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19-21458
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21458 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21458 Address: 6149 19TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0190-00000-0320 Improv. Cost: 5,429.00 OWNER INFORMATION Date Issued: 7/09/2019 Name: ZURAWSKI SCOTT T & DIANNE JEAN Total Fees: 70.00 Address: 6149 19TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/09/2019 Phone: (269)268-3585 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES A.,BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 70.00 / l Ins ections Re fired DRY IN ROOF INSP 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. CONT TO SIGNATURE PERMIT OFFI R PER IT EXPIRES IN 6 NTHS WITHOUT APPROVED INSPECTION PECTION - 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 53,1 S — ` Owner's Name Owner Phone Number I,O i^ �(10 3�4 Owner's Address ( _ Z Owner Phone Number C� u� Owner,Phone Number. JOB ADDRESS &-I l t if 339� Z LOT# " SUBDIVISION PARCEL ID# C� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH R INSTALL REPAIR PROPOSED USE Q SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK Q :FRAME STEEL 0 DESCRIPTION OF WORK :,>I&I BUILDING SIZE SO FOOTAGE HEIGHT F =BUILDING $ � ` VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP.SERVICE DUKE ENERGY 0 W.R.E.C. =PLUMBING 1$ � =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GASH ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .OYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/. N FEE CURREN Y!N � Address 5 pq License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N J FEE CURRE1, LILN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address I License# F — MECHANICAL COMPANY SIGNATURE REGISTERED Y! N FEE CURREI, Address License# F_— i OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREt, V. Address F 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 Plansi 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("1%working days after-submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, Sanitary Facilities-&.I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance SIGN PERMIT Attach(2)sets:of Engineered-Plans. ""PROPERTY SURVEY required for ali 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) Rerocfs if shingles Sewers... <^ -Service"Upgrades-~A!C==`--•--Fences(Plot/Survey/Footage) Driveways-Not over Counter if on:publie niadwaysi neetl,146, 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 $2500.00 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 INTW TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN,ATTORNEY BEFORE RECORDING YOUR NQJ10E OF C MMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Ss�nb and sw -(or ) fore me thi by - _ - —by Who is/are personally known to me or has/have produced Wh s/are person I no n to a or hash a produced as identification. Y �� Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Not typed,printed or stamped mmClss(on ALDONADO C #G 346275 , 'ohs Expires June 18,2023 �;OF'F��Q`•' gorid9d Thru Troy Fein Insumm8003W7019 F /Le,KC-e— /l/A, BARTLETT ROOFING & CONSTRUCTION SERVICES, LLC 38408 3rd Ave. I Zephyrh,ills, FL 33542 (813) 782-5585 Email: Coreyh@abartlettroofing.com Lic. #CCC 1325499 RESIDENTIAL - COMMERCIAL - MOBILE HOMES LICENSED - INSURED - BONDED Date Narneli"'S Address Phone 3 > ge r-0 1 ,111-50A v 4- d, 'o ed-ip Z' HP 67A I I &1 411. P C-Irt b-S 0 k4 e 0�:r - T P D ox, �e ,I 4h -Te ell 1, r4lle Ir4l., THANK YOU Your d siness is Appreciated Your aymenruZ on 6?mpl�to 10 lesV A un previous arrangement made.Warranties pertain to original owner. All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance. 1 fully covered by Workmen's Compensation Insurance,Customer is liable for any charges incurred in collecting this .-1� billTotal at j:'Cs ffied Signature Date Permit No. ems— . Parcel ID No 2R-�(9 Q_I n 1,9 o ann6 a 1, NOTICE OF COMMENCEMENT State of (Zi�l d i�;t_ County of 'l Qe scp—n 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 Identification No. ^b�oZ ) L�,9b [y Street Address: �1 q9 1 `o , C_.�m rllR��I_ GJ J 335 Z- �(� 2. General Description of Improvement lVR t�� �r V� c 1..e fn6� l 0)7�A& 4-00' ' ©-1 3. Owner Information or Lessee information if the Lessee contracted for the improvement: IS Address �1 City State Interest in Property: Name of Fee Simple Titleholder: (If different from Owner listed above) Address 1 City State 4. Contractor. u k �rl C:, %%L n �o Ck l L be.0 Name ��S?4 tr5'4 rA� 1� ZP Address City I I State Contractor's Telephone No.: 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender: Name Address City State Lender's Telephone No.: 7. Persons 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), Florida 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 Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA �,4 ;:,, CIR1Tt�lA M JEV1dELL COUNTY OF PASC ;,p ` ,; MY COMMISSION#GG025698 ature of Owner o ess e,or Owner's or Lessees Authorized %!.fof •� EXPIRES August 29,2020 Officer/Diirec or/Part / nager Signatory's Title/Office The foregoing instrument was acknowledged before me this_day of ,20 by � (;U'N -e 7_LJ-rQL0ZkC. as (type of authority,e.g.,officer,trustee,attorney in fact)for (name party on pehalf of whom' strument was executed). Personally Known ❑OR Produced Identification Notary Signature 7 Type of'Identification Produced ��l l-� /"► T 4,�� � "'e— Name(Print) l_r INSTR# 2019115398 sK 9935 PG 3558 07/10/2019 08:24am Page i of 1 Rcpt: 2070615 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowle:s, Esq. imPasco Clerk & Comptroller,ad Inter CITY OF / / / / BUILDING ZEPHYRH.ILLSNOTICE DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT,f, THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. Ivev .-A--fr(,A (V L,W ®_L# LJ 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-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OR OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECT - i z City of Zephyrhills 5335 8: St Zephyrhills FL33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: l I licensed under Chapter 468, Florida Statutes as a(n): ContractorXEngineer_Architect—Building Inspector License No.CCZ-4 On or about did personally inspect the: Check: Roof Deck Nailing_ Dry in Flashing and Drip edge Check which was used: 304 felt_Peel and Stick_Other(List) �AT: J�tl f tt5-t e-r At the following address: I.t T S Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Section 553.84 Florida St tes). Signature: STATE OF FLORI COUNTY OF PASCO Swor to nd subscribed.befor his day BY: s - - - - - - -� Notary Public State o Flo da CINTHIA M JEWELL MY COMMISSION#GG025698 �?os;tid EXPIRES August 29,2020