HomeMy WebLinkAbout20-22692 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22692
BUILDING PERMIT
CATjON1NE,0RMAT,'16W ,,�LO.0
7,"ER1MIT1 N FORMATION
Permit Number: 22692 Address: 38745 SOUTH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21300-0170
Improv. Cost: 6,500.00 OWNER.INFORMATION
Date Issued: 4/01/2020 Name: SILCOX, RUTH
Total Fees: 75.00 Address: 38745 SOUTH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/01/2020 Phone: (813)838-8266
Work Desc: REROOF SHINGLE
CONTRACTORS) APPLICATION"FEES,,
OMEGA ROOFER LLC REROOF RESIDENTIAL 75.00
ems. 0_ �_o
(A4
DRY IN ROO,F INSP Ins pectio s Requlred.
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 reinsoection.
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 OFFICgR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#202OQ56608 OR BK 1 0080 PG 2275 Page 1 of 1
0410=020 08:33 AM Rcpt:2150390 Rec:10.00 DS:0.00 IT:C.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
P41W10NO tt'7671�OIO71700-0t70 •.
NOTICE OF COMMENCEMENT
' F1or16e -
skate,of Con+ityoil Pasco hv.
THE UNDERSIGNED Mreby Owes hot-dho mpov nwq w+d be rime w cation coal progeny wid In KeorOaroe wAn aevl.r 713.gai6r SIMMONS.
Us 1000 hp trdomudbll is Provided m an Not=of Commenamenl•
7• Deecnp.ondPtopeny PrWldemRraWnNo tb262t.Opta2t304gt70 ..:
8tnd AdWleaa 36745 SOUTH AVENUE.ZEPHYRHILLS.FL 33542
2. Gaherat Desolp.pr of Impmvemenl Rod ReWwwrient-Aspleti Shmgte Root
' 3 Owner 1n110rrrhston a Lessee rdamatan it IM Lessee cdrnreged for tlhe repnowanelM .
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RUUTN w SNIc..1COf( / EKIC P 1-10CHM
38745 SOUTH VI ZEPHYRKLLS Fl. .;1
Address ; C,�, State
t"ituir a in pmpeny. Ownel■ I
Name of Fee Sonpb TW*okler. R UI N Ax S 1!Lro -"
(e ddlersrd tram Ownernsted above)
Addrm
d. Contrada M~Alvarez Omega Roofer LLC State
t
1704 W.Era me0 Tampa FL
Address City stale t
COntreCloea Tesephorne No: 813 M,3M
'1
s surety. ;
Nome 1
r
N
Address Cuy State
AMAW of Bond.f TelephdM No• ..}
5. LhmOer.
NartM
Address City Sues ti
Llenders Telephone No: -
.Ji
7 Persona wrltun the State of Flondr desWwled by the owner upon wbmn nOeees Or Other dMunerts may be Served es Provided by
Section 713.13(lHOW),Fvlon^o�S�E� i
:52745 SWO AVE AddressQ2p�.� ��702HYOUILLS EL
Telephone Nrrnbw ofDii Writ d Pelson: 813- V- 8 Z EZ see
8 in it"bon 10 her"t.the Owner designates d
to reicewe Is eopydl the Lands Nova es provided in Section 713.13(txb),Florida Statutes. '
Telephone Number of Person or EMrly Desrgreled trY Owner. ;
9. Ezphrawn date of Notim of Co nmarorren(111e esPuaGon date ntay not be before the completion Of construction lend dmel paynnerd to the
eenirsdor,bA win be one year from the dale of reccrdng ontess a different date is speaeed)' - 3
WARNING TOOWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE\NOTICE OF COMMENCEMENT 3
•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 R ,CONSULT
ECORDED
LENDERSOR AN ON
BEFORE COMM NCIFORE THE NG WORK OR RECORDING YOUPECTION.IF YOU R NO CE OF COMTAIN MENCEi,T.
Under penalty e(p oilury.I dedwe dot I haft mad the lWag"none d cemmercemOM wd Ihet the►ads stood therem we true to the best ..
of my knowledge and eNef. .
STATE OF FLORIDA.
COUNTY OF PASCO 9J
rat Lessee,at o+nefs or Lessee's Authorised ;1
Oflnud rcclodPanmrlktareger RurN S 1I LC 0
FLDR LIC S41.2toyaTAelDrl�Sc. �ttifh ►YI, $i iC,
.•. Tim lorepwitl hsmanws was ado+Owtedgmd before me ass&—IrhLy
les (Type of awhorhy.e.9..oftw.trustee.attorney in 180)for
(name of oamym DemaednlyYn uheOlfnwd*its eaeauW).
PetsorWy Known 0 93 produ:ad ahmvfirsu/m, Notary Srgnlelun A �Lt JY;
Typed)dwhttltstiomPmdeee0 �e'NSA NanvlPodl ( �'Ir � r - aEUNOALe�:ONso
teyiuhrc-Sb*rrinv:Gs a
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received rrrrrrrm Phone Contact for Permitting
Owner's Name Rl/(� �` Owner Phone Number
Owner's Address J 9 7 ! S f0L►79 V�_ Z-C/_H QfirLL—( Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS '7q5 TN A L)6 LEPN l?yigu 33 S It LOT#
SUBDIVISION PARCEL ID# e?� --Z l^ d 21 ?Ub r Ol 7
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM OTHER
TYPE OF CONSTRUCTION _5�D BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK �Gp F lznlAccr+��N�l' 9 �A
BUILDING SIZE .Z 7 b 0 SO FOOTAGE HEIGHT
IF BUILDING $ &)t
so VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
AL $ Ov ALUATION OF MECHANICAL INSTALLATION
=GAS .= ROOFING [� SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY V 0� 0�
SIGNATURE Y REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
;SIGNATURE REGISTERED Y/ N FEE CURREI% Y/N
Address I License#
MECHANICAL �_ /� COMPANY CV rEn uc
SIGNATURE REGISTERED / N FEE CURREN LILN
Address License# F <<c r
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI` Y/N
Address License#
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,Stormwater Plans w/Silt 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.
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.Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copyof 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. 1f 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 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 work 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 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 1 understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions J 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 Carps 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.
F.eder6fAviation Authority-Runways.
I understand tliat:the<.following restrictions apply to the use of fill:
- Use_of.fll is not allowed in Flood Zone"V"unless expressly permitted.
If the,fll 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:bythe State of Florida.
If the fill:.material is to be used'in Flood Zone "A" in connection with a permitted building using stem wall
constructions-I certify that fill will,be used only to fill the area within the stem wall.
If fill:,m'aterial::is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties.?lf.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 1 am the-AGENT POR.THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit.' rior 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 Y_OU_1NTENlD.TO.OBTAIN_FINANCiNG,_CONSULT
--WITH YOUR-L~ENDER-OR AN-ATTORNEY-BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to'(or affirmed)before ate r
by -�—by /�2�L h��EC u4 2 �
Who is/are personally known to me or has/have produced Who i are personally-kggwn to me or has/have produced
as identification. 1 � 1�Ve.;r U .. as identification.
. a
Notary Public Notary Public
Commission No. Co m' sionIQ
:'10"414Y., JACQUELINEBpGES.*: com
Name of Notary typed,printed or stamped Name of Notary typed, QfF+oDecetnberl2,2022
Bonded Thar Troy Fain Insurance 8pa3gS,7019
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