HomeMy WebLinkAbout19-22039 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 /22039
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22039 Address: 6551 NORTH LAKE DR
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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0150-00000-0020
Improv. Cost: 21,375.00 OWNER INFORMATION
Date Issued: 11/14/2019 Name: CONVERSE, JAMES M TST & MARY JO
Total Fees: 150.00 Address: 6551 NORTHLAKE DR
Amount Paid: 150.00 ZEPHYRHILLS, FL 33542
Date Paid: 11/14/2019 Phone: 813-395-8828
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
K&E REPAIR SOLUTIONS LLC REROOF RESIDENTIAL 150.00
J
InslAktions Re 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.
CO CTO SIGNATURE PERMIT OFFI R
PERMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7e0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
Building Department
Date Received �'` E� ,4` Phone Contact for Permitting...
Owner's-Name J�1N1 'S ��i� ��-, Owner Phone Number
Owner's Address N m S - owner Phone-Number
Owner Phone Number.
JOB'ADDRESS ti1iS ` i v LOT#
-SUBDIVISION PARCEL 1011.
(OSTAINED•FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw.coNSTR ADD/ALT .SIGN [�• [� .DEMOLISH
e INSTALL E REPAIR
PROPOSED USE• SFR [ -1 COMM OTHER -1
TYPE OF CONSTRUCTION Q BLOCK r FRAME STEEL =
DESCRIPTION OF WORK - , / �✓
BUILDING SIZE. —� SQ FOOTAGE HEIGHT;
BUILDING• _ $'A i � �piQ VALUATION OF TOTAL CONSTRUCTION
=JELECTRICAL � AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING $ ?j
=MECHANICAL $ VALUATION OF'MECHANICAL INSTALLATION. J���)/��/
=GAS � ROOFING Q SPECIALTY [J ` OTHER" Iz 7 641"aal�16091
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA =YES NO �Q r�Y rG(J j 3 SSG
BUILDER —�� — COMPANY W �VkS a LL i�7 is
SIGNATURE REGISTERED I Y'/ N •FEE CURREN : Y/N
Address � �d� \ 'License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LK%N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED. Y/-N, FEE"CURREA Y I+N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE C.URREK
Address License#: t
OTHER COMPANY
SIGNATURE REGISTERED Y/"N. FEE CURREN LILN
Address License# !.
RESIDENTIAL Attach=(2j..Plot Plans;,(2),sets;;of:Building.Plans;(1)set�of,Energy Forms,.R=O-W PemniE'#or--.new construction,:
Minimum.ten(10}working days after submittal date.'Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete.sets"of Building Plans plus aLife-Safety Page;(1)set of Energy.Forms.R-O-W Permit for new construction.
Minimum ten(10)wbddhg`days after.submittal-date.:Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,installed,
Sanitary Facilities&1 dumpster.Site Work Permlt-for all new projects.All commercial•requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY'SURVEY required for ail 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
t..:
OVER THE COUNTER PERMITTING., : f.(cgpyof-contraot required)
4.+
Reroofs if shingles Sewers„ .Service,Upgrades•-,AlG. s Fences(Plot/Survey/Footage)
...•. Ili li•.'CFI++I�i.. ,
Driveways-Not,over:Counter if on'' bitc roedways needs ROW
NOTICE OF-DEED RESTRICTIONS: The un ers.igned understands that.this permit may be subject to"deed"restrictions"
which maybe 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 for a misdemeanor violation
•under'state aaw. Af-the owner or intended contractor are uncertain:as.to what licensing requirements may!apply for-the
intended work, they are advised to-contact-they 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 exisi.ing:buildings, as'specified•.in".Pasco.Couhty'Ordinance number 89-07 and
90-07, as amended. The-undersigned 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.pnwer release. 'If the.project,.does not involve a certificate of occupancy.or
final.power- 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-(Chap 713, Florida Statutes,'as..amended): If•valuation,of. work is$2,5.00;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 certifythat.l_have obtained a copy of the above described-document,and promise in good faith to
deliverit'to the"owner"pr ciorto' ommencementi
CONTRACTOR'•S/OWNER'.S*:AFFIDAVIT:; I;.ccirtify that all the informatiori::in.this application.is.accurate-and.that-all work
will,be�:done-in,.compliance'with-'a" :applicable 1aws-regulating'c6nstruction,:zoiiing:and.42nd,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 i 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,WaterM/astewater Treatment.
Southwest Florida Water Management District-Wells, 'Cypress Bayheads, Wetland 'Areas, 'Altering
Watercourses.
Army Corps of Engineers-Seawalls;,Docks, Navigable Waterways.
Department of Health & Rehabilit tive Services/Environmental 'Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US,Environmental Protection.Agency-Asbestos abatement.
Federal Aviation-Authority=Runways
understand tha --thefollowing restrictions apply to the use of:fll:•.
-. Use=of:fll is,not-allowed in Flood Zone"V"unless:'expresslypermitted.
If. the fill-material'is-to_be used iri Flood Zone."A", itls -understood -that a drainage plan addressing a
"compensating volume":will be submitted at time of.permitting:which.is prepared by a.professional engineer
licensedl by the State'of Florida..
If the:fill.material is to be used in Flood Zone"A"=im 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 Ydversely affect.*adjacent propertiesi,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,prioe 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
setaside any provisions of-.the technical codes; 9or 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
unlessAhe work:authorized'by such permit is.commenced within six months of permit issuance, or if.::work.authorized'by
the permit is-suspended;orr:abandoned for aperiod-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 �ECORD A NOTICE OF COMMENCEMENT-MAY,RESULT:IN YOUR.
PAYING;TWICE FO;R,IMPROVEMENTS,.TO.YO.UR PROPERTY.:. IF:YO.U,:INTEND:TO':.OBTAIN FINAN:CING;:CONSULT
R�L WITH'YOUSNDERrOR AN•ATTORNEY-BEFORE RECORDING YOUR`NOTIC OF`COMMEN.CEMENT
—- FLORIDAJURAT(FS._11:7.0)�
OWNER OR AGENT - CONTRACTOR)(
Subscribed- sworn to„(or affirmed)before me this Sub 'be and.swo n tAfftbef m
by . - r by a
Who is/are personally known tome or has/have;produced Who�,s/a a personally known to me or has/have.produced .
as identification. �L• � �/�� ' as identification.
Notary Public Notary Public
Commission No. Com oissi -
N�.)_
Name of Notary typed,printed or stamped Name of Notary typed, rlr Af- ES
' f; commission#GG 276457
��• <;Ex ores December 12,2022
Bond d Ttw Troy Fain lnsurmce e0001e19
I
NOTICE OF COMMENCEMENT
Permit No.Property Identification No.yo �I ����J o-,W 03)0
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of property(legal description:) I HS Ru 201919402 BK 10�05PG
a) Street Address: 6551 Northlake Dr,Zephyrhills,FL 33542 1 1/13:2019 03:55prn Page 1 of 1
Rcpt: 2108229 Rec: 10:00
2. General description of improvements �Q -\Kex-,X D,: 0.00 IT: 0.00
Nikki Alvarez—Sowles, Esq.
3. Owner Information pasco County Clerk & Comptroller
a) Name and address: James M.Converse,6551 Northlake Dr,Zephyrhills,FL 33542
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property
4. Contractor Information
a) Name and address: ME Repair solutions,1447 Emerald Hill Way,Valrico,FL 33594
b) Telephone No.: 813-526-3016 Fax No.(Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
-b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date 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 IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OV8.00F NG YOU NOTICE OF COMMENCEMENT.
++ A C kz 1112
STATE OF FLORMA ♦ �� .f...s. 99 e/
COUNTY OF PASCO `®TAOP.., OZ19wi
Signatureof Owner or Owner's Authorized Officer/Director/Partner/Manager
My s Ap�6'E)O023�r i
No?00 323632.. ` Print Name
The foregoing instrument wa it a this day of /V n yC'rS'1 L 16 K ,20 l r ,byluti e-S �'!C d y�•,�y( C P
Co <a'r (type of authority,e.g.officer,trustee,attorney in fact)for
�1 1111f G ,/(name of party on behalf of o ' trument was ecuted).
Personally Known_OR Produced Identification r Notary Signature
Type of Identification Produced 037tct �I (fDhCC�4SeName(print) C )C1VI94 C:;'rCeG
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
FORMS/NOC.r,,sd2007
Signature 30M P.6n Signing Above
City of Zephyrh ills
5335 811 St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: .2-2—L)301
licensed under Chapter 468, Florida Statutes as a(n):.
Contractor V Engineer_Architect Building Inspector
License No.
On or about - - did personally inspect the:
Check: Roof Deck Nailing Dry in 1/ Flashing and Drip edge .
Check which was used: 30#felt_Peel and Stick ✓ Other(List)
At the following i
address: CD5�1 t�ln0.Yh11 >° �C
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.FLORID
a�Y'v
COUNTY OF PASCO •o e••: DANIEI GEREr+A.
? ' Notary Public•State of Florida
'+• .Q Commission#GG 303520
Sw rn and su s ri d.before this day �F °`' My COMM.Expires Mar 11,2023
Bonded through National Notary Assn..
BY:
Notary Public State of Florida ^��