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20-22549
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22549_.-- BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22549 Address: 38026 14TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-02800-0010 Improv. Cost: 4,129.00 OWNER INFORMATION Date Issued: 2/26/2020 Name: LEWIS, GLADYS REV TRST, CROSS Total Fees: 65.00 Address: PO BOX 387 Amount Paid: 65.00 SAN ANTONIO, FL 33576-0387 Date Paid: 2/26/2020 Phone: Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 65.00 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. 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 813-78M020 City of Zephyrhills Permit Application Faz-813-780-0021 Building.Departmentvid Phone,Contactl6r.-Pormittin r i•Ow• �� ��.�j - ner' n Oiivn®r'p6one�Number,',`: . :arc own "dress r NUinb ori�: er: own er:Phote Nuintior. trios%acualss; 3.9 �' .,LOTI'#' SUBDIVISION; ::. PARCEL ID# - 43,a;:..:.. (OB,TAINED; ROAAP,.ROPEKTIF:LAIC',:NgTID )? ., :CONSTR ADD/A '�1EINIrT'a` T771. : : • :.B',' :INSTAI:L.. ;=�.•r =.i�tEF!AI_R': • - _ - -.- _ .- PROPOSED•.USE SFR':._ :,'; OTHER"' 777,77- •. ' YPE ONS7.OF'CRUCTION"' BLOC ,' `:�'�, K .:;�'`� '•FRA Tc ME:' '�ESLRIpT10N'OF WORK•. r` ;BUILDING,SIZE.I. :-FOOTAGE SQ ;��.-• 0 BUILDING''` $: ',, ,, r': ! VALUATION;;OF.TOTAL:CONS. UCTIOW ., QEtECTRICAL.., $ ::AMP'SERVICE. DUKEENERGYr;. ORCUMBING- 71 29 =MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION• =GAS ROOFING. . ..,SPECIALTY., [ OTHER_ .FINISHEDfLOOR,ELEVATIONS r'r s'°; BLOOD ZONE`AREA -:` NO - BUILDER COMPANY: SIGNATURE � '� ` ,.R Isr R�o; - • :'Y:/ N�::E �FtT„ YI:N:�: Address" y . ;License'#;? ELE,CTRLCIAN' COMPANY SIGNATURE -REGISTt=RIcD= - : ., Address., :PLUMBf=R SIGNATURE. `•tte:iiSfl aEo >Y% Ni-", j'°fEE;CURREA> Address: - . L1tense.# , MECHANICAL.. `'COMPANY SIGNATURE"r REGI§ ERED i; Y-Z`•N"_' Address,.• - .e: •„- ;,: � :. NY OTHE .. r.K u- SIGNAT !7 S'ERED: �„, - .License# I CC C:tea . ;�'j C =W R' W'a ?CGt1S ctlo 'R 2. is 'f: ui di :P.iti�s A;set:ofaErie,' orrYis':R:O e` I n w. trJ n„ RESIDENTIAi` -Attadh;,(�)':1?lot„Plans,,(_y:�e ,6,.� .f, - ,,<l u(,.),_ ,rgY ,�.•.,-., �-;.�;�o,: z:.t ..1:.�,. ,.a . .<. ._ .r•,::c "`� t. figs� ti: �.+1�' Mini `;;{;a ,>,� t - - riiAlnilfium'ten t.0)�leJork+hgarlays,aftersi+brbl 1,bate: R$g3Wire J_Snsite''C.+onstriiotlon•Plans,;S�orm�%atefPieli wr' tlt Fericetiddibllsd' SanitaryF9cilities.8 .kdUmpster,`:Site:Wo►k Perrititfi8rsu6divisibn3/Isngerprojects COMMERCIAL. Attach(2)-cornpletesetsof;BUffdfng:PlBnsepfusaLifleS„afety{Page;{l:j'set'ofEnergy.Forms.•R-O=WPermit;fortnewcatistrucdon,; . Min(m(Im ten'(,1,1)),worktng;cla ra,e�srtifritttel;�laxe l�egjX,eB`cnsite Consfri%coonfPlnrfsEStor(iivi�af$it4�Jane wlailtTFehCe installerd Sanitary;FaC�IILes.ii t:tluit�pSf r:.Sine llLorfc hermit fog all new;projects:Alf commerdal requi'rem nts must rrieet`comp,lance': SIGN'PERMIT Attaph(2)sets of`Engirteered plans:«:.,:ea.•s .:.;._' PFtbPER'fYs$,I RV@Y required for'all NEW±90 stniction. ,...:.L, Directions: -Fill out application'completply. OwnA►,&C0i1_."torsign pack'ofappli!ap o ,notarized. If over 52500;a Notlee of'Coromen'.ceirient is required. (AM upgredes.over-$7500) '• Agent.(for:the:contractor)'orPower:of,Attomey,.for.the oWner)*would''bd''someone YAth notdiited;letter from:owner authorlting`same: OVER:T igE C,Q0NTER,P.ERMITTING;, (cgp;tof coht aet;�equired) „_ Rerod if shingles Sewers '_:,: Seni1w1,wpgradds--°A%C:" Fences'(PIoNSurvey/Footage) Driveways=Not over Counter;if on.public,roadways:.neede ROW NOTICE OF DEED RESTRICTIONS: The un`decsigned,understands that this permit-may be subject to"deed"restrictions" which.may-:be•:more;restrictive�than:County regulations. The undersignedrassumes=responsibility r,,complian with.;any applicable deed restrictions; :U.NGiCEN:SED Ctrtit TR=ACC FORS ►NDr,-CONrtRAC ORl..REsPoNsid[it71ES 1tf=flte��°otivWr i6s`n#red`a cohftdtor or contractors to undertake work,;.tfeyanay,be,E.required to be licensed in_accordance..vkithatate.vand,._local;regulations: °If the contrac#or is:not-licensed;as required bylaw, both the�owner.ant# co6ti, violation under state law. If the owner,:,or,,;irateraded;con#ractor are uncertain,as,:to what:.licensing requjrements may a"d #yfor'the -v#ntendedwork,-they-are-advised to contact the Pasc6-County-Building=lnspectiorn"DivisioipL�4Licensing Section at'727-847- 8009. Furthermore, if the owner has hire-O,.p contractor or,contractors,,:he is advis.:ed,_to. have the contractor(s) sign portions-of.•the.."contractor:Block°,of.this.application for.w.hich..#hey 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-permitfing privileges In Pasco -TRANSPORTATION IMPACTIUTiLITIES'IMPACT AND R-ESOURCE'RECOVERY,FEES: The undersigned.,understtands that Transportation�,impact:.Fees,andRecourse..Recovery;Fees ntay=apply to..,the--construction,;ofnew buildings,!'c ;i a of ....._. , use in=existing=tiuildin'J&"or expansion:of-exlsti% wildings, as speclh d:in Pasco County Ordinance-number 89-0.7,and 90-07,, as.amended...The..unde6igned,_aiso_unders#an d5 -that)su"eh fees,-.as-imay.be,due, w.iii bei.:td6ntifiied oaf"thy#i Yie of permitting. It is'further-understdidifith�i"t��'fir"iisportation.Impact-Fees.and Resource Recovery. Fees must be paid,prior to receiving,,an"cerklfica#e a€.occupancy"for eh l:power.rOtlease.�,iif=fife project=do",;not'invoJvesa certMcate 6*-'6ccit'pai cjrr or r.. ..... final_power release, the fees.must be paid prior to permit i'ssughbe. �-l' if&urtherr i 'PaseorCounty Water/Sewer Impact lees are:due;they:must,tie_paldwpr onto pe it:#ss,4 in accord ance,v.ith applicable Pasc,o County.ordinancesµ CONSTRUCTIONifLIEN LAVI/{Chapter 7r ;fFlotida.S#a#utes;as{amefic:ed}: ,#€ aFuatlar`afinrorkiisw$ ;SQO:OO.or:•rsnore, # certify:#hate=i;:=tile: applicant; have4 a iz-3provided:�wlth.a .copy-of#ttie-"Ftorida Construction Lien Lave-Homeowner's Protection Guide" prepared by the Flarlda:D:epartment of Agriculture,and Consumer A€fairs.;:#f the applicant�,is-.sorfteona �,.:�_.. other-than,' -;J-,•ce',tify'#hat f�dVe ld ainedwa-copj�of ffYe��atiove�tlescrlbe docwhiehf and-promise in good faith to deliver It to the°owner'":prior to commenpe ;ent. ..'. �.. 4... C:ONTRACTOR'.S/QiiIIN R'S l► ii A1(R�• ycertify.that; ill,.tl e�'�rtfor�atp�ort,in Whisk=, licatioe.is:aec rete3and:that,,aJLwork vVilt'be tlone-in compliance with all applicable laws regulating construct#on zoning and fanddevelopmenrt:. Application is hereby made to obtain a permit to o work nd insta#latao' as thdicated. I certify that no work or installation has commenced,prior to issuance of a.permit;:andAhat all work will,be,performed to..meet,: tandards of all laws regulating ct�ristruction; Gou y ono:Cif 'cotl`` , zon,ng„regulations,,-:9 c!'�•tleve#opmen# reg+ lations in the'jurisclictlon;. # also certify that I understand:that the'regulations of other:government agenciesannay apply4o-theintended work, and:that it is my responsibility.,to identify what actions:f-must take.to:bwin compliance. Such agencies incline but are>natRfirriited to: Department of Environmental Protection-Cypress Bayheads,:Wetland:Areas and Environmentally Sensitive Lands,Water/WasteVee �tatptent.,;.. . Southwest .Florida Wafer, management DlstrictVells, Cypress•..Bayheads, (Wetland Areas, 'Altering Watercourses: Army Corps of Engineers»Seawalls;- ocks,�Nav#gabld,Waterways'. ,g Department ohMeglft abilita'tive ,Services/Ehvaronmenfai Health Unit=Wells Wastewater�Treatment, Septic Tanks USrEnvirotar»erital l'a#ect#afis gency.=Asbestos:=abatement:: - Federai'Ailfation A"iifCiorit =l7unways ' !understand that_the#o#louuing:resmptioos, ply�to the userofofill: UseFofiilllls.not ali�oWe°d`in°l'tood Qrre"V"uiiiss'expressly permitted,- - If"the #III:mafiai'ial;;is•.to be used in Flood-gone "i ", it 1s understood that a drainage plan addressing a compensating uoluiFn '' r�i;hie�sul r»tzed atffime of perml#tin ;which.is preparedxby. .profe_sslonsi engineer licensed by the State of f=lo ida. :tfA.the.f#li;:materia#;�is;;ta,benysed'dn bRoodd 2phe':"i'..1n-ct�nnection with a permitted bui#d#ng using st�atn<:uvali: g .,_ .r . rt,.>,,r, �.. construction, I;cettifji°that OIf,uVi fla,eused only.;.tb flhttie,;ar5ea witllllrr::tlrWstetn;walF:; •._.. if-fill material is W.be._used•in..any area, 1'=certify that use.of such.fill°will not adversely affect,,,adjacent perJperties: #Buse=of` Il is,:ound to..adverse#y affect adjaCerit fi zope -ties ,tlier.oviitieru:may.be cited for violating the conditions of the building permit issued..und.,er,:,the-atfached permit application;for lots-less than one;.-(1)., acre nrhicl�<are,�eteva#e I l�yH:fi#ll an engineered:%it a1doge plan Is required. If I am #he.AG£NT4"l;*•OR:T:H.E 01I kA,'f poor ii'ise in good faith tio.i6form�the,,owner:ot:the permitting'conditions set forth in thjs._aff'idavit.prior.to commending.,construction. I undersiand.that a separate.permit.maybe required for electrical,work, plumbing;..signs;.we#is;f,pools -air-condifioning;�gas,.or other installations-not specifca!ly ihclUdbds h4herwapplication. A permit issued'shall be construed,to be a.license to proceed,.with-ithe-work.and not as authority to•violate, cancel;;Ailter,;;tor;.. set aside any proyisions-af the teehihka#600esr,nor shall;.issuance of a permit°prevent_the,:Building Offcpat from-thereafter:`::- requiring.:a catrection�of errors"in plans, construction or wiolations-oftany codes: EVery°permitrissued°shall taecome-invalid uriiess.the work,attthorized;bysucla:+permit #s commenced within-six months.af perm#t•tssuar�ce,,or..If.workuthorixe`%iby the-permit°is suspended or•abandoned'�fora'period of,.six(ti}months after the time the:wvark is commenced 'An extension maybe•requested,>In writing,#ram.•the;Building.Official form period not to exceed ninety(90) days and willdemonst2�Ce`. ;�..... justifiable,cause for tl e;extenslon:==lf work: .ceases for ninety(JO)`consedutiue;�#ays,the:jab�is�consideredabandoneil WARN NG;TO OWNER -YOUR'F.AI?'URE•TO-.RECORD-iA�,NOTIC1,ggGFaCOMMENCEMENT,;MAX;RES;tl.6T-IN..Y-bUR 4 PAYIN�G4'fWiCEr C1tt lMPROVEMENTS�C'_O'YQuUR6PitOPEi�1'Y iF{11`6i �1N1'lilt}1'O O TAi1N"EIMAI�CiIVG,CQ1 $itLT ; fAllTM:.YO.URaIFINDER:�:OR���ANxA'=TTORN�Y'°EEEOFIE°�I21rCOl't©,i IN_,,,G.YC1U„�O'�;IC�'OF`GOINIiiIENCEMENT. `- _ -_-- _ FLoRlDi4''Jt`1RAT`(fS:_1'17:83}_�__ _ -_ _ _. _• •• '�_ - .- .• OWNER-OR-AGENT :C0NTRAdf0R - - '`-- - -- Sutssshbei!}and�sworil:tol(or-.41#ie iY46f0r m0'ttils_- '`Subsiri6ed and'swi$ffi-o> iriietlj°ties re me=ails Who Is/are personally known to me or has/have produced Who is/are perso ' Ily.known The o rha"O,Bove:produced•'? " as Identification. :r asidehtifie8hori. Notary Public Nota y Publice Commission No. Comml i a. Name of Notary typed,printed or stamped .Name;of;Notary :�typ --- S ommission i#GG 276457 :a. - * .....0 4; Expires DMmber.12,2022 . °.`.``•' BondedThnrTto r Fain Irmmn casoaassaoos 777777 i i v SOLD T0; SHIP T ADDRESS . ADDRESS CITY,STATE,ZIP ! CITY,STATE,ZIP CUSTOMER ORDER NO. SOLD BY TERMS, F0.8'. DATE ORDERED SHIPFEO DESCRIPTION PRICE UNIT. AMOUNT off = edema 5940 Ml.��n� ': ....-r.. ....... .i"-"- - - .-_..__a..... .r_.r - -' �._,n�i��.,.-�+�....-.e..�- ..+►..�-..•-�+...�.._.-�x.-.e.e•,r.+...+.r.._�.....-nvrruv..«.w a. i !I 3 INSTR#2020033368 OR BK 10059 PG 2004 Page 1 of 1 02/26/2020 11:00 AM Rcpt:2139120 Rec: 10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller Permit No. Parcel to No ! I • 24P a r© -0 a-Sao—©®�o NOTICE OF COMMENCEMENT (,//► State of- County of V _n 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 1. Description of Property: Parcel Identification No. streetAddress: -3 T 0 16 tA- 2. General Description of Improvement Ili_ 3. Owner Information or Lessee Information if the Lessee eo d for the Impro ment: Iro 4 I 4-kAho- Address City State Interest in Property: Name of Fee Simple•Titleholder. Of different from Owner listed above) Address state 4. Contractor. Name -NTO Address A ^� (U Z -� City State Contractors Telephone No.:�5 1.2 J— / Y—C J� J T/ 33r 5. Surely: Name Address City State Amount of Bond: S Telephone No.: 8. Lender. Name Address City state Lenders Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom nolleas or other documents may be served as provided-by Section 713.13(1)(a)(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 Uenore Notice as provided In Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. s. 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 one year from the date of recording unless a different date Is specified): 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 1, 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 fads stated therein are true to the best of my knowledge and befief. STATE OF FLORIDA � COUNTY OFPASCO 0!Pt. SHERRYWIDNER` Commission N GG 182749ilgnature of owner or Lessee,or owners or lessee's Authortied ly. + Expires l cer/Dlrector/Partner/Manager y7�SO/�ft��/P�! BaddihuBudsKtbltry9nrinH Signato s Title/Office The foregoing Instrument was acknowledged lbfafore m.a t,lIs dK/�'day of as� 6, ' (type o 'a ,oiII sloe,attorney In fad)for ' ( on et-0 of wh Instrum nl was executed).' Personalty Known 01a Produced Identification Notary Signature �,/ Type of Identification Produced "Name(PAnq' : V AA,,`— wpdata/besfnogcecommencerrenLpc053048 I� Coua�w?' fiasco s C� Mate of FICITIft et the�o;egoing is a This is to certlfY true and correct copY of the document � on file or of public record+n this office. d and official seat this x c Witne } ,Y, da Comptroller Nikki Al ounty,owies, Florid Pas Deputy Clerk City of Zephyrhills t. 5335 8th St Zephyrhills FL 33542 (813)18M020 ROOFING INSPECTION AFFIDAVIT Permit No.: ac I: licensed.under Chapter 468;Florida Statutes as a(n): Contractor -`':Engineer_Architect Building Inspector` . License No. : ACC-..p .`-7 _Z-- On or about : did personally inspect the:. Check: Roof Deck Nailing Dry in C/ Flashing and Drip edge Check:which was used: 30#felt Peel,and Stick_Other(List) At the following. address:_ . 3 rVIL 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 :COUNTY OF PASCO sworn to and subscribed before this day BY: Notary.Public State of Florida