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HomeMy WebLinkAbout19-21213 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21213 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21213 Address: 5610 12TH 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: 11-26-21-0010-10500-0130 Improv. Cost: 4,500.00 OWNER INFORMATION Date Issued: 5/14/2019 Name: MOREL JAMES I & JOYCE TRUST Total Fees: 65.00 Address: 5914 WILSON DR Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-7927 Date Paid: 5/14/2019 Phone: 813-714-3388 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES RAIN OR SHINE ROOFING LLC REROOF RESIDENTIAL 65.00 Ins ections.Re uired DRY IN ROOF IN P TAPE JOINTS ROOF IySP FINAL /1� !N 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 I m City of Zephyrhills 5335 8t'St r-- Zephyrhills FL 33542 (813)780-0020 e �}} r ROOFING INSPECTION AFFIDAVIT Permit No.:�i�Cv 9 9 3 I, C vle ' WC-1'l1 licensed under Chapter 468,Florida Statutes as a(n): Contractorz Engineer_Architect_Building Inspector_ License No. C CCC- On or about /A ao did personally inspect the: Check: Roof Deck Nailing_/ Dry in ✓ Flashing and Drip edge Check which was used: 30#felt_Peel and Stick Other(List) At the following I ` address: 5(v �� � a-�h 54re t -Ze�`'►\f r6l\1 ,S L2— 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: G C/ STATE OF FLORIDA x COUNTY OF PA5e& 'tV1f t � b rD vL Sworn to an subs ri ed be ore this day I U 4— ?O l BY: Notary Pu"St of Florida o{�rv�BG JOHNESSAGHOWARD :2nr, Notary Public.state of Florida Je s Commission GG 258829 dt My comm.Expires Dec 30,2079 Bonded through National Notary Assn. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department s Date Received Phone Contact for Permitting -- `2 '+ T Ce. • `TrK �- Owner Phone Number ?13-�'7 i'`F — 33 Owner's Name ler ow Owner's Address 15q 14 by" r Owner Phone Number Owner Phone Number JOB ADDRESS ID �(t S' 22 �v , S LOT# SUBDIVISION PARCEL ID# I —l-6-2 1 —t)IN.I) r I D 6 Ob— U ( c,3 Z) (OBTAINED FROM PROPERTY TAX NOTICE) - WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH R INSTALL B REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEELKu = DESCRIPTION OF WORK '9_ ( 15 rz d BUILDING SIZE SQ FOOTAGE ZD HEIGHT BUILDING $ onVALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS . ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER o' COMPANYalgai't) nq L,C SIGNATURE REGISTERED Y/ N FEE CURR Y/N Address p G, M � f7d LicensJ4 oL ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N _J FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# - MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I 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.. ":.: "(cwpy-of cbhtract requi�ed),,,�-•• !a Reroofs if shingles Sewers 7 Service Upgradess 'A% '',Fences;tPlot%Survey/Footage)' Driveways-Not over Counter ifon public roadWays'.:needs ROW`.' )TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" 4 ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any Acable deed restrictions. LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or itractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the itractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation ler state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 19. Furthermore,. if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign '.ions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco inty. %NSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and )7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of nitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to )iving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. ISTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is $2,600.00 or more, I fy that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's ection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone r than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to er it to the"owner"prior to commencement. ITRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work )e done in compliance with all applicable laws regulating construction, zoning and land development. Application is by made to obtain a permit to do work and installation as indicated. I certify that no work or installation has -nenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating truction, County and City codes,' zoning regulations, and land development regulations in the jurisdiction. I also 'y that I-understand that the regulations of other government agencies may apply to the intended work, and that it is .sponsibility 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,WaterMastewater 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. ?rstand that the following restrictions apply to 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 c*onnection 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. i the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in fidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, ing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or ide any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter ng a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by rmit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension e requested, in writing-, from the Building Official for a period not to exceed ninety (90) days and will demonstrate ble cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. IING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 6 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. A.JURAT-(F.S. 117.03) OR AGENT CONTRACTOR ad and sworn to(or affirmed)before me this Subscribed and savor (or affirmed e tfi. Y-I bv )before l G yl L re personally known to me or has/have produced Who, (are'person@lly kn to me or has/have produced ytrlw -as identification. 1 t<L t1T&Je_ as identification. Notary Public Wa Notary Public ;ion No. Comm! in No Notary typed,printed or stamped Name of Notary typ Le %r RM10614rit:IMES 4ft December 12,2o22 Permit No. Parcel ID No 1 �b`A r b V I O—10501 D—®a 3 FJ F NOTICE OF COMMENCEMENT State of F1I®4J County of Pa s I W a tin 0 t�jr THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, o (P A the following information is provided in this Notice of Commencement: j # 1. Description of Property: Parcel Identification No. o D ' b 5o 3 rP 0 HIV 0 i- / II Street Address:5 h r 14 S IV I- ; C. m Ln (0� 2u General Description of Improvement c� (� Z G ,p ©� shin '0s - v na. �� ,g N 32CD 3. Owner Information or Lessee information if the Lessee contracted for the improvement: 77-0 ,Tnnos Koval fw%s Moi eA s S?O• i M N N � .. in Address City Q� 1 �— State Interest in Property: l)\,&t n e r G Name of Fee Simple Titleholder. .� (If different from Owner listed above) w m Addressf +I j"+A, 1 1 City State f4 m . 4. Contractor. U 1 NI 11 J1f P_ L I � �08m�rlc�lti�{ S�rl- . Address City —I ` State Contractor's Telephone No.: _5 �As � 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender: Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be serve as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designate Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provide in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 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 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 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 lice of commencem�A[and a facts stated m are true to the best of my knowledge and belief. (2 STATE OF FLORIDA COUNTY OF PASCO Signat r of OWner or Lessee,or Owners or Lessee's Authorized Officer irector/Partner/Manager Signatory's Title/Office n.. The foregoing instrument was acknowledged before me this day of 207;by�^ ') as of-au h ,e.g.,offi er,truste ,aft may inpfaCt) r o arty aUh.11f i m xecul Personally Known❑OR Produced Identification[I Notary Signatu e Type of Identification Produced l�Qf lei 0 I}Sei '�Name(Print) O, y Heather F.Papp NOTARY PUBLIC S STATE OF FLORIDA Corn#GG265952 wpdata/bcs/noficecommencement_pc053048 �N }9�� Expires 1/22/2023