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Home My WebLink About19-21276 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 �21276 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21276 Address: 5842 12TH ST Permit Type: RE-ROOF IZEPHYRHILLS, 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: 11-26-21-0010-03800-0160 Improv. Cost: 4,970.00 OWNER INFORMATION Date Issued: 5/23/2019 Name: GOODWIN, TERRY Total Fees: 65.00 Address: 655 CR 975N Amount Paid: 65.00 SULLIVAN, IL 61951-6391 Date Paid: 5/23/2019 Phone: 813-782-5585 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 65.00 /v v� Ins ections Required DRY IN ROOF IN P TAPE JOINTS R OF INSfQ 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. /A CONT CTOR SJ6NATURE PERMIT OFFI R PERM EXPIRE MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813.780-0026 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department DateReceived Phone Contact for" Permitting - -F1 -rT-ir"i"'f'" Owner's Name I AX Owner Phone Number Owner's Address J D Owner Phone Number Fee Simple Titleholder Name; Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS " LOT# SUBDIVISION PARCEL ID#' (OBTAINED FROM PROPERTY TAX NOTICE) _ WORK PROPOSED e NBNOONSTRE ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR COMM 0 OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = DESCRIPTION OF WORK . ' BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R;E.C. '=PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING = SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER , COMPANY SIGNATURE REGISTERED I Y/ N_J FE CURREN Y IN �-- Address License#. ELECTRICIAN COMPANY SIGNATURE. REGISTERED, I Y/ N. FEE CURREN Y/N Address License# �^ PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# 1 >Eli.1.1 /.i1111l1E.1.1 >lal111. 11.1. 14.1.11, 1411 .1.111l1111111 /.it11.1.111.11111. 1YJ1 / 1.91 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,Storrriwater 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$2600,a Notice of Commencement is required. -(A/C upgrades over$7600) '* 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 it 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" re�stfttions" which may.be more,restrictive thaR'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 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 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 RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 7.03) OWNER OR AGENT _ CONTRACTOR Subscribed and sworn to(or affirmed)befo a this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who'ls/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#2019087861 ORBK9911 PG148 P-g-i-fi 05/23/2019 02:39 PM Ropt:2057416 Rec:10.00 DS:0.00 IT:0.00 Paula S.O'Neir Ph.D.,Pasco County Crerk&COMytrofrer POMR NO. Parcel IDNo It 21160al 69111111 631M nills NOTICE OF COMMENCEMENT rift of Har i county of - M UNDERSIGNED hw&y 9WO notice that limprWament wilt be made to mteln real property,and in scoofdonce with Chapter 713,Florida Statutes, the follooft Information Is provided In this Notice of Comnmocomert 1 D"m4*n of Property,.Parcel Idsmfflosljn No._U at. street Addraw. G9 :jk" ZAPkIJeh;11-1* 51 111, * General Description of * Owner Information or Lasm hibmstion If the Lease contracted for the Improvement A&an Address city State interest InProperty: low sk.,.5 <z F- LU Ix Uj U- Name of Fee Simple Titleholder: 0 — !Y U- C/) W (f different from Owner VOW above) 0 C) co F- Address Stft 0 < 0 0 4. Contractor. AA&ALA 4-6instrux-4:i On (D U- Uj W 1,24,0174'a 0 Cr LU Z U) U 6 W Address C[ty r 0 X --j Contradofe Telephone Na: --?Ia-155 LL'�- 0 <f 0 A3 W U- cr 0 ZXOOM cd 5. Surety. M P >- 0 EEL Name 0 (L W 0 Y 0 W, Ix Address efty State 0.-M C-)4L) 11.1 Amount of Bond: Telephone No.: < =3 < e, tender. 0 M 0�Name U- 7x I-- Er EL LU =:)<z 0 0 J WOO 0 ? Address Chy UL 0 0 0 Lender's Telephone No. U- O0 0 z (1) 7. Persons whin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by LU U) < LLI-i W < Section 713,13(1)(4)(7),Florida SWhftV. C0 W -j =) D Ili- X 0C Z j < Name 0 im Addressy Staff Telephone Number of Designated Person* S. In softlon to hImself,the owner designates of— to moshre a oopy of the Usnor's Notice as provided In Section Florida Statutes. Telephone Number of Pawn or Emily Designated by Owner 9. Expiration date of Notice of Commencement(the expiration date may not be before the OMOdDn Of construction and final payment to tha L16 oombactur,but will be one year from the date of MoMhV unless 0 dftmnt data 15 vpwftxd: 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 N6iU OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT VM YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCB&F U nder penalty of ry.I declare that I have read the foregoing n ofoommenceme d th the factsshiedYsretrustoftbW or MY knowledge p.0214 STATE OF FL CINTHIA IM JEWELL COUNTY OF "my COMMISSION#monfige z of ips"aftor LWris"our Lassma MOVICITINO EXPIRES August 29,2020 rt; Oltiaer a=r Signatorfe Taworrice The"olng Indrumont was admow!114W before me this=dy.1/A&jf—,20 Llby-V"C!4 CMOEIAIL11% es (type "of authwfty.%.g.,officer,u-stse,ado;ay in fact)for (new orranhr an beham -n executed). f A Personally Known C3 QB Produced Identillcution Notary18411-bil 2 2 Type otiftalcaumproducad. Name Print)Z!MA—ML EL K City Zeph}rhills Ci of 53358`h St -.. ,. Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: ("I I, \ in� e Mir k,,x rC- n licensed under Chapter 468, Florida Statutes as a(n): Contractor n,y Engineer_Architect_Building Inspector_ License On or about did personally inspect the: i Check: Roof Deck Nailing Dry in _Flashing and Drip edge_ i rp Check which was used: 30P felt,X Peel and Stick_Other(List)� - S - At the following address: l Z Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Sectio 553.844, Florida Statutes). Signature: STATE OF F A 1-7 COUNTY OF PASCO Swor nd subscribed befor this day BY 4 Notary Public State orida CINTHI :August M JEWELL MY COMMISION#GG025698 co EXPIRES 29,2020