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Home My WebLink About19-21868 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21868 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21868 Address: 37918 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: 34-25-21-0080-00000-0020 Improv. Cost: 18,680.00 OWNER INFORMATION Date Issued: 10/09/2019 Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 202.50 Address: PO BOX 232 Amount Paid: 202.50 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 202.50 J Inspection uired DRY IN ROOF 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. CON C IGN ORE PERMIT OFFI R PERMIT XPIRES 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 21868 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21868 Address: 37918 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: 34-25-21-0080-00000-0020 Improv. Cost: 18,680.00 OWNER INFORMATION Date Issued: Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 202.50 Address: PO BOX 232 Amount Paid: DADE CITY, FL. 33526 Date Paid: Phone: Work Desc: REROOF METAL CONTRACTORS APPLICATION FEES. TLC ROOFING & CONSTRUCTION INC REROOF COMMERCIAL 202.50 Ins ections Required DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80(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 OFFItYR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER J`4f City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Wj AD r 4�"+. Date Received: Site: l -W, 4.4 Cj Permit Type: dew 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. OCT 0 5 2019 Kalvkf Sw tzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) INSTR#2019154259 OR BK 9970 PG 3875 Page 1 of 1 09/10/2019 04:13 PM Rcpt:2089169 Rec:10.00 IDS:0.00 IT:0.00 Nikki Alva rez-Sowl es,-Esq.,Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit No,. ... . , TaxFoliaNg. ? fMH J pM RSICiNED hereby gives notice Stet improvement will be made to certain real properly,and in accordance with Cbaptar 713,Florida Statutes,the following information is p xMdded in this NOTICE OF COUN ENCEMENY 1.Desaiptlon of pr operty(legal descn t�of property): .7`t aZS o2I-��g� �� v� e)Street(job)Address: Ti C° rhdl 1, ,a- 2.Qelieial descripa en Ale-awe 3.Owae or I,esssee informatiao(Lessee owner anly rf contracted far improvemen�� '1()rC 1 UP C �J a.t4apap and address�(�� >!t`Cor�,i�nitnrla�{PQ i it►u3�f�6� ie b.Ipt0"9n property fit�Yvr o.Name and address of fee simple titleholder(Mother than owner). /► 4.Contractor Infornjaticri 'a.Name endaddress:' /`G'/�taDl1[l f oNc� D TItfG �07�GIl�rD0L7 li.Niotieniitilbec ��.'S(� -'Td?3 Fax No.(Opt.)_��s��?'- $,Surety Infoimatiozi" a.Name and address: b.�tinoumi of bond$;_T_ c.Aicne awgber: Fax No.(Oi1t) A.Name and address' �y b.Phone 7.Persons within.ithin the State of Florida desiggefed by Owner upon who notices or other documents maybe served as provided by Section 713.13dXa)7.,Florida Statutes: ` a.Name acid address: o b.Photia'ninnberc 0.In addition tohim'seK Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section•7,.13.13-10 Florida Stefrttes: P.Name and address: b.Phone p!unber 1j zR►fratlon date-of motive.pttotmmaeneement(am expfra"date is 1 year.8rom tdm date of rwarding unless a different date b speclSed) 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 STATUES,AND CAN RESULT IN YOUR PAYING TWICE FOR E"ROVEMENTS TOYOUR PROPERTY.A NOTICE,OF COMMENCEt1M9W MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE•FIRST INSPECTION.IF YOU llVTEND TO OBTAIN FINANCING,CONSULT WI'I`B YOUR LENDER OR AN ATTORNEY_BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Ve."neatlon Pursuant to Section 92 W,Ftorlda Statutm Under penalties of perjury,I declaire that I have- ii+ead the[oryloIag end that the tfaefe.II it are true to the lust of my knowledge and belief Sigtiatuie of owns oil a uF.I esax' Authoamd t]lgoadDiroctorlPaArledMmmger Sigantory'e TitldOcer State ofFloridg . .. pp of Manatee -. &da LL Y ►h.... ;,. 20 b '('Nte oregoing lnstramenIt was edged before me ftq ,. .;:. .. :.t, n r of take an oath p who is pars has produced - and whodid/did _ (Driver's License ` c-S of r , Notary PubUc State of Florida Prio1;TyK or Stamp 5 KA My commission GG,158002: Commissioned Nam ofN dF Expires 11/06/2021 ' . ` , , ClRc STATE OF FLORIDA,COUNTY OFFAscQ THIS|STO CERTIFY THAT THE FOREGOING|SA TRUE D CORRECTCOPYOFTHEDOCUN1ENT ONF|L EOROF PUBLIC RECORD}N THIS OFFICE WITNE5�S MY HAND | 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name JAJQwner Phone-Number ` Ownees.Address • , tPOK 93 Owner Phone Number Ta -Owner Phone Number FL JOB ADDRESS �q . :S r ! S 1 J 71[OT# SUBDIVISION PARCEL ID# e2 -g —00 g,9 1 L 00 (OBTAINEO-FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = Q DEMOLISH e. INSTALL e REPAIR PROPOSED USE = SFR = COMM = OTHER IO TYPE OF`CONSTRUCTION = BLOCK 0 FRAME STEEL :0 �-- DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT'. =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.-E:C: =PLUMBING $ e V =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER , .. FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES 'NO 22 .. BUILDER &�,MPANY BPf I S Ir/rL SIGNATURE . REGISTERED Y/ N' FEE REN YJ N ��tt 9 00 Address Q r t . � License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N J. Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/-N FEE CURRE' Address License# OTHER. COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address, License# 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 w/Silt Fence installed, Sanitary Facilities-&1-dumpster;-Site Work Permit for subdivisionstlarge 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: 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 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 compliapqe 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'requir'e''d 46 be' -lic'ensed.-in accordance with-state.and-local..regulations. Ifthe contractor is not licensed as required by law, both the owner and contractor may be cited 'for a misdemeanor violation unde'r,.state,:Iaw.-:If the-owner or Intended contractor are uncertain-as 4o,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-Jo 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 a.n.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:�r The under'signed understands that Transportation•Impact Fees.and,Recourse Recovery.Fees may aooly'to the.constructionof new buildings, change of use tin existing buildingsi' orexpansion of existing buildings, as specified in.Pasco County Ordinance number 89-07 and 90-07, as amended. The--undiarpi,gried,also understands, that such fees, as maybe 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.pro" ct does"not involve a certificate of occupancy or final power release;th&:Jees-.must,be paid prior,to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are.due,..they.must.be.paid-prior tq permitissuance-in accordance with applicable Pasco County ordinances. CONSTRUCTION-LIEN LAW(Chapter.713, Florida Statutes,-as,,amdnded): If valuation of work is$2500.00 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 A6riculture-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. CONTR,ACTOR'SIOWNER'S:.AFFIDAV,IT:,-1 certify-that ali 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 jurisdictibm, 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,WaterMastewater--Treatriient., - 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-Wellt, Wastewater Treatment, Septic Tanks. USE'nviro-nm' *e'n-t-al,Prdtedtion.A46ncy=Asbettosabatement: Federal Aviation Authority;RunWays. I understand-thatthe.following-restrictions apply-to the use of fill: Use-of fill:is not allowed in Flood Zo.ne-"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:Oy-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_stern 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 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,engiheered drainage•plan�is required. If I am-.the AGENT FOR THE OWNER, I promise in good-faith to inform-the-owner of the permitting-coniditions set forth in this.affidavit-prior to.commencing construction. I understand that a separate permit may be required for electrical work plurnblh4, signs, wells, pools, air conditioning:gas,--or, other installations not specifically--included in,the-application. A permit.i.ssue.d.shall,.be construed to be a.license to procee6with 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 berequested,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,70.OWNER: -YOUR FAILURE TO RECORD A-NOT- ICE-OP COMMENCEMENT MAY RESULT INWOUR PAYING TWICE FOR IMPROVEMENTS tO Y OUR'PROPERTY. IF YOU VINt.END,TO"O6TAIN-FINANCING,'-CONSULT ---WITHe.-�Y�,OUR-LENDER..-bR,AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER ORAGENT CONTRACTOR subscribed and sworn to(or affirmed)before me this Subscribed and'sworn to(or&affirm_ed)-bef6re'me•this by by Who ii/a-r6personally known-to me or has-/have produced Who istare personally known to me or has/have produced as identification. is4d6ritification. Notary Public Notary Public Commission No. Commission.No f Name of Notary typed,printed or,stamped Name:o.Motary typed,printed-or.stam ped