HomeMy WebLinkAbout19-21680 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(813)780-0020 216.0
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21680 Address: 37609 LAUREL HAMMOCK DR LOT 28
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: OAK RUN
Est. Value: Parcel Number: 34-25-21-0100-00000-0280
Improv. Cost: 7,357.00 OWNER INFORMATION
Date Issued: 8/26/2019 Name: OAKLEY RONALD E &ASHLEY
Total Fees: 80.00 Address: 37609 LAUREL HAMMOCK DR
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/26/2019 Phone: 813-312-3095
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 80.00
V/
Ins ections Required
DRY IN ROOF INSP
TAPE JOINT PROOF I SP
FINAL i
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting f k� (0
AJ-LL-L ...... - 7
Owner's Name Owner Phone Number
Owner's Addressl 37 09 Owner Phone Number
Owner Phone Number
JOB ADDRESS J-7 L 0 t_a� re—
I LOT 9
SUBDIVISION PARCEL ID# (011)—0 0 0,c>0 —0 2_3-0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
a INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL
DESCRIPTION OF WORK =A� 5
BUILDING SIZE SO FOOTAGE 2 HEIGHT
=BUILDING -7 35- OC VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING bb
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS _EK ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY L_
SIGNATURE REGISTERED Y/ N FEE CURREN LnN J
Address —1 License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F7 - 1
T
OTHER COMPANY rlq:�7p ( �� �7
SIGNATURE REGISTERED _Y_/_N FEE CURREN Y/N
Address &L, (U License#
I I I i a I I I a I 11111 m 1 a a a N*1 111 ++
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 wl Silt Fence installed,
Sanitary Facilities&.1 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(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.
44P4444444:144_
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Noticevf Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power,6t"Attorney(for the owner)would be someone with 'authorizing same
Iv h notarized letter from owner
OVER THE COUNTER of contract require.d)
Reroofs if shingles Sewqrs._ Sqyicq. 0grad es,:N(,, -Fences(Plot/Survey/Footage)
Driveways-Not over Counteir if on-pub ic*r`dad1ways..nee qsyROW
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.
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, 1 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. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by
Who Ware personally known to me or has/have produced Who's a erson known to me or has/have produced
as identification. as identification.
Notary Pub Notary Public
Commission No. Comm sion N .
o-"117LiNE80GES
Name of Notary typed,printed or stamped Name of Notary20�
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INSTR#2019143895 OR BK 9961 PG 2427 Page 1 of 1
08/26/2019 09:09 AM Rcpt:2084332 Rec:10.00 DS:0.00 IT:0.00
• Nikki AlvarezSowies,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel to No
NOTICE OF COMMENCEMENT
State of r` �11 County of
THE UNDERSIGNED hereby gives notice that Improvement wilt be made to certain real property,and In accordance with Chapter 713,Florida Statutes.
the following information is provided in this Notice of Commencement:
1. Description of Property.Parcel ident(ficaf Nn, r I
Street Address:
plImprovement
2. General Description of l
3. Owner 1 rmation or t ee intrrrnatiat 8 the Lessee contracted for the improvement:
game
Address City State
Interest in Property: cy1Sl.u>D/i
Name of fee Simple Titleholder.
(If different from Owner listed above)
Address City Stale
4. Contractor:
Name ,, ,
Address City Sidle
7�13 `7
Contractors Telephone No.: /�-65 31 ,
5, Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Address City Stale
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7).Florida Statutes:
Name
Address City Stale
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b).Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date Is specified):
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 I. 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury.I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and better.
STATE OF FLORIDA ` r �COUNTY OF PASCO ,1N),At,B SHERRYWIDNER ' Signa ure of Owner Lessee.or OwnerAL6N odzed
* t
Commission#00162748 Officer/Director/Partner/Manager
Expires December 8,2021
��'4j ft44\ Banded Thru Budget Netrry$ervicat Signatory's Title/Office
The foregoing instrument was acknowledged before me this �:.day of—a51(t .20./1 by
as Q1At+v-yL_ T'— (type of uQority.e.g..officeL tWlee;attom y inc fact)for
a6elf rty on,behaff of who ment wes'executed).
Personally Known OR Produced Identification❑ Notary Signature U—"'��^�i✓
Type of Identification Produced Name(Print) W yt
wp datalbcs/noticecommencemeni_pco53048
STATE[>F FLORIDA,COUNTY OFPW\SCO
THIS |STO CERTIFY THAT THE FOREGOING IS
EFOREGO|NG|SA
TRUE AND CORRECT COPY[)F THE DOCUMENT
C}N FILE OR OF PUBLIC RECORD|N THIS OFFICE
in God e atVV\T �YH D AND OFFICIAL SEAL THIS
BY DEPUTY CLERK
a
City of Zephyrhills
'. 5335 8th St
V Zephyrhills-FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: Z
I, ��e— l��l]� licensed under Chapter 468, Florida Statutes as a(n):.
Contractor Engineer_Architect_Building Inspector=
License No. (Y—C - 0 y-7 7 Lf Z-
On or about ���� 1/g did personally inspect the:
Check: Roof Deck Nailing (/ Dry in y Flashing and Drip edge
G�� C
Check which was used: 30#felt_Peel and Stick_Other(List)
At the following
address: 37 W a— v
S c
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 FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY:
Notary Public State.of Florida