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Home My WebLink About19-21040 CITY OF ZEPHYRHILLS 5335-8TH STREET •� (813)780-0020 21040 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21040 Address: 6798 BASSWOOD CIR 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: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-0210-00000-1270 Improv. Cost: 26,995.00 OWNER INFORMATION Date Issued: 4/01/2019 Name: DIXON, CARL JR & BETTY Total Fees: 175.00 Address: 6798 BASSWOOD CIR Amount Paid: 175.00 ZEPHYRHILLS, FL 33542-6611 Date Paid: 4/01/2019 Phone: Work Desc: REROOF SHINGLE (1 OF 5) CONTRACTORS APPLICATION FEES BODAN ROOFING INC REROOF RESIDENTIAL 175.00 Ins ections Required DRY IN ROOF IN P TAPE JOINTS RPOF 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. CONTRACTOR 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 Received Phone Contact for Permitting — Owner's Name t� n. Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name L Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� (i LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR B ADD/ALT 0 SIGN 0 = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK -emoW 14ce BUILDING SIZE SQ FOOTAGE �L/ '(/ HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE _ PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER n�n/^ COMPANY Y) 'SIGNATURE Y/ N FEE CURREN I Y/N Address License#, ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN % Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LY/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I 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,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.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater 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 wit&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,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 bne (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 YOUR NOTICE OF COMMENCEMENT. FLORIDA J U R A T(F�S_. 7.03) OWNER OR AGENT ^ �� _ E CONTRACTOR ~ Subscribed and swo (or affirmed)before me this Subscribed and sworn to(or affirmed)before me this . by by 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. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped INSTR#2019050670 OR BK 9879 PG 1637 Page 1 of 1 03/27/2019 11:15 AM Rept:2040314 Rec:10.00 DS:0.00 IT:0.00 Paula S. O'NeiC Ph.D., Pasco County Cterk&ComptrotlCer - ' 1N V i l s tir,Vir a PetmifNumber Tax Folio No('—AL n� � 0 0 OHO k a-10 I The andersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 7I3.13 of the Fteiida Statotn.the following information Is provided In the NOTICE OF COMMENCEMENT: w � ' I. jkgw •pti of property fsstreA address wired): 2, Gears description of improvAmentV. 0 Lou r kV 3a,. Owner Mine; 'ea,vrk Owner Ad&-mew I 3b. Owner's interest in site:ot4-+a� _ J 3a Fee Simple Titleholder(of other than owner) Address: 4, Contracto Name. Addross: Phone: S. Surety Natae: g mot of bond: Address: _T_ Phone: 6. Leader Name: Contact: _ Address: Phone: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Station 713.13(lxa)7,Plorida Statuta. 1 r�.c Name: Address. rL9'�&-,(I -�I�V1:2 effi Phone Number. 8. In addition to himselt Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Statutes. Name- Address: Phone Number. _ 9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is specified). WARNING TO OWNER. AFTER . ANY PAYMENTS MADE BY THE OWNER THE EXPIRATION OF JIM NOTICE OF COMMENCEMENT ARE CONSIDERED VOROPER PAYMENTS UNDER CHAPTER 713.PART 1,SECTION 713.13.FLORIDA STATV=A"CAN IRZSULT IN YOUR PAYING TWICE FOR IMPROVV4ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCJ3MENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TILE FIRST INSPECTION. IF YOU INTEND TD OBTAIN FINANCING,CONSULT WITH YOUR L ER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICId OF COMMENCEMENT. Signature of Owner or Owner's Authorized O cer/Dit oor/Partnw/Manager SrATE OF FWRIDA COUNTY OF HRUMOROUGH ibe mli' was solmowle dge before me this Q day of ,.•4� p`e.,, l /ifrl J X�n as for DANIELLA z ary uDllc-State of.Florlda p h,Krmvrrt R uoed identification Cominisslon#FF 948459 '�,?; ��.•,�,, My Comm-Expires Jan 8,2o2o Type of] dentificadon Produced I . Signatum- otaty Pu is - 't� • ��°�® 'TAT .OF FLORIDA,COUNTY OF PASCO ��. ® a' IS IS TO CERTIFY THAT THE FOREGOING IS A E DOCUMENT UE AND CORRUBLICO y OF RECORDtIN THIS OFFICE ;} in�aQtive�nut p FILE OR OF A D FFICIA SEA2LT�H ° I DAY OF &C PTROLLER {s jL87 Rp<ULA EPUTY CLERK t4pq OF �e®Qe BY i�� D M' City of Zephyrhiils 5335 81h St Zephyrhiils FL 33$42 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: 1, alai licensed under Chapter 468,Florida Statutes as a(n): Contractor En inn�eer Architect Building Inspector License No. oo(o& On or about did personally insp the: Check: Roof Deck Mailing„ Dry in Flashing and Drip edge r/ . � p Check which was used: 30#felt Peel and Stick Other(Lists ? At the foM- Lirk-O'S address: +�" pier (7 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). f Signature MCGtYNN • 1 Notary Public-State of Florida STATE OF FLORIDA I .� r Commissimi FF 940459 •-,p oil My Comm.Expires Jan 8,2020 COUNTY OF PASCO 5 o n to and subscribed before this day Notary Public State of Flo JUf JMJ JJYU .JIY1JVVU 1•V S1V4 UJLI,VJ1r l.r LV l.r C!•V 4 V L+JVf�Y/7KJ