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19-21696
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21696 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21696 Address: 38618 TRELLIS AVE 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-005A-00000-1450 Improv. Cost: 5,800.00 OWNER INFORMATION Date Issued: 8/30/2019 Name: WINDOOD, LAURIE & GEORGE Total Fees: 70.00 Address: 38618 TRELLIS AVE Amount Paid: 70.00 ZEPHYRHILLS, FL. 33540-1045 Date Paid: 8/30/2019 Phone: Work Desc: REROOF SHINGLES CONTRACTORS APPLICATION FEES GAVIN ROOFING REROOF RESIDENTIAL 70.00 o�pl ) 5(01 / DRY IN ROOF IN P 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. &, f��,07 CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER © City of Ze h rhills Y p Y 5335 8th St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.:. I, 1L��i� lY/7✓a licensed under Chapter 468, Florida Statutes as a(n): Contractor v Engineer_Architect_Building Inspector_ License No.: On or about did personally inspect the: Check: Roof Deck Nailing Dry in v Flashing and Drip edge Check which was used: 30#felt_Peel and Stick_Other(List) At the following address: 3 8� 1 T/1LL�-S' 0f ll�• 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 Cary A=c � ttr•'iq MELISSA A S CUMMING MY COMMISSION#GG 304221 Public State of Florida EXPIRES-, 20, BwdedThNNotaryPiftlWMfi= 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ......... ......rrrrTT73!rrllrT=..... Owner's Name Owner Phone Number Owner's Address 3 ,WJ' 1/5_1 Z, Owner Phone Number Owner Phone Number JOB ADDRESS LOT# SUBDIVISION PARCELID#1 06WO —AISV (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH R. INSTALL REPAIR PROPOSED USE 0 SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME u STEEL DESCRIPTION OF WORK A0 ig�C_91164 e PA,— w,�,* /)IV-1)'AIJI BUILDING SIZE SO FOOTAGE= HEIGHT 1 ........... UILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS E� � ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE . REGISTERED Y/ N FEE CURREN LILN_j Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address 777 License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address E:�,6 License# _Hi ol,!it Hill! 111 H 11 1 H 2 1 H 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-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&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. H 1 1111111114441!1 1 111 11 14:W ........... 1441111111 1 Ell 1111 1;111 1;;;1;111 if 114444 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 co-ntf6tt`re0uired) ., Reroofs if shingles Sewers Service Upgrades'-AX -.t'F66ces,(Plot/Survey]Footage) Driveways-Not over CoLin,!er if on.publi!c - 'eBds%ROW:--- .,roa ways..h 0 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, 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 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 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 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 a armed)before me this Subs vibe sworn t (or affirme�I)b Sorg me this by 3 0 by k;c-K ( /N Who is/are personally known to me or has/have produced Wh6 is/ire personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. L b Name of Notary typed,printed or stamped Name of ta�gli ' �f,0ARtI5MPA R1C1A}> Commission#GG 346275 Expires June 18,2023 '•'.�;uv ;°P' Bonded Thru Troy Fain Insurance 800.385-70fl INSTR#2019146829 OR BK 9964 PG 1457 page i of i 08/29/2019 11:29 AM Rept:2085751 Rec:10.00 OS:0.00 IT:0.00 Nikki AlvarezSo wies,Esq.,Pasco CountyVerk&Comptroller Permit NO-- ParcelIONo NOTICE OF COMMENCEMENT State Oir:'.; County of )Q fsc-� THE UNDERSIGNED hereby gives notice.that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes, the 1`611owhig Information Is provided In this Notice of Commencement R6!i;p 0-n�PTP-r-artr�iri�l�ta-en—tifriion No,;-." 5S'-;Zc�;Zl-,'949S�f 6 1 no at Address- 3716M 2. General Descri tion of Improvement,:7.: 19 3. wrip!Informatlon: 2414N6 W1 A49 W90 N V,1. re Address city state Interes,t In Property: eWA164 Name of Fee Simple Titleholder. (If other thin ownerY Address ad city state 4. Contractor. ZOA IYA) Zy A� Name t n '60y- /343 4 A6 Address city State Coribectoes Telephone NO.: 0, Purely: Address .0 city state Amount nt of Bond:5 Telephone No.: 6. Leader Name 7' -1 city State miress ci IA. I.ender's Telephone No..: T. Persons within the State of Florida designated by-the owner upon whom notices or other documents may be served as provided by section 713.130)(aX 17).Ftorld tUtas.: we m 0-1 Address city state z U tr h ri 2 0 Tele p 0 q Number of Designated Person: LL W Z) 0 _J In addition to hlmselfllhe Owner.4-I9natesi'*`_7 of 0 C-4 W ZD 'M< (OD C) _j to receive a copy of the Lienor's Notice as provided in Section 713.113(lXb),Florida Stah < - I.L. Ljj LUJ Telephone Number of Person or Entity Designated by;Owner. 0U.1 LLJ _j year from the date of recording unless a different date is specified: 0 xplr4on date of Notice of Commencement Is one y LL < 1. - ., , , I . . __ T, W LL ir WARNING ARNI r 0 OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 0 0 A CONSIDERED, UNDER CHAPTER 713,.PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RE ONSIDERED IMPROPER PAYMENTS UNDE , >- 0 LL 06 RESULT IN YOUR 13AYING 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 0 a- W WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 0 Of X: 0 0 Z STATE OF FLORIDA < F- ::] < PpyNry bF PASCO C3 >- 0 M n L,6196ature of -9 Owner's Authorized Officer/Director/Partner/Monager LL UJ ZD Z 0 iR IX CL < C) CAL. < Lu C) 0 Signatory's Title/Office LL c_) C_) LE_ 0 this day of Y 0 T lovigoin Mment was acknowledged before me I 20,t4,b 0 im- gin_ (type of authority,e.g.,officer,trustee,attorney in fact)for LLI U) < LLJ as j U-1 — (nameI arty 0 behalf of whom Instrument was executed). U) :D LL Personally Known 0 OR Produced Identification Notary 0 L 120 4w"ume(Print) C—A'�O'Z_ Type of1d,entification Produced I declare that I have read the foregoing and that the bets stated In ffo-a-buiutos.-13-near as o pe ury, It are==t'6;S; and beHAPOT JOHNS No Puii�llc-Suite 6f FloridaiI, , , L Commission A GG 2a356j My Comm.Expires Jul 31,2022 Slgm[4 of Natural P99nr Signing Above 11 1 W0.41 I a-" wilideta.1bos/tics forms/nobcommmencemenLpc05304$wce