HomeMy WebLinkAbout19-21463 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21463
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21463 Address: 39504 MEADOWOOD LP
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: CHALFONT VILLAS
Est. Value: Parcel Number: 13-26-21-0140-00000-1290
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 7/09/2019 Name: TOLEDO, JOSE
Total Fees: 60.00 Address: 39504 MEADOWOOD LP
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/09/2019 Phone: 813-377-9276
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 60.00
Ins ections Required
DRY IN ROOF I 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.
f
—9C0NTRAC G AT RE PERMIT OFFICXR
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
t
Date Received Phone Contact for Permitting —
Owner's Name Owner,Phone Number
Owner's Address Q t/ Owner.Phone Number �—
Owner-Phone Number.
JOB ADDRESS LOT#
SUBDIVISION �— PARCEL ID#-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT StGN. [�. [� DEMOLISH
e INSTALL L REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL 0
DESCRIPTION OF WORK I� /1O
BUILDING SIZE ^ ISO FOOTAGE HEIGHT
B ILDING .U V�S74_6
VALUATION OF TOTAL CONSTRUCTION
7FA�
Q LECTRICAL L_ — AMP.SERVICE = DUKE ENERGY 0 W.-R.E.C.
=PLUMBING $ �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q . SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA =YES NO
BUILDER COMPMY
SIGNATURE [-T&Ir, REGISTERED Y/ N FEE CURRER LY/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRER LXLN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRER
Address License# F
MECHANICAL COMPANY
SIGNATURE REGISTERED 'Y/ N FEE CURRER Y/N
Address License.#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRER
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 subdivisionsiiarge 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) ' ` =,.-.�, -= - _.. •.v
» .
Reroofs if shingles Sewers Service Upgrades.,A7C,.... . Fences(Plot/Survey/Footage) ,
Driveways-Not over Counterif ori''public roadways..needs ROW
. ...�•\ t r its .. a < .t .. .• ..i r ... �ik',•�S
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subjectto"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; .,1f the
contractor is not licensed as required by law, both the owner and contractor may be cited for 9 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- Licensiin6 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 I'MPACTIUTILITIES 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 Lava—Homeowner's
Protection.Guide",prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicalptis someone
other than the"owner", I certify that I have obtained a copy of the above.de'scribed 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 thatt-all work
will be done in compliance with 911 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, Navigabld 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 fora 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'COMMekCEMENT:
FLORIDA JURAT(F.S.117.03}
OWNER OR AGENT r\,a CON 7 A
Jb ' a and sworndd(o� need)`b-efore m'JfffE- Subscr bed m tn
0 1affI?i�ted)b- eefdrth
by —rT
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ol rep rsodlyk 8rhas)ha%Ae l5rddu V Lo' Who I re ly k fiVrf%or ftsfhVve;TmdbcW
'0BV2,!!7 4( , as Identification.
as identification.
Notary Public Notary Public
Commission No. Commission No.
Name f
Name of Notary typed,printed or stamped
Corrunlsslori#(11334 6276
-.V Expires June 18.2023 CARLOS MALDONADO
0 Dm-nt
C0MMiss10n#GAS 346275
...... Expires June 18,2023
BmdodTh,TroyFaln1ftsuMft0800,3&
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
d 14Y1 have read and fully understand and
agree to the provisions 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 I year, after
the construction is complete, the law will presume that you built
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 as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATURE uai,g" DATE
ADDRESS --/A A A bm M.,/7 41 Z42
7;Z 7
PHONE
WITNESS PERMIT #
INSTR#201 91 1 5074 OR BK 9935 PG 2298 Page 1 of 1
07/09/2019 12:26 PM Rcpt:2070423 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller,ad Interim
1 NOTICE OF COMMENCEMENT
Permit No._�t LO 1 7 �
Property Identification No._I 3 Z(o•' Z l r-)I"l(7-yc'o J L)—12 C1 J
THE UNDERSIGNED hereby give informs you that the Improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes.the following information is provided in this NOTICE OF COMMENCEMENT,
I.Description of property( d dwcrlpdon.9
a)Street Addm": !/y , L DO p e�h✓ f� //r / 2�i`r/J
2.0enend description of improvements: re. -r or,,F--T-�
3.0wner Information
a)Name and address: G-g s P Td lams 42 g S•e y '40'1 Cr r�!ache/ Lc •7'-•-2,-'ex'e, •/.{j
.b)Name and address of fee simple titleholder(if other than owner)
e)Interest in property_OLI+r-A•
4.Contractor laformation
a)Name andaddressZa-c TQle G /V4sN XlerrC6 r LP je-4
b)Telephone No.: _ /3 •.3 7 7- c l 7 V Fox No.(Opt.)
5.Surety information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax NO.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other dot umerrts may be served:
a)Name and address:
IS)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(l)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: 1 Fax No.(Opt.)
9.Expimlion date ofNotice of Commencement(the expiration date Is one year from the date of recording unless a ditfbtent 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
ccoi�ov�AS � KRISTA LEA JACOBS QA-A.
MYCOMMISSfONk'GG290196 SIVahmof or rAudpimdOlhwMirc=dPotwiMosga
OF„/EXPIRES:January 09,2023
PdntNmc 1 - f
The foregoing instrtmteat was aclmowle"before me this of'j 20 9 by
as 01 J.1 f authority,a g.officer,trustee,attorney
in fact)for (name of party on behalf ovG instrument was executed).
I
Personally Known,OR Produced Idenfiification Notary Sigaattue
Type of Identification Produced 1 ill)i/•' e(c/1 Name(print)
)Y tW- 1,Gz hfe-
Verification pursuant to Section 92,525,Florida Statutes.Under penalties of perjury,I deelam that I have read the foregoing and that
the Picts stated in it am true to the bast of my Imowledge and belief.
Srgadum orrie mil Pasm Siga ft Above
Foweas+oc�mt
�
STATE OF FLORIDA,COUNTY OF PASCO
THIS|ST0 CERTIFY THAT THE FOREGOING|SA
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OROF PUBLIC RECORD|N THIS OFFICE
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