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Home My WebLink About20-22448 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22448 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22448 Address: 37551 GILL AVE LOT 283 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est.Value: Parcel Number: 34-25-21-0170-00000-2830 Improv. Cost: 6,000.00 OWNER INFORMATION Date Issued: 2/07/2020 Name: MEDISE, THOMAS & SUSAN Total Fees: 70.00 Address: 37551 GILL AVE LOT 283 Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/07/2020 Phone: Work Desc: REROOF SHINGLES CONTRACTORS APPLICATION FEES PJ ROOFING INC REROOF RESIDENTIAL 70.00 j/0 DRY IN ROOF IN P Inspections Required 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. v CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-7e11-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin Owners Name 2 DYl/1plS rS Owner Phone Number Owners Address i l AvDL Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r_ JOB ADDRESS rr3�SS Gtf I LOT# SUBDIVISION l71 PARCEL (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME Q STEEL DESCRIPTION OF WORK 'IPtusbylota n&+mIx. v1 H 1 Jllin Soy �tl n (}y vurvkkB DING SIZE SO FOOTAGE $M HEIGHT BUILDING $ d w - VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO COMPBUILDER REGISTERED PI Y/ N FEE CU 6r GY/N SIGNATURE Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEECURREA I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREK Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N Address License# Illllllllltllllllllllllllllllllllllllllllllllllllllilllllltlltlllll 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 subdivisions/large 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,Stornwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AO 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 1f over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) Agent(for the contractor)or Power of Attomey(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) t 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 licenser)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 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 worst 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 Department of Agriculture and Consumer Affairs. if the applicant is someone other than the'owner",I certify that 1 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. 1 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/WastewaterTreatment - 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'Vr 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,1 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 parr)#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 L ND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR J Subscribed and sworn to(or affmrted)before me this Su bed and affirmed)before me byI. n.02.by W film l vfL'_/ Who Ware personalty known to me or haslttave produced Who islare personally(mown to me or has/have produced as identification. ^ nn oo^^as identification. Notary Public /,� L�� Notary Public Commission No, Commission No. VDIC ANN Name of Notary typed,printed or stamped Name of Notary typed,printed w ` �,'•. SFELD P�• ,o:r Notary Public-State of Florida r ` Commission:GG724CE2 ;a;, hly Comm.ExpiresJul i5.202' Ber'dtd Mmu;h R'_ticoal pd_r,.A;;.-. INSTR#2020012487 OR BK 10041 PG 3349 Page 1 of 1 01/24/2020 09:22 AM Rcpt:2128570 Rec:10.00 DS:0.00 IT:0.00 • Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller QS Clp Permit Number Key Number NOTICE OF COMNI NCEIWEAT : State of Florida , County of Hernando -THE UNDERSIGNED hereby gives notice-that improvements will be mede•to ce6fn' real property,and in accordance with Section 713,of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.. 1.Descriptfon of property(legal description):' - a)Street(job)Address: 'i 11_AV Q_- by i l 1 F . 3 3514 2.General description of improvements: l -. 3.Owner Information or Lessee information if.the L"esste con abxd for the imps ovement: a)Name and address: ]�flYY101t'+ b)Name and address of fee simple titleholder(if different thin th r na':listed above) c)Interest in property: OW of — 4.Contractor Information -p V t J WarV1 i LV, 0 a)Name and address: QJ I�c�P(M_I.YI_ b)Telephone No.: �, .13 _--__— Fax No.:(optional) 3M 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)-Teisphono No.: -- ----- -- -- ------- -- -— 7.Persons within the State of Florida designzted by Owns%upnn 713.13(1)(a)7.,Florida Statutes: whom rot css or o erdocuments may be served as provided by Section a)Name and address: _ b)Telephone No.: -- _.._..----_------_---Fax No.:(cptional) --- - --- ------_ 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,:bq before the completion of construction and final payment to the contractor,but will be 1 year from the date of recordirg_unless a different dale is specified): ,20 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AF7ErZ THE'F-XPIRATiOH OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER`CHAPTER 713,•i3ART 1,QE"bN 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR i PAYING TWICE FOR IMPROVEMENTS 1b YOUR PROPERTY.A NOTICE OF COMiAENCEMENT 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 I/yATTORNEY BEFORE COMMENCING WOPJ(ORRECORDING YAUR NOT;CE'OF COMMENCEMENT.' 1�s1_r _ lN� S5'E----_ (Signature of Owner or Lessee;or Omer s or Lessee's(AuL�cm w Offi rT�7ire:�nPartr :Rdara :)' (Print erne and Pto'e Si na ry s TillelOffice) State ofO1r��l� -- t;oupty'of nt Q�------ The foregoing instrument'was eclmowle ged,before me'this 23 day of f 20 __.•__-__.__._-__ by 4 _.------ as ow - (Name erson) (h/pe or authcrity....e.g.officer,trustee.momey In fad) for _ ----- (nams of party on behalf of whom ins ment was executed). Personally Known ❑ Produced_ID Type of ID - Notary `:greiars _ ------. ? nt na -•x1� lY� - - --— ----- KRISTINAN:HOSFELD n .�:�' Notary Public- lorida 3 Dl •� $3 (Q ,� -' !/) S Q ` = _ Commission462�`• � f:` My Comm,Exp 2021Bonded throughNryAen, STATE OF FLORIDA, COUNTY OF PASCO g` a®,�► THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AID OFFICIAL SEAL THIS DAY OF Gt." 2 W-0 3 V 3CLERK&COMP ROLLER Ro 87• �� BY DEPUTY CLERK I r City of Zephyrhills ° 5335 81h St Zephyrhills FL 33542 i (813)780-0020 • ROOFING INSPECTION AFFIDAVIT Permit No.:22 I,mil, I T WQiyn I CAR _ licensed under Chapter 468, Florida Statutes as a(n): Contractor Engineer_Architect_Building Inspector_ License No. r.c C133o� i On or about' did personally' spectthe: Check: Roof Deck Nailing Dry in y Flashing P g and Drip edge Check which was used: 30#felt_Peel and Stick . Other(List) 'At the followin address:_3155 1 GloA Ayt 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 FLORIDA ,r•tp,Fs�p�'• KRISTIN ANN HOSFELD COUNTY OF PASCO °_ Notary Public-State of Florida ' Commission;GG 124462 Sworn to and subscribed before this day '9OFF �' Mycomm,ExpiresJul16,2021 Bonded through National Notary Assn. BY: Notary Public State of Florida