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HomeMy WebLinkAbout20-22305 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22305 BUILDING PERMIT PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 22305 Address: 37444 PICKETTS MILL AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s)I1: Block: Section: Square Feet: Subdivision: SILVER OAKS VILLAGE Est.Value: Parcel Number: 03-26-21-0220-OOF00-0030 Improv. Cost: 6,750.00 ' OWNER INFORMATION Date Issued: 1/15/2020 Name: ROSS, BRADLEY& PATRICIA Total Fees: 75.00 Address: 37444 PICKETTS MILL AVE Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/15/2020 Pho e: 207-465-5457 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES A-READY ROOFING CO INC REROOF RESIDENTIAL 75.00 �v I Ins ections Required 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. C VMrTOR 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 Date Received Phone Contact for Permitting Owner's Name t radl�le 1 1 I Owner P one Number Owner's Address i yy PIC�IIL 1 Owner Pone Number Fee Simple Titleholder Name Owner P ione Number Fee Simple Titleholder Address + JOB ADDRESS �14414 ,11piveLOT ` # SUBDIVISION I Idler Ala 6 1 Q L PARCEL ID# 0� - - -j0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED a l NEW CONSTR F_ ADWALT ©^ SIGN I 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE 52r SFR 0 COMM = OTHER TYPE OF CONSTRUCTION E&?' BLOCK = FRAME = STEEF = DESCRIPTION OF WORK I'R ` civec. BUILDING SIZE SO FOOTAGEFSA HEIGHT }'BUILDING S }��O(� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL s ( AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING S =MECHANICAL S VALUATION OF MECHANICAL INS ALLATION f/ =GAS = ROOFING SPECIALTY = OTHE 14S_FINISHED FLOOR ELEVATIONS FLOOD ZONE A -- YES NO . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. - - - - - - - - - - I BUILDER COMPANY % SIGNATURE REGISTERED 9 Y/ N FEE CURREN Y/N Address i ,3yGo� License _ ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# T,_ OTHER COMPANY {� O• Z411C• SIGNATURE _ _ --` REGISTERED Y/ NJ FEE CUR EN Y/N Address a OD/60de-C &Cd Ot J License,11 C /3 IIIIIIIilllllllllllltlllllllllllllllllllllll Itlllllllllllllllllll RESIDENTIAL Attach(2)Plat 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,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projectsi COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater 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$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) Reroofs 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 his 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 contr ctor 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 it 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. Furt i ermore, 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 perfo�,med 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,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cy ress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterwa�s. - 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"V"unless expressly peri1nitted. - 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 bf 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 separ Ite permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations�ot 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 Subscribed and sworn to(or affirmed)before me this Subscrih n om to r ned)befo m th by �_f 11 Who is/are-personally known to me or has/have produced Who is/re p on II krjown to me or has/have produced as identification. �r a as identification. �o Notary Public �i Notary Public Commission No. Comm ssio No. I Name of Notary typed,printed or stamped Name of Notary typed CdQtha np@QCQUEIINE BOGE$ Ccmm1ss10n#GG 2I6467 pins December 12,2M " *d 7lw Troy Fain Insurartae 000.M7019 INSTR#2020007029 OR BK 10037 PG 2761 Page 1 of 1 01/15/2020 11:33 AM Rcpt:2125972 Rec: 10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No. Parcel 10 No 03 3o NOTICE OF COMMENCEME T State of orlc�l County of � THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes, the following Information Is provided In this Notice of Commencement ^/�r/ 1. Description of Property:Parcel Identification No. o3—O1f,0 Street Address: !K741 U }Pj oy,,e }s M-II Al o ,zl pb& AS . FA . 93549-tg 11 2. General Description of Improvement 1Q00Z Dved 3. Owner Information or Lessee information If the Lessee contracted for the Improvement: .�3vnc�e� �oss • ►l1 Alff - Address City State Interest in Property: l l7 Name of Fee Simple Titleholder, (If different from Owner listed above) Address City State 4. Contractor. m e1 t'3roo�.Syt�lL Address ' City State Contractor's Telephone No.: 359•"� I�}3�b 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender. Name Address City Slate Lenders Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices it other documents may be served as provided by Section 713.13(1)(8)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. 9. Expiration date of Notice of Commencement(the explration date may not be before tf completion of construction and final payment to the contractor,but will be one year from the date of retarding unless a different dale Is speafied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE Ot COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713.13, FLO IDA ATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF OM NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF U INTEND TO T FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RE ING YOU NO E COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of Gomm nt a the e f led therein are We to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO signs a of Owner or L ,or Own ar Authorized r Ireclor/Partner/Mebager 1 Signatory's 71tW_Office The foregoing instrument was acknowledged before me this ! day of� OL by L #I aolle!V R055 as V(l)he jr _(type of authority,e.g.,officer,tnrstee,attorney in fact)for —/ (name of tarty on ehalf of wh In ment was executed). Personally Known[ OIC AF Produced Identification I!� Notary Signature Type of Identification Produced Name(Print) � ,•, CHRISTINEPULEO Public,Stilts of Florida + No.G0242268 or Commisalo+tEIPi11%E46122 wpdata/bcs/noticecanmencomentpcO53048 a � ��. STATIC OF FLORIDA,COUNTY OF PASCO ' THIS IS TO CERTIFY THAT THE FOREGOING IS A -�i «,t TRUE AND CORRECT COPY OF THE DOCUMENT. A •.. ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �r �" EL WI7:�SIVDAY HAND AND OFFICIAL SEAL THIS O ISg7 OF ( 2� ' • I :CLERK&CO PTROLLER W. BY EPUTY CLERK c Roof Affidavit City of Zephyrhills 5335 81h St _ Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: dQ3QT I• I G��I I A���{�!0 1<,e licensed under Chapter 468,Florida Statutes as a(n): Contractor XA q Engineer—Architect—Building Inspector License No. C{,r 33 106 nn�.. On or ahout_C(/fC(Q f���4personally inspect the: Check: Roof Deck Nailing // Dry in ��J/� Flashing and Drip edge L Check which was used:30#WAY&and Stick!/i08��f(List) 9o0/—, Aley At the following address:- T �1 r z� h �•h //s' �j 33 Sal2 Based upon that exa 'on,I have determined the installation was done according to the Hurricane Mitigation etrofit Manual(Based on Section 553.844,Florida Statutes). Signature: OL Ile—C STATE OF FLORIDA COUNTY OF PASCO - n L•— T o.CQo�--O Sworn tDand subscribed before this day d1 �(n BY: 1 Q14.4.State of Florida oa��h'4 CHRIST�N:GG242268 `x- - = Notary Public,Sida o r CHRISTINE PULED y* * Commission'NNotary Public,State of Florida '?on� Commission Ex122 4* ^mission No.GG242268 ysion Expires 07/26/22