HomeMy WebLinkAbout18-19792 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19 2
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19792 Address: 5201 22ND 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: 12-26-21-0010-02000-0130
Improv. Cost: 16,802.00 OWNER INFORMATION
Date Issued: • 6/13/2018 Name: MCCOY DAVID C JR
Total Fees: 125.00 Address: 5201 22ND ST
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/13/2018 Phone: (813)382-3755
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
ALAN'S ROOFING INC REROOF RESIDENTIAL 125.00
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP �^
FINAL
REINSPECTION FEES: (c)W[th 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 Whist Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
i N CCUPANCY BEFORE C.O.
ONT C, R SIG ATU PERMIT OFF[ R
PERMIT E PIR S 6 MONTHS WITHOUT APPROVED INSPECTION
CAL R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City Of Zephyrhilis Permit Application i•ax-tlla-fqu-uuzJ
Building Department
Date Received 1' Phone Contact for Permitting, !—
Owner's Name Vmc(Rk
1 . Owner phone Number1:7
Owner's Address SO C. Qp k �L Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS a �1 LOT#
�
SUBDIVISION ' I PARCEL ID# G t 310010 00300 ' V I"
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR a ADD/ALT Q SIGN Q MOVE DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q OTHER �y
DESCRIPTION OF WORK �tS Ms P I{� S� ,(�0 d-
BUILDING SIZE F SQ FOOTAGE I 0 I HEIGHT
Q BUILDING $ 'VALUATION OF TOTAL CONSTRUCTION / (�Va _ aU
�] ELECTRICAL (�$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C,
0 PLUMBING ($
[� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
[D GAS ROOFING. Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS "FLOOD ZONE AREA =YES =NO
BUILDER l '` / �- - COMPANY
SIGNATURE 1l ;
1 c, 'y REGISTERED YIN N FEE CURRENT��' f(Y J(N�
Address ! M g L License I t;L 04�9 k�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURRENT Y J N
Addres9) License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRENT
Address License#
OTHER COMPANY
SIGNATURE REGISTERED F Y/ N, I PEE CURRENT Lyj N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans',(1)set of Energy Forms;R-O-W Permit for new construction, '
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto»nwater Plaits w/Sill Fence Installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/iarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)sal of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto»nwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work"Pi3mrilt for-all new projects.-Atl'commerc-sal requirements must meet compliance
SIGN PERMIT Attach(2)seta of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
DIrectiD»s:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING {Front of Application Only)
llernofc sewer4_`:Service.Uporades_ A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public readways..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 CONTRACTOR RESPONSIBILITIES: 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 low. 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 contractors) sign
portions of the "contractor Block" of this applidation for which they will be responsible. If you, as the owner sign as the
contractor, that may be an Indication that he Is riot properly licensed and Is not entitled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 bounty Ordinance number 69-07 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"of 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 ordina n*oes.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of Work Is$2,500.00 or more, I
certify that 1, 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 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'W 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 Wilding 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'cartify that use of such fill Will riot 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 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT ND TO OBTAIN NANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORERECORDING YOUR NO ICE ADS COMOCEMENT.
FLORIDA JURAT(F3.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this subscribed andkwvAo 'be o a
.&-L44_8_10y /� I
Who islare personally known to me or hasthave produced Who ally=k g produced
'y to me or hWiv4_P'r6d e
VVRW__fR_ INS', _44'y as Identification.
as identification.
Notary Public Notary Public
7
Commission No. CWlon N
Name of Notary typed,printed or stamped Name of Notary Anted or stampA#FF 150422
:;XNS December 12,2018
S"d'dT- royF*insurance
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2018099697
Key No. Permit No. Rcpt:1965357 Rec: 10-00
DS: 0.00 IT: 0.00
NOTICE OF COMMENCEMENT 06/13/2018 K. D. K. , Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be
Made to certain, and in accordance with Chapter 713, Florida State
Statues,the following information is provided in this Notice of
Commencement: 3 3 CLi;L
1. Description of Property: Parcel No.: J Z--?-(o-7-1 -oo6j#0 -.0 c 7-0 0 - 0 060
(Legal description of the property and street address if available)
2. General Descripti of Improvement:
. !44e-40()-P
3. Owner information: Name: Q&Vi'g4 Akc-�vjk
Address: S'2-01 22 '10* City-.2-g;a AXe A'Ws State -zip 3.Tr z
Interest in Property: Fee Simple
Name and Address of Fee Simple Titleholder(if other than owner)
4. Contractor: Name: Alan's Roofing, Inc
Address: 14498 Ponce De Leon Blvd City Brooksville State FL Zip 34601
Phone No. 352-686-3330 Fax No. 352-754-8902
5. Surety: Name Amount of Bond: $
Address: City State_Zip
Phone No. Fax No.
6. Lender: Name:
Address: City State—Zip
Phone No. Fax No.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)(7) Florida Statutes.
Name:
Address: city State Zip
Phone No. Fax No.
8. In ziddition to himself or herself, Owner designates N/A Of
To receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is 1 year of recording unless a different
date is specified.)
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,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE 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 OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
8�ORNCING R O RK RECORDING YOUR NOTICE OF COMMENCEMENT.
0'
Signature of
!,.,o "
. .Authorized r Signatory's Title/Office
Signature Required by same below by'X"mark***
State of (V V, County of
The forgoing instrument was acknowledged before me this_7 day ofJVAA 20113 by L&.-J O-L coy
(Printed name of person acRnowledging)
as 0&JVLA--- for 01,10,
(Type of a only e.g.,office,trustee,attorney in fact) (Name of party on behalf of who instrument was executed)
Signature ofNo int r Type or Stamp Name of Notary
Personally known—OR Produced Identification I/
Type of Identification Produced: P%2.0&_i(p*3
X*Ttfftkion pursuant to Section.92.525".Florida Statutes:under Penalties of perjury,I declara That I have read the foregoing and that the facts
tatecl in to the.1best of my knowledge and belief.
X 41 RYBRO"
CORYBROVWMN
_�e
SS
!JON 28831
Signature of Natural P64on Signing Above WOMMISSIONMI128831
COMMISSION
uly &21
EXPIRES.July 27,2021 Notary
wam
80nded=RubIicW*rwrbm
PhULA S.O'NE1L,Ph-D..PASCO CLERK & COMPTROLLER
06/13/2018 10:20am 1 of I
OR BK 9740 PG 19657
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
f"Goctive mist WIT S MY HAND AN OFFICIAL SEAL THIS
c; DAY OF
PAULA S. O'NEIL, CLERK&COMPTROLLER
1887 IN
BY �G((X1`^ DEPUTY CLERK
FT
City of Zephyrhills:
Building Department -__
Phone: (813)-780-0020
i
Fax: (813)-780-0021
0000
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TO: Alan Roof FROM: Jackie
FAX#: 352-754-8902 FAX#: 813-780-0021
DATE: 11-20-14 #OF PAGES including cover sheet 1
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City of Zephyrhills
5335 8th St
Zephyrhills FL 33542
(813)780-0020
(� (� ROOFING INSPECTION AFFIDAVIT
Permit No.:
rel licensed under Chapter 468, Florida Statutes as a(n):
Contractor�Engineer Architect_Building Inspector
Cr
License No.
On or about �c-ye- •Z did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other(List) G
At the following
address: 5'—D O( 2 2 Y4 c-e 5
Z rD!/I r�tG/�•%�S %ri �2 5`Y 2—
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
q �f. ti CHARLES J.HIGDON
COUNTY OF PASCO ., W COMMISSION#GG 125479
EXPIRES:July 17,2021
Bolded UW Notary Public Uodetw bM
Sworn to and subscribed before this day
BY: ,
Notary Public S ate of Florida