HomeMy WebLinkAbout20-22430 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22430
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22430 Address: 39239 3RD AVE
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: ZEPHYR HEIGHTS
Est.Value: Parcel Number: 12-26-21-0040-00600-0070
Improv. Cost: 14,391-00 OWNER INFORMATION
Date Issued: 2/03/2020 Name: COOPER, MICHAEL& DAROLYN
Total Fees: 115.00 Address: 39239 3RD AVE
Amount Paid: 115.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/03/2020 Phone: (813)762-8527
Work Desc: REROOF SHINGLE
CONTRACTOR(S) APPLICATION FEES
PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 115.00
Ins pectio s Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspectlon 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.
\_Q,0lWRACtQR.*GNATURE PERMIT OFFIC%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 )_13 (-0-L� phone Contact for Permitting t{ —
Owners Name Owner Phone Number
Owners Address 1rJM rj Owner Phone Number
Fee Simple Titleholder ame Owner Phone Number
Fee Simple Titleholder Address (,, I
JOB ADDRESS r , +v r� r► \S FL LOT#
SUBDIVISION PARCEL ID# 2- ZI-M 40- 01600-0610
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADDIALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME Q STEEL Q
DESCRIPTION OF WORK Cl.%/I Still M -( S t2 1 r
BUILDING SIZE I i SO FOOTAGE HEIGHT
BUILDING $ I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS V ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY ql� "
SIGNATURE iL REGISTERED Y/ N FEE CURREN Y!
Address LOGO d C� er License# I C<<1L3 _ �.
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE. REGISTERED Y/ N FEE CURREN I Y/N
Address License#
Illlllllllllllllllllllllllllllllllllllllllllllllllltlllllllllllllll
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,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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/SIR 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.
Directlons:
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 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 IMPACTIUTILITIES 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—Homeowners
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 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, 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"V"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 17. 3)
OWNERORAGEIrT CONTRACTOR
Vc j sw•r�rl�or of ed) • 1 h Subscribed and b sworn to(or affirmed)before me this
Ww.4 o o War a ovally((known me or hash ve produced Who is/are personally known to me or has/have produced
Z
Q0) as identification. as identification.y
m
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71:�__w Notary Public Notary Public
ma
Ztl E Z Commission No. Commission No.
Q Z o
K c i, Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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INSTR#2020017897 OR BK 10046 PG 2272 Page 1 of 1
SOH 02/03/2020 10:38 AM Rcpt:2131351 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Es%.Pasco County Clerk&Comatroller
Permit Number
Parcel ID Number /2-LG-21
NOTICE OF COMMENCEMENT
State of Florida THIS AREA IS RESERVED FOR CLERK OF THE COURT CERTIFICATION
County of Pinellas
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 this NOTIC pPF COMMENCEMENT.
1.Description of property(legal description): '2,eArp- A/G9A-1'-r .14- &,m p_V 9 2/ AnT 7 31A(.
a)Street{job)Address: 3?37--q lr 20 iwrA;//S FL 135-`7L2-
2.General description of improvements:
3.Owner Information or Lessee info+rmation if the Lessee contracted for the improverrlent:
a)Name and address: �'Q(Gl.eaj Co-fir 3`/3ZC1 3rr Pjvf 2-aak2j -6/J(5 FL '355Z
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property: CZ'1.✓
4.Contractor Information {{ _
a)Name and address: `P,r,,r( - �rina)YZ-&-M F}sior►�chi r�i C�R�-rw cz' e c 'mot- 33`(ro'Z
b)Telephone No.: 72-:Z 51 l `y 1 i Fax No.:(optional)
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond: $
6.Lender
a)Name and address:
b)Telephone No.:
7.persons wtlftin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.:(optional)
8.a.ln addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner.
9.Expiration date 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 date is ,20
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 I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
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
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledge and belief )
44
1C A'el �-o9►p�2
(5 ne Owner or essee,or ers or Lessee's(Authorized 0(rcedDheetorlPoorNaflager) nt Neme and Provide aignawa Title/Moe)
The fo oing instrument acknowledged before me this 'i's day of ys/I V.,4 trL 20by
ats as 6 (type ofeuthorfty;e.g.officer,truswe,'ettomey in fad)
for
as
(Name of Person) a (t)pe of authority..'.:ay.officer,trustee,attorney in fact):
for ,(name of party h f whom!. t. ant executed).
Personalty Known ❑ Produced ID /
Type of ID ti'1(00'S y s'Stg' �D'ONotary Signature
/��h @ Print name
NO TA R Y-S Tf4 M Notary Public,state of Flodda
MY COMM G 16/918 .2021
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A �'yy,,,,'
TRUE AND CORRECT COPY OF THE DOCUMENT 4< '
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND A FFIC AL SEAL
,<
� DAY OF
NIKKI Z- -, K&COMPTROLLERS
BY DEPUTY CLERK 'i�, '�
s
CCC1329729
CRC1329809' ^�.
PARLAMENT
Roofing & Construction
12880 Automobile Blvd., Suite L
Clearwater, FL 33762
Office: (727)'571-4110 Fax: (727) 571-4112
W W W.PARLAMENTROOFING.COM
Office: (727)571-4110 Fax:(727)571-4112
City of Zephyrhills,
I Jesse Rock,hereby authorize the following to act as my agents in obtaining permits in the City of
Zephyrhills for all projects.
James Ray) 11624 Ocklawaha Drive., Leesburg, Florida 34788 R400453793440
Jacknel Diaz 2712 West Tampa Bay Boulevard.,Tampa, Florida 33607 D265420804240
Joseph Mejias 4726 West Trilby Avenue,Tampa, Florida M223480932020
License Holder
STATE OF FLORIDA,COUNTY OF PIN ELLAS. r� }
Sworn to and subscrib d before me the � day of ✓ 2019. By
SSA' oc
. who is rsonally known y me or
produced as identification.
Notary Signature
BRIANA M.DACHNIEWICZ
Notary Public,State of Florida
My Comm.Expires Aug.24,2022
No.GG 229690
ORLANDO JACKSONWLLE
300 International Parkway, Suite 104 4651 Salisbury Road, Suite 275
Lake Mary, FL 32746 Jacksonville, FL 32256
Office: (407) 949-9196 Office: (904) 999-6612