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Home My WebLink About19-21041 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21041 BUILDING PERMIT PERMIT INFORMATION ., LOCATION INFORMATION Permit Number: 21041 Address: 6796 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: 02-26-21-0210-00000-1280 Improv. Cost: OWNER INFORMATION Date Issued: 4/01/2019 Name: SMITH, BEVERLY& KARSKI JUDITH Total Fees: Address: 6796 BASSWOOD CIR Amount Paid: ZEPHYRHILLS, FL 33542-6611 Date Paid: Phone: Work Desc: REROOF SHINGLE (2 OF 5) CONTRACTORS APPLICATION FEES BODAN ROOFING INC REROOF RESIDENTIAL 0.00 Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS R OF IN P FINAL 0 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. CONTRACTOK9IGNArURE PERMIT OFFICgR 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 �` Owner Phone Number Owner's Address[4 0""/ S Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / JOB ADDRESS l ld/ SS LOT# SUBDIVISION PARCEL ID#If? 2 l v =oo 1 V (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR H ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION Q ,� w BLOCK � � 0 FRAME = STEEL e K Q DESCRIPTION OF WORK -C L � S BUILDING SIZE SQ FOOTAGE IO HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS 10 ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY (e) SIGNATURE G REGISTERED Y/ N FEE CURRE� A /N p Address License# FM cs ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY `SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L11 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,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 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"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 JURAT`(F.S. 17:03) OWNER OR AGEN CONTRACTOR ^� Subscribed and sworn to(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 produce 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 / I NSTR#2019050668OR BK 9879 PG 1635 page 1 of 1 03/27/2019 11:15 AM Ropt:2046314 Roo: 10.00 DS;0.00 IT:0.00 Paula S. O'Weit, Ph.D., Pasco County CCerk&ComptrotTer l'tVJl1 ..Z%jr %w%P1vs1vaa'.11%.AVAV&AUA•A Perm if Number Tax Folio No. 0 0006 The undersigned hereby gives notice that improvements will be made to certain real property,and in teconlance with Section 713.13 of the 1%rids Statutes,the following intbrmatko is proifided In the NOTICE OF COMMENCEMENT: R i. DeT of street addres wired --- _ 2. Getlerrtl description of improvtatten A twTrd 3s.. Owner NtiMe: Owner Addm a: 3b. Ownei s interest in site: — 3c. Fee Simple lisle holder(of other than owner) Address: - 4. Contractor Name: Addreu; � Phone: �11�'=L--i—i 3. Suretyope N 3 35A J nt of bond: , Address: Phone: A — b. 1 ad er Name: Contact: Adder; 7M Phone, 7. Pexson within the State of Florida designated by owner upon whom notices or other doebments may be served is provided by Section 713.I3(ixa)7,Florida Statutes. Nsme• Ada Phone Number. S. in addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1Xb),Florida Statutes- Name: Address' Phone Number. — 9. Expira ate tion d of Notice of Commencement(expiration date is one(])you from 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 723,PART 1,SECTION 713.13.FLORIDA STATUTl3R,AND CAN HtB41JLT IN YOUR PAYING TWICE FOR NPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TIIE FIRST INSPECTION. IF YOU 1N?END TO OBTAIN F>NANCING,CONSULT WITH YOUR NDER OR AN ATTORNrEY BEFORE COMMENCING WORK OR kEC;ORDING YOUR NOTICI OF COMMENCEMENT- S . ignature of Owner er's Authorized Of fiVVMireetor/Partner/MaeeSer SrATg ON FLORIDA COI?M OF HILLSBOROUGH ds In 22 .�des of ' ,1"�'' LL0 gil"SMA-- butrument was aalmowledge before me this y MW H E NOte Pub 1 - rida as for - 1 � Cominiaslon#FF 948459 's,�f OR Produced Identification Pcsoasity '$,q��„ My Comm.Expires Jan 8,2020 �� —� �,..._ ,� .�• 17 Type of ldaatifreatIon Produced �s�L• -�6 Signature-NoUry Public ' ~ . STATE OF FLORIDA, COUNTY OFRASCO THIS ISTO CERTIFY THAT THE FOREGOING|SA TRUEAN�C�RRE�TCOPYOFTHEDOCUK8ENT ON FILE OR OF PUBLIC '�c RD \ THIS OFFICE City of Zephyrhiils 5835 tau'St Zephyrhilis FL 33542 (813)780.0020 ROOFING INSPECTION AFFIDAVIT Permit No.: licensed under Chapter 468,Florida Statutes as a(n): Contractor Engineer A__rcchhi�terct,_._,Building Inspector License No. c�v a Lt On or about-5j.10 / did personally inspe the: Check: Roof Deck Nailing. ,/ D in � Flashing n r' d Dry s g�Drip edge ✓ Check which was used: 30#felt_ _Peel and Stick_Other(List)_1enCII ?Ct,(.I � I g'? At the .l , ?& . . < address•s: '�� 3 ' Amu 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: ' LYMN s otary Poblla-State of Florida STATE OF FLORID = 8 COfllm193100#FF 948469 My Comm.Expires Jan 8,2020 COUNTY OF PASCO , Sw to and subscribed b fore this day BY• 6 41A Notary Public State of flori 90/90 39V8 ONIJ008 NCQOS 09L6ZZSET8 Z0311 610Z/9Z/90