HomeMy WebLinkAbout15-15943 CI OF ZEPHYRHILLS �
5335-8TH STREET
_ � (813)780-0020 159
� B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15943 Address: 39153 3RD 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00500-0120
� Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 1/23/2015 Name: WELLS FARGO BANK NA
Total Fees: 60.00 Address: PO BOX 9908
Amount Paid: 60.00 - FT LAUDERDALE FL 33310-0908
Date Paid: 1/23/2015 Phone: 813-420-2240
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
W D UTCHINSON CO ST U T N LLC RER F RE I NTIAL 60.00
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In ections Re uired
DRY N ROOF NSP
TAPE JOINTS ROOF INSP
FINAL � -(t� •-(S�
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
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 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 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 pertormed in accordance with
Ci Codes and Or inances. NO OCCUPANCY BEFO C.O.
N RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
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a��-�eo-oozo City of Z phyrhills Permit Application Fax-e»-�aaoozi
' Building Departrnent
Date Recefved Phone C ntact for Pertnitting W �S�
Owners Name W�) � . [1�f p �,L Owner Phone Number �j 3'' -i � ' ,/.. �
Owners Address .�1 •�� � �.L +�{' y0�p�er Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 � . � � �7J LOT# I �
SUBDIVISION �� Y �� PARCEL I Dl� ' 'O�3 l�� _l�" OI
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE _Q SFR Q COMM 0 OTHER *
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK li O '�' {... �[. �� �7 /� �+(�1�� ��p J
1
BUILDING SIZE SQ FOOTAGE HEIGHT �
�-)� G--�y���
QBUILDING S V UATIONOFTOTALCONSTRUCTION ����� � ,� �
QELECTRICAL $ AM SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �a`��
QMECHANICAL $���!O O V UATION OF MECHANICAL INSTALLATION � ,
QGAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERm Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE rtECis�rtEO Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N �e cuRREn Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE �cls�teo Y/ N F�cuaaen Y/N
Address License#
OTHER � COMPANY � � � �S -
SIGNATURE REGISTErtm Y/ N FEE CURRE� Y/N
Address •�. c7 d� � �>,`�3$ay License# �
1 F 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Fortns;R-O-W Pertnk far new construdion,
Minimum ten(10)working days after subm' I date. Required onsite,Construction Plans,Startnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work ermit for subdivislons/large projects
COMMERCIAL Attach(3)camplete sels of Building Plans p s a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit far new consWction.
Minimum ten(10)working days after submi I date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster Sile Work ermit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requlred for all N W cansVuction.
Directions:
Fill out applica6on completely
Owner 8 ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the conVactor)a Power of Attomey(for the er)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicati Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regula ions. The undersigned assumes responsibility for compliance with any
appiiCable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRA TOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be requi d to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, bo the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contra tor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pa co County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a ntractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this applicati n for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is n t properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPAC AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse R covery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existin buildings,as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also und stands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transpo ation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certificate of occupancy°or final po er release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior o permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit iss ance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Flo da Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provid d with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Depa ment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that i have obtain d 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 cert fy that all the information in this application is accurate and that all work
will be done in compiiance with ail applicable la s regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work a d installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and t at all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning re ulations, and land development regulations in the jurisdiction. I also
certiiy that I understand that the regulations of o her govemment agencies may apply to the intended work,and that it is
my responsibility to identiTy what actions I must t ke to be in compliance. Such agencies inciude but are not limited to:
- Department of Environmental Prote tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatmen
- Southwest Florida Water Manag ment District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, ocks,Navigable Waterways.
- Department of Health & Rehabilita've Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agenc -Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply o the use of fill:
- Use of fill is not allowed in Flood Zo e"V"unless expressly permitted.
- If the fill material is to be used i Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume°will be sub itted 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 lood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be sed only to fill the area within the stem wall.
- If fill material is to be used in an area, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to dversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permi issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an e gineered drainage plan is required.
If I am the AGENT FOR THE OWNER,i promis in good faith to infoRn 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 electricai work,
plumbing, signs, welis, pools, air conditioning, as, or other installations not specificaliy included in the application. A
permit issued shall be construed to be a licens 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,constru tion or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is c mmenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a pe od 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 ceas s for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE T RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S 17.03) �
OWNER OR AGENT CONTRACTOR°'� �� �
) ups ed'ar�1d s�+q{�to r affi , d)b fore me this S t�ribed and swom o�jp affi �p e Qre me this
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_ o is are persona y mown �r has/have produced o is/are personally own o r has/have produced
as identification. � as identificaGon.
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���"' ��, CHERYL GILILEO -''��`'Y "e'', ���
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Equity Graup Construction Serv'ces 813-�20-2246 7.-�.9-55
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5920 Harvey Tew Rd. 5ame ' •
�!`{STATE At}D Zlp CC.4"t,f. Jb9 ICh.ATIp'�
Plant Cit , F1. 33565 39153 3rd Ave. Ze h rhill.s Fl. 33542
FAl(M P.A=:Oc.atl�hir 3C}8PH£k2E
1h'e hat�StZy subm:i SptCiiECatiOns dnd�st�m�tps!or
�To reroof shingie� roof, nail xooE decicing to--cade•. -Dry a.n with twa
plys 15# felt. Install new e ve tari.m, valley metal, lead boots, vents, ridqe
vents. Install 3d year shing es. Any rotten woad wilZ be extra on a time
a
and materia,2 basis. Clean up and haul away roofinq debris.
5 year workmanship quarantee
3Q year manufacture warranty
.Roaf: $500Q.00
21 sqaures
hF[YTE.lWoad R�clnc�t�t,if requ(rsd.(a nef lnctu rs;n thls quotn.+Naa�i re�sk�cemtnl nritt t�a eharpmd on a tr�r g rsssYtrLOh 6t9ia.
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' NClTtCE,OF CUAAMENCEI�IENT - . -
� perrritt No. - � R�Qt:zs55ala Reo: 10.00
Parcel LD. Na. ! y�� ._�' p-- ss ._� ,��, ��s: 0.�0 �T: 0.0�
�- �01f2212015 L. K. , Dp�y Clerk
;' �tafe of F�ritia . - '
; Caunty o� r���c,� o -
� PAULA S 4'NEII.,Ph D PASCO CLERK & COMP7ROLLER
i THE U�tDERSiGNED hereby give no�c;e that e improvement wi!! �01t2212015 12:39 m 1 of i
i Be rnade to�a4n reai prope�ty in accordance with pter 713,Fiorida � OR BK C�'��,� PG 14�7
Statues.the fo!lawing iciforma#or�Is provid+ed in fhis atice of �
commencemen�. � -
1. Description af property{legal descrJpflon of p rty an�ddress if availabie) Z�� � I��:�����.�f,�S �a .
� t��-g ' `t�-3 �"...�� �de �� 11 �r %Is �/, �'3��f�-
2. General desr.rlption of improvements ��- �
3. Owner infarmatian ,. �n,�
a)Name and addt�ess � � l�, x �38" �e. t�( .
b)lntecest In propetty '
c)Name and address af fee simple f�le halder other then owner}
4. Can#r~ador tr►ame and address} , � �.I`i(�
�3 -- s' � � . _`/- `.� e3
5. Sut�ety .
a}Narr�e and address
b}Amount af�Bond �
6. Lender(name and address) ,
7. Pet�scm wIthin the°Stata of Flor�da designated y awner upon who notices ar other documents ma�+be
served as prav�ded by 5�ection 713.93{1�Ca�(7� F1or3da Sfabuf+�s.
Name and address n
8. Ir►additiaa to him or herself,owner des"rgnaf
of to receive a a�pY of the Lien r's Noti as avided in Se� ion
713.12(9}�b}, Fiorida Statues. �
9. E.xpira�on date of notice of cummencsment ( ��r�ti• dat is one y the
date of recording unless a dtfferent date ts s cified}.
� ature �CJ�nrner/�iNe
STATE t?F�l��R1�A � ...�
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The Ilowing i shvment was acknowiedgs�d be€ re me th�s a�1 d�y of �A+"� , �Q 1�
.�}�y {� 2. i ersoneily known o r praduc�d,
� as!d n�flca�on. �
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After recording,rehim ta: � Notary slgnature .�.,_ �
Name ` Name !'�iZ� ��.������� CHERYL GILILEO -
A����, . ° , -��o��k 4 :•::;"�;`c;': Notary Public-State ot Florida
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8.1BUlLDING DEPARTMENT1Forms 20C+1Wof�ce o Gommencement.dac
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� , o ST�,TE f�� FLOEtID,4,COU�ITY OF PASGO
THIS IS Ta CER i iFY THAT THE FOREGOING IS A
� �, � � TFUC ANG CORRECT COPY OF THE DOCUMENT
� °° ON FILE OR OF Pl!BLIC RECORD IN THIS OFFICE
� = �.a� � WITNESS Y HAND AND OFFICIAL SEALTHIS�i
� � �a'� ; °� `� .�� �� �AYOF 2 D� ,
�,c,�� ��?� W, PAULA O'NEIL, ERK&CO ROLLER
�,����+-•"������t.:��'� � B�, � EPUTY CLERK
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P.O Box 1308.Dunedin,F!34698-1308 .(7�7)723-8581 .Fa :($63j586-7274
� Email: illiamdhutchinson@yahoa.com
� lic nse Niartiber:CCG1328714
i GENER L POWER OF ATT(7RNEY
�� TO ALL PERSONS,be iC known,that I Wili am D. Hutchinson of W.D. Hutchinsan Co�str�ion L4C��
� The undersigned Grantor do hereby make nd grant a general power of attarney to� f
� af W.D Hutchinson Construction LLC,and d thereupon constitute and appoint said individua)as my
� Attorney-in-�ac�,ta puik�atl permits irt aEFcit es,caur�ties and=rrtur�icipal,�area vuher.e W:Gl.:Nutchinsan
Construction LLC does wark.
My attorney-in-#act hereby accepts this ppointment subject to its terms and agrees to act and
� perfarm
In said fiduciary capacity can$istent w'sth m best interest as he in his best discretion deems advisable,
anc! I�rm'arnd ra#ify a�l acts sa undertake:.
This power of attorney shail not be afFe ed by disability of the Grantor. This power of atkorney may
i be revoked by the Grantor giving natice of revocatian to the attorney-in-fact, provided that any party
retysng in good faith upon this power af a orney sha!!be protected unles�and until said party has
either;a)actual ar canstructive notice of r vocatian,or b) upon recording of said revocation in the
� pubfic recards where the Grantor resides.
Signed under sea!the ��day of F�r� 20 1�
Signed in the presence af:
. � �p����..`—�, —.
Witness Grarttor
..►��---
itness Attorney-in-Fact
Note:Delete powers that do not apP�Y
State o# 1=tvc��de�
Countyof �Q,�S�-+�
On���n o?oZn��bIS before me, ppeared� i�IY Am �?� f-4u���li+rn�on personally known
..
to�-�or praved to me on the basis af s t`tsfactory euiiienc�}�to be the person(s}whos�rtame{s}.��s ar:e
subscribed to the within instrument and cknowledged to me that he/she/they executed#he same in
hisjherJtheir authorized capacity{tes),a d that by hisJher/their signature{s}on the instrumer�tthe
, pers n(s)ar the WI ESS my hand and fficial seai.
�, Affiant ,�na�n. ,��r�� ,
Signature of natary �.._ .
�y�} g`!(a�,,,, CHERYI GIULEO
`=Oj��Y ar�;'-., Notary Pu tC' 2017
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