HomeMy WebLinkAbout19-21207 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21207
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21207 Address: 38404 14TH AVE
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: 11-26-21-0010-02300-0011
Improv. Cost: 5,450.00 OWNER INFORMATION,
Date Issued: 5/13/2019 Name: COSTON, JOEL &ALMA
Total Fees: 70.00 Address: 16995 SPRING VALLEY RD
Amount Paid: 70.00 DADE CITY, FL 33525-6251
Date Paid: 5/13/2019 Phone: 352-521-0404
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
PAUL yD SCHAPER ROOFING INC REROOF RESIDENTIAL 70.00
V r
A
Ins ections,Required
DRY IN ROOF IN P
TAPE JOINTS 0 F S�
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
C TO SIGNATURE PERMIT OFFICOR
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 �L+ Phone Contact for Permittin C
Owners Name CW e Owner Phone Number c�
Owner's Address 16 p l S S f 1 n v GjkVA Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I/Q. Zl�. S LOT#
SUBDIVISION PARCEL ID# UOl `u Ov
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONsTR a ADDIALT = SIGN = DEMOLISH
LL INSTA REPAIR
PROPOSED USE d SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING 1
$ Sa" VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ J AMP SERVICE Q PROGRESSENERGY Q W.FLE.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS EE�ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED LLaLN J FEECURREn I LQLN_J
Address 1 GkVC) 2 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREt,
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEECURREn Y!N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 I 1 1 1 1 1 1 1 1 f 1 1 1
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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)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,Stornwater 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. (AIC 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 (Front of Application Only)
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 fora 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: 1 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/WastewaterTreatment.
- 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 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 R CORDIN NOTIC OF C MENT.
FLORIDA JURAT IF
OWNER OR GENT CONTRACTOR
-b d nd swo o d before me this pa sob aid sworn to,�or � efore m is
by r r r (7 "� fit bi �'�Ki@lt tY C'K�
o I re pe nally kno to me or haslha a produced Wh Isla p!rF y kno n to me or hasfhave produced
_ tU..�as as as identification.
LA-- qatary Public otary Public
,.WAIT RIN M ROBINSON com issara, BINBON
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=�+ fNotaHr,>;jpMgO"0,*" Name ,printednc elune 02,2019.
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INSTR#2019080258 OR BK 9904 PG 1934 Page 1 of 1
05/13/2019 09:21 AM Rcpt:2053792 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'X66 Ph.D., Pasco County Clerk&Cmnptroffer
NOTICE OF COMMENCEMENT
State of FLORIDA County of Pasco
Property Identification No: 11-26-21-0010-02300-0011
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1.Legal Description: CITY OF ZEPHYRHILLS FORMERLY
TOWN OF ZEPHYRHILLS PB 1 PG 54
THE EAST 1/2 OF LOTS 1 &2
BLOCK 23
Street Address: 38404 14TH AVENUE ZEPHYRHILLS, FL 33542
2. General Description of Improvement:Shingle re-roof
3.Owner Information or Lessee information if the Lessee contracted for the improvement
a)Name and address: COSTON JOEL D II &ALMA C
16995 SPRING VALLEY RD
DADE CITY FL 33523-6251
b)Name and address of fee simple titleholder(if other than owner):N/A
c)Interest in property:Owner
4.Contractor: Paul Schaper,8949 Gall Blvd.,Zephyrhills,FL 33541—Ph.(813)782-0920,Fax:(813)7154875
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender: Name/Address: N/A
7. Identity of person 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 Statures:
a) Name and address: N/A
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:
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541—Ph:(813)782-0920—Fax:(813)7154875
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 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
Si a e of er Owner's Authorized Officer/Director/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this 1 day of MW A 2 JCI,by
Hoek C egg as (type of authori ,e.g.officer, tee,
attorney in fact)for (name of party on behalf wh stru
was executed).
Personally Known OR Produced Identification otary Signa ure '
Type of Identification Produced
Pw Notaq PuNic state of hlodda
% aWa Hwweh-Q mcn
�► n osne one 2�esre
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ® A
NITNESS MY HAND AND OFFICIAL SEAL THIS
DAY OF 2171,9 0 1?syoctive?rust
` .
PAULA SRO' IL, CLERK CLERK&COMPTROLLEV
BY G DEPUTY CLERK 1837
City of Zephyrhills
f `• ► 5335 811 St
Zephyrhills FL 33542
r. t ri (818)780-0020
I
i
ROOFING INSPECTION AFFIDAVIT
Permit Into.: allol0-'j
1, �PhLj_`__ s licensed under Chapter 468,Florida Statutes as a(n):
ContractorDngineer Architect+Building Inspector
License No. .- 05-l'.A.JLA
On or about 3 2019 did personally inspect the:
Check Roof Deck Nailing Dry in Yam' Flashing and Drip edge
Check which was used: 30#felt Peel and Stictc—V—/Other(list)
At the following
address: d
Z s- TK i S EL �3Lk.2
Based upon that exa !nation,I have determined the installation was done according to the Hurricane
Mitigation Retr it nual(Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORID
COUNTY OF PASCO
Sworn to and s ribed b e this day Nvme. 20j q
BY:
Notary Public State of Florida
�,d'� Notary PuDfia State at Florida
Alicia Herweh=cannon
+a, , �g My Commission GG 27E879
ern Expitos 0VI Z022
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