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Home My WebLink About19-21281 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2128 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21281 Address: 5934 FOREST LN 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: FOREST VILLAS Est. Value: Parcel Number: 10-26-21-0110-00000-0050 Improv. Cost: 7,299.00 OWNER INFORMATION Date Issued: 5/22/2019 Name: BRADEN IRENE Total Fees: 80.00 Address: 5934 FOREST LN Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542-3259 Date Paid: 5/22/2019 Phone: (813)783-9063 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES PAUL D SCHAPER ROOFING INC REROOF RESIDENTIAL 80.00 V G � \ Ins ections Re u' DRY IN ROOF IN P TAPE JOINTS ROOF INSP 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. O TRA TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813a80.0020 City of Zephyrhills Permit Application Fax-813-780-oo21 Building Department Date Received n Phone Contact for Permitting p Owners Name 2 2t\ ` IN Owner Phone Number Owners Address 5 3 L Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address C JOB ADDRESS / 3 7'O fnAl LOT# SUBDIVISION PARCEL ID# Z 0110— 000d0— 00 (OBTAINED FROM PROPERTY TAX NOTIcr WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH . INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL _ DESCRIPTION OF WORK 1 It BUILDING SIZE I SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER �l FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY u er SIGNATURE REGISTERED Y N FEE CURREr. I LW 4tl� Addressy &Add {} License# IA ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREI% LZI N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRET Y/N Address I License# MECHANICAL COMPANY SIGNATURE F REGISTERED Y/ N FEE CURREK Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRFs 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 Plaits,Stornwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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,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. DirecUons: Fill out application completely. Owner&Contractor sign back of application,notarized [favor$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attomey(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 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. 1 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,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. 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.117. OWNER OR AGENT CONTRACTOR Subscribed and swo t r affirm of re me this Subscribed and sw o(or affirmed befpm me this Cj'20-Iq by �J-ZD-tq by � f+tMlllY Who Is/are personally known to rp or h av produced Who Is/are personally known to me or has/hav produced as id cation. as identification. �L A�a Nlotary Public Notary Public Commission No. Commission No. at.M Florida Na .tQ _typedrn (e of Florida Name of ot�y ry rin � slh-Cannon `"' � Alicia Herweh-Cannon M My Commission GG 218378 1� My Commission GG 218378 j� Expires 05/1612022 a ad" Expires 05/16/2022 INSTR#2019086920 OR BK 9910 PG 751 Page 1 of 1 05/22/2019 09:35 AM Rcpt:2056885 Rao: 10.00 DS:0.00 IT:0.00 ' Pavia S. O':Neil, Ph.D., Pasco County CCerk&ComptroCCer NOTICE OF COMMENCEMENT State of FLORIDA County of Pasco Property Identification No: 10-26-21-0110-00000-0050 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: FOREST VILLAS UNREC LOT 5 COM NE COR SEC TH N 89DG 38' 40"W 671.73 FT ALG N LN SEC TH S ODG 04' 30" E 25 FT TO NE COR OF BLK 2 OF FOREST HGTS SUB TH S ODG 04' 30" E ALG E LN BILK 2 194.59 FT FOR POB TH[...] StreetAddress:5934 FOREST LANE, 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: BRADEN IRENE D 5934 FOREST LN ZEPHYRHILLS, FL 33542-3259 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)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)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 Signature of Owner or Owner's Authorize Off 71111i —tor/Partner/Manager Print Name The foregoing instrument was acknowledged before me this day of t" Q:q ,20 t9,by 1 c,C�t,G {1 as (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on be 1 of wh ins ent was executed). j� •( Personally Known OR Produced Identification otary Signature Type of Identification Produced ►ti''4` Noary Public stage n FWkb on F. aide Herweft-Carron +� My Comnrssion GO 210376 q�n Expirn'05/VAM STAT5 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 WITNES MYHANDAN� OFFICIAL SEAL THIS o in god We T?vjt OF DAY 0 -(Aq-- PAULA S.O'NEIL,CLERK&COO 2 TROLL BY DEPUTY CLERK OF ar City of Zephyrhills $th 5335 St Zephyrhills FL 33542 (813)780-0020 ';, tom, •;Mo', r ' ROOFING INSPECTION AFFIDAVIT Permit No.: )1 e?$t I, q3"\ ` n� licensed under Chapter 468,Florida Statutes as a(n): Contractor DEngineer_,_ Architect_ _Building Inspector License'No._ 'Q;C.0 n,5%ZA On or about_ _ la l,S I iq did personally inspect the: Check: Roof Deck Nailing_, Dry in �0 Flashing and Drip edge (49 Check which was used: 30#felt_)(—Peel and Stick_Other(List) At the following address: L C+ I L. S Based upon that exa ination,i have determined the installation was done according to the Hurricane Mitigation Retro it nual(Based on Section 553.844, Florida Statutes). Signature: STATE OF FLORID` COUNTY OF PASCO Sworn to an bscribe fore day BY. Notary Public State of Florida +'�'+nnivrni Notary Public State of Florida Alicia Herweh•Cannon g My Commission GG 218378 a�df Expires 0511812022 I I