HomeMy WebLinkAbout18-19817 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 81.7
BUILDING PERMIT
PERMIT INFORMATION` LOCATION;INFORMATION
Permit Number: 19817 Address: 663]FOXMOOR DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0640
Improv. Cost: 8,875.00 OWNER INFORMATION
Date Issued: 6/19/2018 Name: BURLISON THOMAS & CINDY
Total Fees: 85.00 Address: 6633 FOXMOOR DR
Amount Paid: 85.00 ZEPHYRHILLS FL 33542
Date Paid: 6/19/2018 Phone: 813-778-2484
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
AFFORDABLE ROOFING SYSTEMS INC REROOF RESIDENTIAL 85.00
D
Inspections uired
DRY IN ROOF INSP
TAPE JOINTS rOF INSP
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.
CONTRA SIGNATURE PERMIT OFF169R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Pe'm'tt'ng 1
Owner's Name
7lOwner Phone Number
Owner's Address 33 (,c/� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 2 2
JOB ADDRESS nn..,✓,--J�y�� /��^ q 2 J� Z LOT#
SUBDIVISION St/L Oaks Y/lus-1- PARCEL ID# 6✓'2-6 21"0)20-06000-6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL RF.RAIR RWC)
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION y0., BLOCK Q LFRAME = STEEL =
4''
DESCRIPTION OF WORK /11Dy� r �q t�gr��r� A2Ck� 1h ��r�►$r�CG/', -s
BUILDING SIZE SQ FOOTAGE= HEIGHT ZS(Y}ro�9-F-1- S ff041
BUILDING $ � Da VALUATION OF TOTAL CONSTRUCTION 1 r
=ELECTRICAL $ I AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER Z {
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA x
=YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN L11N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address F License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L1/N
Address EE cc 1Liccensse#
OTHER J W COMPANY Wr 0_J[.Q_ "`
SIGNATURE 1 + REGISTERED Y/ N FEE CURREI. Y/N/ �
Address �DIZ4 License# 1 L_6 �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111
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,Slormwater Plans w/Sill Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-*PROPERTY SURVEY required for all NEW construction.
4 4
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Atlomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 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 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.
TRANSPORTATION 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/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,WaterlWastewater 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 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 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 INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOMNOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Syb on d and s or to( r affrmed)b=th
by fez!s/ b
Who is/are personally known to me or has/have produced Whb Isla a personally known to me or has/have produced
as identification. as identification.
Notary Publicq07AAV+�) Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of No
JOY ANITO
Notary Public-State of Florida
.o
a►`�+
.; Commission GG 114185
MY Comm.Expires Aug 3,2021
FoF ti° Bonded through National Notary Assn.
2018102929
This Instrument Prepared By: Rcpt:1966789 :Rec: 10.00
Affordable Roofing Systems,Inc. DS: 0.00 . IT: 0.00
12573 US Highway 301 06/19/2018 M. F. , Dpty Clerk
Thonotosassa,FL 33592
NOTICE OF COMMENCEMENT
Permit Number Tax Folio Number d 3.C;Z(O-t;q—
Parcel ID Number
State of Florida PAULA S.O'NEI L,Ph.D.PRSCO CLERK a COMPTROLLER
County of �Qy6o 06/19/20
BK 19743m PG 700
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided i�n�this Notice of Commencement:
1.Description of property(legal description):6/J woah %V1 )-bT &7
a)Street(job)Address: &O'B M dblr • `2Z0h,TL. 3 42•
2.General description of improvement: Reroof
3.Owner information Lessee infoatio if thf Lessee contracted for the im pro�ment:
(a)Name and addressh/}yylGlS L• i s 3 1�'�-Ir �l�l- Ilti 6 ✓-(!�
(b)Interest in property:
(c)Name and address of fee simple titleholder(if other than owner):
4.Contractor Information:
(a)Name and Address:Affordable Roofing Systems,Inc 12573 N Hwy 301 Thonotosassa,FL 33592
(b)Phone number:(813)986-6683
5.Surety
(a)Name and address:
(b)Amount of bond
(c)Phone number:
6.Lender
(a)Name and address:
(b)Phone number:
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:
(a)Name and address:
(b)Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
(a)Name and address:
(b)Phone number:
9.Expiration date of notice of commencement(the expiration date is 1 year from the date 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 I,SECTION 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
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
th�ere )are true to a best of my knowledge and belief i
LA
(SigMtture of Owner or Lessee,or Owner's or Lessee's(Authorized Officer/Director/Partner/Manager) (Print Name and Provide Signatory's Tdiefomce)
The foregoing instrument was acknowledged before me this /6 m day of tilt+`( 2018
By I IfOTI A S A V R L 1 Al S cl AI as a kJ nIIER (type of authority,e.g.officer,trustee,attorney In fad)
For as
(Name of Person) (type of authority,...e.g.officer,trustee,attorney in fad)
For (name of party on behalf of whom instrument was executed).
Personally Known Produced ID Z
Type of ID
Notary Signature
Print name Z6ti 14 101CCit l
F,-41
N M.MCCRETTON
Notary Public-State of Florida
Commission#GG 051474
My Comm:Expires Mar 18,2021°�F� '•` Bonded through National Notary Assn.
c � STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THATTHE FOREGOING IS
& TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND ANp OFFICIAL SEAL THIS
-DAY OF 201
t.t ) PAULA&Q'NEIL, CLERK&COMPTROLLER
DEPUTY CLERK
4 City ofZephyrhills
.Fl 5335 8th St
:
Zephyrhills:FL 33542
(813 -0020'..
------------
ROOFINGiNSPECTIONAFFIDAMT
Permit No:; —_
. .
I, a rW licensed under Chapter 468, Florida Statutes as-a(n):.
Contractor.. Engineer_Architect: - .Building.lnspector_ -
License No.: .�.
9010
On or about
did personally inspect the;
-- — Y
Check: Roof Deck Nailing Dry.in Flashing and Drip.edge
Check which Was used: 30#felt - Peel and Stick=Other-(List) - -At the following
address:.
Based:upon that examination, l have determined the.instaliation was done:according.to the Hurricane
Mitigation Retrofit Manual (Based on'Section�553.844;Florida Statutes):
Signature:. .
STATE OF FLOR A
COUNTY OF PASCO
Sworn to a su scribed fare-th' d
BY:
Notary Pu is St o Florida ;
iipv a`Ba, 10Y A.VlTO
Notary Public-StateofFlorida
* ° Commission GG 1141$5
" 04 M Comm.Expires Aug 3,2021
s,y OFc Via'. BondedthroughNatcnalNotaryAssa.