N FEE CURRE� Y/N ,......, i Address � License# � —� P�UMBER COMP� SIGNATURE REGIS7E�2ED Y/ N FEE CURRE� Y/N Address ( License# � � ( MECNANICAL COMPANY 81GNATURE REGISTE�eo Y/ N FEE CURRE� Y/N Address � License# � � C}THER GOMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , Address License# �— � 12ESIDENTIAI Attach{2}Plot Plans;{2)sefs of Buitding Plans;( }set of Energy Farms;F2-4-UV Pennif for new canstruction, Minimum ten(10)working days after submittai d e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Perm t for subdivisionsRarge projects CQMMERGIAL AttacFi(3)complete sets of Building Plans plus a ife Safe#y Page;(1}set of Energy Forms.R-O-W Pennit far new construction. Minimum ten(10)working days after submittal d e. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fence installed, Sanitary Faoilities&1 dumpster.Site Work Perm t for alf new projects.A!I cammerciai requirements must meet compliance SIGF!PERMIT Attach{2}sets af Engineered Plans. '"*`PROPERTY SURVEY required for all NEW nstructiani Directions: Fill out application completely. Owne�8�Contractor sign back of application,natarized 1f over$2500,a Natice of Commencement is required. (Al upgrade�over$7500} "" Agent(for the contractor)or Power of Attomey{for the owner) uld be someone with notarized letter ftom owner authorizing same OVER THE COUNTER PERMIITING (Front of ApplicaUan Ont } , _ _,_ _,_ _ ., .. ,_..,. -., _...••. Reroofs if shingles Sewers Service Upgrades A/C F nces(PIoUSurvey/Footage) , . . ' ' ,� Driveways-Not over Counter if on public roadways::needs RO ' ' , . , ,,A, _ _ , • ' , „, ; • , ,. � . , � , , , � - . � .., , _ :< . .�a... .-,:. .��...,� . i . � � NOTICE OF DEED RESTRICTIONS: The undersigned understands that ihis 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 CON7RACTORS �►ND CONTRACTOR RESPONSI�ILITIES: 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 cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IiiAPACT 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 appl(cable Pasco County ordinances. CONSTRUCTION LIEN LAViI(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 Protectio� Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", 1 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. CONTFtACTOR'SIOWNER'S A►FFIDAVIY: 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 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, Water/Wastewater 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 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. �i - 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�II, 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. WIARNING TO OWNEIt: YOUFt F�►ILURE TO RECORD A NOl'ICE OF COMMENCEMEPIT IIAAY RESULT I�l YOUR F'AYING TWICE FOR IMPROVEflAENTS TO YOUR PROPERYI(. IF YOIJ INTEND TO OBTAIPI FINANCING, CONSULT WITH YOUR LENDER OR�1N ATTORNEY BEFORE FtECORDING YOUR NOTICE OF COMMENCEMENT.__ FLORIDA JURAT(F.S. 117.03) OWINER OR AGENT� �C� CONTRACTOR �.� e SubscrlbedI�nd sw t�? r aflirmed)b re m t ls Subscrlbed an sworn (o affirmed)before me this/ Z�0�l`�' by� J 2 SS� ��L�0.�� _ 2°-�-� by� �2 S S 2 ('� e Ca fi�l o i re personally known to me or haslhave produced Who s/are Rersonal known to me or has/have produced � �ti.¢.rLi ct;r.s� as Identlfication. �C c <S-)2r�� Ce.�S2 as identification. � I�Q Notary Public Notary Public Com Comml i No , ,,�;�:et;yc� LINE BOGES ;.: ;�__ Commission#FF 150422 �""'��� Nam • �y �!� ��n$�18 Name of Nota l�� '�t ommission#FF 150422 '�p��4°.` onded ThN Troy Fain losurence BOD�BS•7019 . �;���'a; Expires December 12,2018 '�pf�°��`�� Bonded Thru Troy Fain Insurance 800 785.7019 l — — I ' I I � � • � nzscz.os STAfTEMENT .FOR owr�R C2TY OF ZEP TS:L$ 'ELTII.D2NG DEPARTI��NT _, � SS _ �� have read and fully understand and agrae •to the provisions of �this in trumeiit. .The uridessigned .states and affirms that �e or she is desirous of �onstructing, renovating, adding to or reroofing his or hes own domicile, that he or she actually occupies, or wi11 occupy � said domiaile, �and same is not for ' •rent, lease or sa1e. That he or s e sha11 comply with the following conditions: 1. R�hat the owner aad_he or she one sha11 act as the buildes for al1 phases of const-suction. - 2. That the owner will comply wi a11• ,p�rovisions of �the City of Zephyrhills ordinances and codes estineat to the building. � P 3. That in the event various phas s of construction are subcontracted, he will eSS�age only •propesly licensed ubconttactors and will pessonal�y supervise such work. 4. Z`hat in the event the BLUlding Znspector shall rec�,;re corrections to be made, the ownes will assume fu11 re onsibility to insure •they are made, and upon completion will ca11 for a re' ection before proceeding with the building. 5. That the owner sha11 asst�e f 1 responsibility for the coastsuotian aad wi11 not expect_ supe.rvision of his ork from the City .of Zephyrhills Building II Department. -� 6. That prior to final inspection aay additional fees, including reinspection fees, must be paid in full. A written request from t�us office sha11 � constitute an official notice o pay additional fees.. 7. 'Z`h�-st the ownes sha11 comply wi a11 City, State and Federal laws in reg-ard to social seauri�y, worl�►an's c esisation, lien laws, etc. , where applicable. ' B. That the ownes shall comply wi all the safe.ty codes issued by the Florida Industsial Commission. • 9. State 1aw rem�;ras constructio to b done by licensed contractors. You have applied for a permit undps an e�pti.oa to that law. The exemption allows you, as the ownes of your pro ty, to act as your own contractor with cert=;*+ restrictions even t�iough you d not have a license. You must ,provide direct onsite supervision of the cons ction yourself. You may build or improve a one-family or two-fama.ly resid �ce or a farm outbuilding. You may also build - or improve a commescial bvil ' g, provided your costs do not exoeed $25,000. I , Z'he building or reside�ce•must be for yovr own use or occupancy. It may not be built or substasitially i�pr ved for sale or lease. If you se.I:l or lease a bvildiag you have bvilt or sub taat3a11y i.�proved yovrself within 1 year aftES the construction is co�plete, e la�i wi.11 pres�e •that you _built or substaatially improved •if for a1e or lease, which is a violation of this P�Cemption. You may not hise unlic�sed person to act a"s your contsactor or to supervise people working on your building. 2t is yaur responsibility to make sure that people F�played by you have licenses rei,;red by state law and by county or municipal liceris' g ordinances. You may not delegate the responsibility f'or supervising work to a licensed contractor who is not. 1ic�sed to perform the worh b ' g dcne. Ariy person working on yovr building who is not licensed must work cler �our direct supervision and must be P�ployed by you, which meaus t you must deduct F.I.C.A. and frithhold.i.ng tax and provide workers' compeasa on for that employee, all as prescribed by law. Your construction must comply ith a11 applicable laFrs, ordisiances, building codes, and zoning regulations. OW1�R'S SIQ�TURE � Q ' DATE �`�-3C� --r�l ADDRESS (�S� cKr.�cor I 2 ' S � � PHONE � I - ' W2TNE55 PERt�T #