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18-19757
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19757 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19757 Address: 5201 9TH ST HISTORIC Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-18300-0100 Improv. Cost: 9,000.00 OWNER INFORMATION Date Issued: 6/04/2018 Name: C Total Fees: 90.00 Address: 5201 9TH ST -HISTORIC Leve Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/04/2018 Phone: Work Desc: REROOF SHINGLE - DIMINSIONAL - COA-NEEDED CONTRACTORS APPLICATION FEES GAVIN ROOFING REROOF RESIDENTIAL 90.00 s� Ins ections Required DRY IN ROOF INSP TAPE JOINTSff RO �INS FINAL lU �- � 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 TOR SIGNATURE PERMIT OFFI R 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 Recelved f Phone Contact for Permitting Owner's Name Owner Phone Number Owner's Address 0 Owner Phone Number, Fee Simpli1itleholder Name Owner Phone Number Fee SimpleiTitleholder Address JOB ADDRESS F 5�z v ILOT# SUBDIVISION F PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR R ADD/ALT SlGN' DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR OTHER FRAME ommTYPE OF CONSTRUCTION BLOCK [�D STEEL DESCRIPTION OF WORK 0 BUILDING SIZE SQ FOOTAGE= HEIGHT -- .................. =4UILDING $ VALUATION OF TOTAL CONSTRUCTION 17— =9LECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =P,.LUMBING =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS ED' ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ....... .... BUILDER I COMPANY SIGNATURE REGISTERED Y/ N- FEE CURREN Address License# -ELECTRICIAN COMPANY -SIGNATURE' REGISTERED Y/ N FEE CURRrzr, Addr!Ss License# PLUMBEW COMPANY SIGNATURE REGISTERED -Y/ N" , FEE'CURREN LXLN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED, YJ Nr FEE,cuRREN Address License# OTHER,, - .COMPANY A,1. -SIGNATURE, REGISTERED FEE.CURREI, Address /ao 4 PK 1.3 e, License#, Attach.(2)Plot,Pjans;.(2)setsof B6 it new-constructioh ilding P.Ians;'(1)_set ofEriergy.Forms;R Perml Mlhimum`t6fi-'(-10)working days after s6binitta[date. Required onsite,Construction,Plansi Stormwater'PI6ns,.w/'SIIt Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivislorts/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a LifeSafety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimurntien(10)working n days after submittal date._;. equired onsite,Construction Plai1s,�Stprmwater Plans w/.-SlIt Fence installed, ,. Sanitary Facilities&I 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. 1 : ---------- 18 rre�ti'bns!i ;Fill'out application completely. OWn&&'Contractorsign,back of.application,notarized if over$2600,a Notice of Commencement is required. (AIC upgrades over$7500) Age'nt.(fbr the contractor)-or Power of Aftorney'(for the owner)would be someone with notarized letter from owner authorizing same OVER:THE'COUNTER PERMITTING (copy of contract required) Rehdofs.ff shingles Sewers Service Upgrades AtC , Fences,(PlottSurvey/Footage) DrIVeways-Not over Counter if on 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 Wth any.,.. applicable-deed restrictions: UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has .hired a contractor or contractors to'crndertake work, they maybe requite fo be licensed in accordance with state and'IocaF;regulatioris''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'Buiiding Inspection Division=Licensing Section at'727-847- 8009. Furthermore, if the owner has`hire'd�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,:ini Pasco_ County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands- that Transportation Impact Fees and"Recour. e'.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-iime 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 r 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 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-AFOIDAVIT ;,l�certify�that allthe information in this application-is accurate and that all=work will be done in compliance with all applicable,laws, construction, zoning and land development. Application is hereby made to obtain a permit to do!wo'rk and installation as indicated. l 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. 11 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 applyto 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 applicaticK 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 i yvalid 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 NOT_iCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO.YOUR PROPERTY. IF YOU iNTEND'TO OBTAIN FINANCING, CO' " WITH YOUR LENDER OR'AN ATTORNEY BEFORE RECORDING YOUR NOTICE.OF COMMENCEMENT. FLORIDA JURAT{F.S.117.03} OWNER OR AGENT CONTRACTOR Subscribed'and swam to{or affirmed}before me this jj Syabs rib d d sworn to{or affirmed}befcr me this by ._�'i9t/�X1 &0n�7 /tlC �/� fen 7 § by ('a,9Y1AL ffQ/T�/AIC, fl1GK CrgV11,J Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. A t ... t✓TGY tary PublicL Notary Public Commission No. us Commission No.. 0 6(t—Q,y o,brae ectrxo &-bn F l c6 I CISI Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped IJ u 3. • +NavP��' DEBRA ELAINE RUFFELL :i?A ELAINE RUFFELL ,_,,t °� . .:ion#GG IDilW3 _. „Commission#GG 045343 wember 7,2020 .11 Expires November 7;2020 r a,},,:.;ai:;l^..Garance BOMBS 7019 :y ot�{�q,•• Bonded Thru Troy Fain Insurance 80D 31f5 7019 !llllll I!I!!till!Bill lull lull llllllllll hell fulllll!llll 2018092459 Rept.:1962047 Ree: 10.00 DS: 0.00 IT: 0.00 06/01/2018 E. M., Oply Clerk Permit No. Parcel ID No m010 -I13300-0/09 NOTICE OF COMMENCEMENT State of )r:-"410A County of P�sG THE UNDERSIGNED hereby gives notice that Improvement WM be made to certain mat property,and in accordance with Chapter 713,Florida Statutes, the following Information is provided in this Notice of Commencement / 1. Description of Property: Parcel Identification No. I>' A- 1�'6t��(1I ���pQ'Oleo Street Address: 2. General Description of improvement !CC✓ 1�t70.�!f/ !� On/l G. 3. Owner Information or Lessee Informatlon If the Lessee contracted for the Improvement: Address City State Interest In Property: Name of Fee Simple Titleholder. (If different from Owner listed above) Address , I city State 4. CContractor //'�!h✓1 A! Name ft7 40 XLU 1363 �ftllJ G'.�l/ "� Y Address '/ CIry State Contractor's Telephone No.: �� tit 7 -Sft c~'S 7 3��� (n E-c. Lij 5. Surety: Name c�— Z 0 0 QOSQ r;} tY Address City State ®. U p 1. - LLI Amount of Bond:$ Telephone No.: U. lY LIJ S Z (D CL CL 6. Lender. i O 1- 0 Q Name tL CC 0 Address City State = h O Lender's Telephone No.: tit I•-CL t Z.) Q.0� ' 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by T. 0 - d Section 713.13(1)(a)(7),Florida Statutes: D c+, 2 s ( f33 • Name Address City State Lr-- t-T Telephone Number of Designated Person: Lt_ C) C, 6. In addition to himself,the owner deal a of j I1 t) =L -j to receive a copy of the UenoTs Notice as provided In Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. a. Erpiratlon date of Notice of Commencement(the expiration date may net be before the completion of;VA o i^ on and final payment to the contractor,but will be one year from the date of recording unless a different date Is spedfied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF NOTICE OF COMMENCEMENT V �, ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.1 Y FLORIDA STATUTES,AND CAN G 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 w 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 fads stated therein are true to the best d ��� c0 t d of my knowledge and belief. co STATE OF FLORIDA y/ _J/t j' ' "" • A COUNTY OF PASCO Signature of Owner or Lessee,or Owner's o essee's Authorized f� CO OHicer/DirectoriPartnerfManager rd'b Signatory'sTdle/Office-Ia The foregoing Instnrmant was acknowledged before t�this day of 20 e2 by ltC�f Ll !/i�� �� `7 14.4/ a� as_ J' (type of authority,e.g.,officer,trustee,attorney in fact)for (name o on behalf of whomTpstrument xecuted). Personally Known❑OR Produced I��de,nn�tBlcad1onA Notary Signalu � Type of Identification Produced �L,(/�..__ Name(Print) PRULR S.0'NE1L,0 P1 h J) PRSCO CLERK& CONPTROLLE- -` 06O0 S2 19 13�m PG 662 �`�a�;��., f(OtMN SlIEOU! 3 �c ftottry%ft-hate of Fiofft - .+`:- Cam+a4Fglt!FF Q032Ji x°fM!tq r MY Comm.Expjrel Jid 23,2019 wpdatwbcsmoUcecammencement,,,pcn53046 y - • ��' "�"'°�' �� City of Zephyrhills Certificate of 5335 Eighth Street I Zephyrhills, FL 33542 813.780.0006 • www.ci.zephyrhills.fl.us Appropriateness ["...'STAFF USE"ONLY ' 'Application No: r a• s r r • • • • r s r • Contributing _, �' '° • • • e ;; • • a • - tNonVConiribb`ting P - • o • s •• .• o - • e•- • o e • e • • • -• l;Date:sUbmltted<:,:. i, • r- •- •• • o • -r ^r ACTION TAKEN,;'—,,, Name - �, Lauren Milligan 1PProved i . : .. Address 5201 9th Street ❑.Denied' . . :;- Date`s Initials 00 off! ;Email - - Name&Company if different 6r°# j k1 Kf7D�i►/G— Denied Address P i7 o X 131 3 D��C� C►. �`'... . Phone - - I4(,❑Condi ns`Attac d, ^i `.Date.) nitials- .f ;Email } Address Location Type of Property: ❑�sidential ❑ Commercial ❑ Public I Other Proposed restoration;) renovatio,n:�.repairs_ eelocation.l_.etc.,` ❑':Extenor:Walls' ❑`5ignage, '❑ New:main building'or addition i.: ❑,Exterior Doors- ❑U hting .'❑'New.accessory-building. ,' .` ❑'.Windows. ;❑',Porches ❑,New;deck.eam " "" "❑Awnings- Cano ies 2;!nc'n ❑:BUildin demolition,.relocationoofing '-. .. ❑:General repairs;describe below - . ❑:Otherscribe,below_ .:: ... !.`;` Re-shingle(roof leak).-replacement in kind(NO HPB Needed) 'Owner Signature: Applicant Signature:`--:��'� s City of Zephyrhills. . �© 35 8th St 3 Zephyrhills FL_33542 3)780 0020 • "• ' ' ROOFING INSPECTION'AFFIDAVIT. : .:. Permit No.:: J 7c.7 licensed under Chapter.468;.Florida Statutes as a(n):: Contractor Engineer' . Architect` Building Ins ector -LicenseNo.'On or about S. :� did personally inspect the:;; Roof:Deck Nailing t D ry in' Check which was used: ' 30#-felt_:Peel:arid Stick_Other(Gist) -:5, At the following Based upon that examination;,I have determined.the installation.was.done accordirig.to the Hurricane: :. : -Mitigation.Retrofit Manual (Based on_Section 553.844, Florida-Statutes). :. Signature: STATE OF.FLORIDA COUNTY 0F.PASCO. :. Sworn to.and subscribed."before this'day BY: otary Public State of Florida: :SY^ MEUSSA ik:,rUMMINGS =° � FF 23495;? .MY COMINlS:� ?";$ s �q;;+:r py'•' MEUS� i °e3 EXPIRES: tE..; 20;2019 A CUM N EX A. MI GS MY r1,t .�,:? u ;;'" ` Bonded Thru Natary>colic UndenxriU rs � �oP . .. .E IRE FF234956 °F XP F Bonded ihrt r;, 2019