HomeMy WebLinkAbout15-15906 i
, �' CI OF ZEPHYRHILLS . . �
�i ` S r 5335-8TH STREET �
° (813)780-0020 906 �
BU LDING PERMIT I
PERMIT INFORMATION I LOCATION INFORMATION '�
Permit Number: 15906 Address: 5326 8TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTI L I Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 11-26-21-0010-15200-0220
Improv. Cost: 1,200.00 I OWNER INFORMATION
Date Issued: 1/13/2015 Name: BLACK RICKY L
Total Fees: 67.50 Address: 5326 8TH ST
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/13/2015 Phone: (352)567-5034
Work Desc: REROOF RUBBER/ PORCH ONLY ;
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESID NT AL � 67.50
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', Ins ection's Re uired
DRYI ROOFINSP
i TAPE JOINTS ROOF INS
FINAL � - ��' ` ��
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REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not pos ed on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p mit, 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 m nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing,consult with your lender or an attorney
before recordi g your�notice of commencement."
Complete Plans, Specifications Must Accom any Application. All work shall be performed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
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CON RA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTH� WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION = 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
_ ��Q����i Page No. of Pages
1
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Gavin Roofing
; Quality Roofing Since 1984 116 7
,I , P.O. Box 1363
Dade City, FL 33526
"� 352-567-5034
� Lic # C 0046241 2 Year Leak warranty
PROPOSAL SUBMITTED TO PHONE DATE
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STREET ,..{,�, JOB NAME
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CITY,STATE and ZIP CODE � JOB LOCATION
2��'if /�l���S
ARCHITECT � DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for
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�P �PQ�IDSP hereby to furnish material an labor—complete in accordance with above speci ' ations, for the sum of:
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aouars( �ZC'D. ).
Payment to be made as follows: 1
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All material is guaranteed to be as specified. All work to be completed i a workmaniike �
manner according to standard practices.Any alteration or deviation from abo e specitications Autho�ized
involving extra costs will be executed only upon written orders, and will ecome an extra Signature
charge over and above the estimate. All agreements contingent upon s rikes, accidents
or delays beyond our control.Owner to carry fire,tornado and other nece sary insurance. Note:This proposal may be
Our workers are fully covered by Workman's Compensation Insurance. withd�awn by us if not accepted within days.
�CCP���IIjCP �� �T��O�F11 —The above prices specifications ��i�i�u//,,,� /
and conditions are satisfactory and are hereby accepted. You are authorized Signature—� � �« -��
to do the work as specified. Payment will be made as outline above.
Date of Acceptance: Signature
a�a�e oi t,.o�ncy ot �.l11.,�(�ei2� - -
�THE UND�RStGNED hereby gives notic�e ttrat itnnravemant w�!be made!a Ittain rea!prapeRy,and in accordance with Chapter 713,Ftarida Statutes,
the following infortnatlon is provided in this Notice of CommBnceme k �
1. DeseHption of Property: Parcel ldentiTication No. ��- �o � �� " n0�Q ' �� �'� ����
Street Address: �� D T�� e�2�"• 'l�. �\u��S i-� 3 �'J'i .S,a y 3� t
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( 2. Genecdi Descciption af ltnprovement � t � E'-N'le.K�'-5 FY�'�'
�� � l!Illllilllllil!lIIIIIiUlllllll!llllillllll(Il11N111111111
3. Owner informafion ov�eyssee information if fhe Lessee ntracted for the tmprovemerst: _ �0�r�y.��g�$7 I
e.1, .� c� � � . .
5 �'�`ie I ZGi��lt�l2�lr`El5 ��
Address � Gity State
tnterest in Property: ��'�J�Q-- ���-
Name of Fee 3lmple Titleholder. I
{t#di#tereat from 4wn r listed ab�e}
Address i State
Contr�ctor. �Q i � •
Nam ( ��1��j"�U 1 1�"� T 4
Address � � � � . �• 5 � � Gity .. _ State
Contractors Tetephone No.: R�pt:1655163 Rec: 10.00
5. su�ety: I D5: 0.QJ0 IT: 0.00
re
Name � 01l21l2015 S. P. , Dpty Clsr
Address City State
Amount af Bond: $ Telephone No:
6. le�der: I
Name �
( Address I City State
Lende�'s 7etephone No.:
7. Persons within the State of Florida desigrrated by he owner Irpon whom notices or other documents may be served as provided by
Seation 713.i3{1)(a}{7},�3orida Statutes: � -
ppU4R 5.0`NEiL�Ph.D.PA5C8 CLERK & G4MPTROIIER
Name 01/ORi BK 1,�13�m PG ��lLl� y
Address I City Stata
Tetephane Number ai Oeslgnafed Persan: �
8. In addition to himselF,#he owner designates I of
to cetve a co i y of the Llenofs Natice as pmvided in Section 7'13.13{1}{b},Fiodda Statutes.
Telephone Number af Person ar Entity Designated b Uwner.
9. Exp3ration date at Nottce af Commencemerrt(the ex iration date may not he before the camptetlnn of cat�struciian and final payment to the
contractor,buk will be one year from the date of recor ing unless�different date is specified):
i WARNING TO OWNER: ANY PAYNfEiUTS MRDE Y THE OWNER AFTER SHE EXPIRATtON OF TNE H03tGE OF COMNfENGEMEtd'T
ARE CON5t0EREQ tMPROPER PA�CMENTS U DER CHAP'{'ER T18, PART t, SECTtOt�t 713.13, FIdRtOA STATtlTES, AND CAI�
RESULT IN YOUR PAYING TWICE FOR IMPR VEMENT3I TO YdUR PROPERTY. A NOTICE ClF COMMENCEMENT MUST BE
� RECORDED AND POSTED ON THE JOB SIl"E BE ORE THE FIRST INSPECTION. !F YOU INl'END TO OBTAIN FINANCING,CONSULT
� WITH YOUR LEHDER OR AN ATTORNEY BEFQR COMMENCIN�Wt?RK OR RECQRDtNG YClUR NC}TiGE fi1FC0 MENGENSEt�Cf.
Under penalty of perjury,l declare that I have read e foregoingl notice o ncemertt and that the s kh re true to the best
of my knowiedge and beifef. � i����
STATE OF FLdRIDA � ,L�
COUNTY OF PASCO ��LL�EN STRCITT I
� � BL1C Sigt�afure a er or Lessee,or Oumsr's or Lessees At�fhorized
Q NfJTARY PU , OHicedDlrectoNPattnedManager
I ° �°'STATE OF FLORIDA i �
� °. • ° �#'EE137d10 � ,p
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S�NCE 19�8 Expires 10N 012015 sign� itle�O�ftice �
The faregoirtg instrumer�t was acknowiedged 6efore me this �ay ofl 20� � -'ft U �ll�C�--r'
=���1� a orit e. . officer trustee attome m fact for
as � (type of uth y, 9, , , Y )
-� � ( `e of pattyc� be aif ai`whom ir�stnsmer�t was e�ccecuted).
Personaily Known�pR Produced Identification❑ Notary Sigriature�,�l�,�;��J�S���
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T�mo e�f Ir�cnFi��alinn Pmri�irnri Namn tRrintl
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STATE QF FLQ�IDA, COUIdTY OF PASCQ ��+��g�� '
TH15 IS TC)C��71�Y THAT TI-IE FOf;E�01NG IS A �„`� � ' o ��� ',
TRUE AND CO'�RECT COPY OF TH�DUCUMENT �g . ,� �� �
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �,�_:�;��r��,., o � I
WITNESS MY HAND AND OFFICIAL SEAL THIS � ' � �.,� •�� ' , �i
In,c�']ye7nst . �
___a�—DAY OF��g 2 U� � ' R; � .,°,.,., � I
PAULA 5 O'NEIL, CLE PTROLLER � �s� � . � ,I
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B _DEPUTY CLERK �• IbB� �
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ity of Zephyrhills ��'�"=�-P �� /
BUILD1NG P AN REVIEW COMMENTS �`- sS�.�b�,"
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Contractor/Homeowner: �//,l'1 - - �
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Date Received: f'' � ��
S�te: � 8 _ s�
Permit Type: � �e-�
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Approved w/no comments: • Approved w/ e below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the perm t and/or plans.
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Kalv' witz -Plans Examiner D te i Contractor and/or Homeowner
� (Required when comments are present)
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s��-�so-oa2o City of Zeph rhills Permit Application Fax-813-780-0021
B iiding Department �Jf 2 ,. ��.-�,,'�..,j� I �y�.`F
Date ReceiSred ' '� ..- � � ` 1 �` J
Phone Cont ct for Permitting ���` c5�¢�. - �(1��? �4�
Owner's Name C- � Owner Phone Number ,!__
Owner's Address Owner Phone Number �— �
Fee Simple Titleholder Name Owner Phone Number � �
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Fee Simple Titleholder Address `
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I �JOB ADDRESS � ���� 0� �I lQT#
SUBD1VISiON � � P GEL ID# `�.1 "�(l Q "- �.�d� "' �/-�-�
_ .,.._._ _ _�_ =�-
- -__- =--"_ __, _ _�_.__� __ - _�_-_ --�pB�AINED FROM PROPERTY TAX-NOTICE)-,�-.._.. _. _ _ _
WORK PROPOSED , � NEW CONSTR 8 AD lALT � SIGN Q Q DEMOLISH
INSTALL RE AIR i
PROPOSED USE Q SFR � Q , CC�MM ;� QTHER
7YPE OF CONSTRUC710N Q BLOCK Q F ( nn� �� STEEL �
DESCRIPTION OF WORK /�-�= ���s`- �/��✓� di� �J,�tf� _ .r�G ��fJ� �°��L
,
BUtL.D1NG 8128 � � SQ FQOTAGE ( HEIGHT ����
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OBUILDING $ �� � VALU tONOF IOTALCC}NSTRUC'fiQN
DELECTRICA� $ AMP S RV4CE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � O b
�MEGHANICAL $ VALU TION OF MECHANICAL INSTALLATION �1(, �� •
'+c
�GAS Q ROOFING Q S ECIALTY � OTHER
FINISHED FIQOR ELEVA710NS C�—� F OOD ZQ i E AREA QYES NO
BUILDER � COMPANY �'
SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N
Address t,icense# �— �� � ,
ELECTRICIAN i COMP I Y
SlGNATURE REGISTERED Y/ N FEE CURREt� Y/N
Address I License# � ��
PLUMBER GOMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ���r �
MECHANIGAL ^^ � COMPI Y
SlGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ( I.icense# ��� �
QTHER f''! � �4 � COMRIANY /P�'?`(�/N` ���.���"
SIGNATURE �""��""' '�/ r REGIS7ERED Y/ N FEE CURRE� Y/N
Address � ��� f.3�� �f��- �-t �� �icense# 8�1����,/� �
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RESfDENT1AL Attac�(2}Plat Plans;{2)sets oF Building Plans;(1)set of Energy Forms;R-O-W Permit for new const�uction,
Minimum ten(10)working days after submittal ate. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciiities&1 dumpster;8ite Work Pe if for subdivisions/large projects
COMMERCIAt. Attach(3)eamplete sets of Buiiding Plans pius �ife Safety Page;{1}set af Energy Forms.R-CI-W Permit far new construction.
Minimum ten{10)working days after submittal ate. Required onsite,Canstruction Plans,Stormwatec Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Per it for all new projects.A�i cammercial requirements must meet compiiance
SIGN PERMIT Attach(2)sefs of Engineered Plans. `
"""PROPERTY SURVEY required for all NEW nstr'uction.
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directions:
fi41 out app3ica6on comptetely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. ( C upgrades over$T5d8)
" Agent(for the contractor)or Power o#Attomey(for the owner} ould be iomeone with notarized letter from owner authorizing same
OVER THE CQUN7ER PERM1'iTING.;-'�� (Front of:Apptication,O,ty)_,,,.,,, �,
Reroofs if shingles Sewers :,3enrice Upgrades':AIC�;_,. Fences{PIoUSurveylFootage} .
Driveways-Not over Counter if on putilia roadways::needs�R , � ��
„ ' '�}
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restricfions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. .
UNLICENSED CONTRACYORS �►ND CONTRAC'TOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take 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. �
YitANSPOFtTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recou�se Recovery Fees may apply to the construction of new buildings, change of
use in existing buEldings, 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 musf be pai� 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
I fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRlDCT10N LIEN�LAW(Chapter 713, Florida Statute§, 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.
COIVTRACTOR'SlO�fVNER'S �►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��o,identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Departmenf:o.f ��vironmental 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 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�II 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 ACEN7'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 nat 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
I 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.
VYARNING TO OWfVER: YOIJiZ FAILURE TO FPECOR� �► NOTICE OF COMMENCEMEYVT Mf�Y RESULT IN YOUR
PAYING TWICE FOFt IMPROVEIIflENTS TO YOUR PROPERYY. IF YOL1 tPJ7END TO OBTAIN FIN�►NCiNG, COIVSULT
WITH YDUR LENDER OR�►N ATTORNEY�EFORE RECORDING YOUR NOTICE OF COIIAMENCEMENT.
FLORID9 JURAT(F.S. 117.03) _ _ _ __
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OWINER OR AGENT ����G�-� CONTRACTOR `%� � --
S u b s c r i b e d a n d s w o m t o(o r a ffi r m e d)6 e f o r e m e t h i s S u b s c ri b e d a n d s w o m t o(o r a ff i r med)before me this
by -8-�J�
Who is/are personally known to me or has/have produced Who Is/are ersonal own to me or has/have produced
as Identlfication. as identificaGon.
�
� Notary Public �`-Q Notary Public
Commisslon No. Com sio
; ;�; !��^, JACa FF 150422
`?�� •::: Commission#
Name of Notary typed,printed or stamped Name of _; oQ,;� B��7rayFainlns�e�esooaa�•JO�s
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