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19-21368
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21368 BUILDING PERMIT 4+ ` VERMIT INFORMATION LOCATION INFORMATION Permit Number: 21368 Address: 5652 19TH 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: 11-26-21-0010-11000-0010 Improv. Cost: 11,898.00 OWNER INFORMATION Date Issued: 6/12/2019 Name: LUNA, MANUEL H Total Fees: 100.00 Address: 5652 19TH ST Amount Paid: 100.00 ZEPHYRHILLS, FL 33542-4464 Date Paid: 6/12/2019 Phone: Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 100.00 IV 0 C: DRY IN ROOF IP 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 UPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. L160NTjA6,f0R SIGN U PERMIT OFFI R PERMIT EXPIRRE ONTHS 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 — Ownees,Name n,t L.P Owner Phone Number Ownee's Address 5,o A , Owner Phone Number Fee Simple Titleholder Nam® Owner Phone Number Fee Simple.Titleholder Address JOB ADDRESS FI-56 ac LOT# SUBDIVISION - PARCEL ID# I (OBTAINED FROM PROPERTY TAX,NOTICE) WORK PROPOSED e NB/VOONSIRE ADD/ALT SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR [� COMM OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL 0 DESCRIPTION OF WORK TA BUILDING SIZE E -SO FOOTAGE .HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE _ ;, PROGRESS ENERGY Q WA.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING ,� SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO n 11 BUILDER COMPANY R l e i SIGNATURE REGISTERED / N FEE CURRiN N Address $ �� $¢Z License# ( 1 3 3! �i s ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER : COMPANY SIGNATURE REGISTERED: Y/ N FEE CURREN LYLN ' Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address License# t / t i a.l 1.1. / t t 1 1 i 1.,/.1.1.1.1 1 t l...t. 1.1. f_V 1.1 I.V 1 1. .t'. 11 1 1 1.1 1 1 UP 1.1.4 1 1.:1.1 1 1..1 1 1 1.1. 1.1../..1 1 114 1 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/Slit 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 fromowrier authorizing same. . ; c.-. 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 DEEQRESTRiCTIONS The„und_ersi ned-.understands that permit may be subject to°deed°.restrictions" 9. . g .. lance with any which may be more restrictiveahan,County regulations. The undersi"ned assumes responsibility for compllan applicable deed restrictions. . UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a.contractor or contractors_to-undertake mork;they may be required to be licensed in accordance.with state and local regulations.; .lf.the, .. contractor is not licensed as required by law, both the owner and_contractor may be cited-for a misdemeanor violation under.•state taw._.lf.the owner or.intended.contractor are uncertain as to what licensing requirements;may,.apply 10... a intended.work,.they-are-advised.to.contact the.Pasco_County`Building inspectlon:Divisioir-licensing Section of 727-8�t7- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised`to have the contractor(s) sign portions•.ofahe"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 suchfees,.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 perrnit issuance.. Furthermore,.if Pasco County Water/Sewer impact fees are due,they_must be.paid prior to permit issuance in accoMance with applicable Pasco County ordinances:' CONSTRUCTION LIEN LAW(Chapter 793,Florida Statutes,as amended): if'vaivatlon ofwcrk is$2,500.00 or more, I certify that 1, the applicant,_ have been provided with-a:-copy of the °Florlda. Construction.Lien L6wr omeownees• Protection Guide"prepared by the Florida Department of Agricuiture 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.-falth-ta. deliver it to the'"owner"prior to'commencement: CONTRACTOR'SIOWNER'S AFFIDAVIT: .I certify.thatall the information In'this application is accurate and;that.all.:work will be done in compliance with all applicable laws regulating construction, priing..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 ail: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-13nd 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 Treahnent. Southwest Florida Water Management --DistrictaNalls, 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.A*Wgn,Authority.-Renways..:....,._: understand#hatahefallowing restrictionsappiy::to the use`of:fiil: Use of fill I not allowed in Flood Zone"V"unless e - ressl... _- - xp y permitted: •- If.the. fill..material 'is to be used in Flood Zone-W,.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. tf.thb fill mateftl is to be used In.Flood Zone "A" In connection with..a-permitted building.using stern 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 certifythat use-of such fill will not adversely affect adjacent properties. It use of fill is fountl t4 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*ainage 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 eeparet8 permit.may.be required,.tor 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 tectinical_codes, nor shalt i*'Oin6e.of e.perrnit:.prevent:the Building Official from thereafter'`� .requiring a correction of errors in.plans, construction or violations of any codes. Every permit issued shalt 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 requested,::::in writing,.from the Building Official for'a'pedod not to exceed ninety (90) days and will demonstrate,.._ justifiable cause.forthe extension. if work ceases for ninety(90j 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.INTEMD.TO.OBTAIN FINANCING,CONSULT: N YO R E DE R. N @1l EFORE RE D NG YO O: C OF CO CE FLORIDA JURAT-(F.S.t ) OWNER.OR AGENT CONTFt61CTOR Sutiecdbed a afRemed)beto Subseritied and sworn to(or effUlned)before rne.:this Isla MiTi ly kn me h ve Produced Who is/are P persanaily known to me or hasihave produced as i entttication. an identification: Plotary Public Notary.Public corn Est 1, . Commission No, Name of N ;0irited+r Name of76457 Notary typad,.prinbd.or:stamped. . December 12,2v ? .4 J M 7royFaGi Wiirancd OOG3 3+,d INSTR#2019099959 OR BK 9921 PG 3885 Page 1 of 1 06/13/2019 09:31 AM Rcpt:2063181 Rec:10.00 DS:0.00 IT:0.00 Paura S.0.weiG Ph.D., Pasco County Clerk&Compiroffer r Permit No. Parcel ID No 1 1p 1 bQ! 1l ©2j1 NOTICE OF COMMENCEMENT r �f L2S State of�„� County of,--- THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following Inforpabon is provided In this Notice of Commencement 1. Description of Property.Parcel Identification No. f I ?`�?/,:a I gnQ 111% '1)QAe1 Street Address: yepcw 5a �, 2. General Description of improvement —, S r �'Piej AA 5iA J .946 3. Owner information or Lessee information if the Lame contracted for the improvement An I In OZL Interess rest in Property:j )P� ��jj e c tJt `f t cV t C ,GIr Q 1�J`i Name of Fee Simple Tifleholder. (B different from Owner tilted above) Address state 4. Contractor i, darrk1,4� ao'&n >L ,zc j�n c�5�rt1,`�.Q Address 2r,d city !jA �- Contractors Telephone No.: 5. Surety: Name �. 1;Z"?t1 ""ti Address City State ' b " Amount of Bond: $ Telephone No.: �. 9. Lender. m �i 4-' ,r,:i ;... �•. Name �J f Address City State e $ Lender's Telephone No.: 7.'" Persona within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(j)(a)(7),Florida Statutes: Name Uj 0W Address city State (r} :�E L- U Telephone Number of Designated Person: (d3 Z U U) F— O 8. In addition to himself,the owner designates —of— IL(D cl -r W N F- w to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. �- LU W Z L 0 � Telephone Number of Person or Entity Designated by Owner. O Q Q 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the W O C) U U LL contractor,but will be one year from the date of recording unless a different date Is spoGflad): W L Y 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 _ 0 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,CONSULTC d` I— _-j Q U WITH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ®? U CO d Ls_ Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that t ed therein are true to the best f- CC z U of my knowledge and belief. W' f L _ Q W STATE OF FL M U LU OU Q } Z COUNTY OF P CINTHIA M JEWELL gg U U CY 2E Qy .__...._ -rdY Q�MMICSIO-.b1#GG_� 9 _ pt� ee'8 0 .. - I— z O j. `•., EXPIRES August 29.2020 Offlctei/�DireciorlPa`rf�rnager' _— ._ 3 W Signatory's Tftle/OlBcs ; f- _ R Z 1— >- The foregoing instrument was acknowledged before me this 49Aday of 10 T 20 Aby W-11 l�1-P 0--'— am of authority,e.g.,officer,trustee,attorney in fact)for . (n party h f<of whom instru was aprecut � Personally Known❑0 Produced Identification K— Notary Signature yl Noma Prin! r Type of Identification Produced CITY OF / / / / BUILDING ZEPHYRHILLSNOTICE DEPARTMENT ;r OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT f THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be Madesl afore the job will be accepted. It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0� FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR 1