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19-21413
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 413 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21413 Address: 37422 TEABERRY LP 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0150 Improv. Cost: 8,437.00 OWNER INFORMATION Date Issued: 6/21/2019 Name: BTBD LLC Total Fees: 85.00 Address: 1545 S BELCHER RD Amount Paid: 85.00 CLEARWATER, FL 33764 Date Paid: 6/21/2019 Phone: Work Desc: REROOF SHINGLLE CONTRACTORS APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 85.00 Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROr INNT I FINAL l 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. CONTRACTOR SIGNATURE PERMIT OFFI R 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 Phone Contact for Permitting L�'�3 ...............Owner's Name..........TT77M......I.......13T L I 1 0:1 Owner Phone Number TTT71=6 ,D-. . I I Owner's AddressFG 6 ,��X ( C>2 D, Owner Phone Number Owner Phone Number JOB ADDRESS 3 7Y-Z L *9 LOT# SUBDIVISION PARCEL ID# 0 2-(, Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRJEJ ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL DESCRIPTION OF WORK F BUILDING SIZE SO FOOTAGE HEIGHT I I IJ411 .Nh7BUILDING 1' 7+3 r7 0'�' l VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED �N FEE CURREI, Address F_ License# OTHER COMPANY t i!)4 '(/J ji SIGNATURE REGISTERED Y/ N FEE CURREhF Y/N Address License# I 0-C C H!HHH III,IHHHH RESIDENTIAL Attach(2)Plot Plans',(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(1 0)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. ziiNsiiai .......... 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:,: ,,,,'(co.oy-,of,contraci required) 'k6 ". .Fences(PlottSurvey/Footage)Reroofs if shingles Sewers Upgrades: Driveways-Not over,!C9qqter,ifon public!roidWags..n6e,ds.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 is12,500.00 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: 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-Y_OURLENDER OR AN_N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) - — — — — — --- OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by Who is/are personally known to me or has/have produced Who is/are pe �onallykn to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission Name of Notary typed,printed or stamped Name of Notary d, ri ��f GG2764S7 `•'. ;Faq;``• Expires December 12,2022 ' f3ondad TMu Troy Fain 1nsu�80�7019 INSTR#2019105194 OR sK 9926 PG 2353 Page 1 of 1 06/21/2019 08:52 AM Rcpt:2065640 Rec: 10.00 DS:0.00 IT:0.00 Paula S. O'Wed,, Ph.D., Pasco County CCerk&ComptroCCer Permit No. Parcel ID No J© -6a0z:D -0/so NOTICE OF COMMENCEMENT(/n State of_ County of \ THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes, the following Information Is provided In this Notice of Commencement 1. Description of Property..,Parcel js Identification No. 110- Z • Z(• Q t Z47 f3 G'r7Cs z, Q SO ress StreelAdd : 1 Z eAA s 2. General Description of Improvement 3. Owner Information or Lessee information If the Lessee contracted for the improvement: fP b NAme O ze Address Q .�-^� city state Interest in Property: 1N v� ` Name of Fee Supple Titleholder. (If different from Owner listed above) Address , City State 4. Contractor. Name Address �13— r�1-•��3-3 7 Ott' state c Contractors Telephone No.: 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 8. Lender. Name Address City State Lender's Telephone No.: 7. Persona within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7).Florfde Statutes: Name Address City state Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. S. Expiration date of Notice of Commencement(the woration 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 data 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 OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I N FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMME CING WO RECORDING NOTICE OF COMMENCEMENT. Under pealty of parJury,I declare that I have mad the toregol g n f commencement and t-UR stated therein are We to the best of my knowledge and belief. STATE OF FLORIDA w` • couNTY of PAsco r rer, SHERRYWDNER . ,.•••., ignature or Owner or Lessee,or Owners or Lessee's Authorized * CommlbeIM0 0162f cer/Dlrecter/Panner/Menager Exphe Dumber 8,2021 g orn eotllM Rev 1If 0NeYryMIYbMSigngtorysritle/ORicCe, �'// The foregoing inatnunent was acknowlodged before me IhisjL of —20I`by k as .t1/��/l. (type city,e.g.,officer.w a, may in feet)far Q[ name rty o half of whom I m executed). Personally KrtowrrL!1,Og Produced Identification❑ Notary Signature WL Type of Identification Produced Name(Print) wpdata/bcs/notkocommencomentpc053048 1 STATE OF FLORIDA,cOUNTY OF PASW 3 IS To CERTIFY THAT THE FOREGOING IS A THIS CT COPY OF THE DOCUMENT RUE AND CORRE N FILE OR OF PUBLIC RECORD IN THIS OFFICE OFFICIAL SEAL THIS AN ITNES MY HAND 2 In god'We DAY OF COMPTROLLER ULA S-. 'NEIL,CLERK& DEPUTY CLERK 1887 BY © City of Zephyrhills 5335 811 St . Zephyrhills FL 33542 (M)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: / licensed under Chapter 468, Florida Statutes as a(n): Contractor Engineer_Architect_Building Inspector License No. . On or about. . 2- 9 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 address: 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: STATE OF FLORIDA COUNTY OF PASCO Sworn to.and subscribed before this day BY: Notary Public State of Florida Invoice• .f ADDRESS .� • ADDRESS vp CITY,STATE,ZIP CITY,STATE,ZIP CUSTOMEMRDER NO. SOLD-BY "WE's j M.10 1 IQN • off' ... !� WMIAM :� � ►� I / _ f. �i� .���L fir' ^" J�' _ \RIM ll� _MA