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Home My WebLink About19-22027 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 220 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22027 Address: 4738 TIMBER WAY 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: COURT SQUARE Est. Value: Parcel Number: 15-26-21-0200-00000-0200 Improv. Cost: 8,650.00 OWNER INFORMATION Date Issued: 11/07/2019 Name: HARTZOG DARRELL & SUSAN Total Fees: 85.00 Address: 4738 TIMBER WAY Amount Paid: 85.00 ZEPHYRHILLS FL 33542-6518 Date Paid: 11/07/2019 Phone: 813-610-8079 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES NEXGEN ROOFING SERVICES LLC REROOF RESIDENTIAL 85.00 DRY IN ROOF INSP Inspe6tions 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 CiW Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ONTRACT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department C Date Received t�s Phone Contact for Permittin O o`T I J/9 y Owner's Name �Gll 1 r�re I Owner Phone Number Owner's Address q 3 7 I nl� Owner Phone Number Fee Simple Titleholder Name F P Owner Phone Number Fee Simple Titleholder Address t P, ', � Aq +- 2 JOBADDRESS 14-13 Ler W hS 11s J35 Or�T�L, ##�� SUBDIVISION PARCEL ID# 15_0 W""�I—CQDD^C MD O,Qn'D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW COLSTRe REPAIR SIGN = = DEMOLISH INSTALPROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK & :c::: I BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ri, bSO� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $S AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y L N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER �— COMPANY eROD-0I G r fV.0 L SIGNATURE , REGISTERED Y/ FEE CURREN J11 N Address W i-&-n'tz ^F:J%o 2& p A-33S)I License# CeCi13oAP S IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111 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,St'ormwater 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$2600,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) Rercofs 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 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 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 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/OWNER'S 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 1 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/Wastewater Treatment. - 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-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"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 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 I 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 shall 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 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 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 I Subscribed and sworn to(or affirmed)before me this Subscribed and swo o.-(ncarmed)bef re me, his by J/- 71>r' by \f CPT Who is/are personally known to me or has/have produced Whore pe sonallY k ow to a or has/have produced as identification, entification. Notary Public cal Nota Public Commission No. Comma io q•'` Commission#GG 6W Name of Notary typed,printed or stamped Name of N m r , Bcnded Thru Tray Fain insurance 800 385d019 a e City of Zephyrhills 5335 81h St Zephyrhills FL 33542 (813.).180-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: Z-C)2-7. . I, c7.h rI `-%�M -�.�-. licensed under Chapter 468, Florida Statutes as a(n): : . Contractor Engineer. Architect Building Inspector._ License No. CAL- 133 4W: On or about l I$- .l did personally i spect the: Check: Roof.Deck in. . C Dry in Flashing and Drip edge c Check which was used: 30#felt_Peel and.Stick�Other(List) . At the following address: �f.78 9 i-�►lxr-.. I:.)g a^h,/lam �- �C ' '*P - 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, STATE OF FLORIDA i►� �s�. MICHELLE L.FUPOWICZ ',+°.•,1 r@ Notary' Public-"state of Florida CO U NTY O F PASCO �� Commission:GG'96156 My Comm.Expires Jul 9,2022 Sworn to and su_b abed before/.this day Bonded through National Notary Assn, No_tary.P blic State of Florida INSTR#2019176635 OR BK 9990 PG 1835 Page 1 of 1 10/1612019 12:01 PM Rcpt:2099890 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller Permit Number Parcel ID Number 15-26-21.0200.00000MW NOTICE OF COMMENCEMENT State of Florida County of TwSC.O THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and 1n accordance with Section 71313 of the Florida Statutes,the following mfo matron 1s provided in this NOTICE OF COMMENCEMENT 1.Descrfption of property(Wdualplhion). 15.26-21-0200-00000.0200 a)Street(Job)Address 4738 Timber Way Zephyth111s,FL 33542 2General descdpdm of improvunw ts. Re-Roof 3.Owner Information or Leases rnfonnatlon If the Law contracted for tM Improvement: a)Name and address Susan Hartzog/Darrell Hartzog 4738 Timber Way Zephyrthdls,FL 33542 b)Name and address of fee simple titleholder(d different then Owner listed above) nto _.. . ... .......... _..._ . . c)Interest in property owner ---- 4.Contractor Informatlon a)Name and address NexGen Roofing Services,LLC 235 W Brandon Blvd#1826 Brandon FL 33511 b)Telephone No 813-438-8500 -- — _ Fax No (optional) n/a &Sw*(d applicable,a copy of the payment bond 1s attached) a)Name and address We b)Telephone No c)Amount of Bond &Lender a)Name and address rile b)Telephone No _ T.Persons whIdn this Stab of Fields dasign_ ebrd_try Owner upon whom notices or other documents may be served as provided by Section 71313(1)(a)7,Flonda Statutes a)Name and address b)Telephone No Fax No (optional) S.aJn addition to or hi i; Owner designates -- - of to receive a copy of the tlenoes Notice as provided in Section 71313(1)(b),Florida Stafiri es. _ _... ._.._..— b)Phone Number of Person or entity designated by Owner 9.Explmdon dab of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different data Is s WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE-1 CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 71&13,FLORIDA STATUTES,AND CAN RESULT IN YOUR j PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN i ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I.declare that I have road the bregmng notice of commenoernent and that the facts stated the*are true to the best of my knowledge and belief ( of (Pont and Pn>Mde ) The ang instrument was edged before me Mrs ( day of ��j�L^ -i20:/q by L+ as ti►__ darhary.80 0111 .OW.eflnmey n w) for g4 as /l ,�/ (Name of Pawn) (type of etMr". Do amcw tnn. ,* alloirtey m fad) for —L" , _ _ —__ _ (name of party on belW of whom slshw=t was emx6d). Personally Known ced ID Type of 10 _ (/ ST'_ Signature — KYLEG NEFF PMt name •�•�wf. NotaryPubk-statedFiora : •. Comm 1 GG 1223a4 �� t Mycomm ErpresAug14 20 21 �n' ptheuphNMiaWNolryAsm 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 • AL WITNESWM DAY OF CCk Y HAND AND OFFICIAL SEAL THIS _2 61q ool J( k,,& A CLERK&COMPTROLLER BY DEPUTY CLERK --_�