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HomeMy WebLinkAbout19-20694 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20694 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20694 Address: 4509 BLOSSOM BLVD 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: 15-26-21-0170-01000-00130 Improv. Cost: OWNER INFORMATION Date Issued: 1/18/2019 Name: CHAPMAN LYNNE Total Fees: Address: 4509 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)778-2117 Work Desc: REROOF SHINGLE 2ND SET 1OF 4 SEE BP#20690 CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 0.00 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 553.80(2)(Othe 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. 10 OCCUPANCY BEFORE C.O. CONTRACTOR SI NATURE 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 81 3-780-0021 Building Department Date Received Phone Contact for Permitting 58L Lo 50 10 k ...... ...... ...... rr+rmwi Owner's Name Owner Phone Number kb Owner Phone Number Owner's Address Fee Simple1itleholde.04 I%fe I I Owner Phone Number Fee SimpId7itleholder Address }} JOB ADDRESS NoSS_01� 2-e irr LOT 0 SUBDIVISION PARCEL ID#rl (0—al 0 119 01660 —00 e0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR APD/ALT SIGN Q Q DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR 0 COMM OTHER I CONSTRUCTION TYPE OF . BLOCK FRAME STEEL F DESCRIPTION OF WORK t1t1G0fr ca'e-0 Q) BUILDINGiSIZE SCI FOOTAGE= HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY OTHER FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER' COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_yl N_J Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/'N FEE CURREN Addr I ess, License# F_7 PLUMBER COMPANY SIGNATURE REGISTERED -Y/ N`- FEE CURREN Address License# F MECHANICAL COMPANY: SIGNATURE REGISTERED YJ W' FEE CURREN Lyl_N_J Address License#. F OTHER,:. COMPANY vlc� -SIGNATURE, REGISTERED Y/ N .,FEE CURREN Address, License# 1,'(-'C C. 13-3 613d 3 RESIDENTLAL ...............Afta,66,.(2),Plof P*IanS;*(2)s6ts-.of Building Plans,'.(l)-sat,of'Energy Forms;R-O.7W..Pertnttfoin'ew.construrflon,.. `(1'6�ik8rkihj days after idbm R Construction - - i Minimum 11:61%1&;; eq6tredlonsite,Constru on Plans�Stormwatee Plahswt Slit Fence Installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisloinsfiarge 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,,$tormwater Plans w/Silt Fence Installed, Sanitary Facilities 9 i au,mpster.Site Work Permit for all new projects.All commercial requirements must meet compliance pliance SIGN PERMIT -Attach(2).s7eti-of..Engineer6d Plans. . ****PROPERTY..SURVEY required for all NEW construction. �biii o"n's": Fill'out application completely. Owner&C6ritractorsigm.back of.application,,notarized If over$2500,a Notice of.Commencement Is required. (AfC upgrades over$7500) Agdnt,#df1he contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same I0VER1HE.CQUNTER PERMITTING- (copy of con'tract required) Ae-rdofs If shingles -Sewers Serft6rUogrades A/C Fencds(Plot(Stirveyffiootage) DrNeways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be.,subject to-"deed" restrictions" r which may be more restrictive than Countyregulations. The undersigned assumes responsibility for compliance witft:any, ap'licable-deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES: if the owner-has .hired-a contractor or, contractors to,undectake work--;.they may 6e required to be licensed in accordance With.state.andyiocal=.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.applyfor the Intended work, they are advised to contact the.Pasco CountyBuild ng inspection Division-=Ltcensirig Section at:727-847- 8009. Furthermore,- if the'owner has'hired b contractor or•contractors,. he-,is.advised.to..have the"contracttor"(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 permttting,,,privileges,.in:Pasco ,. County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation impact Fees and Recourse.Recovery Fees may applyto the.construction of.new buildings, change of use in existing buildings, or expansion of existing buildings;.as specified in Pasco County Ordinance number 8970.T,and.,- 90-07, as amended. The undersigned,also.understands, that such fees, as-maybe 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 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: h certify that-all-the information In this a plication.is accurate and that all work will be done in compliance with all applicable laws.regulating construction, zonin pment. Application is hereby made to obtain a permit to do work and installation as-indi'cated. I ork 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,WaterMastewater-Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand 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 tots 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, atter.•;,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 OE COMMENCEMENT MAY-RESUL'1 IN-YOUR" --^- PAYING-TWICE`FOWIMPROVEMENTS TO:YO.UR`PROPERTY:`iF YOU iNTEND'TO OBTAIN'FINANClN'G CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORE AECORDiNGYOUR-NOTICE OF-COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGED _ " IDA CONTRACT Subscribed and sworn t (or affl�"I&e me this Subscribed an sworn {o affirmed) fore me thls by by" Who is/are personally kn6vAt&me or has/have produced Who Is/are personally no to me or has/have produced as identification. as Identification. Notary Public Notary Public Commission No. Commission No. 1 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20695 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20695 Address: 4511 BLOSSOM BLVD 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: 15-26-21-0170-0100-OOAO Improv. Cost: OWNER INFORMATION Date Issued: 1/18/2019 Name: FERNANDEZ, DOUG & PADILLA, ANITA Total Fees: Address: 5551 GRINDSTONE LOOP Amount Paid: WESLEY CHAPEL FL 33544-1598 Date Paid: Phone: Work Desc: REROOF SHINGLE 2 OF 4 CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 0.00 2 -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 553.80 (2)(c)ther 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. Z5�/ &_ bw� ,�ObNTRACTOR 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 1ZC31ECP3=I ............. .........Owner's Name Z Owner Phone Number 6!3SS Owner's Address Owner Phone Number Owner Phone Number JOB ADDRESS ssovn "Rwa 29_0 P LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL DESCRIPTION OF WORK I-U-CLX 0�) alk-A Y!WCUQ tA,)L 143 In Q 1A UILAn:rz; BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $J� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. =PLUMBING 1$ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO Ll v i i i i i i i i i 2 i i i i i i I N I o i R V M N i i M i i M N a V I i i i i i i M i BUILDER COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J Address License# ELECTRICIAN COMPANY L_ SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LUN J Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LYLN__j Address License# I OTHER COMPANY �u_FivP-M,�1 +ck)Ast Tv�,C_ SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# Z-a0'3`q:=3 2 11111 2 11 111111111 111 i i i i I I I I I 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 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. A444444444 if 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 Upgrades A/C Fences(Plot(Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ` . - ~ NOTICE OF DEED RESTRICTIONS: The undersignedunderstands 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 o contractor or contractors to undertake work, they may be required to be Ii c*ensed 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 misdemeanorvio|oUon under state |oxv. 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 contractore, 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 oontractnr, that may bnan 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. /tio further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to receiving a ^ceddicohe of occupancy" or final power na|eone. If the project does not involve a certificate of occupancy or final power no|eooe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVabor/Savxar Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Flocida Statutes, as amended): |f valuation cf work im $2.6OO.00ormore, | certify that |, the mpp|iuent, have been provided with o copy of the "Florida Construction Lion Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant iosomeone other than the "owner", I certify that I have obtained a copy of the above described document and promise.in good faith to de/iverithothe^ovvnmr" phorb000rnmencamant. 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 naguieUnB oonotnuntion. zoningd development. Application is hereby made to obtain a permit to do work and installation as indicated. | work or installation has commenced prior to issuance of permit and that � work v� be performede of all laws regulating construction, 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 tm identify what actions | must take bubeincompliance. Such agencies include but-are not limited to: - Department ofEnvironmental Protection-Cypress Bayheada. Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District4WeUn, Cypress Bayheado, Wetland Areon, Altering Watercourses. - Army Corps ofEnginoena-SeovmaUo. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, VVmntmvvebsr Treatment. Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runvmays. | understand that the following restrictions apply to the use offill: ' Use of fill ia not allowed in Flood Zone^V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A^. it is understood that a drainage plan addressing a ^oompmnmaUn0 volume" will be submitted at time of permitting which is prepared by professional engineer licensed by the State mfFlorida. - If the fill material is to be used in Flood Zone ^A" in connection with o permitted building using stem vvaU 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, | certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent pnopartiee, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eoe than one (1) acre which are elevated by fill, an engineered drainage plan in required. |f| ann 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. | understand that o separate permit may be required for electrical xvorh' p|umbinQ, oigns, vxaUn, poo|o, 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 o|n months of permit imsuanoe, 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 maybe requoahed, in writing, from the Building Official for o period not to anommd ninety (@O) 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 COMMENCEMENT. '—'Ttrnto(or a!�n!qbefore�he this Subscribed and swo Subscribed and sw rn o(or ffi ed)before me this b _bjy . I Who is/are personally 0ownto me or has/have produced Who is/are personally own to me or has/have produced as identification. as identification. —Notary Public Notarypuboo Commission No. Commission No. CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20696 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20696 Address: 37818 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: 15-26-21-0170-01000-DODO Improv. Cost: OWNER INFORMATION Date Issued: 1/18/2019 Name: KARANIKAS, MARIA PMB D Total Fees: Address: 37818 ALISSA DR Amount Paid: ZEPHYRHILLS FL 33542-5630 Date Paid: Phone: Work Desc: REROOF SHINGLE 3 OF 4 CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 0.00 0� 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 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 City of ZephV[hiUs Permit ApplicationFo»V 3-78V-0Oo1 Building Department Date Received Phone Contact for Permitting L15�6 So i c I Owner's Name Owner Phone Number Owner's AddressF Owner Phone Number Owner Phone Number JOB ADDRESS SUBDIVISION PwmoEL|o# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED mowcowsm AD[V8LT F---1 S|GN �—1 F—� DEMOLISH L_] INSTALL R REPAIR PROPOSED USE F--! SFn �—1 COMM F---1 OTMER TYPE OF CONSTRUCTION �-7 BLOCK �—| FRAME �--� STEEL DESCRIPTION OF WORK oV|LD|mG SIZE SO FOOTAGE[ ] HEIGHT F--�BV|Lo/NG �—� VALUATION OF TOTAL CONSTRUCTION F--7ELECTR)CAL AMP SERVICE �---| oUKEENERmv [--1 vY.R.E.C. . ° =PLVMB|NG " =wECHAw|CAL VALUATION Or MECHANICAL INSTALLATION =GAS �—� ROOFING F—1 SPECIALTY F---1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE asa/arsnso resuunns^ Address Lioenae# ELECTRICIAN COMPANY SIGNATURE nso/onsnsm pssuunns^ Address L|oenoo# PLUMBER COMPANY SIGNATURE nsomrsnsn pssoonns^ Address License L|oenne# MECHANICAL COMPANY SIGNATURE nso/aTsnso resconnsN Address License# OTHER SIGNATURE REGISTERED Address I Liconoo# RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set ofEnergy Forms;R-O-W Permit for new construction, Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1dumpoter Site Work Permit for subdivisions/large projects COMMERCIAL Attach<o>complete sets of Building Plans plus aLife Safety Page;(1)set o[Energy Forms.p-O4m Permit for new construction. Minimum ten(1o)working days after submittal date. Required vnn/m.Construction Plans,omvnwmoe,Plans*/Silt Fence installed, Sanitary Facilities&1 dumpntec Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)Sets of Engineered Plans. ^~°°PmOPERTY SURVEY required for all NEW construction. Fill out application completely. Owner QContractor sign back of application,notarized If over$2500.a Notice of Commencement is required. (A/C upgrades over$7500) ~ Agent(for the contractor)o,Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy v[contract required) nomnfsi,shingles Sewers Service Upgrades A/C Fennon(P{pttSu^vey/Footaoe) Driveways-Not over Counter ifon public modways..nneduROW • J•►• 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: Jf the,owner has Mired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state'and loco) 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 $2,500.00 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, zoni land development. Application is hereby made to obtain a permit to do work and installation as indicated. ork or installation has commenced prior to issuance of a permit and that all work will be performed s 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.1�.03) _ OWNER OR AG EN �l CONTRACT xi L Subscribed and sw rZykr�2to Ze before me this Subscribed and sworn (o ffirmed) fore me this by by Who is/are persona has/have produced Who is/are personally nown to me or hasthave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20697 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: .20697 Address: 37820 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: 15-26-21-0170-01000-OOCO Improv. Cost: OWNER INFORMATION Date Issued: 1/18/2019 Name: SMRKOVSKI, LONNIE & CHERYL ANN T Total Fees: Address: 37820 ALISSA DR Amount Paid: ZEPHYRHILLS FL 33542-5630 Date Paid: Phone: Work Desc: REROOF SHINGLE 4 OF 4 CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 0.00 r ' Ins ections Required DRY IN ROOF IN 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. CONTRACTOR SIGNATU E PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER PP_ 1,813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting U41 Owner's Name UVSun/71cli UV w r Phone Number Owner's Address L4,5 I r-k Owner Phone Number F_ Owner Phone Number I A JOB ADDRESS LOT SUBDIVISION PARCEL ID# CQ_3'k —0 I D _0 1 060 00 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL DESCRIPTION OF WORK SQ FOOTAGE= , HEIGHT BUILDING SIZE =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Hill BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F_ OTHER COMPANY 6(�t In, d- eATVtS SIGNATURE REGISTERED Y/ N FEE tURREI\ LKLN Address License# Fq77Z_(33osoi 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 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&I 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. (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 OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Fo6tage) Driveways-Not over Counter if on public roadways..needs ROW j 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 $2,500.00 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. ) 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 FOW IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) n OWNER OR AGE — i \U` `CONTRACT Subscribed and swo - or affi ed)bef re me this Subscribed aVornor affi ed)before me this by Who is/are personally kn o me or has/have produced Who is/are pwn to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped pppp— f City of Zephyrhills i° a 5335 811 St Zephyrhills FL 33542 " (813)780-0020 9 1 G ROOFING INSPECTION AFFIDAVIT Permit No.: �d69el•1— .206fSS-* �©6�1F 0•✓"6AU— licensed under Chapter 468, Florida Statutes as a(n): Contractor V Engineer_Architect_Building Inspector_ License No. C'C1350FY3 On or about /`fir 4 9�0/? did personally inspect the: Check: Roof Deck Nailing `✓ Dry in l� Flashing and Drip edge Check which was used: 30#felt_Peel and Stick V 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 F tp4�Y•P•V., MEUSSA A.CUMMINGS _' MY COMMISSION rr FF 234956 ;4 EXPIRES:June 20,2019 p;•of�,°.V COUNTY OF PASCO - Bonded Thru Notary Public under"ftm Swo to and subscribed before this day BY: - — ary Public State of Florida