HomeMy WebLinkAbout19-21727 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21727
BUILDING PERMIT
PERMIT INFORMATION. LOCATION INFORMATION
Permit Number: 21727 Address:39336 5TH 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: .12-26-21-0040-00200-0030
Improv. Cost: 6,765.00 OWNER INFORMATION
Date Issued: 9/06/2019 Name: HIGGINS, CARROLL & SHARON T
Total Fees: 75.00 Address: 39007 HAVEN AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL 33542-6403
Date Paid: 9/06/2019 Phone:
Work Desc: REROOF SHINGLES
CONTRACTORS . APPLICATION FEES
PAUL D SCHAPER ROOFING INC REROOF RESIDENTIAL 75.00
Ins ections Required
DRY IN ROOF IN P
TAPE JOINTS ROOF IN PO l�
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 d Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
bGNITRACTO SIGNAT E--__,_,_ PERMIT OFFI R
P TRKIT EXPIRES'IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78H020 City of Zephyrhills Permit Application FaX-813-780-0021
Building Department
Data Received ng Phono Contact far Permitti Zia
ow L
OW
-S S9 ownoes Name 'Aacok-% likk Q nor Phone Number
rya+
Owners Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS FM 314 Q Slt I-Adf- Z 14 A WAS(-I Do LOT#
SUBDIVISION F- PARCELID01
(OaTAINEDPROMPROPERTI(TAXINICTICE)
WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE = SFR = COMM CJ OTHER I
TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL M
DESCRIPTION OF WORK 9,e.- VOCA IN CtAo
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING kj JOS VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS r7 ROOFING M SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY -x'VNQP!!x 14p�1 nra
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address I 'WILA G-alk (.\%VCI I License#I c-c(-os�I,*
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I YIN FEFCURREK LY/N
Address, License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURRFK YIN
Address I License#
MECHANICAL COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREN L-XL—Ni
Address I License#F—
OTHER COMPANY =
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms,,R-O-W Permit for now construction,
Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormweiar Plans w/Slit Fence Installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)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)worldng days after submittal date. Required onsitD,Construction Plans,Stermwater Plans wl Silt Fence Installed,
Sanitary Facilities&I dumpster.Site Work Pemut for all new projects.AD commercial requirements must meet compliance
SIGN PERMIT Attach(2)Sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
Fill out application completely.
Owner&Contractor sign back of application,notarized
Never$2500,a Notice of Commencement Is required. (A/C upgrades over$7600)
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 (Front of Application Only)
Rerooft if shingles Sawars Service Upgrades A/C Fences(Plat(Survey/Footage)
Driveways-Not over Counter if an 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 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 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 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, Wetiand Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment
- 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"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"N in connection with a permitted building using stem wall
construction,)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)
OWNERQRAGEM c CONTRACTOR \
Subscribed and sworn to(r affirmed)bftre me this Subscribed and swo Before me thisI
by by
Who Is/are personally known to me or hasthave produced Who Islare personally known to me or haslhave produced
as identificatlon. as identification.
Notary Public Notary Public
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INSTR#2019141957 OR BK 9959 PG 3591 Page 1 of 1
08/21/2019 12:06 PM Rcpt:2083373 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
State of FLORIDA County of Pasco
Property Identification No: 12_2,6-21-0040-00200-00?-0
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1.Legal Description:Zep�Io{c hc�b \s►k- adAilrCon P8 g z. LOA, Z 3 mac,
ca2A- 5.00 VA- off' uok a, b\ocA 2 or 3. o4
Or Z-bl-6 p9 to-B6
Street Address: 3q aJ t 2_ 5}1r% q%�,-
2. General Description of Improvement- :5N,- U-- 're -OC
3.Owner Information or Lessee information if the Lessee contracted for the improvement
a)Name and address: � gg�ng CCL(1011 L ShQTOn T
3goo�fr�lawa� Luc.
Zcfh.t\g FL 33s�2'�`to3
b)Name and address of fee simple titleholder(if other than owner):N/A
c)Interest in property:Owner
4.Contractor. Paul Schaper,8949 Gall Blvd.,Zephyrhills,FL 33541-Ph:(813)782-0920,Fax:(813)715-4875
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7),Florida Statures:
a) Name and address: N/A
b) Telephone No.: Fax No.
(Opt)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(l)(b),Florida Statutes:
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541-Ph:(813)782-0920-Fax:(813)715-4875
9. Expiration date of Notice of Commencement(the expiration date is 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 FIRS INSPECTION.IF YOU
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE CO MENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO / 7
Si is Authorized Officer/Director/Partner/Manager
�` 'Print141me 4!r!, �
The foregoing instrument was acknowledged before me this-QQ_day of 2L ,20 1 CL,,by
nrfC> \ �6a q\9 as �_,r (type of auth ity,e.g.officer,trustee,
attorney in fact)four�'- (name of party on beh4lf of w 7sent
was executed).
Personally Known OR Produced Identification at
Type of Identification Produced
Notary Pubeo State of Flodda
Alicia Hermih-Cannon
+d g My ConMr�ts m 00 218378
orw ExpkwCBMW023
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO'CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
N FILE OR OF PUBLIC RECORD IN THIS OFFICE
rn gwd-we�rusr o NITNESS MY HAND D OFFICIAL SEAL THIS
f� ®.,, 11 AY OF 2 G�
CLER COMPTROLLER
By _DEPUTY CLERK
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City,of Zephyrhj s
<�� ,�k`. }. ZepFfyrliills:FL<335�2
�($23}780�002d3
ROQFING INSPECTION'AFFIDAVI't
PermitNm
I,. 'Q�.�� !?� s; •��s - • licensed ia�rder.Chapter 461;:Flo�ida Sta�ufes;as a f n}:
Contracts►t�0,Engine6.r.—Arthite4.—Building inspector
License No; ff-pp-.:'C i R'1_ %A _.
Qn or, afoout. o�ki '-.a .at3l :cliot personally itaspect zhe..
Cbeck: Aoof.Deck Nailing Dry in 'Flashing and Drip edge-
. t .,, -
Check:�t hIth was'used: 309 fek, e'pi and Stick Other( isfi)
At the follow_ring
a0dress: � 3i�n � lU�
Based,.i�oofirthat exa ination,,I haveAereftined the Installation was done accordin to thei Hurricane,
iVlitigatipn Retfo ';M nual(Based on Sec. 553.84 ;Florida Sta4utPs}:.
Signature:
STATE OF LORID '
COON"OF PASC0'
sworn to'a' ivied b All
NotairyPiu Yc.State.of Florida
Notary Public State of Florida
;p, .,;Alicia Herweh-Centiorl
p�* Expires05m012.0n
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