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HomeMy WebLinkAbout19-21953 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21953 BUILDING PERMIT PERMIT INFORMATION LOCATION.INFORMATION - = Permit Number: 21953 Address: 37727 ALISSA DR BLDG 23 UNIT Cv 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017B-02300-OOCO Improv. Cost: 3,375.00 OWNER INFORMATION Date Issued: 10/22/2019 Name: KEPNER, KARL W ESTATE OF Total Fees: 60.00 Address: 2012 HUBTERS RIDGE DR Amount Paid: 60.00 MIDWAY PARK, NC 28544-1601 Date Paid: 10/22/2019 Phone: Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 60.00 DRY IN ROOF INSP Ins ection8 Re uired - 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, Specifics ions 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 OFF16VR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 52- 40-7 Owner's Name Gt Owner Phone Number Owner's,Address N 17 2 r- Z 11(6 Owner Phone Number Owner Phone Number JOB ADDRESS / ; ( F LOT# SUBDIVISION F PARCEL ID# `tt ` 3 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q = DEMOLISH R INSTALL e REPAIR PROPOSED USE 0 SFR Q COMM = OTHER TYPE OF;CONSTRUCTION Q BLOCK Q d FRAME (STEEL DESCRIPTION OF WORK BUILDING SIZE [_ SQ FOOTAGE HEIGHT rTZ:IbUILDING $ � VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W:R E:C.` =PLUMBING r C L VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING SPECIALTY C� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N` FEE CURREP Address License# ELECTRICIAN _COMPANY SIGNATURE REGISTERED Y-IN FEE CURREh Address License# F PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh LYLN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/:N - FEE CURREN Y/N. Address License# OTHER COMPANY... SIGNATURE REGISTERED Y/ N FEE RR Y/N 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 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 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. (A/C 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 compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE6: If the owner has hired a co'ntractar or contractors to undertake work, they maybe 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 maybe 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"notinvolve 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,aslamended): 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.. CONTR,ACTORISIOWNER'.S'AFFID"IT: 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-tolissuance,.,bf 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, Wetland Areas and Environmentally Sensitive Lands,Water!Wastewatee'Trdalmbht; Southwest Florida Water Management District-Wells, Cypress B.ayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks,,Navi6ablb'W6terway.�, Department of Health & Rehabilitative Sbrvice6/En'Mr.drimental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Adendy=As*'best6s abat6rn0n-'t.' Federal Aviation Authority-Runways. I understand.that the following restrictions apply to the use of fill: Use offill-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 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 ma'terial 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 for violating the conditions of the buildifig permit issued under.the attached.permit application, for lots less than one (1) acre which,are elevated-.by-fill;';,an.enoirieered drainage,plan 1s required. If I arn'the AGENT-FOR THE,OWNER, I promise in good faitK tol'informthe-b*her of the permitting conditions set forth in this affidavit priorto-commencing construction. I understand that,a.separate permit may be required for electrical.work, plumbing, air conditioning;`gas;-or other instailations not specifically included in the application. A permit.issued,.shall.be-constru. ed-,to.be a_.Ilcense to proceed.With1he work and not as authority to violate, cancel, alter, or set aside any provision.s.of the technicalcode's, nor,'shall issuance,of a permit prevent the Building Official from thereafter requiring a correction of eirrors'in'plans, construction or violations of any codes. Every permit issued shall become invalid" unless the work authorized by such I 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 ND TP,OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR,AN ATTORNEY BEFORE,RECORDING YOUR NOTICE 6P domMENCE MENT.' FLORIDA JURAT(F.S.117.03) OWNER OR AGENT - - CONTRA CTOR---_-- and sworn to(or affirmed)before me this Subscribed and swo to(or affirmed)before me this by by - Who Islare personally known 10-1T e or has/have produced Who Is/are personally known to me or has/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 stamped INSTR# 2019180074 BK 9993 PG 1912 10/22/2019 11:35am Page 1 of 1 Rcpt: 2101617 Rec: 10.00 G%. DS: 0.00 IT: 0.00 Nikki Alvarez—Sowles Esq. Pasco County Clerk &�Coniptroller Permit No. Parcel ID No S 2- © ! 7 Cs h 2-3 o6 oo cc 1 NOTICE OF COMMENCEMENT State of' -F1 dP� County of —PAS C C5 THE UNDERSIGNED hereby gives notice.that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. ....'_. Street Address: 'J / 7 7 �#I , s De- ��T Z' l" I 2. General Description of Improvement: �� ©I� .. - ��� �e� (�6j�,7 o A E'`.J� �Gt,irlq�C 3. Owner Information: fo G F%/' I k r 0 A e-j- e .� Address City State Interest in Property: i Name of Fee Simple Titleholder: (if other than!owner) Address. / City State 4. Contractor: 4 ..e r 5 h �b q/ 33,5,Zs C; L Address City State Contractor's Telephone No.: :L352 660 4 5. Surety: Name Address City State Amount of Bond: $' Telephone No.: 6. Lender: '- Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name i� Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates' of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST I SPECTIONAerr, INT ND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING RK OR REG Y UR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO ^� Signa ure of Owner oruthorized Officer/Director/Partner/Manager Signatory's Title/Office II i/ The foregoing instrument was acknowl ged fore me this d f 2C19,by CS n d 1/I"R as (type of authority,e.g.,officer,t ustee,attorney in fact)for (n m of pa on b alf of instr ent was executed). - In- Personally Known❑OR Produced Identification Notary Sign re (/ Type of Identification Produced �J L Name Print) l Verification pursuan o$ ygn 92.525,i i t� er penalties,o perjury I declar th t v' r d the regoing and that the facts stated in it are true to the bes f ��tang rlegi�� �Jg ate o`E;orida c d Commission=GG 234i60 1 of My Comm.Expires Ju!2.2022 Bonded through National Notary Assr. igna e 6f Natural Person igning Above wpdata/bcs/bcs form s/noticecommencement—pc053048wce City of Zephyrhills ..� .. 5335 8 t"St. . Zephyrhills FL 33542" (813)780-0020' ROOFING INSPECTION AFFIDAVIT -- Permit No.: Ali licensed tinder Chapter 468,Florida Statutes as a(ti)::.. :: ContractorT::Engineer_Architect Building Inspector License No. � d On or abou4,,k, gU9M0Zdid personally inspect:the: Cheek: Roof Deck Nailin .: D in Flashin and Dri ed e i g� N g p : g. Check which vitas used: 30#felt_Peel and Stick : Other(List) C At-the following address:. t Based upon that examination, l heve.�determined the installation was done.according to the:Hurricane Mitigation Retrofit Manual(Based on Section 553.844;Florida Statutes). Signature: STATE OF FLO COUNTY-OF PASCO Sworn:to and subscribed before this day Notary Public State of Florida :. ;. 41ON0,66334969 1XV EXP1RE$*:May:13;2923 ••., �R,• goiMed.RwND�ry �6"" fo. PubNGllndarwnttera �f��).(�c.� � '