HomeMy WebLinkAbout20-22630 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22630
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22630 Address: 5613 8TH ST
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: 11-26-21-0010-06600-0070
Improv. Cost: 4,970.00 OWNER INFORMATION
Date Issued: 3/16/2020 Name: GERMOND,DANIEL & SONDRA L & LUND
Total Fees: 65.00 Address: 5613 8TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/16/2020 Phone: (813)610-3160
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 65.00
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Vj
Ins ections Required
DRY IN ROOF IN P
TAPE JOINTS ROOF INISP
FINAL y
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.
CON CTOR SIGN E PERMIT OFFI R
PERMI S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22630
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22630 Address: 5613 8TH ST
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: 11-26-21-0010-06600-0070
Improv. Cost: 4,970.00 OWNER INFORMATION
Date Issued: Name: GERMOND,DANIEL & SONDRA L & LUND
Total Fees: 65.00 Address: 5613 8TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)610-3160
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CO STRUCTI REROOF RESIDENTIAL 65.00
C K Nu�OY12(W
t,Ld �!��e�OVII , &,T V
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.
6w-- � ?� -
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=780-o020- City.of•Zephyrhills Permit Application. Fax-e13a80-0021
Building Department:
Date Received b � _ �S
Phone Contact for Permitting D
## # # E,.!
Owner's Name I�/ Owner�Phorie Nuri>Ib'er al ' 60-3/IY D,
Owner's Address ��Jj 22 Y
;I.� J.: .Owner Phone Number.,
Fee Simple Titieholder Name-" OWher•Phone Number `
Fee Simple Titleholder Address
JOB ADDRESS-. . r '. 23>Y (� :++...
LOT.#
SUBDIVISION` " ' PARCELID# 0 "�
i .;•. ::.. (OBTAINED FROM PROPERTY TAX NOTICE).
WORK PROPOSED NEW CONSTR ADD/ALTLien SIGN = Q DEMOLISH
INSI°ALL e: REPAIR
PROPOSED USE SFR, �,- COMM, OTHER17
-
TYPE OF CONSTRUCTION '���=' ,f(BLOCK = '�' FRAME`'= STEEL`'' '° - -
DESCRIPTION OF:WORK . /:X:�"" 'I-� ;O. l
g� c l�`� �(-6)FJ b
BUILDING'SIZE V J SQ•FOOTAGE1 HEIGHT,
��BUILDING, il'1o_� VALUATION OF TOTAL CONSTRUCTION
,
=ELECTRICAL $ AMP,SERVICE 0. .:,. .PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION.
=GAS ROOFING ,= SPECIALTY OTHER -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES-r'' NO
SV
BUILDER COMPANY
SIGNATURE (� t� -REGISTERED,-- Y-/-N-:; - ECURRE/N- .-_.Y/-N-
Address 6 ��0 1G� Z� . License#
ELECTRICIAN COMPANY
SIGNATURE,, ":',: REGISTERED' Y/N FEE CURREN Y/N
Address ' L'icense#` `
•-.,•
PLUMBER COMPANY
SIGNATURE REGISTERED - Y/N.- FEE CURREN . _,. Y/N --.
Address.. License-#
-7
i. :.
MECHANICAL. COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License.#
OTHER - -COMPANY..
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License# —
! ! ! # !.!# !# ! I,!-
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 Budding 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/Silt Fence installed,
Sanitary Facilities'&'1'diyrlipster:Site,UVork'?erriilt`for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Eng-irieered'Plans:"",
****PROPERTY SURVEY"requireti for aICNEWU 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
813-780-0020 City of lZephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:'The.undersigned understands that this permit may be subject to"deed"restrictions"which may tie 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 andllocal regulation's.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..ls.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. " i..- -
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,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.' 1. -- •- - . - -
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 ben Law—Homeowner's Protection Guide"_prepared by the Florida Department of. --
Agriculture and Consumer Affairs.If the applicant is someone other than the I certify that I have obtained a copy ofthe 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'ln compliance-;,t6
all applicable laws-regulating construction,zoning,and land development.Application is hereby made to obtain a permit to-do work,andanstallation 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.1 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 t'
must take to be incompliance.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'Treatmenti
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
understand that the following restrictions apply to the use of fill:„
Use of fill is not allowed in Flood Zone W"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" Iin connection with a permitted building using stem wall
construction, I certify that lilt will be used only to fill.the area within the stemwail.
If fill material Is to'be 'used in any•area,-.1 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 perr ift may be required for electricalwork,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,after,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 OP' MENCEMENT MAY RESULT,IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INtOND TOO TAIN FINANCING, CONSULT
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this i Su cribed and (=rn =thls �
by by
Who is/are personally known to me or has/have produced Who is/are nerson known 1:rbe`or has/have produced
as identification. rxtio
Notary Public Notary Public
Commission No. Commission.No.
�c a ot1
Name of Notary typed,printed or stamped ff Name of Notary typed;printed or stamped
;pry •.• CARLOS MALDONADO
Commission#.GG 346275
`,-Expires Juno 18,2023
Banded Thu Troy Fain Insurance 8*3$5.71919
I
NOTICE OF COMMENCEMENT
Permit No. d lt�[P3 0
Tax Folio No.11-;&7-a I- 5b-1-CH-0 V,00- 00-10
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property(legal description of property): I I-cl(c--q I -Or-)(0-0(.0(0 00-00-1 (Z)
a) Street(job)Address: 5613 8th street Zephyrhills FL 33542
2. General descript' of im o men q(s : ROOF REPAIR/REPLACEMENT AJf
I LL SUXkkgk
Mn (a 0
3. Owner or Lessee information(Lessee as owner only if contracttegfor improvements)
a.Name and address:DAVID LUNDY JR -?��644/�I
tits
b. Interest in property:
c.Name and address of fee simple titleholder(if other than owner):
4. Contractor Information
a.Name and address: /-\ narueu r1oming & t,,Onsir OVIDS, LU., jo4ut3 ora Ave, /-epInymms, I-L 6004Z
b.Phone number: Fax No. (Opt.)
5. Surety Information
a.Name and address:
b.Amount of bond$
c. Phone number: Fax No. (Opt.
6. Lender
a.Name and address:
b.Phone number:
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a. Name and address:
b. Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b),Florida Statutes:
a.Name and address:
b. Phone number:
Expiration date of notice of commencement(the expiration date is I 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 STATUES,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. Z =1 7�.
V; ;r
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have oY
read t4.�Oregoing and that the facts in it are true to the best of my knowledge and belief.
CS
7
Signature of Owner or Lessee,or Ownwr<o-r Lessee's Authorized Officer/Director/Partner/Manager 0
Signatory's Title/Officer:
(7)
State of Florida
County of Manatee M
tr; �
The foregoin instrument was acknowledged before me this��O day of tma/16- 20 OQ--)by
.9
who is personally known to me or has produced
FL— 1-550— 1-13— M—CFA—+—C) and who did/did not take an oath.
(Driver's License
yft& Notary Public Stater of FloriU Signature of Notary
Tina M Prater PublLq,--,State of Florida
My Commission GO 211065 W-0— rA
Expires 04125/2022 Print,Type,or Stamp
A ^90%^ E I Commissioned Name of Notary Public
City of Zephyrhills
a � 5335 811 St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: // i
I 4' L1 licensed under Chapter 468 Florida Statutes as a
p n :{ }
Contract ____Engineer ii Architect Building Inspector
License No:
On or about �8` 2�Z� did personally inspect the:
Check: Roof Deck Nailing tf Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick_Other(List) 6+ &t f 1fLil1`'f/l
At the following ���'.�,/'
address: ov
2LZ-#�L-it
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit nual{Based on Section 553.844,Florida Statutes}.
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY: ey_�O�—
Notary Public State of Florida
Notary Pat State of Florida Pr
Tina M Prater
My Commission GG 211065
at Expires 04125/2022
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