HomeMy WebLinkAbout19-21812 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21812
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21812 Address: 5928 FOREST LN
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: FOREST VILLAS
Est. Value: Parcel Number: 10-26-21-0110-00000-0070
Improv. Cost: 6,779.00 OWNER INFORMATION
Date Issued: 9/26/2019 Name: MALTASS, HERBERT A& LINDA L
Total Fees: 75.00 Address: 5928 FOREST LN
Amount Paid: 75.00 ZEPHYRHILLS, FL 33542-3259
Date Paid: 9/26/2019 Phone: 813-715-2045
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
PAUL D. SCHAPER CONSTRUCTION INC REROOF RESIDENTIAL 75.00
C
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
&-, 54#w
C T CIO IGNATURE 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-813-78HO21
Building Department
Date Received Phone Contact far permm tuna 1( 69go. . . . .
Owner's Name N(�-A Owner Phone Number lou Ic
Owner's Address 51 Q8 CAt 4P--%1r L Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
—7
JOB ADDRESS r-6c---x LOT#Lic4r& --
SUBDIVISION 1 PARCELID#1 10 -Oto-Q1-NO-t>WOU- 00-10
(oe""'ED PROM
PROPEMT"NOTICE)
WORK PROPOSED NEW IONSTRR AODIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE F--1 SFR Q COMM OTHER I Mk-
TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL
DESCRIPTION OF WORK &c\(Ae- kbp-- �co�
BUILDING SIZE Sfi JFOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
=BUILDING 1$(e, —7 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL i$ AMP SERVICE Q PROGRESSENERGY Q W.R.E.C.
=PLUMBING $
MMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER: COMPANY
SIGNATURE
REGISTERED I YIN PEE CURRE11
Address License#F
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN Y 1 N
Address License#
PLUMBER COMPANY = .
SIGNATURE REGISTERED YIN FEE cuRRB
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I YIN FEECURREN LyjN J
Address License#
OTHER COMPANY EKj
SIGNATU REGISTERED I W N FEE CURM L_yj N J
Address 1 %9149 Ckle AY License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans-,(1)set of Energy Forms,R-O-W Permit for now construction,
Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed.
Sanitary Facilities&I dumpater,She Work Permit for subdivislonallarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(I)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)worldng 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.
Dit"Ut.tIl
Fill out application completely.
Owner&Contractor sign back of application,notarized
Rover$2500,a Notice of Commencement Is required. (AIC 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 (From of Application Only)
Rerooft if shingles sewers Service Upgrades A/C Fences(PtotfSurvey/FoGtage)
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 a contractor or contractors, he is advised to have the contractors) sign
portions of the"contractor Black"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 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$2,600.00 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 constriction,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. 1 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/WastewaterTreatment
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Welland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health S Rehabilitative Services/Environmental Heath 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"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 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
WI OUR END O TTO Y R FO R ORD E
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CO CTO
Subscri ed and swum rsaifirmed)be'of�P-1-�d
SubsZribe Q 1
y1�b)
' Who islare p to me or he
Wh ib slate personally own to me or has/have produced
��JJ as id.,
as identification.
`4�`C A_t Notary Public otary Public
yY°oe: KATHRIN M ROBINSO^i
Commission No. Commis s rr �� ;, Rwblit-Stat f F
V r ATH s`; Commission#GG 321868
_ �' otyggspfiu�aime b3 - Name of tary.4Yr. ;prin
Commission#GG 321868 Bonded through National Notary Assr.
+Woo-: M Comm:Expires Jun 2.2023
aFc�,: y Assr.
Bonded through National Notary r '
r ,
r
City of Zephyrhills
5335 8a'St
Zephyrhills FL 33542
(813)780-0020
• •r
ROOFING INSPECTION AFFIDAVIT
Permit No.:
I, �n ' '+„ �Pc licensed under Chapter 468,Florida Statutes as a(n):
Contractor�Onglneer Architect Building Inspector
License No. C �
On or about, 'MR did personally inspect the:
Check: Roof Deck Nailing, Dry in Flashing and Drip edge
Check which was used: 30#felt�QPeel and Stick Other(List)
At the following
address: v
Based upon that ex ination,I have determined the installation was done according to the Hurricane
MitigationJFLORID
Waal(Based on Section 553.844,Florida Statutes).
Signature:
STATE OF
COUNTY OF PASCO
Sworn to and subscribep Pefor is day S C9 Zots g
BY:
-:2 \—�
Notary Public State of Florida
=of NotarridaAUcla:ny C
378Wir
I
INSTR#2019165024 OR BK 9979 PG 3529 Page 1 of 1
09/26/2019 11:17 AM Rcpt:2094233 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
State of FLORIDA County of Pasco
Property Identification No: 10-26-21-0110-00000-0070
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: FOREST VILLAS UNRECORDED PLAT LOT 7 DESC AS COM AT NE COR OF SEC TH
N89DG 38' 40"W 671.73 FT ALG NORTH LINE OF SEC TH SOODG 04' 30"E 25 FT TONE COR OF BLOCK
2 OF FOREST HEIGHTS PB 8 PG 10 TH CONT SOO[...]
Street Address: 5928 FOREST LANE, ZEPHYRHILLS, FL 33542
2. General Description of Improvement:Shingle re-roof/TPO
3.Owner Information or Lessee information if the Lessee contracted for the improvement
a)Name and address: MALTASS HERBERT A&LINDA L
5928 FOREST LN
ZEPHYRHILLS, FL 33542-3259
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(1)(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 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager
Print Name
The foregoing instrument.was acknowledged before me this J-0 day of ,20 l Q by
1_,�.+r )e,(-� 1.ACAk btJul_kr (type of aut ority,e. .office trustee,
attorney in fact)for (name of party o e if of w ins ment
was executed).
Personally Known OR Produced Identification N5ta_?Y_�jg nat
Type of Identification Produced
Notary Public State of Flodda
AIi Hervveh-Cannon
My Commisslon GG 218378
�yq„, expir�os�tsnazz
y9�
�® S7A�'�OF FLr'r::Cd�,Ct3U�iTY OFF°:�8C�3
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUEAND CORRECT-COPY OF THE DOCUMENT
_• .". N FILE OR OF PUBLIC RECORD IN THIS OFFICE
liar =' Q ITNESS MY HAND AND OFFICIAL SEAL THIS
r,;ut
GO 0 LE K&COMPTROLLER
BY. J�/j/�--� DEPUTY CLERK
�� L F-