HomeMy WebLinkAbout19-21256 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 56
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21256 Address: 5221 8TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16700-0110
Improv. Cost: 11,248.00 OWNER INFORMATION
Date Issued: 5/16/2019 Name: C & R HOLDINGS OF ZEPHYRHILLS
Total Fees: 100.00 Address: 5221 8TH ST/38501 4TH AVE
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/16/2019 Phone: (813)545-0485
Work Desc: REROOF SHINGLE
CONTRACTOR(SI APPLICATION FEES.
PAUL D SCHAPER ROOFING INC REROOF RESIDENTIAL 100.00
Ins ections Required
DRY IN ROOF I P
TAPE JOINTS ROOF INS J
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.
C CTOR SIG iaF� PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
+� 813-78D-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Pennittin �
Owners Name C C 1 Owner Phone Number s-�p fs o. - 3 o bS
Owners Address 5 Z�Z %4 L. k z Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address p
JOB ADDRESS I O g 1 LOT#
SUBDIVISION PARCEL ID# ��^Q(.^ R -IL�
1'��t�� ot
(OBTAINED FROM PROPERTY TAX NorncE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ I I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY `
SIGNATURE C� REGISTERED FEE CURRE NN
Address 6 49 GQ u 0 IU -7-A T - License# I Wc—
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 GURREn I Y I N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREn LILN
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fork;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 Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Sill 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 (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
�.y
4F 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 I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
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'SIOWNER'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.
1 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,1 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 (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 BE FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
i
FLORIDA JURAT(F.S.11�)
OWNER OR AGENT 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 hasihave produced Who islare personally known to me or hasfhave 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#2019083409 OR BK 9907 PG 1171 Page 1 of 1
05/16/2019 02:00 PM Rcpt:2055302 Rec:10.00 DS:0.00 IT:0.00
PauCa S. O'Weil, Ph.D., Pasco County Clerk&ComptroCCer
NOTICE OF COMMENCEMENT
State of FLORIDA County of Pasco
Property Identification No: 11-26-21-0010-16700-0110
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
PB 1 PG 54-LOTS 11 & 12
BLOCK 167(0)
OR 5698 PG 1567
Street Address: 5221 8TH STREET ZEPHYRHILLS, FL 33542
2. General Description of Improvement:Shingles re-roof
3.Owner Information or Lessee information if the Lessee contracted for the improvement
a)Name and address: C&R HOLDINGS OF ZEPHYRHILLS LLC
5221 8TH ST
ZEPHYRHILLS FL 33542-5028
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 BIvd.,Zephyrhills,FL 33541—Ph:(813)782-0920,Fax:(813)715-4875
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)715-4875
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 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO 10
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager
Zf
Print Name
The foregoing instrument was acknowledged before me this_9 day of M .201 91 by
Dpnpr% LeB4n-21 as rr,ta,rb:ur (type ofauthori ,e.g.officer,trustee,
attorney in fact)for (name of party on be f of om' ent
was executed).
Personally Known OR Produced Identification Sign
Type of Identification Produced
CONotary Public State of FlWida
JIC
My HC► MWI 00 218378
elm oana2n22
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMEN
ON FILE OR OF PUBLIC RECORD IN THIS OFFIC r.,,Goo, a �
WI S Y HHAND ANT, FFICIAL SEAL THHI G
DAY OF 2��
P U S.!'NEIU, LE OMPTROLLER
BY ����` DEPUTY CLERK
C '
Y '
City of Zephyrhills
# y 5335 81h St
Zephyrhills Fl.-33542
(813)780=0020
'L-
ROOFING INSPECTION AFFIDAVIT
Permit No.: o7l�jl�,
11 i 1-MIna C,QS licensed under Chapter 468,Florida Statutes as-a(n):
Contraefiorngineer Architect Building Inspector
License No.Cam'-C--M%kSq
On or about lnl��j lq did personally inspect the:
Check: Roof Decic Nailing_ Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick—Other(List)
At the following
address:, 5221 R�r\ EA-
FL- 33542
Based upon that ex Ination,I have determined the installation was done according to the Hurricane
Mitigation Retro �t nual(Based on Section 553.844,Florida Statutes).
Signature:
STATE OF FLORID�
COUNTY OF PASCO 11
Sworn to and b cribed aOtZhisBy
BY:
Notary Public State of Florida
Notary Pubkic State of Florida
Alicia Herweh-Cannon
"'on 2G 218378onm22Mill ?G
a