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Home My WebLink About19-21867 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21867 BUILDING PERMIT PERMIT INFORMATION LOCATION,INFORMATION Permit Number: 21867 Address: 37920 MEDICAL ARTS CT 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0080-00000-0021 Improv. Cost: 6,700.00 OWNER INFORMATION Date Issued: 10/09/2019 Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 112.50 Address: PO BOX 232 Amount Paid: 112.50 DADE CITY, FL. 33526 Date Paid: 10/09/2019 Phone: (352)467-2001 Work Desc: REROOF METAL CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF COMMERCIAL 112.50 � n l � l Ins ections Required DRY I R F INSP 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. 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 ZEPHYRHILLS 5335-8TH STREET" (813)780-0020 21867 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21867 Address: 37920 MEDICAL ARTS CT 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0080-00000-0021 Improv. Cost: 6,700.00 OWNER INFORMATION Date Issued: 10/09/2019 Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 450.00 Address: PO BOX 232 Amount Paid: 450.00 DADE CITY, FL. 33526 Date Paid: 10/09/2019 Phone: (352)467-2001 Work Desc: REROOF METAL CONTRACTORS . APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF COMMERCIAL 450.00 DRY IN ROOF INSP 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. Z CONT C SIG RE PERMIT OFFIhdR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'rsit'��artion ��.7�Yd�'l City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: r j CA k- Date Received: —� Site: Permit Type: CIA Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. fl�fl- OCT 0 5 2019 Kalvin itze — lans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-00Z1 Building Department Date Received 1 .Phone Contact for Permitting Owner's Name All �Pwner Phone Number Owner's:Address V a Bo)C Owner Phone Number I Owner Phone Number JOB ADDRESS Le- / /� f S L TitSUBDIVISION PARCEL ID# T (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR 8 ADD/ALT 0 SIGN Q = DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM `�� OTHER r iO TYPE,OF`,CONSTRUCTION Q jjBLOCK Q FRAME STEEL or DESCRIPTION OF WORK &ff � / I� BUILDING SIZE (�J Q FOOTAGE J 05(D HEIGHT =BUILQING", $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE O DUKE ENERGY Q W.'R.E.C. =PLUMBING =MECHANICAL $�� VALUATION OF MECHANICAL INSTALLATION =GAS LQ ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES yN� 11PANY BUILDER . l �fJ SIGNATURE REGISTERED Y/` CURREN Y!N Address AlaQ f 3?Kq,.3 License# I t..'CCJ�30 �6*-ak, ELECTRICIAN COMPANY 'SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y"/N . Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/:N FEE CURREN .:Y•/N• Address License# I OTHER COMPANY. SIGNATURE REGISTERED Y/ N FEE CURREN Ly!N f Address License# RESIDENTIAL Attach(2)Plot Pl.ans;,(2)sets of Building Plans;(1)set of Energy Forms;R=0-W Permit for new construction, Minimum ten(10);working da'ys`after"submittal date. Required onsite,Construction Plans,*Stormwater Plans w/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 te`h'(1:0)-workinJ days after,submittal date.'Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facliities AA 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: Fill out application completely. Owner&Contractor sign back of application,notarized If over'$2500,a Notice of Commencement is required. (AIC upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owrfer 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'lf o`n"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 tie 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.-n1f,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.projiect 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 ument 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]s 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-1ssuance-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, Welland Areas and Environmentally Sensitive Lands,Water/Wastewatet.Tti§eitment; ,;;_ Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Se'awalls, Docks,,Navid'able Waterways, Department of Health & Rehabilitative S6r:v:ic661EW1f6nMentaI Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-'AsbeSto' s..abat 011t., Federal Aviation Authority-Runways. I understand that theifollowing 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' pr6pared by a professional engineer licensed by the State of Florida. I 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 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 olev6ted.by,fillan.engih'eered drainage.-plan-is required. If I anthe'AGENT'FOR THE OWNER;'I promise in.good-faith:to;inform-the-owner of the permitting-conditions set f6rth'in this affidavit prior.to-commencing: construction. I understand.that.a.separpte 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,constr.ue0Jo,,be-a,lipense to Droceed.lwith-,,the work and not as authority to violate, cancel, alter, or set aside any provisions.of the'techhidal codet",'- nor shall issuance of a permit prevent the Building Official from thereafter'. requiring a correction of errors'ih-'plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized bysuch-'petmit 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 swom-to(or affirmed)before me this Subscribed and ivom—to(or ec ore this by IS Who is/are personally knowa-lo-gyne or hasihave produced Who is/are personally knowyPfdme or hal/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stem ed CARLOS MALDONADO Commission#GG 346275 Expires June 18,2023 Bonded Thro Troy Min InsIxencs 8W305-7019 INSTR#201915426a oR BK 9970 PG 3876 Page 1 of 1 09/10/2019 04:13 PM Rept:2089169 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowies,Esq.,Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit No, ;_'fax Folio No. : t�1N Eby given pot(c that ymprovemeat will be made to certain real property,and in accordance with C ter T13,Florida Statutes,the following information is provided in this NOTICE OF COULUNMENT. 1.I)escrlption of prapertY 4egal descriptim of } .y' '+ f'110g0—0C?con-00.21 1025 d .ttntr 3 31 .Oi�mer or Lessee information(lessee as owner only if contracted far unpravements '�.`, 9 Name and address: h b.Ir ci est in i operty: s.Name atul sdrlcess,of fee sinnple titleholder(if vr-Aother,than owner): �t 4.Contmetorinfi7irss iiiesi C.l 0.Natne and address it b ptioa®Awnber:' - Fax I AL "s 3 S.Surety Inf0imation - a Natrie tiiid addtrrss: - . . }lmimlit Nof bond c.Pttaae number:'" - Fax o.(Opt.). 611.ender tt.Name pad address. 00 1& - - b Pbmic numbers 7.Persons within the State of Florida desigtrated by Owner upon who notices or other documents may be served as provided by Section 13(1)(a}1.,Florida Statutes; b.Phant3nuiabers�'�:_;, ......::>,;�r,,•r.. >..'- &hi add ttuia to hiatselK Divest designata4 the following person(s)to receive a copy of the Lienoes Notice as provided in. Section I13.13(1Xbj,Florida,Statutes; a Name and address. Elrplratlon date of sotitae of e4el fismineeneat(the expiration date Is i year tarotaa the date of reedrding unim a different date is mpai�sd) .-:. ._ - "" -- •- .. .• .-. - PARNIIYG TO OWNERS ANY PAYMENTS MADE BY THE OWNER AFTER,THE:...Y EXPIRATION OF THE NOTICE OF" COMMENCEMENT ARE CONSIDERED IMPROPER - PAYMENTS UNDER CHAPTER 723,:PART 1;,SECTION 713.13,'FLORIDA STATUES,AND CAN RESULT IN YOUR PAV*d TWICE FOR IMPROVEMENTS TO�YOUR PROPERTY.A NpTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE; BEFORE THE FIRST INSPECTION.IF'YOU INTEND TO OBTAIN FINANCING,CONSULT !V['fi'H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Verf0caden pursuant to Section 92 S?S,Florida Stattutes.Under penalties of perjury,I decbm that I have- feed the i6r+�olgg antd that thi:fasts in i buts to rho best of ttntq Imawledie and belie£ Signature of(hurler or or or Lessee's Authh9�p OfficeiQmctodPmtnedMatmger Signatory's'fitldr)�cer State of Florida _ Cotiaty of Manatee .� _ / fore ii1 irist exit was befoie me ack►to Iedged this � ayP J by e ti $„ ;who is personaDy known wine or itias protlncett. :. .and who did/did not take an oath.. (Driver's License = . si o rmary Public State of Florida . Prig Typo,o . Jennifer Maffett ConfntisSi Bffion GG 155002 -- Wad - EkDres-i1/06/202i' cl STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE 0 WITNESS MYHAND4#NND FFIC L SEAL THI ,. DAYOF 2 01'j CL 4 L K&COMPTROLLER E3ya) DEPUTY CLERK