HomeMy WebLinkAbout19-20917 % CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 4/7
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION =
Permit Number: 20917 Address: 6108 SILVER OAKS 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: SILVER OAKS
Est.Value: Parcel Number: 03-26-21-0120-00000-0020
Improv. Cost: 11,154.00 OWNER INFORMATION
Date Issued: 3/04/2019 Name: TOWNSEND, DIANA
Total Fees: 100.00 Address: 6108 SILVER OAKS DR
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2019 Phone: 813-702-4509
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GAYLE HORN ROOFING LLC REROOF RESIDENTIAL 100.00
1 � 0\
3
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 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
X
F
City of Zephyrhills
w 35 8. 0 St'
Zephy 53rhills.FL33542'
. (813)7 0-002
OO- R FIIVG INSPECTION AFFIDAVIT
Permit :
Rlo. 26° I �
a, �.A� .
cn " licensed under Chapter 46g, Florida Statutes�as a n
Contractor Engineer_Architect Building1tispector_
License No: R c 2Ci 2�101 .
On or about /�'1a�c 'g �c� t�( did personally inspect the::
Check: Roof Deck Nailing: ✓ Dry in ✓ Flashing and Drip edge . t!'
Check.Which was:used: 30#felt,^ Peel and Stick✓' Other(List) .
At the follow, ing
"address r(�efiA.K.. ` r
Based.upan that examination; !,have determined-the installation Was done according to the l Durricane
Mitigati66 Retrofit Manual(Based on Section 553.844, Florida Statutes).:"
Signature . . :
STATE 00 FLORIDA :.
COUNTY OF PASC® .
SWbrn.to d subscribed before his day
BY: .
Notary PubliAt
, tate of Florida
�:.�oti►�`Y w'.,,,�� : `' ELtZABETH SUE'HI�RN'..
-Notary Public-'State of Florida'
Commission N GG 018721'
'. t= My Comm..Expires Aug 4,2020
'•.„;;e#' Wiled through National Notary Assn.
1�
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received
Phone Contact for Permitting
T-rrrrI......... ........ ...XtrErrZZ11333333333333�X11 1 1 1 1-1
Owner's Name b, I C, d Owner Phone Number I �01—
Owner's Address[ of 6, /,/&Y- Ciq-o Owner Phone Number F
F72_,�Avkt/s .i�- s-Li L Owner Phone Number
JOB ADDRESS �/og I I Ve,-oeq v—s LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER OL &w G
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK acv-c- ui.510 _A01 r ,&-
BUILDING SIZE F-42—W S. Q IC 1, SQ FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
[MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE 'h.
REGISTERED Y/ N FEE CURREN
Address J-_T 1_!S b &0 License# FCC2-'-t,) 2,1,j G
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address License# F—
PLUMBER COMPANY
SIGNATURE REGISTERED Y J N FEE CURREN N L_J
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
OTHER COMPANY
SIGNATURE REGISTERED Y/ IN FEE CURREN
Address License# [_ I
I I I I I 11+
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.
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 of
Reroofs if shingles Sewers See 7�i contract required)
r�6bl es d'*'-'-'kc (Plot/Survey/Footage)Driveways-Not over Counter if on'0613116 roq w;d",
ays..,needii.'R !t
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"resh�ictions"
which maybe 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 misdemea or 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,WaterMastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areai, 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. "
9 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 thlan 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 RESULTS IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
--WITH-YOUW LENDER-OR AN-AT-TORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) - —`
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn t (or affirmed)before me this
by ?_ S-(9 bYQ/C Zoo V.-
Who is/are personally known to me or has/have produced Who War�ersonally known to me or has/have produced
as identification. Ff iYe6�i�� as identification.
Notary Public Notary Public
Commission No. Commissi n o.
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Name of Notary typed,printed or stamped Name o ,� ¢EIUaWN rgmwed
°•' '►_Commission#GG 27645;
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���T�'� 800.385-7019 F
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INSTR#2019041041 OR BK 9871 PG 1947 Page 1 of 1
03/12/2019 11:36 AM Rcpt:2035726 Rec:10.00 DS:0.00 IT:0.00
{. o Pauta S. O'.NeiC Ph.D., Pasco County CCerk&ComptrotTer
Pemtit No. 91- Parcel ID No _.��1 3._ "Z-� —2 ��02 ^Ob OCAS^Ott
NOTICE OF COMMENCEMS
State of F'o d l 4 Q_ County of Q s G n
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Flodda Stables,
®dating Information Is provided In this Notice of Commencement
Description of Property:Parcel Ida No.
StueelMdress: 0 8 5'1 ver 0 S r ) -5 L,
2. !Dea n of Improvement40 W Y S ��
e 4 S-t-i G �
3. Informatlon Lessee information If cue Lessee ntre-a-for cue Improvement.
)a o.cr, 05F�
Na 3 3 s41
Address e c 7� q^.� City State
Interest In Property: ® /""'V
Name of Fee Simple Titleholder. A
(If different from Owner listed above)
.. AMress 56 I cSc�Al s2�' Fa 11, r_ �'ty A o o mead\-
Na e d i j o_ ez, - _FL
Address A �2 /� /, r -City State
Contrectors T !phone No.:7� - — 4 r'7— tY 5
S. Surety:All
Nedie
Address City State
AmountofBond: $ TelapltoneNo.:
6. Lender. N�
Name _
Address ♦� ^ City State
Lender's Telephone No.: :i= 1't
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section713.13(1)(a)(7),Florida Statutes:/
Name/" ) ` '
Address City State
Telephone Number of Designated Person: /
t' e. In addition to himself,the owner designates N /'4 of
to receive a copy of the Uences Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration dale of Notice of Commencement(the tnorellon date may not be before the compbti, of c*stnwUon an{�finel payment to the
contractor,but wlg be one year from the date of recording unless a different date Is specified):-'� d m s m)f�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE WMCE OF COMMENCE Nf
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 i
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of per)ury,I declare that 1 have read the foregoing notice of commencement and that the fade stated therein are true to the best I
of my knovAedge and l.f.
STATE OF FLORIDA '
COUNTY OF PASCO I
Signature of Owner or Lessee,or Owners or Lessees Authorized
-Officer/Director/Pariner/Manager
_J Signatory! e/Office
eregoing Inabume I was admowfedged before ma Ills day of 20 Ll by :n
as b L o N-eF pe of authority.e.g.,officer,trustee,attorney In fad)for
S (name o on behalf of whom InAment was ecuted
Personally Known>Q$Produced Identification❑ Notary Signature r
Type of Identification Produced Name(Print)! fl r8 ETl f �C r�
v'"ry: ELIZABETH SUE MORN
ys Nullify Public-State of florid!',
Commission ie.GG 010721
Aliy Comm.Expires Aug 4;2020
wpdatelbeshrotteecommencomenLipcM0 B 1011Q1QIIt10(IghNtlb1171NotifyAf)1n,
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TATE OF FLORIDA, COUNTY OF PASCO
AP
IS IS TO CERTIFY THAT THE FOREGOING IS A
_
E AND CORRECT COPY OF THE DOCUMENT
�` I FILE OR OF PUBLIC RECORD IN THIS OFFICE
'otwE z,-4<r IIN SS Y HAND A WDFFICIAY SEAL THIS
OF 2-D1
4al
U S O'NEI , CLERK&COMPTROLLER �
1887
°����OF
�t�fB DEPUTY CLERK i