HomeMy WebLinkAbout20-22218 i
CITY OF ZEPHYRHILLS
5335-871H STREET
(813)780-0020 22218
BUILDING PERMIT
PERMIT INFORMATION I LOCATION INFORMATION '
Permit Number: 22218 Addre s: 6717 BASSWOOD CIR LOT 156
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Town hip: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s)- Block: Section:
Square Feet: Subdi ision: DRIFTWOOD
Est. Value: Parce Number: 02-26-21-0210-00000-1560
Improv. Cost: 7,500.00 1 OWNER INFORMATION
Date Issued: 1/03/2020 Na e: MIDGETT, JOAN DOWNS
Total Fees: 80.00 Addre s: 6717 BASSWOOD CIR
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/03/2020 Phone: (813)920-0172
Work Desc: REROOF SHINGLE
CONTRACTORS I APPLICATION FEES
BODAN ROOFING INC REROO RESIDENTIAL 80.00
jD
/ v
DRY IN ROOF IN P Ins ections Re uir 'd
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees wil 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 rinspection,whichever is greater,for eac i such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe dditional restrictions applicable to this property that
may be found in the public records of this county, and there may be z dditional 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 fina tmmencement."
ing,consult with your lender or an attorney
before recording your notice of
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 BEFORE C.O.
VLG,
CONTRACTOR SIGNATUF4E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHO T APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOU NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit pplication Fax-813-780-0021
Building Department
Date Received (� .Phone Contact for Permitting -- (� 1
Owner's Name C?�A'1 ` A t e Owner Phone Number "[ o l�
Owner's Address J A Owner Phone Number
Owner Phone Number
JOB ADDRESS I ) Q LOT#
SUBDIVISION PARCEL ID# C)D V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR'e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCK
q n Q FRAME = STEEL 0
DESCRIPTION OF WORK iw'c 1ci'(�Q
BUILDING SIZE F SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CC NSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANI AL INSTALLATION
=GAS ffiff ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED PYP/ N FEE CURREN /N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
i�
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy For s;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite, onstruction Plans,Stormwater Plans w/Silt Fence installed,-
Sanitary Facilities-&1 dumpster;Site Work Permit for subdivisionsflar a 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, onstruction 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$75 0)
Agent(for the'con4ractor)or Powerof-Attorney-(for,the owner)would besomeonewith notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contradt required)
Reroofs if shingles i. 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 requi-ed to be licensed in accordance with state and local regulations. .If the
contractor is not licensed as required by law, bo�h the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contra for 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 c I ntractor or contractors, he is advised to have the contractor(s) sign
ic�atl i,
portions of the "contractor Block" of this applicati n 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 IMPAC37AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse R covery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existin buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also und-e stands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpo ation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final po) r release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior ro permit issuance. Furthermore, if,Pasco County Water/Sewer.Impact
fees are due, they must be paid prior to permit iss jante in accordance With applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Flor'da Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have been,provide J with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depart ment of Agriculture and.Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtain d 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 certi y that all the information in this application is accurate and that all work
will be done in compliance With all applicable la regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work ai;d installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and ti at all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning ref ulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of of ier government agencies may apply to the intended work, and that it is
my responsibility to identify What actions I must to e to be in compliance. Such agencies include but are not limited to:'
Department of Environmental Protec ion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Manage-, ent District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, ocks, Navigable Waterways.
Department of Health & Rehabilitati e 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 t9 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 subm fted 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 F 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 ai iversely 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 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. 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 I o proceed with the work and not as authority to violate, cancel, after, 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 O )-fficial for a period not to exceed ninety (90days 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 YOU R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING MUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F-.S-.-1 17M)--
OWNER OR AGENT CONTRACTO�_�
Subscribed andsworn to(or affirmed)before me this Subscribed an.0-swom_to(or affirmed)*beore eme thi
f
by
Who is/are personally known to me or has/have produced Who is/are 7er_s_ona171�_kfiown to me or has/have produced
as identification. as identification.
Notary Publi� Notary Public
Commission No. Com is -4No.&
Name of Notary typed,printed or stamped Name of Notary typ f,..-�Fnf6nfha*or stamped
u INSTR#•2020 00708 0R BI( 'f;0032 PG 3037 page 7 of 1
Sin N kkiiAva ezSo�les,EsAM q.,Pasco CountyC erk&omptro I r
n ��tV'i'3 r4��rV+�t+V17ii1 t�.iMi�JtYatt s
r `
TU Fo110 No: l S&o
Tile isodietped i soda that impnwemean writ!be made to certain real properip,and Waccordaaee with Section 713.13 of At
Fle+iaa 8tataoe�tie lbllewisj iolbs7sat3oa�protdad is she tVOTJCB OF.CO CEMtiATI:
rftvind
)•Wi`
2. Otmerat ftWVft of•U. OnOrt�WA:
owd '
3b: Owrleir''t4tetest iA _
3c. Fee Simple 77 to holder(o£other than owner)
Ad*aF- »
4. Contsa wNMU
Addtatls: VPhono:
S. 'San!atj►:Piama Ariouht of bond:
Addta Phone:
6. 1.cadesidtew: Comm,
Addteas: Phone;7. Peaoa witltin jU Strafe of Florida daignateid by owner upon whom notices or other.domnonts inay be served as provided by
sewn 713a3(ixa)7;Florida Sumis. .
Natee:.. Ad&=*
Phony N
$: iddi o tp. ' Owner designates the following person to. ha copy U*a Limes Notice as provided in Section
713:13(1xb).Florida Ssstntes.
Natao: Addrw:
• phone N -
9 g*�dad dNotice of C6020 neeltuat 0"listion date is one(] year ftvm date of teoording antes a different due is
WARPOG ISO OWNER: A],y pAyMBM MADE-BY TRE'OWNEyR TBE EXPj1RATION OF THat NOTICE.OF
UC ION 713.13-F1.O1t'vx
COMP&C6l+4>i rARitCOT+1B1iDER8DIIYIFJROPBRPAYM6Pi>iSTJNDTR 7I3.1'ARx'1.
YOVit FROP
9TA7Var84,An CAN lit MT IN YOUR PAYING TWICE FORD ow 'Ter) SRT7t-A N=CE OF
CQi►IIYIBi!T 1NUBr > CORAED AND P0F=OH Taff JOB liEFORB TIl8 FIRST 1NSpBCTiON. 1F YOU .
ttV r@iD1'0 08'1'Alt!!I I ANC=NG��N'x�WM YOUR L ER OR, ATTPRMY BEFORE COHa OCING WORK OR
EgI:ORDING YODlt N=C£OF COMMFNCvfflWT-
Sign Ow,ner Owner's:AterlManager
wa besoss me day — MOMYNN
Hari
ComieN,I n#FF948459
�- O tdennlrcion a r MY apmm.Edna Jan 8,202'0 i
Atp Kam
Type oPldad0?Mtmd —
• - S'tgnetttrt-Nobly blic
i
STATE OF FLORIDA,COUNTY OF PASCO
�plGiAt THIS IS TO C RTIFY THAT THE-FOREGOING IS A
�, • ' • �G TRUE AND C. RRECT COPY OF THE DOCUMENT
��► ON FILE OR 0 PUBLIC RECORD IN THIS OFFICE
' * WITflIES NiY .AND AND OFFiCtAL SEAL'THIS
• rya Q.T"91 .� _ D YOF�G 2.020
CLERK&COWTIROLLER
�. BY . DEPUTY CLERK
♦c 1897
ity of Zephyrhills
5335 811 St
- Z phyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AF IDAVIT
Permit No.: f ,,
I, C r( Lan o, -0)rrq licensed L rider Chapter 468, Florida Statutes as a(n):
Contractor L/Erjineer.. Architect_Building Inspector
License No. 00 5qJ
On or about did personally inspect th,e:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick_C ther(List) PL) ,
At the followi_�n�g_
address: . (!J I`��9
Based.upon that examination, I have determined the installs tion was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes).
Signature.
STATE OF FLORID : r�'pYP(%'•. DANIELLA L MCGLYNN
'�• ': Notary Public-State of Florida
" Commission#GG 942373
COUNTY OF PASCO ''?oF.r . My Comm.Expires Jan 8,2024
3 oded through National Notary Assn.
Sw n to and subscribed before this day
BY.NP pd I 1tv A
Notary: Public State of Florida