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Home My WebLink About19-21452 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21452 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21452 Address: 5301 17TH 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: 11-26-21-0010-17900-0040 Improv. Cost: 8,000.00 OWNER INFORMATION }. Date Issued: 7/05/2019 Name: FAITH HOPE & SECURITY INV LLC Total Fees: 80.00 Address: 11101 MEMORY LN Amount Paid: 80.00 DADE CITY, FL 33525 Date Paid: 7/05/2019 Phone: 352-206-3070 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES HOMEOWNER REROOF RESIDENTIAL 80.00 Ata� /Vo J�_IMJIC4 P v� J Ins ections Required DRY IN ROOF INSP TAPE JOINTS R00f41y6�� FINAL rr�� 11 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. ON OR 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 -- Owner's Name rT��C ✓� Owner Phone Number Owner's Address - ^30! 7 7"11 _/ Owner Phone Number e7- �r e S Z 32 + Owner Phone Number JOB ADDRESS 1 17 f�' 1'7_ LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR R ADD/ALT = SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK 'Re Rol-- Ki BUILDING SIZE SQ FOOTAGE �(� HEIGHT =BUILDING $ MO 4 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ (J 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 HH BUILDER COMPANY �. �` /C � SIGNATURE REGISTERED Y/ N EE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# i I OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I: 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 Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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_ (copy of contract required) Reroofs if shingles Sewers : Service 1pgrades,A/C,.r Fences(Plot/Survey/Footage) :. r... Driveways-Not over Counter if on publidiroc ftays.:need's'ROW NOTICE OF DEED The undersigned understands that this permit may be �m^deod"reah�Uono^ vvh�hmay bo more reothut�mthan County regulations. ThaunderaiQnedoosumes ~responsibility ' `- rcomo|ba �xv�n� hony aoobm�edeed ree�hdiono' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has himod'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 |avv 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 bocontact the Pasco County Building Inspection C>ivimion--Licenmng ��ectimnot727-047- GUOQ. Furthermore, if the owner has hired e contractor orcontractors, he is'advised to have the nontrmotm��\ sign portions of the "contractor Block" of this application for which they will be responsible. , If you, as the oxvnersign ` ' the contractor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION UNNPACT/UTVL0FUES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply ho the construction of new buildings, change of use in existing buildings, or expansion of existing bui|Uings, as specified in Pasco County Ordinance number 89-07 and 90-07. as amended. The undersigned also umdmrobanda, that such fosn, as may be due, will be identified at the time of permitting. |tio further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving e ^certifinoheof occupancy' or final power release. If the project doemnmtinvo|veocertificobmofoocupanoyor final power re|eaoe, the fees must be paid prior to permit issuance. Furthermore, if.Pasco CmuntyVVahar/Smvmer /mpoxd fees are due,they must ba paid prior bopermit issuance/n accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, F8orida Statutes, assmmemded): |f valuation of work io$2.5OO.00ormore, | certify that L the app|ioont, have been provided with a copy of the "Florida Construction Lien L�v*—�|onnemvvner'a Protection Guide" prepared by the FloridaDepartment of and Consumer/��i` Ifapplicant ' |�a t i -' no. aap� n is someone other than the^oxvner^, / certify that I have obtained a copy ofthe above described document and promise in good faith bm deliver itto the"owner priorhocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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 [nodm to obtain o permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all vvod« will be performed to meet standards of all |ovva regulating mmnmtruotion. County and City codes, zoning regulations, and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayhmode, Wetland Areas and Environmentally Sensitive Landm.VVoharMooh*mmba Treatment. - Southwest Florida Water Management District-Wells, Cypress Bmyhoade' Wetland Areee, Altering Watercourses. - Army Corps mfEng/neerm-8eavmaUm. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - h Federal Aviation Amthob+Runmayo. | understand that the following restrictions apply to the use uffill: - Use mf fill io not allowed in Flood Zone Wr unless expressly permitted. - If the fill material is to be used in Flood Zone ^A", it is understood that o dnyimogo plan addressing m ^oornpanoeUn0 volume" will be submitted at time of permitting which is prepared by professional engineer licensed bv the State mfFlorida. - If the fill material is to be used in Flood Zone ^A^ in connaution with o permitted building using stem wallconabuoU �U U on, |�� thot� miUbeumodon)ytoOU the an*awithin the stem wall. - If fill material is to be used in any arep, i certify that use of such hU 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 bv fill, on engineered drainage plan iorequired. |f| amnthe AGENT FU�OR ��WNEV�. | pnnmn�ein good faith toinfornn the owner mf the pennh1ingcmndUUonaset fo�hin this affidavit prior �or to ommencing construction. | understand that a separate permit may be required for a|enthoa| work, p|umnbing, aigns, wells, poo|a, air conditioning, gao, 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 ia suspended or abandoned for a period of six(6) months after the time the work iacommenced. An extension ' maybe requested, in mr0ng, from the Building Official for o period not to exceed ninoty (9D) days and will dmnnmnmtnabe ' justifiable cause for the extension. |f work ceases for ninety(9O)consecutive days, the job ioconsidered 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 - - OWNER OR AGENT CONTRACTO Subscribed and sworn to(or affirmed)before me this Subscribed and sworfPdToragmTa-)before me this Who is/are personally known to me or has/have produced Who ist; esonally kno to me or has/have produced as identification. VLUV-�k asidentification. Notary Public n Notary Public Commission No. Commission No. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1, have read and fully understand and agree te pr<Svisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by - - - said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5: That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may-not be built or substantially improved for sale or lease. if you sell or lease a building' you have built or substantially improved yourself within 1 year after, the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to. a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, All an prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE DATE ADDRESS 17301 PHONE 2067 .50 WITNESS PERMIT # r City of Zephyrhills 5335 81h St Zephyrhills FL 33542 (813) 780-0020 _. > ROOFING INSPtC`nON AFFIDAVIT Permit ifo.:21452 i, BRADLEY B. MILLER licensed under Chapter469,Florida Statutes asa(n): Contra:<orN Engineer Architect Building Inspector license N4_ CCC1328205 On or about, U� LY 15 2, 119 did personally inspect the: Check: Roof Deck Mailing ✓ Dry in IZ Flashing and Drip edge_, y Check which was used: 30#felt Peel and Stick, _Other(List) SYffiLT_jEIIC At the following address: 5301 17th St 7EPHY.SHILLB, FL 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 FI.O COU"I OF PASCO Sworn to d s tary subscribed before-his day �U LY 15, 2019 rnM NoanPublic Siata of Florida BY• , Da W.L*rns MY commission GG 25W1 orw Ey inmiihaam Notary Public State of Flori a 'f INSTR#2019118762 OR BK 9938 PG 3862 Page 1 of 1 3 07/16/2019 10:17 AM Rcpt:2072413 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller,ad Interim 'vb NOTICE OF COMMENCEMENT Pemdt No. Property Identification No. THE UNDERSIGNED hereby give hdorms you that the improvement will be mode to certain real property,and in accordance with Section 713.13 of the Florida Statadm,the following information Is provided in this NOTICE OF COMMENCEMENT. I.Description of property(legal dercrodm.j /J -? OQ/O p a)Street Address: ( S 2.0aneaal description of improvements: eyap 3.Owtter Information a)Name and address: Z�ka rv,v Sh!91e& /a7/S Ge yS,',r f L,/et Aa!/ y 33575 b)Name and address of fee simpIttifleholder Cif other than owner) c)Interest in property 4.Conttactor InSormation a)Name and address: e f% b)Telephone No.: (_. e >G Fear No.(Apt_) S.Surety Information a)Name and address: b)Amount of Bond: ti.Lender c)Telephone No: Fax No.(Opt.) a)Name and address: Phone No. 7.Identity ofpersom within the State of Florida designated by owner mpon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.Im addition to himself,owner designates the following person to receive a copy of the Lienoes Notice as provided In Section 713.13(Ixb),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9-Expiration date ofNotice of Commencement(the expiration dfo Is one year from the date ofr000rling 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 IIMPROPER PAYH'EM 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 FWRMA COUM OF PASCO S o car ra Audmimd Offi=Mk=*W?=t% Mtaeaaer PrintNam The foregoing instrument was acknowledged before me this ! day of 20 ,by "/St kf(� (typo of authority officer,trustoe,attorney (� in fact)for (name of party on beha m . Personalty Known_OR Produced Identification Notary Sign ` Type of Identification Produced r—(_ Q L 4 Now(prmt) "" pAMPLA a.G.19S ING MY COMMISSION#GO 075903 Verification pursuant to Section 92.525,Florida Statutes.Under penalties of � 21 the fella stated in it are true to the best of my knowledge and belleE r- Si Above FenMMOCpsOM STA OF ORIDA, COUNTY OF PASCO 1S TO'CERTIFY THAT THE FOREGOING IS A UE AND CORRECT COPY OF THE DOCUMENT '? a FILE OR OF PUBLIC RECORD IN THIS OFFICE N;S MY BAND AN OFFICIAL SEAL THIS Zn caod'1Se?'rus; ' ® -- - DAY OF 2 Cjq K CLE & OMPTROLL R DEPUTY CLERK CITY OF " NOTICE " / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT# 7-/ i THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE- SECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR