HomeMy WebLinkAbout20-22217 I
CITY OF ZEPHYRH LLS
5335-8TH STREET"i
(813)780-0020 22217
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22217 Add1 ss: 6715 BASSWOOD CIR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Town hip: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s
Square Feet: Subd i Block: Section:
sion: DRIFTWOOD
Est.Value: ParZi Number: 02-26-21-0210-00000-1150
Improv. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 1/03/2020 Na ne: WALKER, KATHERINE
Total Fees: 80.00 Address: 6715 BASSWOOD CIR.
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/03/2020 Phone: 813-779-1816
Work Desc: REROOF SHINGLE
CONTRACTORS� � APPLICATION FEES
BODAN ROOFING INC RERO F RESIDENTIAL 80.00
7
DRY IN ROOF FNS-157- Ins pdctio s Required
TAPE JOINTS ROOF INSP
FINAL
REINSPECrION FEES: (c)With respect to Reinspectlon fees wi'l comply with Flo.rida 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 eac I such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe Taditional 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 comm ncement 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 OCC PANCY BEFORE C.O.
NO OCCUPANCY BEFM C.O.
Vivo
CONTRACTO bld0' URE PERMIT OFFIVR
PERMIT EXP11RES IN 6 MONTHS WITHO T APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOU�NOTICE REQUIRED
PROTECT CARD FROM IWEATHER
813-780-0020 City of Zephyrhills Permit pplication Fax-813-780-0021
Building Department
Date Received ,J Phone Contact for Permitting --
Owner's Name Owner Phone Number
Ll
Owner's Address (�� �Ltitt.(!L f O ner Phone Number
O ner Phone Number
.tOB�4 RESS ZL, ac if LOT#
f /-�
SUBDIVISION PARCEL ID# V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR H ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q,p BLOCK 0 FRAME = STEEL 0
DESCRIPTION OF WORK CiV�YZ l!/
BUILDING SIZE SQ FOOTAGEM HEIGHT
BUILDING $ / VALUATION OF TOTAL CONSTRUCTION
a CstO
=ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS IN ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER /��� COMPANY V t,
SIGNATURE ""° " REGISTERED Y/ N FEE CURREN YJN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
- Address- -- --- - - -. - -- — - - - - ---License-# ---- - — -
i
OTHER COMPANY
�} SIGNATURE REGISTERED Y/ N FEE CURREN
I
Address License#
HHUHMH
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, nstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarg 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$750 )
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, %:'.(bopy;of contract required)
Reroofs if shingles Sewers :',`bServicG;Upgrades A/C Fences(Plot/Survey/Fo tage)
Driveways-Not over Counter if on,publiclroadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unders�gned 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 requirled to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, boih the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contra�_tor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Papco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a c I ontractor or contractors, he is advised t6 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. I
TRANSPORTATION IMPACT/UTILITIES IMPACII ANU RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbdr'69-07 and
90-07, as amended. The undersigned also unde,Irstands, 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 Jo 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida DepaRment of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtaine d a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement. I
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cerT
-Y that all the information in this application is accurate and that all work
will be done in compliance with all applicable lav�s 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 tl�iat 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 Prote Ition-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
- Army Corps of Engineers-Seawalls, U1 OCKS, Navigable Waterways.
- Department of Health & Rehabilitat ve 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 io the use of fill:
- Use of fill is not allowed in Flood Zon 3 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 subry itted 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 I ood 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 dversely affect adjacent propertles, 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 en ineered 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. 11 understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning as 'r other installations not specifically included in the application. A
permit issued shall be construed to be a license c �roceed with the work and not as authority to violate, cancel, alter, or
set aside _any provisions — the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction m" errors v. plans, construd I tion or violations of any codes. Every permit issued shall become invalid
SOH INsTF*2020 00707 OR BK 10032 PG.3036 Page 1.of 1
01/03/2020 10,23 AM Ropt:2122525 Rely'.10.'06 DS:0.00 IT:0.00
f Nikki'Alvarez-Sovies,Esq.,Pasco County Clerk&Com'ptrolier
• 4L' • � i sva�a�ua�a
?=ifNtttnbm '
TaxFolioNo. 00060 V.5S_ .
The s mtuaipittd bwW*-&u modu Qut impirovesteras will be made tp cwndu led pvapem Bad In seoonlanee with Section 713:13 of the
Fbtida ft&eM the fo8eift istbraindoo b pre+4ded In the N077CE OF COMMIMCEMIM. .
address requ' I ` (1J Mal
2. of ts:
3a.: Owlleorl�I� .
OWMAddrew
3b. • Owns s loterest is At: GwAr
3e, Fee 3'nr4ft Tiefe boldwIptothai thsn owns) —
Addt=
4. Contra W Noma
Addtass;' Phorsa:.
3. sw*lfma i, A Amount of bond:
Addrow Phone:
6. L.eadw Name: C04
Addrefi0 Phone:
7. Pesos wit a the Saba of Flodda designated by owner upon whom notie es or other dccumem may be served ss provided by
Sidon 713 I3(iXa)7,Florida'SranstGs.
• Add=:
Phone Numbs:
S. In addir=to'b�t,Owrter designates the f9 lowing person to recesvc copy ofihe L,ienc s Notice ns provided in Sao'on
713.13(Ixb),Florida&Wjtes.
Name: Address:
Phone NumbeIr.
q =due pfNot=6f Coatutettt.eateut(expiration date is ane(I)y�r groin date of moordiag,raters a different date it
WAMGNG TO OWNERS ANY PAYMfi M MADE BY THE OWNER AFMR EXP UTION OF TUT NOTICE OF
.��•CONS1DEIstBD BeRQPER pAyK&NTS UNDER CXApM 713.PART I,SECTION M.03.FI,0121DK
CoWvMCEMZNSSATVI's8,111�D CAN]RR6ULT 04 YGUR rAXIIYC TWICE FORIMi!ROVSNN�IEI'>LS.TO YOUR PROPSR'1'Y. A iV07 ICt:OF
C MMM?j MW.jZ R3CQVZD AND POEM•ON TWPI JOB SM 4EFOR)a'1Z18 FAtb`1<'V*nCT;O?L IF you .
iTfi'M�TO 'A>N PII+iANCIIdG.CONSULT W1T8 YOUR L ER OR ATI'ORNSY BEFORE COMM>eStANG WORK OR
kzC=MyOURN071CZ OF COMMFsCMMEI+i'I:
f
Signsuft of Owner or Nmers Authorized OfTstxelDise otrPaKuerlMaciaSa
SLATS ON FLORMA
..�
Vagazs btsforo me this dq'
g LYNN
for
• N.A.At�C
bY a rY Public-Stste o1 Fiorids
' 000*iIilbn d:FF.-,M59 .
tum.ltttowA��OR Produced tdentifiear' ,fill •� My Co Eupirn ion 1%2020
type oflder>ti6oatietrProdaead. � :�/
. � ITg0ature•No
�►BUD tq�
` • `' + Dig STATE OF FLORIDA,,COUNTY OF . co
CG THIS IS TO CERTIFY THAT THE FORS OIN4 IS
TRUE AND CORRECT COPY OF THE D CUMENT
ON FILE OR OF PUBLIC RECpRD IN T IS OFFICE
WITNESS NIY HAND AND OFFICIALS LTMIS
° DAY 0 2�
* 188 * CL R &C T OL R
7
9�•OFFd.QP BY P TY CLERK .
1 i
City of Zephyrhills
f 53358 tb St
ephyrhilis FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
4
I, licensed nder Chapter 4E►8, Florida Statutes as a{n}:
Contractor Engineer_Architect_Building Inspector
License No.. C 00(a 6, 09,:>
On or about 3 v� did personally inspect t e:
Check: Roof Deck Nailing�� Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other 767or f�'.U)
At the foll
address: owinGQK
-.?.>,2
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).
r
Signature: .
STATE OF FLORIDA
COUIUTY OF PASCO �i►�'��1% DANIELLA L MCGLYNN
�. No ry Public-State of Florida
omm�r My Comets Expires J�an42313
8,2024
Sw to and subscribed before this day Bonded rotighNational Notary Asan-
BY: U-OLLu.
Notary Public State of Florida