HomeMy WebLinkAbout19-20625 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20625
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20625 Address: 37804 ALISSA DR
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: ORANGE BLOSSOM RANCH
Est.Value: Parcel Number: 15-26-21-0170-01200-00130
Improv. Cost: 14,900.00 OWNER INFORMATION
Date Issued: 1/08/2019 Name: OWENS MITCHELL & RATLIFF JUDY
Total Fees: 115.00 Address: 37804 ALISSA DR BLDG 12 UNIT B
Amount Paid: 115.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/08/2019 Phone:
Work Desc: REROOF SHINGLE 1 OF 4
CONTRACTORS . APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 115.00
1
V
1
Ins ections Required" ,:-,"
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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 C R SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
15-26-21-0170-01200-OOBO I Pasco County Property Appraiser rage I or L
Due to a software conversion, changes in ownership and sales may be delayed.
Data Current as Of: Weekly Archive - Saturday, December 29, 2018
Parcel ID 15-26-21-0170-01200-OOBO (Card: 001 of 001)
Classification 04 - Condominium
Mailing Address Property Value
OWENS MITCHELL& Ag Land $0
RATLIFF JUDY Land $4,734
37804 ALISSA DR Building $49,891
ZEPHYRHILLS FL 33542-5630 Extra Features $0
Physical Address
37804 ALISSA DRIVE
ZEPHYRHILLS, FL 33542 Just Value $54,625
Assessed (Save Our Homes) $48,350
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
ORANGE BLOSSOM RANCH Non-School Additional Homestead Exemption - $0
A CONDOMINIUM OR 1200 PG 654
BLDG 12 UNIT B Taxable Value $23,350
&COMMON ELEMENTS
Jurisdiction Warning: A significant taxable value increase may occur
City of Zephyrhills when sold.
Click here for details and info. regarding the posting of
exemptions.
Land Detail (Card: 001 of 001)
Line_ ]U_se _ [Description Zoning ;Units --'Type — "Price _-"Condition Value
1 0400 CONDO 0OR4 I 1.00 j UT 1$4,734.00 j 1.00 $4,734
Additional Land Information
FEMA Acres I 0.00 jITax Areaj 30ZHI ' 40BR
Code
I
Building Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1988 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
/C Central Baths 1.0
Line - - ------. -Description_ __..__ _ ISq. Feet -.—--- - iRepl. Cost New
- ---- -----1 - - —-------- - — -- ._BAS
2 FEP 108 $0
3 FST 0 5 36 — ^
i � $
Extra Features (Card: 001 of 001)
LineDescription Year (Units ,Value
1 FEP 1988 108 $1,725
2 i FST 1988 I - - -36 �_ _ $411
3 CONDO 1988 1 - l $47,327_
4 CARPORT i 1988 1 $428
Sales History - See All 7 sales
Previous Owner: ANDERSON GENE
Month/Year Book/Page - Type - 10OR Code _-!Condition !Amount
06/2016 9386 / 2539 Warranty Deed 01 _ Improved $60,000
06/2015 9198 / 2073 __ Certificate of Title i 11 j Improved $20,000
http://search.pascopa.com/parcel.aspx?parcel=21261501700120000BO 1/3/2019
CITY OF ZEPHYRHILLS
A\ 5335-8TH STREET
(813)780-0020
20626
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20626 Address: 37802 ALISSA DR
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-0170-01200-OOAO
Improv. Cost: OWNER INFORMATION
Date Issued: 1/08/2019 Name: VIGER RICHARD & DIANE
Total Fees: Address: 2 CHICORY CT
Amount Paid: CONCORD, NH. 03303-3411
Date Paid: Phone: (603)591-4681
Work Desc: REROOF SHINGLE 2 OF 4
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC
� Y� cr',
Ins ections Required,
DRY IN ROOF IN P
TAPE JOINTS ROOF INSP
FINAL
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.
Yt.
ON RACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
15-26-21-0170-01200-OOAO I Pasco County Property Appraiser Page 1 of 1
Due to a software conversion, changes in ownership and sales may be delayed.
Data Current as Of: Weekly Archive - Saturday, December 29, 2018
Parcel ID 15-26-21-0170-01200-OOAO (Card: 001 of 001)
Classification 04 - Condominium
Mailing Address Property Value
VIGER RICHARD & DIANE Ag Land $0
37802 ALISSA DR Land $4,734
ZEPHYRHILLS FL 33542-5630 Building $49,891
Physical Address Extra Features $0
37802 ALISSA DRIVE
ZEPHYRHILLS, FL 33542 Just Value $54,625
Legal Description (First 4 Lines) Assessed (Non-School Amendment 1) $54,625
ORANGE BLOSSOM RANCH Homestead Exemption applied for 2019
A CONDOMINIUM OR 1200 PG 654
BLDG 12 UNIT A
&COMMON ELEMENTS Taxable Value $54,625
Jurisdiction
City of Zephyrhills
Land Detail (Card: 001 of 001)
Line -lUse ^- IDescriptionZoning TUnits_ Type _ Price_ ;Condition Value _
1 0400 CONDO j" OOR4 1.00 ! UT —
fi$4,734.00] 1.00 $4,734
Additional Land Information
-�----------j FEMA 1---
Acres f 0.00 Tax Area! 30ZH j X Residential Code 40BR
Code � ,
Buildina Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1988 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
/C Central _ Baths----
Line Description _---~— TSq. Feet �Repl. Cost New - --_
1 BAS 864 $0 -
2 FST 36 - $0 -
3 j FEP i 108 $0
Extra Features (Card: 001 of 001)
Line ;Description ;Year ;Units Value
---- ---1 - ---- _-_-_ FST-- - -- -- -- 1988--- - -;--------36-------I — $411 ----
2 ! FEP 1988 108 ( $1,725
3 1 CONDO l - _-_1988-- - ! ..._... -- 1---- --f $47,327----
4 CARPORT j 1988 j 1 $428
Sales History - See All 6 sales
Previous Owner: KIRK DAVID KEVIN &
Month/Year Book/Page - _Type _ �DOR CodeConditionlAmount
11/2012 18783 / 1231 Warranty Deed j 01 Improved $45,000
10/2010 18455 / 1997 _ O_rder determining Homestead Real Estatel 11 _ Improved! $0_
05/2005 16410 / 1325 Trustee's Deed Improved 1$63,000
http://search.pascopa.com/parcel.aspx?sec=15&twn=26&mg=21&sbb=0170&blk=012OO&1... 1/3/2019
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20627
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20627 Address: 37772 ALISSA DRIVE
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-0170-01200-OOCO
Improv. Cost: OWNER INFORMATION
Date Issued: 1/08/2019 Name: OWENS MITCHELL DOOUGLAS &RATLI F
Total Fees: Address: 37772 ALISSA DR
Amount Paid: ZEPHYRHILLS FL 33542
Date Paid: Phone:
Work Desc: REROOF SHINGLE 3 OF 4
CONTRACTORS APPLICATION FEES
.` 1 0�
DRY IN RO FIP Ins ections Required
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.
CON Wgbk SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
15-26-21-0170-01200-OOCO I Pasco County Property Appraiser Page 1 of 1
Due to a software conversion, changes in ownership and sales may be delayed.
Data Current as Of: Weekly Archive - Saturday, December 29, 2018
Parcel ID 15-26-21-0170-01200-OOCO (Card: 001 of 001)
Classification 04 - Condominium
Mailing Address Property Value
OWENS MITCHELL DOUGLAS & Ag Land $0
RATLIFF JUDY Land $4,734
37804 ALISSA DR Building $49,399
ZEPHYRHILLS FL 33542-5630 Extra Features $0
Physical Address
37772 ALISSA DRIVE
ZEPHYRHILLS, FL 33542 Just Value $54,133
Assessed (Non-School Amendment 1) $54,133
Legal Description (First 4 Lines)
ORANGE BLOSSOM RANCH Taxable Value $54,133
A CONDOMINIUM OR 1200 PG 654
BLDG 12 UNIT C
&COMMON ELEMENTS
Jurisdiction
City of Zephyrhills
_ Land Detail (Card: 001 of 001)
Line _ Use 7DescriptionZoning _ Units—Type Price_ ,Condition Value
1 0400 CONDO j 0OR4 I 1.00 ; UT ;$4,734.00 1 1.00 1 $4,734
Additional Land Information
Acres 0.00 jTax Area( 30ZH j FEMA -- 1 Residential Code 40BR
Code
Building Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1988 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
/C Central Baths 1.0
Line -- (Description —__jSq. Feet _ - IRepl. Cost New
1 _-- -- BAS ' 864 $0- - -- ---
2 j UEP I 108 i $0
36
Extra Features (Card: 001 of 001)
Line 1Description — jYear ---(Units fValue
1 UEP - -i ---1988 - ---I -----_108--- - -------$1,233—
i_._.-._...__ FST 1988 36
3 j CONDO 1988 I 1 $47,327
4 ; CARPORT 1988 1
_ 1 $428
Sales History - See All 6 sales
Previous Owner: CUMMINGS RODNEY A &
Month/Year ;Book/Page DOR Code 'Condition Amount
06/2018 9752 / 1147 i Warranty Deed l 01 j Improved ; $62,000
06/2018 - - j 9746 / 1166 -Indenture-- - (- _11 - �- Improved $0
06/2018 j 9738 / 2586 j Probate (Civil) 11 I Improved I $0
http://search.pascopa.com/parcel.aspx?sec=15&twn=26&mg=21&sbb=0170&blk=012OO&1... 1/3/2019
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20628
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20628 Address: 37770 ALISSA DR BLDG 12 UNIT D
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-0170-01200-OODO
Improv. Cost: OWNER INFORMATION
Date Issued: 1/08/2019 Name: BURNS FAYE
Total Fees: Address: 37770 ALISSA DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date,Paid: Phone: (813)355-3200
Work Desc: REROOF SHINGLE 4 OF 4
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC
1
DRY
Ins ections Required
IN R F 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.
NT OR SIGNATURE PERMIT OFFIgOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-� 15-26-21-0170-01200-DODO I Pasco County Property Appraiser Page 1 of 2
Due to a software conversion, changes in ownership and sales may be delayed.
Data Current as Of: Weekly Archive - Saturday, December 29, 2018
Parcel ID 15-26-21-0170-01200-DODO (Card: 001 of 001)
Classification 04 - Condominium
Mailing Address Property Value
BURNS FAYE P Ag Land $0
37770 ALISSA DR Land $4,734
ZEPHYRHILLS FL 33542-5672 Building $49,891
Physical Address Extra Features $0
37770 ALISSA DRIVE
ZEPHYRHILLS, FL 33542 ,lust Value $54,625
Legal Description (First 4 Lines) Assessed (Save our Homes) $41,454
ORANGE BLOSSOM RANCH Homestead 196.031 - $25,000
A CONDOMINIUM OR 1200 PG 654 Non-School Additional Homestead Exemption - $0
BLDG 12 UNIT D
&COMMON ELEMENTS
Jurisdiction Taxable Value $16,454
City of Zephyrhills Warning: A significant taxable value increase may occur
when sold.
Click here for details and info. regarding the posting of
exemptions.
Land Detail (Card: 001 of 001) _
Line Use jDe n!Z scriptiooning lunits Type (Price Condition ;Value
-- - -----
-1 ( 0400 i CONDO -0OR4 -1.00 UT $4,734.001 1.00 4,734
Additional Land Information
FEMA Residential Code 40BR
Acres ( 0.00 Tax Area 30ZH � Code
Building Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1988 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
/C Central Baths 1.0
Line IDescription (Sq. Feet (Re I. Cost New
- ---- -1--- --- - ----- -- BAS.-------._.` - -- 864 - ---- — $0
2 FEP 108 _ $0
3 FST 36 -. 1` --- - - - $0------
Extra Features (Card: 001 of 001) I _
U it 4 - _
Line Descri tion Year Units Value
1 FEP 1988 108 — $1,725
- —--- —..-- - - - - - f- —988 ---
2 FST 1988 36 411-_______.
3 CONDO 1988_ - 1 - 1 - $47,327
4 ; CARPORT ! 1988 1 $428
Sales History - See All 7 sales
Previous Owner: LAFRANCE PATRICIA A TRUST
--
_ ___— -_- _ ---- --- .--}
06/2017 j 9560 / 3320 Indenture i 14 �-Improved I - $0
----- -
09/2014 i 9090 / 0937 ! Warranty Deed 01 Improved $47,000
http://search.pascopa.com/parcel.aspx?sec=15&twn=26&rng=21&sbb=0170&blk=01200&1... 1/3/2019
813-780-0020 City of Zephyrhills Permit Application Fax 81 3-780-0021
Building Department
Date Recelv' ed Phone Contact for Permitting 1( bo
......... rrrrrTm.............
FIX,=
0 wnoes Name UUMA- Owner Phone Number
Owner's Add... Owner.Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simpld!Titleholder Address
LOT 0
JOB ADDRESS t) LOT#q
SUBDIVISION -377 72 3-7 7 PARCEL ID#1 IS-36-;A 6 f ID- 0 1 cab -do 6b
3 7'60
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH P0
e- INSTALL R REPAIR
PROPOSED USE Q SFR 0 COMM OTHER I
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK tQjOLX 0 LL�� O-An )-tkDktQ Y\-QLL)
S
-BUILDING,SIZEC Q FOOTAGE HEIGHT
=BUILDING 11 q0b 1 VALUATION OF TOTAL CONSTRUCTION
-=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI(ON-
=GAS ROOFING Q SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
FiNISHEDFLOOR ELEVATIONS
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREK LILN J
Address License# F
ELECTRICIAN COMPANY
SIGNATURE� REGISTERED YVN FEE CURREN
Address, Llcense# F_
P BEF LUM tIr -COMPANY FEE�CLIRREK
SIGNATURE REGISTERED., [`Y1 N'
x
Address License#
MECHANICAL COMPANY:—
YJ IN FEE-CURREN FY/N7
SIGNATURE REGISTERED
Address License
OTHER;
-COMPANY
SIGNATURE., F1
.REGISTERED
Y/_N .,FEECURREh Ly L N
Address License# F E ET i
If......
Attach,(2)',P6.t Flpns;':(2)sets'.of Building Plans,.(11).set of Enemy Forms;R-O=I -Permit"fiir.hew.constructlom,
Minim Urn ten"�(10)working diys' aiftir'siUbmittal'clate. Required onsite,Constructib'n'Plans;'S'torinwater Plans w/.Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for ne
w construction.
Minimum"ten(10)Wqrklng days after-submittal date. Required onsite,Construction Plans,,Storm Plans w/Slit Fence Installed,
Sanitary.Facilities&I dumpster.Site Work-Permit for ail new"projects.All commercial requirements must meet compliance
.SION PERMIT Attach(2):sits ofEngineered!Maim.
****PROPERTYS
� U RVEY required for all NEW construction.
;
Directt
...........
one:
Fill*out application completely.
Owner&Contractor si§n,,back of.application,notarized
if $2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent,(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
`OVkK-THE-,COUNTEk PIERMlTT-ING,? --'
Jdbpy.§ CdntractrequIred)
F6 f R44ofaif shingles Sewers Servico,U06"rades� 4hicei'(P ottSurvey/Footage)
C,roa n-ee' s R'Driv'eways-Not over Counter if on publi "d-va d O W_
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;restrietions. `
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the'owner-has-.hired a.-contractor or
contractors to,.undertake*orK they may'be,'required'to be licensed in actor.dance:with,state and`wlocal.,regulatiori5' 'If the- -
contractor is not licensed as required'by.law, both the owner and:contractor may be cited for.a em'misdeanor violation
under state law. if the owner or intended'contractor�are-uncertain as:to,-what.licensing.requirements.-may-apply for tfie=
intended work,they are advised.to contact the.Pasco County Building Inspection Division—Licensing Section at:727-847-
8009. Furthermore, if the owner has fiired'a' contractor or,contractom he, is wadvised to .have the contractors)"`sign
portions of the-"contactor 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,privilegps,Jn: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 89r07 and;...:.
90-07; as amended. The.undersigned,also,understands, that such fees, as may-be-due, Wilt 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 occupancyor
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.113, 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","1 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'SIOWNER'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 f has
commenced prior to issuance.of.a,.perm it.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 thati 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,WaterM/astewater 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, 1 certify that fill will be used only to fill the area.within the stem wail.
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 bysuch 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__T_O_OWNER:_ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOkIMPROVEMENTS Td YO,t1R PROPERTY:`lF YOU INTEN&TO OBTAIN FINANCING; CO�fSdLT
WITH YOUR LENDER OR AN ATTORNEY BEFORE AeCORDING`YOUR,NOTICE OF.COMMENCEMENT.
OWNER OR AFLORIDA G (F,S 11,7.03)
LL2fY{. CONTRA
subscribed and s m to(or ffi )before me this Subscribed an sworn (or ed)before me this
by
Who is/are personally nown to me or has/have produced Who is/are p own tome or has/have produced
as identification. as identification. -
Notary Public - Notary Public
Commission No. Corn i on NO
Name of Notary typed,printed or stamped Name of Nota G276457
oR{
Expires December f2,2022
,os;�.• 8ondedTtYuTroyF2ininsurdt�n980Q385-TO!$
NE D
SCAIN
DATE �-��- �� _ Iliilllllilliililllilllillliililiilliiiiilllllillil�Ililliil
z01s0a0322
INITIALS
Key No._ peroff No. Alexandra M. Marulanda
Na'�4E OFState of 1�torida
My Commission Expires 04/10/2019
E=: St4NEd her+aby givesnonce#r b plDv&-=*wM be '' ,�E� Commission No.FF 216469
10 tteTn,arul to aarQrda V:Wfth Cyr 713,Ptarrdastems
#0 tolimwUtQ tnromta M Is Povrded In ft Naft of
Cammencelrreft
1.Description of Property:Pare!No.:jj-- -cic�-a �c-�o - o ao - (3! a
(LeW descrip w-ofthe property and street.erdddrese If available)
2. jj2;Z=oV=ent Z
3.hurter Inbmwition:Na
Address: GitY - ...._. F
IntbrestIn Property:
Name and Address offee Simple Titleholder(If Oilier than owner)
4.contractor.Name: TLC ROOF L'
Addnmw PO X 1? My O State;FL 352fi
Phoney No. 3S -4 3.4 73 Fax No. ARAZHM
5.Surety:Name Amount of Bond$
Addrew. Cite Ste,..ZIP_..,—..
Phone No. Fact No.
6.Lander ttiiame:
Addrew.. City Stede._._.ZiP... .
Phone No. Faxft.
T.Pemm within the Stag of ftdda deranated by Owner q=whom notices of other documents maybe
served as provided by Section M13(i)(a)(7) Florida Statutes.
Name:
Address: city ..r...�P
Phone No. Fall No.
8.In addition to himself or heFWW,Oerner deranAtes of
To receiver a copy of the laegtor's Notice as provided in§;than M.'i3(,1)ft.Florida Star tee
9.won dabs of Notion of Commencement(the 00abon dato&1 year of recording w dess a dilbrent
date is specified.)
wAriNWeWOwtftAWPA1tNrrrtiBUA'DHt3YVW AFt'L=RMWWQ4 47MOFTHBUOVMOF AM
CON OMM SUMM PAS QMDWQHWMt7 PAW 1,SW 7111% ASTA11r'1E%AND GO ROMMlFtrtrR
PAVOIGIIMttCE OOR YxrUR PAASR�f .ANOY)4;8OF C11MMOB" UT'WltE# AW POMD C"THE
.rOB8tT8�TnargWil% Yd1i 1o,6v ANFWANCQI%0lMt?YiR'i"HXOlrFrttENMORAPATFOTtt1EV
BERMECOMMIC916tlMOtuc `ouitua!fl 4dr
ororrn,raa�ners;�„d►a�t �
sanaecr J�.�.3tf�G CW*Of Cc t) •--��--
The tof pk*ftwwnw t was adcrowredged babe Me this-day of j .&--by
as 1�a' S��E� rar aona A/Off rr, ,7 02 ).r E�'1
triae� o : s I dw9*
ar Typecrswnp NO=o1MMMY
OR Produced Iftffcslrw
Yin plmaillptia S�dlmt tnldar Fertrd�s-al•psrjtt�,.td�re�sat t rl�a rind ti_��g and t�ixtea tam
mdii�lta��rto-ttro�r tda�yrmaeBdOa�a+d6NkR._ _� Rcpt:2017045 Rec: 10.00 - -- -
DS: 0.00 IT: 0.00
01/0212019 M. F. , Dpty Clerk
PAULA S O'NEIL,Ph D PASCO CLERK & COMPTROLLER
01OR SH 9613 em PG 239
STAT9 Off'' ORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
m TRUF AND CORRECT COPY OF THE DOCUMENT
i ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
�i
WITNEEr-S MY HAND ND OFFICIAL SEAL THIS
DAY OF 201
PAULA S ' EIL,CLERK&CO TROLL
fl �� A lu 0 rl A DEPUTY CLERK
ST4
City of Zephyrhills
5335 811 St
ZephyrhiNs FL 33542
(813)780-0020
9
f ROOFING INSPECTION AFFIDAVIT `
Permit No.; �� � ���
licensed under Chapter 468, Florida Statutes,as a(n):
Contractor�ngineer_Architect Building Inspector_
License No.
On or about 6;201 f did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick t Other(List)
At the following �/, 14 4(
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: -
r
r
STATE OF FLOMEUSS---- lA.cu3234956's
MY COM'v1:COUNTY OFPASCO `*. '= EXPIRE:.' BondedTh.iw'..
Sworn to and subscribed before this day
BY:
otary Public State of Florida
P*- 2
- :EXPIRt. 24,2109
MELISSAA.CUMMINGS I1 ox� mntdrh�is ;,oic,iirdrati
MY COWSSION 0 FF 234956
* EXPIRES:June 20,2019
3 Pf Bonded Thru Notary Public Underwriters