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19-21499
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21499 BUILDING PERMIT PERMIT INFORMATION LOCATION.INFORMATION Permit Number: 21499 Address: 4704 SILVER CIR 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: CHALFONT VILLAS Est. Value: Parcel Number: 15-26-21-0190-00000-0370 Improv. Cost: 7,202.00 OWNER INFORMATION Date Issued: 7/15/2019 Name: RENKER, KIM Total Fees: 80.00 Address: 4704 SILVER CIR Amount Paid: 80.00 ZEPHYRHILLS, FL 33541-6506 Date Paid: 7/15/2019 Phone: Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 80.00 i0 l DRY IN ROOF INSP Ins actions 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. CO RACTOR SIGNATU 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 Fa*813-780-0021 Building Department Date Received -Phone Contact for Permitting .......rT= ........... Owner's Name Owner.Phone Number Owner's Addressl!:ian' !t . j I t)-Q-r- C Owner,Phone Number Owner Phone Number, JOB ADDRESS F LOT#q +bLt Laid' SUBDIVISION F PARCEL IN I 1S QS benm n�_ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN. Q Q DEMOLISH e ,INSTALL REPAIR PROPOSED USE SFR Q COMM L.J OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL • 'k, ' DESCRIPTION OF WORK 1A I flv�e_ Lo b IF BUILDING SIZE SO FOOTAGE HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE DVKEENERGY Q W.R.E.C. =PLUMBING 1$ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY OTHER 402— FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Hviiii96................./�...... (A..................... ......... ..... BUILDER COMPANY - SIGNATURE REGISTERED T(-V, N FEE CURREN Y N License# V, "/t 0319,Address jai 3�4 IID ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N _J FEE CURREN LILN-_J,- Address License# PLUMBER COMPANY SIGNATURE REGISTERED _LN_j FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED 1 , Y/ N FEE CURREN Y/N Address License# OTHER COMPANY 1 -1 SIGNATURE REGISTERED Y N FEE CURREN LnN J Address License# RESIDENTIAL Attach(2)Plot Plans;.(2)Sets of Building Plans;-(I)set of.Energy Forrns;�R-O-W Permit for new'construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans;Stormwa.ter Plans wl Silt Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge 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-(I 0),Working-days after submittal'date. Required onsite,Construction Plans,Stormwater Plans'w/Silt Fence installed, Sanitary Facilities A 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. I 111111 D='OnSl: 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 r(copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurveyiFootage) 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-af contractor or contractors,, he is advised to have the contractor(s)i 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.IMPACTIUTILITIES 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 Pasi co 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.,reiease, the.fees must be.paid prior to permit issuance. ,Furthermore, if,Pasco County Water/Sewer Impact fees-are-duej they.must be paid prior-to permit issuance in accordance with applicable Pasco County ordinances: CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,a&°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 abovedescribed document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S—AFFIDAVIT:- 1,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/Wastewaterr Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawaft, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment, Septic Tanks. - US Environmental Prbtectiori'Agenby-Asbestos�abatement. - Federal Aviation Authority-Runways. I understand4hat the-following restrictions apply to the use of fill:, - Use offill1s not allowed in Flood Zone W"unless expressly permitted. - If the T 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 f-professional engineer licensed by the State of Florida. - If the-fill-material is to be used in Flood Zone "A" in c'onnection 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 .ed 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 implans, 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 fora-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 INYOUR PAYING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY.- IF YOU',I"ND TO OBTAIN-FINANCING,- CONSULT WITHYOUR LENDER OR AKATTORNEY BEFORE RECORDING YOU IVINIOTICE20MCOMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR"AGENT CONTRACTOR Subscribed and'sworn to(or Affirmed)before me this Subscribed and a ..t re,me thl by by Who is/are personally known to me or has/have produced Who is/are persona k o n o me br has/h=�o u.,7er as identification. as :in Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or.stamped /I/A, BARTLETT ROOFING & CONSTRUCTION SERVICES, LLC 38408 3rd Ave. I Zephyrhills, FL 33542 (813) 782-5585 Email: Coreyh@abartlettroofing.com Lic. #CCC 1325499 RESIDENTIAL • COMMERCIAL • MOBILE HOMES LICENSED - INSURED - BONDED s Date Name L KA . P"K14 Address t �� Phone _ ,J'�`y. � _i , 'c.� - -�� �}.rr ��}I�`t- �/•�■F-.�-a"-- "� .Yl.- & -- Lam' - _ � ny t- A) YUVN-�-'A --u�oAvt=�4 % I"" jl� A0 Alle c1f Ld �ft d ),vAV 0 A-dd SS t/ L 1�� � - TINJ3 u a. fTXF 6 U A)-kx MO JA C?�f �-v -4 5-0 "x VLqi"'n W i7k o Ski Stv— PL 11 &c),-j 3-py,+4 A) 0AAQ y &- d a 0; . f j YOU U ,) our uses s ppreciated 457 VPr �'n! )ayment upon completion unless previous arr ent made.Warranties All arrangements contingent upon strikes,accidents or delays beyo our control.Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. .rOtB Signature Date Phatlier SEopperpooflng ConEractor � 1P -". _'k 0 119191096 ATMAN."Werel ;�, 11 - I ,,fy �,., . .... ............ ......... .... ._ .. . mit"..'..". i�..:. ;..... .. .. .-.. .... .....'.... ......... .. - ..- - " - - : 7 �. _. ...7 .... , ...... ........ �t:,- ..... . ... .. -- ...... ... ....� ..'. ... .v,IM$;.-, ,- ...... -........�....... ...... w .. � .....I .... .. --.-.-.- ............. ...... ... ...... ... ..... ... -- -... .. . . . . . .. . 1� ,, 4T t., ........... ....... ., ...: � - 1, � , � . ..'. "" . ,g(.t., . , , . .. W",k , ::; �, �14,"- ....N -.. - , -..,.., I I I I ! . :�.it%tt', I �Am .*I'Ll' "" .... :it---,--i-, - 111111111111JIVi;, I a 11.....t Per ill�`i`- : Aft.. 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