HomeMy WebLinkAbout19-20971 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20971
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20971 Address: 5119 5TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16400-0120
Improv. Cost: 7,772.00 OWNER INFORMATION
Date Issued: 3/15/2019 Name: SPEAR, RICHARD E& O'CONNOR, JUDI
Total Fees: 80.00 Address: 5119 5TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
FORTRESS ROOFING REROOF RESIDENTIAL 80.00
-3
DRY IN ROOF INSP 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.
CONTRACTOR SIGNATURE PERMIT OFF16VR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' 813a80.0020 City of Zephyrhills Permit Application Fax-813.780-0021
Building Department
-7Z 230 -a'2 761
Date Received Phone Contact for Pertnittin ��� 5� l
Owner's Name U_LX `'A F l cu_8 -5 Owner Phone Number
Owners Address ( l� ST LL l- 1S Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S'( 19 51"' s r Z P / /LOT# �7�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT SIGN = = DEMOLISH
INSTALL AIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK RU 6 Q 1 A K. 148C fc-W 16365--
BUILDING SIZE SQ FOOTAGE F___7 HEIGHT
=BUILDING $ 7 /J VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ C AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ A ' n
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 4�
=GAS �—ROOF G Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
I
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address `�License#
OTHER COMPANY
SIGNATURE r REGISTERED YIN FEE CURREN Y/N
Address P'ce G r�jy� 1337) License# CC Os7J�7 Z
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,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 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 new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
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 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.
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.
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.117.03) �)
OWNER OR AGENT CONTRACTOR P�
Subscribed and sworn to(or affirmed)before me this Subscribed d sworq to or a armed)b�f�a me this
Who is/are personally known to me or has/have produced Who is/ar9 erprially known to me or has/have produced
as identification. t. �MiVe S `Ce_A-&e- as identification.
Notary Public s-+ Notary Public
Commission No. Commissio No '
JACQUEUNE BOGES
Name of Notary typed,printed or stamped Name of Notary ' -PORE;°.••• r 12,2022
Bonded TIw Troy Fain lnsuran
�8043857019
INSTR#2019043410 OR BK 9873 PG 1608 Page 1 of 1
03/15/2019 08:44 AM Rcpt:2036703 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Xei�Ph.D., Pasco County CCerk&ComptroCCer
Pamdt Na Parcel ID No
NOTICE OF COMMENCEMENT
stet d F L�2(Q county of-?A S C 0
THE UNDERSIGNED Iwoby awes notics that Improvernant vid be made to certain real property,and In accordance with Chapter 713,Florida Stella,
the f li owit inlorrnstlon Is pmww In this Notice ofmm coencemmt
1, Description of Property.Parcel IdentlAmtlon No. 1 I- 24' 21'
BbeetAdd.: J 1/q -K $7. Z e d h �!�n r I I S t!• .3S 3 42
2. Gewal Desafptlon of Improvemrt 'e e-%Zcb f
3. Owner trdamedon or Canoes InfomreUon If an Lessee contracted for the Impnovernemt
< 2- i
Nems � y 11T. ti
y L
Add Cny state
Interest In Property N
Name of Fee Simple Ttil Wdor. N
(It dNhrent from Owrwr Hsfad above)
AdQrea City State
4. Contractor f 5 O 1'
Address
Name i 273 5 S kg:k I c_l
� stilts
Conbactar'o Tetephos No.• ZZ-7 2 Skzj-a p EI �
5. surety: A
Name
Address City Stab
Amount of Bond:i �r Telephone No.:
e Lender IS 1,h
Name
Address City state
Larders Tsk#ww No.:
7. Parsons within the Stele of Florida designated by the owner upon wham notices or other docrmwts may be served as provided by
Section 713.13(1xa)(7),Florida Smtutes
Name
Address City Stab
Telephone Nurnber of Dwomited Parson
s. In addition to himsw,the owner designates o f
to receive a copy of Ill Llenors Notice a provided In Section 713.13(1)(b).Florida Statutes.
Telephone Number of Person or Entity DaViated by Owns:
9. Expiration data of Notice of Commencement(tire expiration date may not be before the cornpietlon of construction and final payment to the
contractor,but Will be one year from the date d meomdb*udess a dilkxent data is specilled):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN PINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT•
rw of= derlara tint I have read the faaadrg notice of corner net and that the fact stated therein am true to the best
STATE OF FLORIDA
COUNTY OF PASCO d W M E(Z
of Ownw or .or Owners or Lessee'e Authorized
lDIrectolPartrwNaneger
Blansterys 1."OlAce
The fasitokp kwtrunant was aclorowledaed before me this 2�dmy d r` 20*y Su q tTll S PCAIz
as _L7 W N O gyps of sudwxky,s4.officer,trustee,attorney In fact)for
(name dpwV on behdf de m huMmwt
arsorie9y K— Produced ldeirl ffcayon 0 Notary SlWmh e
Type of Identification Produced Nrna(Print) Tv�.`c e •
Notary PublIc State of Florida
Michael S.Melc her
+� My Commission oG 149204
�1a Expires 10131/2021
wpdatalbca/notl ------100%0
STATE OF FLORIDA, COUNTY.OF PASCO .
THIS Ism CERTIFY THAT THE FOREGOING IS A
r , TRUE AND CORRECT COPY OF THE DOCUMENT
_ ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
„Q'We J'rus
WITNESS MY HAND AND OFFICIAL SEAL THIS
DAY OF Y- 2_C�
O PAIJ A S. O'NEIL,CLERK&COMPTROLLER
' 1887
BY _ may,Lam/ DEPUTY CLERK
' ��OF
I I I
FORTRESS
ROOFING
STATE CERTIFIED
ROOFING CONTRACTOR
CCC-057552
Contractor's Authorization Letter .
I, { C `� , license holder for
S authorize the following people to apply/sign for permits
under my license number ( rC 0 575:5-7 for the City of Zepyhills.
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
Date:
Contractor's- �-'- Contractor's Printed Name
STATE OF FLORIDA
COUNTY OF PINELLAS
The orego' g instrument was acknowledged befor me thi l y day of.-
20 J by PI �, GL � � , ��who is
Personally known to me or has produced " �. (_ as identification.
`=O"PAY PVC`-- CHAD MITCHELL
Notary Public-State of Florida
NA P Commission# GG 021655
NOTARY PUBLIC %',r�oFF;oP� My Comm.Expires Aug 15,2020
Bonded through National Notary Assn.
4 City of Zephyrhills
5335 8th St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
.Permit No.:
:
n licensed under Chapter 468, Florida Statutes as a{ }
ContractOrr .Engineer_Architect_Building InspectorP
License No.. �(.c- �
On or about did personally inspect the:
Check: Roof Deck Nailing �,� Dry in � 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 bn Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNT`tO.F PASCO
Sworn to.and
dssubscribed fore this day
Notary Public State of Florida
CHAD MITCH ELL
Notary Public-State of Florida
i
per Commission#GG.021655
My Comm.Expires Aug 15,2020
Bonded through National Notary Assn.