HomeMy WebLinkAbout20-22479 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22479
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22479 Address: 5206 20TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0010-00100-0020
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 2/14/2020 Name: WARD NORMAN BERNARD & BENT N LE
Total Fees: 65.00 Address: 5206 20TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 2/14/2020 Phone: (863)409-0267
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RESIDENTIAL ROOFING DEPOT LLC REROOF RESIDENTIAL 65.00
DRY IN ROOF INSP Ins ections 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.
CONTRACTOR SIGNATURE PERMIT OFFlg9R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Feb 12 20,07:28p Residential Roofing Depot 8634502071 PA
8113-780-0020 City of Zephyrhills Permit Application
Building Departawt
Ono Received Pth�wo ContrallorPermttling JIM )4-j-&I OZ.0
a I I 14 a a 4� .. — one I
Owner's Name M0r"—xkk---,1 L�� Owner Phone Number
OwnarsAddresa <l 26L,9 6D 1
.:�! Owner P,...Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address I
J00 ADDRP45 -7e Ck-'Iti,V- IS 3- -S47- I LOT# [ ......�]
SUBOMSION PARCELID41 12--240-2-t -WO -CC3M
I0IITAIN12D M11.IROPERTV TAX WnCEI
WORK PROPOSED IM 10M.r--j ADOIALT SIGN 0 = DEMOLISH
El INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM
TYPE OF CONSTRUCTION y= BLOCK FRAME STEEL
DESCRIPTION OF WORK 504LAa 1F7,Aa-(L%v HCH6 Loii:TV AF401 oil-it
BUILDING SIZE SQ FOOTAGE HEIGHT
CIFICcc]VIIEW1171L XXX�Crvl
F7BUILDING Is VALUATICM OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY F--j W.R.E.C.
=PL1JmBI.-4G Is
=MECHANICAL (S~4 VALUATION OF MECHANICAL INSTALLATION
=GAS, z ROOFING SPECIALTY = OTHER ILI;5
FINISHED FLOOR ELEVATIONS - FLOOD ZONE AREA =YES NO
If 4 111 Ill!a 9 0 9 ff 9 4 0#*�nii 0 It
COMPANY BUILDER SIGNATURE RESISTIMED YIN Address F License
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YrN FEE OURRM Y 7—N
Address License#
PLUMBER COMPANY
SIGNATURE I FEGMTERED t YIN FEE CURREN X/NN
Address Licensa4
MECHANICAL COMPANY
SIGNATURE f J RJEWSIERED I YIN FM UURREN
Address
OTHER COMPANY eACJ a0R.� C
SIGNATURE REGSTEAED ICY-fN I FEECURREN
Address F4j:; License it
RESIDENTIAL Attach(2)PIDI Flom:(2)sets of Building Plans;(1)seta`Energy Forms;R-O-W Permit for new construction,
Minknum ten(10)warldrg days after submittal date.Required ansite,Construction Plans,StormwalorPlarts wl Silt Fence instaffec,
Sanitary Fadillies&I dumpster,Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach(2)complete set cf Building Plans plis a We Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction,
Minimum ten(10)working days after submittal date.Raqjlred onsite,Construction:Plans,Stormwaler Mans w/Slit Fence installed,
Sanitary Facilities&1 du mpater.Site Work Permit for edi new prcieds.All comme Mat requ rements must meat oDmplis nce
SIGN PERM Atach(2)sets of Engineered Plans.
—PROPERTY SURVEY reroted for at NEW consl[ruction,
F11 out application ccmplately,
Owner&Contractor sign back of application,notarized
If ever$25M,a Notice of Commencement is required.JAIC upgrades over$7500)
Agent(for the coRtracter)or Power of Attorney(for the corner)would be someone with notarLzed letterflun owner autnodring sarne
OVER THE COUNTER PERMrMNG (copy of contract required)
Remors 11'shingles sewers Somice Upgrades AtC 7-ances(P"Survey!Foolage)
Driveways-Not crier Counter If or public roadways..needs ROW
Feb 12 20,07:28p Residential Roofing Depot
8634502071 p•2
813-78OM2o City of Zephyrhills Permit Application Fas-a13.71304021
Buildiva Deoarbnent
NOTICE OF DEED RESTRICTIONS:Tho undersigned understands that ihis permit may be-subject to`daed'restrictions'which may be more restrictive
then County regulationo.Tha undersigned assumes responsir/ay for compliance with any applicable doed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:if the owner has hired a contractor or contractors to undertake work,tney
maybe required to be licensed in accordance with state and local regulators.If the contrevtorts not 3censed as required by taw,bosh the owner ane
contractor maybe cited for a misdemeanor violation uncer state lane.tithe owner or intended contractor are uncertain as to w..W licensing requirements
may apply fortho inlendadwom,they are advised to contact the Pasco County Building Inspection Olvisbn—Licensing Section at 727-897-1300e.
Furthermore,if the owner has hired u contractor or contractors,he is advised to have the corftcfor(s)sign portions of the*contra"Bloch of this
appgeatim 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 pe milling privileges ir,Pasco County.
TRANSPORTATION iMPACTIUTILITiES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
that Transportation'mpact Fees and Recourse Recovery Fear may apatyto the construction of new buildings,charge of use In existing buildings,or
expansion of existing buildings,as sarrAed in Pasco County Ordirence nimber89.07 and 90.07,as amended.The undersigned also unde..rstands,that
such leas,as may be due,wi l be identified at the time of permitting.It is further understood that Transportation impact Few and Resource Recovery
Fees must be paid prioto receiving a"certificate of occupancy or final power release.If the project does not involve a certificate of occupancy urinal
power release,the fees must be pact prior to permit issuance.Furthermore,if Pasco Calmly Wafe:lSewer 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 Staltutes,as amended).It valuation of worts is$2,500.00 or more,I certify that 1,the applicant,
have been provided with a copy of tw'Florida Construction Lien Lay—Homeawners Protection Gulde'prepared by the Florida Department of
Agriculture and Consumer Affairs.if ate 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 tte%%war prior to commencement.
CONTRACTOR'SiCWNER'S AFFIDAVIT.I certify that arl the Inlomiatlon in this application is accurate and that all work will be done in compliance with
sit applicable lays regula"construction,zoning and land development Application is hereby made to obtain a permit to do work art i tnremmr r
Indicated I certify that no work rainsra>r.*+nha�«.
nppsy ro me rnnardod work,and that It is my responsibill sty to Idertlly what actors i
must We to be in compliance.Such agencies Include but are not limited to.
- Department of Environmental Prate ction-Cypress Sayheads, Wetland Areas and Environmertally Sensitive
Lands,Water/WastewaterTreatmeni.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvirOnmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmentaf 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 alloyed 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 lime of permitting which is prepared by a professional engineer
licensed by the Slate of Florida.
- If the fill material;s to be used in Flood Zone`A"in connection with a permitted building using stem wall
construction,i Certify thatfilt will be used onlyto 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 an the AGENT FOR THE OWNER,I promise at good faith to Inform the owner of t^se permitting con0ons set forth in this affidavit prior to
cornmencing construction.t understand that a separate penni:maybe required for electrical wort,plumbing,signs,wells,pools,afr corditodng,gas,o,
other Installations not specifically Inch doh In the application.A pe hat Issued shall be construed to be a license to proceed with.he work and nor as
authority to violate,cancel,alter;or set aside any prousians of the technical codas,nor shall Issuance of a pemnit prevent the Building OTicial from
thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit Issued short became invalid unless the work
authorzed by such permit is commenced within six months of permit issuance,or y ncrk authorized by the permit is suspended or abandoned for a
period of sk(6)months after the Pane the rnork is commenced.An extension maybe regL*stad,in writing,from the Building Official fora period nat to
exceed ninety[go)days and will derncnstrate Just.fialle cause for the extensiom Fwark cases fo-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
FLORICA JURAT(F.&117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this ,� ubSq _ b and o be ai 1
Who Were personally known to ma orhashtava produced W ho,,stat<p=aaai�w LI2 ma or ha a produces V'
as iden0cation. as identification.
Notary Public L/t. r V`v Notary Public
Comn"on No. Commission tvc. 3 44fl —
Name of Notary typed,printed or stamped Na-mr of stalary typed,pinned or stamped
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City of Zephyrhills
5335 r St
Zephyrhills FL 33542
(813)780-0020
1
ROOFING INSPECTION AFFIDAVIT
Permit No.:
?n-k'C,' licensed under Chapter 4fi8,Florida Statutes as a(n):
Contractor Engineer Architect Building Inspector n�rcl
License No.660'Z A C09 0
On or about 'a— lq "Zd did personally inspect the:
Check: Roof Deck Nailing ?t Dry in ` Flashing and Drip edge
Check which was used: 30#felt Peel and Stick Other(List) 1
At the following _
address:
Based upon that examination, i have determined the installation was done according to the Hurricane r
Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes).
Signature:
STATE OF FLORIDA
i
COUNTY OF PASCO
Sworn to at1d subscribed.before this day
SY:
Notary Public State of Florid
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Nikki AlvarezSowles,Esq.,Pasco County Cleric&Comptroller
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