HomeMy WebLinkAbout19-22026 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22026
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22026 Address: 4703 LARCH DR
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 15-26-21-0160-00000-0060
Improv. Cost: 6,974.00 OWNER INFORMATION .
Date Issued: 11/07/2019 Name: BECK, RONALD
Total Fees: 75.00 Address: 4703 LARCH DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/07/2019 Phone: (813)917-3946
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 75.00
C
- A
D `
Ins ections Re uired
DRY IN ROOF IN P
TAPE JOINTS ROOF I SP
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.
4b��5
CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s13-7eHo20 City of Zophyrhills Permit Application Fax-813-780-0021
Building Department
Data Received .phone Contact for Penni Sl3 �a -
Owner's Name Owner Phone Number %Y
O��Address LQ !-c`ve - Owner.Phone Number
Owner Phone Number �
i
t
JOB ADDRESS I t-1, P`:}�G Lam'�� a LO.T#
SUBDIVISION L PARCEL IDS
(08TMW FROM PROPBRIYTAX ti =14
WORK PROPOSED r4rW aWM ADDIALT SIGN Q 0 DEMOLISH
INSTALL hA REPAIR
PROPOSED USE Q SFR COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL
n �
DESCRIPTION OF WORK
BUILDING SIZE SG FOOTAGEWr t HEIGHT
...t ..
'QSUILOING $ /_ s7 v VALUATION OF TOTAL.CONSTRUCTION
ELECTRICAL $ AMP.SERVICE Q DUKE ENERGY Q W:R.E.C.
QPLUMBtNG $ �{
QMECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION :
MGAS [D ROOFING J] SPECIALTY [ � OTHER 3
FINISHEWFLOOR ELEVATIONS C � FLOOO,ZQNE.AREA [3YES NO .
SUILOER;;<; - ' COMPANY
SIGNATURE RMSTERED I YIN FEE CURREh
Address UceWse#
i
ELECTRICIAN COMPANY
SIGNATURE REGlwram YIN FEE CUMS
Address License#1 1 1
PLUMBER { COMPANY
SIGNATURE REQIB'MM I Y 1 N FEECUftFtB YIN_
Address license#.
MECHANICAL COMPANY
SIGNATURE REGI8Tgm LXLN J FEE Cwum IiYIN
Address t License#
OTHER COMPANY �T( (,! 'Fr � r '
SIGNATURE RE ISTEREO Wyll N FEE CURREA 1 Y I N
g
.Address 0 3 ` ; GL License
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pleas;(1)set Of.Energy Forms;R4,W Permit for new con
Minix u rn ten(10)wofi ft days after submittal date. Required o Wt%Conotrucitorr Pions.Storm mw"swl Sllt Fence installed.
Sanitary Facl Ues&1 dumpsier;Site Work Permit for subdhrislonsilarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms::RA-W Penni far new construction.
Minimum ten 00)working days after submittal dats. Required onsite..Construction,Plans,Stormwai P! wt Slit Fence Installed,
Sanitary Faciililes.&1 dumpster.Site.Work Permit for all now projects.AU.commercial requirements must meet compilance.
SIGN PERMIT Attach(2)sets.of Engineered Puns.
PROPERTY SUki`VEY required for all NEW construction.
-----------------------
Directions:
Fill out-appllodon completely.
Owner&Contractor sign back of application,notarized
it over Q$2eco,a Notice of Commencement Is rmwlred. (AIC upgrades over$7600)
" Agent(for the oontractor)or Powerof Attorney(for the owner)would.be someone withnotarized letter from owns authaqzing some
OVER THE COUNTER PERMITTING (Copy of contract require(l)
Reroofe If-shingles Sewers Service.Upgrades°AIC Fences(Piot/Survey/Fcotsge)
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 responsibiliity 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 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 property 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 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$2,500.00 or more, i
certify that I, 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/OWNEWS•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 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 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,WateriWastewater Treatment
Southwest Florida Water Management Districct-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Envlronmental Health 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 1 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 shalt 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
requiting 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
WIT O A A OR F RDI G OU CEO COMMENCEMENT,
FLORIDA JURAT(F.S. tT )
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affhmed) a this S b ad nd swo to(or affi me this
Who Ware personally known tom asMm produced o i re 1by known krrft or hasihave produced
as Identification. as identification.
Notary Public Notary Public
commiaston No. Commission No.
oG'l� o
Name of Notary typed.printed or stamped Name R Notary typed,p nted ar stamped
CARLOS MALDONADO
Commission#GG 346275
Expires June 18,2023
S"'°P Bonded Thru Troy Fain Insuranrs 80o.385.7019
///A. BARTL.ETT
ROOFING & CONSTRUCTION SERVICES, LLC
38408 3rd Ave. I Zephyrhills, FL 33542
(813) 782-5585
Email: Coreyh@abartlettroofing.com Lic. #CCC 1331965
RESIDENTIAL - COMMERCIAL - MOBILE HOMES
LICENSED - INSURED - BONDED
Date
Name 901-1 eeclk-
Address—q 70 3 Lar c 4 33s`l�
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THANK YOU u.S 02.or� Your Business is Appreciated Idef rf;4--- oQ
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.06I ??e��
All arrangements.contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
1.5%process fee will apply to all credit card transactions. Total
Ifl
M'Cerfifled
Signature Date
Vf2alher.StopparAooftngContraetar
INSTRa 2019197528 OR BK 10008. PG 3466 Page 1 of 1
11/20/2019 09A3 AM Rcpt:2710037 Rec.-10.00 DS:0.00 IT:0.00'
NMI AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Ir0 Parcel ID No
Uty�U-c�r,bz�
NOTICE OF COMMENCEME
State of FICIrIZ/A County of Q SCL}
THE UNDERSIGNED hereby gives notice that I nprrivementwiQ be made to certain real property,and In sc ordence with Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Commencement
1. Descriptionofftperty ParealldamlgcadomNo. rr- /-Qt�6-LkJOcX!-CK�G}
SireelAddress:!VIQ3 yQ" Qom�,(-�"'10— .0 ;l T,. pl
2. General Description of Improvement A)Es,1 s+-� Peter t.s k�r egy -"?3
/
3. Owner Information or Lease*information if the Lessee contracted for the Improvement
a-fN"lms4°Gz'
Address City State
Interest In Property: AJ P •Z S e- ttta ln1!Si " nr'' UCH
Name of Fee Simple Titleholder. <I.-
(if different from Owner listed above) W
V _
Address r Cam, State
4. Contractor. S -t
d ^=� f�taE' Zp Our / s d '} �l
Address Cites tale �k, E 41`' .� ,I1 tu
ContractorsTelaphonallo.:C,T-W na'S5r-5- r
5. Surely; ''" ' J
Name X :1 ;LL !
Address Otty Stpfe �_ rs f
Amount of Band:S Telephone No.: 'r `` t
6. Lander: Name :Y L �c
tY' 4- rr rD
Address City State tw Ci r.•
Lendees Telephone No.: s' to
7. Persons within,the State of Florida designated by the owner upon whom notices or other documents may be served as provided by J
Section 7t3.13(1)(a)(7),Florida Statutes: C✓ z r t7
tY1,1 Lft _ ,
- Ere
Name
�.�� Sti �
Address City State ca
Telephone Number of Designated Person:
8. In addition to hi mse8,the owner designates of
to receive a copy of tha Lienora Notice ae provided In Seedon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of oonstruction and final payment to the
contractor,but will be one year from the dale 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 70. PART t, SECTION 713.13 FLORIDA STATUTES,AND CAN �d -a
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOT10Er OF_COMMENCEMENT MUST BE t� •
RECORDED,AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,t declare that!have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge end belie( a
STATE OF FLORIDA 00
COUNTY OF PAS CIt{U►td dBMtlElt • Q
a
f` MY COMMISSION s GG025698 Offcor/Dh�o�artnerl�tA2a2ger,Omarc or Lessee's Authorized - • c
EXPIRES AuguelY9,2020 18 � 4e
Signatory's Titter
rlG f
The foregoing Instrument was a �dwowtedged before ma this day aI _,26,,,by j?4klld � �(
as (type of authority,e.g.,offset,trustee,attorney In fact)for
(name orffirtv on behalf of whom Instrument wq axewted),
Personally Known 13 OR Produced tdentirmstiono Notary Signature^ IF
t
Type of Identification Produced \-(,tCo cL Name(Print) .n 1
Nov. 15.2029 08:29 AM A BARTLETT ROOFING OF CEN 18137801805 PAGE. 3/ 3
e •
City of Zephyrhills
5335 81h St
Ilpq Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:OOLO a'a
I,, bCt61'e-( MCI z-e�ram licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer Architect_Building Inspector
License No. (-.(:C,t33 (?Ls"
On or about /h g- did personally inspect the:
Check: Roof Deck Nailing ✓ Dry in L/1"' Flashing and Drip edge
Check which was used: 30a felt_Peel and Stick___,Other(List)_ S k
At the following
address:
a-
Based upon that exa inatlon, I have determined the installation was done according to the Hurricane
Mitigation Retrofi anual(Based n Section 553.844, Florida Statutes),
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn nd subscribed before this day
BY: `
Notary Public St of Florida
CINTHIA M JEWELL
' MY COMMISSION#GG026698
- EXPIRES August 29,2020