HomeMy WebLinkAbout19-21701 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21701
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21701 Address: 6135 20TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: _ Parcel Number: 02-26-21-0190-00000-0140
Improv. Cost: �4�, 5�00 � (}� OWNER INFORMATION
Date Issued: 9/03/2019 Name: BARTON, WILLIAM
Total Fees: 70.00 Address: 6135 20TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2019 Phone: (813)782-7458
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CO STRUCTI REROOF RESIDENTIAL 70.00
e HA(^,1v
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DRY IN ROOF INSP Ins ns 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.
ad &-
CO CTO IGNATURE PERMIT OFFI R
PE T EXPIRES MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-00211
Building Department
Date Received Phone Contact for Permitting
717rTTrr.... J.L
Owner's Name om e Number
m 7C'r" Owner.Phon 14
Owner's Address Owner Phone Number
1-7
L-Q Owner Phone Number
1(0 JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#[0 (0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL r& REPAIR
PROPOSED USE Q SFR O COMM OTHER I
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL
DESCRIPTION OF WORK V Le -C C)it 1A —4--LaL
BUILDING SIZE SQ FOOTAGE HEIGHT 1
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
=MECHANICAL r- 'I VALUATION OF MECHANICAL INSTALLATION rn
GAS 5z— ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I —Y t'N FEE CURREN 'PY I N
Address License# 1 19 toe
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREN
Address I License# F-
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I ,Y N-J
Address License# F
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 wt 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&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: --11,--- -- -------- ------- ......
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 dited"for a-misdemeanor violation
understate-law. If the owner-or intended contractor are uncertain as.to what-licensing requi"refrents,-Mayl apply.for the
intended work, they are advised to contact the Pasco County Building Inspedtion-Division'—Lic'e-'nsing Sectiob at 727-847-
8009. -Furthermore, if-the owner has''hired,;Ei 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,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-building' s, 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 undersignedalso understands, that such fees, as may-be due,-will beidentified lat 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 71-3, Florida Statutes,as-amended): If valuation of work is$2,500 1.00 or more, I
certify that 1, the applicant, have been provided with a-copy of the -"Florida Construction Lien Law—Homeowner's
Protection Guide"
de" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applican't,is someone
other than the"owner", I certify that-I have obtained a copy of the aboveAdscribeddocument and promise in good faith to
deliver it to the"owner"prior to commencement. - I
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. lApplication is
hereby made to obtain a permit to do work,arid'"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 bodes, 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 notllimited to.
- Department of Environmental Protection-Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater,Treatment.
- Southwest Florida Water Management District-Wells, CypreSs Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawallg, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envirdri mental-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"V"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 stern wall
construction, I certify that fill will be used only to fill the area within the stem wall. i affect adjacent
If fill material is to be used in any area, I certify that use of such fill will not adversely
properties. If use of fill.is found to.adversely affect adjacent properties, the owner maybe 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 ofthe'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 implans, construction or violations of,any codes. Every permit issued.-Shall become invalid
unless the work authorized by such permit is commended within six months of permit issuance,' or i'f work!authorized by
the permit is suspended or abandoned for a period of six(6) months after the time-thework 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 a bandoned.
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-FINANCINGY.-CONSUILT
WITH-YOUR LENDER'OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF,COMMENCEMENT.
FLORIDA JURAT(F.S.1 17.03)
OWNER OR AGENT CONTRACTOR
Subscribed and'sworn to(or`affirmed)before me this Subscribed and sworn-to(or,affirmed)-before me this
by by
Who 0—are—personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary otary Public Notary Public
Commission No. Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed orstampdd
1
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1 �� ///A. BARTL-ETT
e
OEINC CONSTRUCTION SERVICES, LLC
i 3$408 3rd Ave. I Zephyrhills, FL 33542Go
(813) 782-5585
Email: Coreyh@abartiettroofing.com Llc. #CCC 1325499
RESIDENTIAL • COMMERCIAL • MOBILE HOMES
LICENSED - INSURED - BONDED
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THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.Warranties pertain to original owner, c
All arrangements contingent upon strikes,accidents or delays beyond our control.owner to carry fire,tomado and other necessary insurance.
Our workers are fully covered by workmen's Compensafion Insurance.Customer Is liable for any charges incurred in collecting this bill. Total
Signature Date
M1 OIQ� pl �}
Permit No. Parcel ID Nos I:ti Q Q Q G
NOTICE OF COMMENCEMENT
State of I�jV d i 01 51- County of 40�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, .
the following information is provided in this Notice of Commencement: O1 qb
1. Description of Property: Parcel Identification No.fo-2 aloe 1 (944$ 0 n- Yi 44 ;- - t)�'`/7�
Street Address: - 3'-s
2. General Description of Improvement a `
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
*,1. 1 M
t-3 0" j r
Address p Ci St at
Interest in Property: i b ,, o
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address �i F _ City State
4. Contractor: f r �Ar � fKe®�-t A-1 f" hs u� JrOir �S.n�11, S
Address City atate-
Contractor's Telephone No.: �-
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Address City State
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 State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy of the Lienor's 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 date 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 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 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 belief.
STATE OF FLORIDA C
COUNTY OF PAS 0 .......,,
•terCINTHIA M JEWELL
ignature of Owner or Lessee,or Owners or Lessee's Authorized
-- ._:r1
COMMISSION#GG026698 Officer/Director/Pa r/Manager
f' a EXPIRES August 29,2020
I n,
Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of y _ 20/y by
as ( pe of authority,e.g.,officer,trustee,attorney in fact)for
(Warn party o behalf of-Mom Instrument was executed).
Personally Known[�OR Produced Identfification! Notary Signature
Type of Identification Produced .lL�(�!'LJ-e— Name(Print) �O
INSTR#
2019148589 BK 9965 PG 3979
09/03/2019 11:42am Page 1 of10.00
Rcpt: 2086537 Rec:
DS:
0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq.
k & Comptroller
Pasco County Cler
CITY OF " NOTICE BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS al,
DATE� PERMIT
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before 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 780-0020 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
Jan.08.2030 09:59 AM A BARTLETT ROOFING OF CEN 18137801805 PAGE. 1/ 1
City of xephyrhilts
$335 8111 St
Zephyrhitls FL 33542
(813)780-0020
'•M
nP.
ROOFING INSPECTION AFFIDAVIT
Permit No.; a?-7 0
I, " licensed under Chapter 468,Florida Statutes as a(n):
Contractor,;&Engineer,,,y Architect"Building Inspector
License No. da=z33& 5
On or about_f/ f�1 a019 did personally Inspect the:
Check: Roof Deck Nailing - Dry In Flashing and Drip edge
Check which was used: 3011 felt!Peel and Stick,_,_,Other(List)
At the f �r
address;: WI 8 5
Based upon that examination,I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.84 Florida St tes).
Signature:
STATE OF FLORI
COUNTY OF PASCO
Swor and subscribed be ore this day
BY.,
Notary Public State of orida
,pp„ �` EXPIRE=1A