HomeMy WebLinkAbout15-15920 CI . OF�'�PHYRHILLS
5335-8TH STREET
(sis)�so-oo20 159 0
� +, B ILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15920 Address: 39508 9TH AVE
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: 12-26-21-0300-00000-0270
Improv. Cost: 2,455.00 - OWNER INFORMATION
Date Issued: 1/16/2015 Name: BAILEY GREGG F &
Total Fees: 50.00 Address: 39508 9TH AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-4721
Date Paid: 1/16/2015 Phone: 813-779-0178
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN R OFING NC REROOF RESID NTIAL 50.00
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In ections Re uired
DRY IN ROOF INS
TAPE JOINTS ROOF INSP
FINAL ` - �� ^ l�
' 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 fol owing reasons: a)wrong address b) condemned work resulting
i from faulty construction c) repairs or corr ions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 anagement, 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 int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans,Specifcations Must Accom any Application. All work shall be performed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
CONTRA TOR SI TURE PERMIT OFFI R
P RMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
813•/t7U-UUGU l.rll�/ UI t ���yu�n�u � �..�n u�i.p.p...v........�
Buiidtng Department '
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Date Received i � ' Ph ne Confact for Permitting � ,
. �re �c.� l 3 '��1.�'� f���' �;
� owner's Name Owner Phone Number __,,
, Owner's Address 3�5b`� �i`� � w�°h u� Owne�Phane Nurinber
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Fee Simple Titleholder Name . Owner Phone Number� �'�
' Fee Simple TitleholderAddress .
JOBAD�RESS• � ISC)!� ��' ��'� ► �� ,G�ittS �, 335�f � �.or# .��
SUBDiViS10N �
(d,YtS�f �5���-F�� 1;PARCEC:ID# .IZ' �-.2I-� �j3ao-- o.c�ooc� - .d�7o .
- - ' - ' - - -- � -- -— .- - - -�— . -�(OBTAINED FROIN PROPERTY TAX NOTICE)
WORiC PRQPOSED e NEW COF�tSTR ADD1Al.T` � StG��� MOVE Q DEMOLiSN
'� � �� � � INSTALL RLPAIR @� �
PROPOSED USE , Q SFR � GOMM Q QTHEtt � � '
TYPE OF CONSTRUCTION Q ,BLOCK FRAME Q STEEL Q QTHER � •
DESCRIP,TtON.OF WORK; {,CAfi lS�-� C�A�L� (Z��U -�' ��s S • V W�S C,t�f�i r'1 ' . ,
BUIl.DING SIZE �� :SQ FCiOTA E�� HEIGH`f C ._. � .
Q BUILDING � •� VA�t1AT10N OF TOTAC G{�NSI`f2UGF'IOIV . ,,
� 2;,�5�•l`>� - , - .
Q E�ECTFtICAL' � �{ AMP SERVICE Q PROGRESS ENEf2CY . [� W.R,E.G.
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� P�un�B�r��. I � . �Z'�
Q MECHA(VICAL $ VALUATIOlV OF MECl1AIVlCAL IIVSTALLATION � `�
Q GAS RQOFiNG SPECIAITY Q OTHER
FINISHED FLOOR ELEVATIONS � . FLOOD ZONE AREA QYES QNQ �
� _BUI�DEF3_ __. � _._ _ _ _ _.-----._._---- - GOMPANY_ ,
StGNATURE REGISTEREp Y/ N . FEECURRENT `YIN
l�C�t1(g'SS �.�C£Ii58# �.. . . ' �
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ELEC'fRiC1AT�1 COMPA�+1Y . .
SIGNATURE REGISTERECI Y/ N �FEE CURREtJT ''Y/N
Address l.icense#� '� �
! PLUMBER � ' CCtMPANY
SIGNATURE � r.E�ls7'eR�o. Y/ N FEH CURRENT' Y/N ,
Address I�icense# � � • �
MECt1ANICAL � COMPAl�tY � �
SIGNATURE REGISTEREp Y J N FEE CURRENT' Y J N
Address � - l.Ecense# , C , � �
03FIER -CtaMPA�+lY CL t3.s'� ! �"b��'1 V1 q :.L:Y1c , ° • ,
SIGNATURE� —� REGtSTER�D Y N FEE CURREN7 Y 'N ,
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.- Address -3 fv�l-� --�t--�? rh i t t sr-_�2_ _ 33 'r��t-- - -- — ';L.tcense# �.�./�'�:c�.S�a�-
REStDENTiAl. Aktach{2}P1o#Plans;{2}sets of Building P ans;(1)set of Energy Forms;R-Q-W Pertnit for new canstruction,
Minimum ten(10}warking days after subm ttat dafe. Required onsite,Gonstruction Plans,Stormwater P1ans wl Si1t Fence iristall.ed; �
Sanitary Facili6es&1 dumpster;Site Wor Permit for subdivisionsllarge projects , � .
GOMMERGIAL Attach{3}sets of�Suilding Plans;{4}set af Eneigy Forms.R-�-W.Permik far new canstructian. , �
Minimum ten(10)working iiays after subm t#al dafe. .Required onsite,Construction Plans,Sformwater Plans.wi 8ilf Fence instaited,
Sanitaty Facilities&1 dumpster.Site Wor Permit for all new proJects.All commercial requirements must meet compliance�' � ,
SICflI PERMIT AEtach{2}sets of Engineered Plans. . � .
**'*PROPERi"Y SURVEY required.far all EW constructian. .
Directions: ' � -
Fiil out apptication comptetety. , -
Owner&Contractor sign back of application,notarized , � ,
1f aver$2500,a Etotice of Gommenaement is requlred. AtG e�pgrades over$50Q4) � - ' i
*` Agent(for the contractor)or Pawer of Attomey(for the own r)would be someone wikh notarized letter from owner auihorizing same �, � �
OVER THE G011NTER PERMiTTING (F�ont of Appiication nEy)
Reroofs Sewerr�• •---�Serv3ce Upgrades:,,..�.,� C:, :.. Fenaes(PIotlSurvey/Footage}:�.�;�.,:,.3,��y�, , _.v.-... '
ey � ;i"•� �;_s;,l_ ., ; , ,,,., � '' ,...� �i ��"�' ';lE^ .� --_ _._' � „ _z
Dr"sveways-Na#ave�.;Coanterdfon�public5raadways..needs� OWf =����J�' M _,,,,� ., ., , . .�
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to'��leed°'r�strictions"
which may be more restrictive than County.regulations. The undersigned.assumes responsibility for compliai�ce with any �
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the .owner has hired a contractor or
contractors to undertake wark, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as �equired 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 aontact the Pasco Counfy 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. " i
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESpI�}�C� RECOVERY FEES: The undersigned understands
that T.ransportation Impact Fees and Recourse Recovery Fees may apply to tFie construction of new buildings, change of
use in existing 6uiidings, 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 p�oject 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 LAW(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
Protection Guide" prepared by the Florida Departme�t of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obfained a copy 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 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 pertormed to meet standards of all laws regulating
construcfion Count and Cit cades zonin re ulations and land develo m
� Y Y , g g , . ent re ulations in the 'urisciiction. ( Iso
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_ certify tha4�°u,nderstand that the�regulations of ottier government agencies may apply to the intended work, and that it is
my responsibjlity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Depaitment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, llVaterM/astewater Treatment. .
- Southwest Florida WateF Management District=Wells, Cypress Bayheads; Wetland Areas, ,Altering
INatercourses: �
- Ariny Corps of Engineers-Seawalis, Docks, Navigable Waterways. '
- Depa�tment of Health .� Rehabilitative Services/Environmental Health Unit-VVells, Wastewater Treatment,
' Septic Tanks.
- US Enyironmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority=Runways. � -
I undersfand that the following restrictions apply to the use of fill: - �
- �Use of.fill is not.allowed in Flood Zone"V"uniess 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° wili be submitted at time of permitting which is prepared by a professional engineer
li�ensed by the State of Floricla. �
- If the fill material is. ta 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
prope�ties: 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 const�uction. 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 abandaned for a period of six(6) months after the time the work is commenced. An extension
may be �equested, in writing, from the Building Official for a period not to exceed ninety (9p) days and will demonstrate
_justifiable cause_f,o�_the_extension._ if_work ceases for ninety(90)consecutive days, th.e�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 YO.0 INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN�ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. --
FLORIDA JURA'1"(F:S.1, . )� •
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OWNER{.QR�AGENT�?:_:,--: _._ ;_-:;CONTRACTOR=•.-
Suti'scritied and swpr{iUo fiifi )betore me ihis Subscribed and swom�(or a r d��ef re e t�his
by I amm �r� - by 1 �fG,� �
� Who is/are personallv known me or has/have produced Who is/are personally known to or haslhave produced
�— as identification. �— as identification.
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� Notary Pubiic G' '� �" ' � /"`"'`--� Notary Public-
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� Commission No. Commission No.
�, Name fr2o4 �c d��o�ary�i�f��a��01 Florida Name of N r�� ' inte
_a. .�; Notary Pub ic-State of Florida
;. _.; ;•: My Comm.Expires Apr 4,2016 :•; ;•: My Comm.Expires Apr 4,2016
�; yNlqr P;= Commission#EE 166865 . ='"�9r Po;: Commission#EE 166865
;' �''•,�OP°`°°� Bonded Through National Notary Assn. ���''FO,`„t°`' Bonded Through National Nolary Assn.
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- _ � � � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii .
�.� � 2015007863 �
Rcpt:1654385 Rec: 10.00
DS: 0.00 IT: 0.00 ' �
01/16/2015 K. G. , Dpt,y Clerk
lOTICE�OF C0�1�IlYIEl�CElVI�IvtT
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PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER '�
einiitNo. � 01�16�2019136�m 1 3121 '
'ax Folio No. 7s Zlv-, i- �3c�d-bD�1oo-bZ�v OR BK PG
i 'I�UNDERSIGNED hereby gives notice that the improvem nts wilTbe made to'real properiy,and in accordance with Section 713.13 of
ie:Florida Statutes,the following information is provided in is.NOTICE OF COIVIIVIENCBNIENT. �
.Description of prbperty legal des"cription : �2'Z(o-2I� 3�b�U oD Oc�-0 2"1�
a)Street(job)Ad'dress: ��150g q-+� .�v�, h ,�hi.l s � 33 S�fz
.. General description of improvemer�ts: re- o� '
.Owner Information E���' �
a)�Name and address:C7f"C I�JGt,��(; �j�sb$ Gi�" Ve h �1i 5 3 3Jr'�-'2..
b)Name and add�ess of fee simple titleh er(if other ttian wner) -
c):Interest in.property . Owner
•..Contractbr Information •
� a)Name and address: Lorves Home Centers..Znc. P:.. .Box 781993 Oilarido .FL 32878 . m�'l ��i^�„��J i'��.
:li);Telephone.No:�O'T- SS`'�i-�-�:0-.�' , .FaxNo° _ GL� . . . 3 �fi 3 SP– 5`+
. ... � h�,,h��(I s� Fc� 335�1
, �..S'u�ety;Fuformation . .
�;a)Naine�aaid addiess: .. NA. - � -.'?8 -fo��(
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:li)'#liriount of Bond: NA � - -: '
c)'�`�lephone No:_NA - " - , ,
I �.i.ender .
� �a)�Naineand address: NA . , � �
b)'F'elephone No: NA Fax No: . �NA� - , � ` .
':`Identity of person within the State of Fiorida designafed�by o er upon wHom notices or.ottier.documents may be served .
a):I�fairie'and address. NA ". � � _ - .
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b)Telepkone No:_1oTA. ,.�..- �Fax:No..°.- �;NA. . . . _ ... . , - � :
;,�.addit�on:to�himself,owner.designates.tliE�£a�lowing;persol::to reeeive a�.copy oft�ie�L,ierior'.slVqtice as_pro.vided ia:�ectioa:7�13;�13.(I)(ii);•
torrEia�.�fatu.tes; . `_ ;. � � :. � . � : . � _ , -
.`�.}Name and adclress_NA . , � -, ' - .. - - - - � � .
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ti)�elephoae No. NA . .. ,: : :F.ax-No:_:�`::::'NA;:_: , . .; .. _ .. .. .
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,_�tion date.ofNohce ofCommencemerit=(the�expir.ation,�da�e-is;oneyear froiti:the date mf�r.ecording unless a d'tfferent�;aate�is � --
pecifed):= ' , � , _ - .. , .. . , :.. ..
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VA�R�T�NG'_TO OWN�R:ANY EAl'MENTS:M�DE;BY_�'IiE'QVf NER.AFT`ER,T�E`EXPII2��`FIO1��OF'THI�NO'I'ICE�UF
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:OM�1?IE�ICEMENT,I�RE CONSYDERED',;IIVIPRO�ER'�AI'1VtE. TS IT�iDER%CHA:PTER;73�;PAR'T�1;�SECTION 713:13.FI:URID� .
TA�'�.-T�'�S C�Rf�^��Ji.T.IIi'!'OYT�Pr1`�'a�4T�i;'�'iiYd�i.;�(3�r,-.:..RO:J�+li'�PTTS.T�.��'O�i'�IiO1?,i,IZ'Y'i'.ti'I�O'I`Iii;E OF'.��i'I�I+I�EIv�,t�T?'
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1TJST�BER�CQRDED AND,.POSTED ON;T'HE'JOBSITE:BEFO., ,THE:FTRST INSPECTION:IF�l'OiJ.INTEND TO`O$.TAIN�TIN.4�NCWG;,
��TS`�JLT YOU1t LENDER OR'AN ATTORNFrI'BEFQRE.'CO_. NCING`WUItK'OR.RECORUING YOUR,ii10TICE OF°
`.U11'�NTENCElViENT. ' " ' . . , � ' , . . .
tate.of,Elorida- .- �� ' . " , . ,
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oiinty 0f:.;��S.Ci'� . , ;Ip: j✓ �
. . - Sigdeture of Owrier or Oiyne�'s' tj�oriied OfScei/Director/P /Manages ,
" � ���t L..�/,f . -
- 'Pr�nt. ame - '� , _ �
3C fOTepOing.iristtument was aclrnowledged before me t17is day of. = 20 ,6y . I.N�ICE�
' � (type of authority,e: .officer;frustee,attomey in faot) � �OMIAISSipq�FF1p9�1
r (riame of party.ori iie alf of who instru nt was executed). � p(p�$;�p����8
1.,� 8onded tfrrouqh 1 st StW NWUr�nce
:rsonal(y Kndivo- OR Prbdueed Identificarion Notary Si ature O� .
rpeajf Identffication Produeed _ rj�e�� � L�rr
, _ , ; _i1ND— ,
:r�Scai�on puisiiant.to'Secfion.92:525;Fldrida Statiites.Uc�cigr penalties of perj.. ,I dectare that I:h'ave:iead.the foiegoing and that fhe facts sfated:ih it are hue.fo tlie best,of- ' �
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�U��� � , ,n�. Invoice Number:2944
�•-- � Purchase Order: 883020289
A Division o f Ryman Constr ction,Inc. Sales Rep.: Kerry Ryman
Invoice Date: O1/09/15.
License#CCC 1325505/C 1517771 Due Date: 02/09/15
INC.
Page Number: 1 of 1
Customer: 3409
Location:
Lowes ZPF#1854-Bailey,Gregg Bailey,Gregg
7921 Gall Boulevard 39508 9th Avenue
Zephyrhills,FL 33542 Zephyrhills, FL 33542
Quantity Unit Description/Part Numb r Unit Price Tx Rrice Extension
1.00 180.0000 180.00
Item#228228 Bring up o code
1.00 150.0000 150.00
Item#:228228 Local Di posal Fee
1.00 145.0000 145.00
Item#:228239 Labor Pl ood
1.00 1,980.0000 1,980.00
Item#:322256 Labor to install 18 squares
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Invoice Net 2,455.00 I
36413 State Road 54•Zephyrhills, F1 rida 33541•Telephone: 813-782-6094•Fax: 813 788-6773
ww .rymanconstruction.com