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Home My WebLink About15-15966 � • CI OF ZEPHYRHILLS 5335-8ZH STREET ` 18i3pso-oozo 159 ° B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15966 Address: 38711 EVELYN LN Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: ' Proposed Use: SINGLE FAMILY RESIDENT AL � Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0230-00000-0300 Improv. Cost: 8,565.00 OWNER INFORMATION Date Issued: 1/28/2015 Name: BOLDT, SHARALEE Total Fees: 80.00 Address: 38711 EVELYN LN Amount Paid: 80.00 ' ZEPHYRHILLS, FL. 33542 Date Paid: 1/28/2015 Phone: (813)783-1998 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES WIDNER ROOFING INC REROOF RESID NTIAL 80.00 1��' � ._ 3 ._ 1 S� � In ections Re uired DRY IN ROOF INSP TAPE JOI TS R F INSP ,� FINAL ' " /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 po ed on job site� 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, Specifications Must Accom any�Application.All work shall be performed in accordance with City Codes and Or inances. NO OCCUPANCY BEFO C.O. �w..1-�i`'�.-'� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED PROTE T CARD FROM WEATHER � 1 Illllllllllllilllllllllllfl�llllllllllllllllllllllllilllllll � , 2015012834 Pem�it No. Parcel ID No ��-�l—Q��A=�ooeo - n3oo .�(� NOTICE.OF COMMENCEME T /'; Slale of• V \� _ County of �/"`«�� THE UNOERSIGNED hereby gives nolice lhat improvement will be made to ceAain real pro erty,and in accordance with Chapter 713,Florida Statutes, Ihe foliowing infortnation is provided in this Nolice of Commencement: 1 Descriplian of PropeAy: P,arcel Identification No. O '.alo'��—�a'3 �OC'i Q O �0.3�� Streel Address: g � 1 ' - ^�� cJ � 2, General Description of Improvement 3. Owner I�fortnation or Lessee infortnation if tfie Lessee conlraded for the fmprove ent:i ' S h� �G��fi Na e ,7j�7� �h, — State3 ,�Z Address Inlerest in Property' Nam°of Fee Simple TiGeholder: (If diRerenl trom Jv+ner lisled above) �,y State Address , �� Conlradar. y . � �i7S19Gam„� ^� Ff� i n0 ��ty State Address gf 3 �I(�.��3 r'1 33 YZ�I I Conlrectors Telephane No.: � � ` 5. Surety: , Name � Ci�Y State ��' Address � �`� �o �' � Amount of Bond: 3 Tel�pho�e No.:� g, Lender. ` �` � . Name Cit� Stale � . �� .\�! � Address � lenders Telephone No.: , � �y` m � � G� i� � L' 7, Persons within tho State of Florida designated by the owner upon wham otices ar o:her dowments may be served as provided by �� 'r�,.y, w; r �' Sectian 713.13(1)(a)(7),Florida Slalutes: `a��, °% ��'•=��,;;�, �L„ _..__ • �t�.s' . •i I �+' �V�� Name _ �!��. �;.;:�t�m��°'"��. City . State � .� - .,� Address -._... Telephone Number of Designated Person: � -- of_ g. In addilion lo himself,the owner designates to receive a capy ot the Lien rs No'Ice�s pruNdeC In�SecPon 713.13(1)(�),Florida Statules. ¢z U � Tele�,hone Number o(Person or Entily Designated by Owner. — o � w� C� V,J J g, Expiratfon date of Notice of Cammencement(iha expiration date may not be beture lhe campletion o1 construciton and final payment lo the (� C�_ � � J U SOUCn��O r�- � "contracter,bul will be one year from the dale o(recording unless a diNerent d e is spedEed): � N � � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTE THE EXFIRA?ION OF THE NOTICE OF COMMENCEMENT a RESULTNN�YOUR PAYINGPTWICE FORNIMPROVEMENTSPTOY OUR AROPERT>l.�fA NUTICE OF�COMMENCEMEN7 MUST BF. L� W � ~ � W RECORDED AND POSTED QN THE JOB SITE BEFORE THE FIRST INSP CTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT (� O = Z J � � WITH YOUR LENDER OR AN AITORNEY BEFORF COMMENCING WOR OR RECORCRIG YUUR t�OTICE GF COMtdENCEMENT. � Q � Ll.. �— � WLL' ��U U . Under penally of perjury,I declare that I h2ve read ihe foraBoing notice of co mencement and lt�at lh°fad�sta[ed tnerein are trua lo lhe best �=O Q � of my krowiedge and belieL �� a w � STATF.�OFFLQRIDA }( /��_�� U ¢ �� COUNTY OF PASCO S i g n a t u r e'ol O ner ai i.ess or��nePs o�_essee s Authonzed = �U Z � �� Notary Pudb Stnte of Flaid� p��edDirector artner/M ne9er � � ~ --�'� (� Sherry Wldner � � V m p • MyCanmWbnFF0767BS ��;;' — �� Z O J �°�*� ��a��y�� Signatory'sTitl IOKce ', � R' S� tt2 ¢ W � ZoLsY PR ► T _ � u � oo ,. oz � The(oregoing Ins6ument Was acknowledged before me lhis��day of�_, � as, of aulh�rity.-esg,,oKcer,t stee,attomey in fad)tor � � 0 O � me o party n bnhait 1 whom f st �u t as executed), ti t=Z (� I..Ll � Q J � Q Notary Signalu e �' � � —� Personally f:nown OR Produced Id2npficalion❑ ' � p�N� � (� � u- �N � Type of IdenGficalion Produced, � Name(Prinl) w (9� F � O ��o a f�I1 •P.eWl:'155657G ttee: 10.00 US: 0.P10 IT: 0.00 01:28/201Ei E. M., Dpty Clerk " �La 5 0'UEIL�PIi D•PAS�:O CLERK &G9MPTPOLLER NR .0�.��8�z0��14�m PG �194 wptlata/bcs/noticeco�nmencementyc053048 �1� BK .- —'--"' ' � 813-780-0020 City of Zephy�-hi(is Permit Applicatian Fax-813-780-0021 . , , Bu Iding Department 1 ' . � Date Received Phone Conta for Permltting � �(`C' .,� Owner's Name �J d.1 /� Q� Owner Phone Number Owner's Address �� t � � ' Owner Phone Number � � Fee Simpie Titleholder Name ' Owner Phone Number � � Fee Slmple Titleholder Address 30B AdDRESS 3� t � r�/ti;5�'J� LOT# �� sueo�v�s�or� � PAl2G L!D# ��-�� - a4- �.3 fl - aQ��--c�3 �o _ __ ,�_ _ _ ____. _,._ -___ _ - - -- - --- (087AINED FROM PROPERTYTAX NOTICE) � WORK PRQPOSED e NEW CON57R 8 ADQt LT � SIGtV Q Q DEMO�ISH INSTALL REPA R PROPQSED USE Q SER Q CUM � OTHER TYPE OF CONSTRUCTICIN [�- BLOCK Q FRA � STEEL Q DESCRIPTION QF WdRK BUtLD1NG SIZE � � SQ FflOTAGE o�. ( HEIGNT �� QBUILDtNG � � VA�UATlGI OF 1'OTAL CONSTF2UCTION g?��9J _�- �ELECTFtICA� $ �� AitttP SER CE Q PROGRESS ENERGY Q W.R.E.C. QPlU1V181NG $ � . _�, p_� QMECHANIGAL $ VALUATl4 OF MECHANIGAL iNSTALLATlQN -� � � �' �' QGAS Q ROOFfNG �] SPEC LTY � OTHER FINISHED FLOOR ELEVATIONS � � FLOQ ZONE AREA QYES NO BE1tLDER C [�lPANY SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N Address License# �� ^� Ei.ECTRiCtAN C MPANY SIGNATURE R ISTERED Y/ N FEE CURRE� Y/N Address License# �^ � PLUMBEi2 � C MFANY 51GNATURE Re ISTERED Y/ N FEE CURRE� Y/N Address i.icense# �y � MECHANICAL C MPANY 61GNATURE rxE ISTERED Y/ N FEE CURRE� Y/N Address �icense# �- � A o • DTHER �� C MFANY 51GNATURE RE ISTERED Y/ N FEE CURRE� N Address �� ' L3cense# �-CC-� '� 3 ...5�� 1`�� r� �. �� `7`� �Z � ZEStDENTiAL Attach(2)Piot Pians;{2)se#s of Buftding Pians;{1}set of Energy Forms;R-C?-W Percnit for new construction, Minimum ten(10}working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for ubdivisions/large projects �OMMEftC1AL Attach{3}camplete se#s of Buiiding Plans plus a�[fe fety Page;(1}set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)woricing days'after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, San(tary Facilities 8�1 dumpster.Site Work Permit for II new proJects.All commercial requi�ements must meet compliance 'sIGN PERMlT Attach{2}sets of Engineered Ptans. ' ""•PRQPERTY SURVEY required for all NEW constru tion.! )Irestions: Fill out application completely. Owner&Contractor sign back of appltcation,notarized , tf over 52500,a Notice af Commencemen#is requFrad. {AJC upg des over$T500) " Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same ?VER TNE COUNTER PERMITTlNG {Frortt of Apptication Only} teroofs if shingles Sewers Service Upgrades�A/C - Fenaes(PIoU3urvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ' .- . . ; NOTICE 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 COPITRAC'TOR RESPONSIBILITIES: If the owner has hired a contractor or cont�actors 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 Biock" 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 lic�n�ed and is not entitled to permitting privileges in Pasco County. TRANSPOFtTATIOIV IMPACTIUTILITIES IMPAC'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. IfFthe project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. �'urthermore, 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 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'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 perFormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdicfion. 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 8 Rehabilitative Services/Environmental Flealth 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 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 Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWfVER, 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOl'ICE OF COMMENCEMENT MAY RESULT IW YOU12 PAYING TWICE FOR IMPROVEnAENTS TO YOUR F'ROPEFtYY. IF YOU INTEND TO OBTAIN FINI�NCING, CONSULT WITH YOUR LENDER OR AN ATYORNEY BEFORE RECORDING YOUR NOTICE OF_COMIIAENCEMENT. – - FLORIDA JURAT(F.S. 117 0�� J �� OWNER OR AGENT CONTRACTOR .�P Subscribed and sworn to(or affirmed)before me this S blc� ed swom to(or affirmed)before me this by G Who islare personally known to me or has/have produced Who Is/ar person known to me or has/have produced , as ldentlfication. as IdenBfication. Notary Public ��'`�� Notary Public Commisslon No. Co miss ;,=o:a:+P�;B�c; JACQUELINEBOGES :.• '•�: C Name of Notary typed,printed or stamped Name of � ` � �stabep�3!ZC18 �;c�F;�oQ•`� �Banded Thru Troy Feln Insuranca GM-105-7019