HomeMy WebLinkAbout18-20203 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(813)780-0020 2'203
BUILDING PERMIT //
PERMIT INFORMATION LOCATION-INFORMATION 7-J.-
Permit Number: 20203 Address: 5925 9TH 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: 11-26-21-0010-00700-0110
Improv. Cost: 12,204.00 OWNER INFORMATION
Date Issued: 9/04/2018 Name: JOHNSON LAWRENCE
Total Fees: 105.00 Address: 5925 9TH ST
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542-3530
Date Paid: 9/04/2018 Phone: (813)440-1866
Work Desc: REROOF-SHINGLE
CONTRACTOR(S) APPLICATION FEES
STAY DRY ROOFING OF TAMPA BAY IN REROOF RESIDENTIAL 105.00
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Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF 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.
TOR SIGNATURE—,— PERMIT OFFlgkR
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 Fa"13-780-0021
Building Department
Date Rgceived 1 _
Phone Contact for Permitting
1 1 1 1 1
Owner's Name n t 1 Owner Phone Numbermlp'Qn� `-T
Owner's Address rSCV25 q Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address p y, G ,`
JOB ADDRESS 5��5 ��� LC. ,1 t,� l� T LOT#
SUBDIVISION PARCEL ID# %k-�—Z— 010—como
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
-INSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME `= STEEL =,
DESCRIPTION OF WORK �l•
BUILDING SIZE SO FOOTAGE HEIGHT
111LDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
\ ^
Address rW F�o{y t�1ie License# I CCC
1111111111111111111111111111111111111111111111111111111111111111111
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,Stormwater Plans w/Silt 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.R70-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.
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 Attorney(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—Homeowners
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.
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 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 OWNPL-,YOUR FAILURE TO RECORD A NOTICE OF CONIMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENR TO OBTAIN FIN"CING,CONSULT
CDWITH YOUR LENDER OR AWATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. N
FLORIDA JURAT(F.S.117.03) o
O N D N Q
p N on o OWN OR AGENT CONTRACTOR
scri ed�nd sworn to(or affumed ore me thisy itS d`d swo {or affirrrd)bef4[��ne this Z
3� ` a � q 15 by '�17f�t1C11S�Jc� (�r� �rC !
Y o a A Who is/are�ersonaliv nown tom r has/have produced Who is/ar r anal wn to a or hasthave produced in
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as identification. as identification.
{Y \r '�j� 0 1/' .1� oJc�N w z
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c Commission No. 1 1 Commission No. ON3
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Name of Notary typed,pnnted or stamped Name of Notary typed,printed or stamped _
2018149788
NOTICE OF COMMENCEMENT
Permit No,
•Property Identification No. li-26-21-ODI" US. ,30 IT: 0.000700-0110 09/04/2018 K. D. K. , Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
I. Description of property(legal description:) CITY OFZEPHYRHILLS PB I PG 54 LOTS 10,11&12 BLK?.OR 9080 PG2005 OR 9577 PG3764
a) Street Address: 59259THSTZEPHYRHLLSFL33542
2. General description of improvements R—f
3. Owner Information
a) Name and address: JOHNSON LAWRENCE J&NLIGIN PIREr 5925 QTH ST ZEPHYRHILLS FL 33542
b) Name and address'of fee simple titleholder(if other than owner)
c) Interest in property
4., ;Contractor Information -kii da- am-
--60-4 K%;�y Tampa.
b) Telephone No.: (813)232-9430 Fax No.(Opt.) (813)232-9431
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b)- Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one 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 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR.IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK ORRECORDING,YOU-NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
1Wt.re 0 re OF Owr or Ovifier's Authorized Officer/Director/Partner/Manager
Wmt Name
oil
The foregoing instrument was acknowledged before me this_gt day of a kwu,$+ 20 fS,by C-C)ILP-e-r-N
rn E j k-1 1 as (type of authority,e.g,officer,trustee,attorney in fact)fbi
NkAntisepin -+ Fl Ur (H-atne of party on behalf'of whom instrument was executed).
Personally Known OR Produced Identification V Notary Sigpature.
v
N a!ne(print) 3 Type of identification Produced
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
7
in it are true to the best of my knowledge and belief.
FORMSMOC.nW007
s patureofNatuW.Ferson Signing Above ���'1�!`✓y
COWUMOG2M PA LA 5.0-NEILIPh.D.PASCO CLERK COMPTROLLER,
09/04/2018 01-17 A of I
ZO2Z 'OR '8K 9791 PG 24010.
ftWftA=N0Wy
ICla� ®� S-1ATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
" • d ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
In god-we rrusr
WITNESS MY HAND AW OFF CIA_ L "EALTHIS
41�
A S. OPA DAYOF 2
. UL 'NEIL,CLE &COMP ROLL R
.
1887 BY
DEPUTY CLERK
����®F
l "We've Got You Covered" DENNIS FLORES
STAY DRY ROOFING DANIEL ORES
� Lic.#CCCCC057980
of a Tamp Bay, Inc. Phone 813-232-9430
Free Estimates Fax 813-232-9431
Residential and Commercial
All Types Of Roofing Work
4700 N. Florida Avenue Tampa, Florida 33603
City of Zephyrhills
5335 81h Street
Zephyrhills, FL 33542 8/30/2018
To whom it may concern,
I, Dennis Flores, license holder for Stay-Dry Roofing, authorize the following
People to apply/sign for permits under my license number CCC057980.
Please allow ONLY the person(s) listed below to sign. I understand that this letter
is valid until written notification supersedes this authorization.
Tianay Flores
Daniel Flores
Ulrike Wilson
V7
Contractor's Signature Contractor's Printed Name
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
This foregoing instrument was acknowledged before me this �� day of
20 V 67 , by yb#h. who is ersona
thoi�d
o or has produced as identifica io and
w (did or
take an oath.
NOTARY PUBLIC COMMISSION NUMBER
=IULRIKEE WILSONState of Florida p GG 236714ires Aug 11,2022ional Notary Assn.
ity"af Zephyrhills.-
- 533 . . . .
.. Zephyrhills FL 33542 , -
. . .
ROOFING
. .
_ -INSPECTION:AFFIDAVlT .
-.Permit No,:
licensed-under Chapter 468;Florida Statutes as a(n):
ntractorEngineer�.`Architect_'Building:lnspectar
License.No'. CC -0
On:or about :`"4- I� : did personally inspect the:
Check: Roof Deck Nailing Dry.'in : Flashing and Drip:edge V V" V .
Check:which was usetl -30#-f-elt Peel and Stick: Other.:(List}:
At the followin ;
-,
address::
,aa
Based upon:that examination;I have:determined the installation was done according.to.the Hurricane
Mitigation.Retrofit_Manual("Based-on:Section 553.844, Flo rida'Statutes)..
Signature:_
STATE.OF FLORMA
U- .. CO NTY OF:PASCO" .:
Sworn to and subscribed before.this-day"
. . BY: .. -
Notary Public:State:of Florida
,..��• ,, u.RIK�JIr�
=oc. PL'4�`•. Notary Public. StastateQof Florida
tommissibn#GGG 236714
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ary Assh.
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