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Home My WebLink About19-21906 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21906 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21906 Address: 4949 17TH ST 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: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-00400-0010 Improv. Cost: 4,379.34 OWNER INFORMATION Date Issued: 10/15/2019 Name: SUGGS DEBRA Total Fees: 65.00 Address: 6047 TWIN BRIDGES DR Amount Paid: 65.00 ZEPHYRHILLS, FL. 33541-8373 Date Paid: 10/15/2019 Phone: Work Desc: REROOF SHINGLES CONTRACTORS APPLICATION FEES CLARK &ASSOCIATES CONTRACTING I REROOF RESIDENTIAL 65.00 r f� Inspect! 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER (a 'AZAmsawd)S=MA ON sapi Wn a-Ao-aS SiaaaS Sal a s ( p"—lo Ad-) SNUMMMd a3Mnoo 3KL M3AO aam _&15qxzwm vnS+aRal PaKURIOU 42x+auoauias a3 RAM( ayl m11Av10-MAVIDd m(-IOPO4UO3 819paJ)mom+ .. 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The undersigned assumes responsibility for compliance with any applicable dead restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contractor or c ontmckms to undertake vxwk,they may be required to be licensed in accordance with state and local regule ions. If the contractor is not licensed as required by law,both the owner and contractor may be cited for a misdarrreanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended ewortt,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 80d1B. Furthernmra, if the owner has hired a contractor or contractors, he is advised to have the contractor(s)sign gofftions of the'embactor Block"of this application for which they will be responsible. If you,as the owner sign as the conbactor,that may be an indication that he is not property licensed and is not entitled to permitting psiviteges tri Pasco County. TRANSPORTATION IMPACTIdITILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,grange of use in exosting 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,wiii be identified at the lime 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 powder release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WatedSewer 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 mom,I certify that I, the applicant, have been provided with a copy of the "Florida ConsUuclaon Lien Law--Homeownees Pmtecdcn Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the'ovens',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. C CTOiYSIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all wwk w M be done in compliance with all applicable taws 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 oo rAmction, 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 response itity 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,WateriWastewaterTrealmenL - Southwest Florida Water Management District-Webs, Cypress Bayheads, Welland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Trealmecit, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I anrndemland that the following restrictions apply to the use of fill: - Use of fitll Is nTA aftxed in Flit wit louse-V-u pmmi aI_ - fIf hire trill mtrr.Awefl des 1b be used iim Rwd Zrmmre -K„ fit its mmdl l ftt a dfira 101am aMmEaimg a wJM be sUhnfted at lom art pennWng m%rh is by a pmlP s�wqjbBw licensed by the State of Florida. - ff the h-ll material is to be used in Flood Zone"A in connection with a permitted budding 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 1 am the AGENT FOR TM OWNER,I promise in good faith to intorm the owner of the permitting conditions set forth in this allidavit prior to commeaicing construction. I understand that a separate permit may be required for electrical work, signs,wells,pools,air conditioning,gas,or other installations not specifically included in the appRation. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cane,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Budding Olfidal from thereafter requiting a ixafrection of errors in plans,construction or violations of any coders_ Every permit issued shall become invalid unless the worts authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permmit is suspended or abandoned for a period of six(6)months after the time the work is commend An extension mtay be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and vAll 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 1i41IM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR iRed and sraorn to(or afrsrmaM before me this pr mre) a yre ghi w �� by (01411 11by "haWxe pemonany known to me or hasfhave prooiced Whb WMe pe&onaqy known to me or Wasftve prodru ed 2s identification. . Notary P Mc NbWWPdit CGWVftSRonKo. Cornn' aGGI ` r rum orb typed.pruned or stamped Narne of N HEATHER HALL ED MY COMMISSION if GG117178 '�',%�;, a�•' EXPIRES June 21,2021 0 s '��....iiii ` IV LOG �fflm - 0696d� OF 07 Imam— I ON slum i 9 It s '? 3 - l2d+f 00 - 17 °UPRIO -Wl • uquj4u,Pe jajjogdjue3?g ydaYJ f4unc3 nosed'bs3°SOlAoS aamJV 9-433!N e POWER OF ATTORNEY Date: I hereby name and appoint TIFFANY_M._COLE of CLARK&ASSOCIATES CONTRACTING INC to be my lawful attorney-in-fact to act for me, and apply to the Division of Building Safety for a REROOF permit for work to be performed at a location described as: Parcel ID#:Section HTownship X Range 91 Subdivision /"'U Block 6cgcaot.601 (15 Digit Parcel Number) Subdivision Name: A Lines Owner of Property: IL�rol Project Address:y9L/9 111JQ J2_L City: I rl lrh I ( I S .FL Zip: and to sign my name and do all things necessary to this appointment. _JOHN N. CLARK CqC1329202 (Contrac Name) (Cont act r' License Number) (Contr or Signature) The foregoing instrument was acknowledged before me this day of OG�7 � of 20_1&, by l-(; G who is personally known to me or who produced as identification and who did not take an oath. Not r Public(Print na e) Seal HEATHER HALL Not Public Si nat r ' ( g ) . MY COMMISSION#GG117178 g'' EXPIRES June 21,2021 RD Q , City of Zephyrhills $335& St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT 1 Permit No.: `�0 r . licensed under Ch6pter'468;Florida Statutes.as a(n): : Contractor( Engineer._Architect Building Inspector._ License NoAL,l,� J "I lti1� On or about �� is ��1 did personally inspect the: Check: Roof Deck Nailing-(,,— Dry in 561 A Flashing and Drip edge Check which was used: 30#felt Peel a-nd.Stick-- Other.(List) At the followin'g' rr (_ r address: .Based.upon that examination, I have;determined.the installation was done:according to the Hurricane- ., . Mitigation Retrofit Manual (Based on-Section 553.844;Florida Statutes). Signature: Al COL. STATE OF FLORIDA COUNTY OF PASCO Sworn to and su ribe before.this day Notary Public State of Florida Nora Berishaj BY: p� My commission GG 228301 OF Expires 06/13/2022 N9 'ry.Public State of Flo