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Home My WebLink About18-19222 � _ CITY OF ZEPHYRHILLS ' S335-8TH STREET (813)780-0020 �9222 BUILDING PERMIT �," PERMIT WFORMATION LOCATION INFORMi4TION � Permit Nurnber: 19222 Address: 5051 6TH ST 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: 11-26-21-0010-18600-0110 Improv. Cost: 8,900.00 OWNER INFORMATION Date Issued: 1/30/2018 Name: CASSIDY, DEBI J Total Fees: 85.00 - Address: 5051 6TH ST Amount Paid: 85.00 ZEPHYRHILLS, FL 33542 Date Paid: 1/30/2018 Phone: 904-800-1702 Work Desc: REROOF SHINGLE CONTRACTOR S � � APPLICATION FEES SUPERIOR CONTRACTORS LLC REROOF RESIDENTIAL 85.00 � I� ' � Ins ections Re uired - � '�, DRY IN ROOF INSP TAPE JOIN�S�zi I�,S�' FINAL �� REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 management, 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 intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. r � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPRO�iED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER l � s�sasaoozo City of Zephyrhills Permit Application Fax-�a�saso-oozi I : , Building Department , Date Received Phone Contactfor Permitting 904 g00 -- 17�1 I DebiT Cassid � Owner's Name / }� Owner Phone Number 904-800-1702 Owners Address 5051 6th St,Ze h rhills FL 33542 Owner Phone Number I I Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 5051 6th St,Ze h rhills FL 33542 - �oT# 11-12 SUBDIVISION PARCELIQI� 11-26-21-0010-18600-0110 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q ' oescwanoN oF woRK Remove and re lace 25 S uarse/As halt Shin les BUILDING SIZE SQ FOOTAGE 1�g72 HEIGHT � �BUILDING $ $�900 VALUATION OFTOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING � SPECIALTY Q OTHER ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO . BUILDER COMPANY SU erior Contractors LLC SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 9 Philips Hwy Suite 14 Ja�c FL 32256 License# CCC1327263 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ', Address License# MECFIANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y!N Address License# OTHER COMPANY ' SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N Add ress License# I11111111111111111111111111111111111111111l111111111111111111111111 RESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet campliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERI'Y SURVEY required for all NEW construdion. Directions:' Fill out application completely Owner&ConVactor sign back of appliration,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIT'fING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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. UNLICEPISED CONTRACTORS AND CONTRACTOR RESPOIdSIBILITIES: 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 contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATIOM IMPACT/UTILITIES IMPACT 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 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/OWiVER'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 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. - 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 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 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 O�cial 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 IdOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO OVEMENTS TO YO PROPERTY. IF YOU IIdTEN TO OBTAIN FIfdANCING,CONSULT WITH YOUR LEIdD R . ATTO N Y BE E RECORDIMG YOUR D10 E OF COMMENCEMENT. FLORIDA JURAT(F.S. .03) OW NER Ofi�A / CONTRACT � S scrib d swo " or aff � Mfpre e this Su s 'be an or affimted) efoare^�e thi �fi'� by 0 y� �� 6,�j�PS' o i are e now to or haslhave odu o is!r nown to me or has/have pro uce� d as identification. as identficafi . � � � otary Public Notary Public Commission No.G`.�+ ��-/�`� Commission No. �'J� ��1�...CA � � �-�Lr " 1�- li " Name of ary ryjed or stamped ame of Notary ryped,printed stampab P,�� p��E$i ;�a� `n•; Notarq Public-State of FloriGa �=o�� °e<<;-; Notary Public-State ot florida ' Commisslon A►GG 009512 : . . __ %;",, a;= My Comm.Explre"s;lul 6,2020• • 4'= Commission#GG 009512 ,�o«`�, ''� `e�= M Comm.Ex ues;lul 6,2020 ��-,�� Bonded Ihrough Natiorial Notaty Assn. "'-;;F o��o?�`' y p ` �� Bonded through National Notary Assn_ � 9440 Philips Hwy Suite 14 Jacksonville FL 32256 � � � � .�'� � � Phone: 904-800-1701 cEr��A�, c��.�Rac�rn�s Fax: 904-297-2090 LETTER OF AUTHORIZATION Please print or fype Business Name: Sutierior Contractors LLC Business License Number: CCC 1327263 Address: 9440 Philips Hwy Suitel4 City State Zip Code: Taac FL 32256 Telephone Number� 90( 4 ) R00 1701 Please check appropriate authorization boxes: � All Activities ❑ Pick Up permits � Alli West Printed Name of Authorized Agent -Signature � -T�r1'1 I,UP_�nln �i2� Printed Name of Authorized Agent Signature Printed Name of Authorized Agent Signature Printed Name of Authorized Agent Signature Edward Winters Printed Name of License Holder ' n re of License Holder Date STATE OF '�- t I�� COUNTY OF � N �� /� (� � The fore oin instrument was acknowled ed before me this � da of �I�.QI�-L ,20 I U 9 9 9 Y — i � By � ��I� 1�'��S n KRYSTLE ASHBAU6H � �-- �/��j ,��\\Iv p II�i !1 C 1 �4�.R (�B . � �� . :'r° `c�';, Notary PubNc-State of Florlda Notary �ublic's Sig re Nota Name :•, Commisslon#FF 230068 � Personall�r Kn�n��OR � �:��o,i 1,�,��;� My Comm.Explres May 12,2019�' Type of Identificatig�f Produced BondedthroughMationalNotaryAssn � � � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii � 2018016240 � PertnitNo. ParcellDNo 11-26-21-0010-18600-0110 NOTICE OF COMMENCEMENT - scace ot Florida co�r,cy ot Pasco I THE UNDERSIGNED hereb �N� y gives nolice that improvement will be made to certain real property,and in accordance with Chap[er 713,Florida Statutes, \••'O the following infortnatian is provided in this Notice of Commencement w � B B.. 1. DescripGon of Properry: Parcel Identificafion No. 11-26-21-0010-18600-OI 10 �• � SVeetAddress: 5051 6th St Ze�hvrhills FL 33542 ��r z. �enera�oescription otimProvement RPmnve and Re�lace 25 S�uares of Asghalt Shingles � r 3 � '}�M 3. Owner Information or Lessee infortnation if the Lessee conVacted for the improvement: : �� Debi J Cassidy n Name �� 50516th St Ze�hvrhills FL eF B� Address City State K B B Interes[in Property: (") �� -- B Name of Fee Simple TiUeholder � (If different from Owner lis[ed above) � � Address City ' State a. conva�tor Superior Contractors LLC Name 9440 Phili�s Hw�Suite 14 Tacksonville 32256 FL Address City State Contractor's Telephone No.. 904-800-1701 � �D 1� 5. Sufety: p\D Name ,'�� N Address City State �N o -.nEe�Bend=„ T le�hsa n�,• �� I (��+m 6. Lender. ��+�� I Name �� i Address City State �.�N o � i LendersTelephoneNo. ��D � w �, � 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided 6y 3 0 �, Section 713.13(1)(a)(7),Florida Statutes: '0 � I G�r►r � m Name - ��i i i �� i Address Ciry State ''��o I Telephone Number of Designated Person: � B. In addition to himself,the ovmer designates of— �N o I; to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. m' Telephone Number of Person or Entity Designated by Owner � 9. E�ira6on date of Notice of Commencement(the e�iratlon date may not be before the comple6on of construc6on and final payment[o the wnVactor,hut will be one year from the date of recording unless a different date is specified): 3I5I2O1H WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING NNCE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OB�AIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NQ�TICE bF COMMENCEMENT Under penalty of perjury,I declare that I have read the foregoing nolice of om encement and that the fads stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO � � ' � Signature o wner f�L see,or Owners or ssee's Authorized -OfficedDirector/Pa anager U'�iU f"� Signatory's Title/Office The foregoing insWment was acknowledged before me this ��day�,20 I�y � g as �dil,�.� e o a�[hority�e.g.,officer, st ,attome ' �fact)for (na o ah e a,of ins me r Personaily Known OR Produced Idenfificatlon❑ Notary Signature Type of Identific 'on Produced Name(Print) n� �. 1 � }�(L�— ' J � - o�""r"o"'�., ALLI WEST :o`a` `°�'. i �+: Notarq Public-State of Florfda ° Commission�Y GG 009512 '-,�� = My Comm.Expire3;lul 6,2020� ��O��` 8ended tbrou Natiorial Notar Assn. wpdata/bcs/noticecommencement�cD53048 Qh y ��0�' S7ATE OF FLORlDA,COUNTY OF PASCO � �' • � THIS IST��CEF�TIFYTHA7THE FOREGOING ISA `�`�� ' ' TRU�F�ND CCIRR�CT COPY QF THE DOCUMENT .� . ...�;. � g< �' +�u,�;� � t � ON FILE OR(�F PUBLIC RECORD IN THIS OFFICE `�' ��:.,��..,... � ,;�>��j�:��;P`� �,, ° � WITN�S MY HAND A D OFFICIAL SEALTNIS g� �'�1�;,�'�� .�� QAY OF � 2�_ A ��7�rv� �i �� PAULA�O'NEIL,CL EG&CO TROLLER � , �w�.';:.��6 �, ,;�> � ��;�� Y � �EPUTY CLERK . � ��