HomeMy WebLinkAbout20-646 r ns�ion City Of Zephyrhilis PERMIT 4 MBER`t '.
.- 5335 Eighth Street k_
Zephyrhills, FL 33542 BGR-000646-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/31/2020
Permit Type: Building General (Residential)
Property, Number ". Street Address
14 26 21 0010 02200 0090 4824 17Th Street
•'0Wher Information Permit Information - Contractoir'lnformation
Name: JOSEPH WORRELL Permit Type:Building General(Residential) Contractor: NOLAND'S ROOFING
Class of Work:Reroof(Shingle Only)
Address: 4818 17Th St Building Valuation:$7,409.15
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (941)909-2526 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$7,409.15 /1 �
Total Fees:$77.05
Amount Paid:$77.05 Q�UI
Date Paid:8/31/2020 9:58:08AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $77.05
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
J
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
0B eO b yL
e13-7e0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved Phone Contact for Permitting r
[[a[t[[[ I ltltl
Owner's Name WO Owner Phone Number
Owner's Address S 33-J Y 02 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address C
JOB ADDRESS W Sf 2C ( 33 LOT#
SUBDIVISION PARCEL ID# 1 �1��C 0 30 - (J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADD/ALT Q SIGN. _ = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL GQ Q
DESCRIPTION OF WORK
C ft
�UBUILDING SIZE Z q� SQ FOOTAGE HEIGHT f2 l
-crc'rrr cc-rr c-rrc-c rc-cca-rt-c-c-c-rr c-cr><-crccE-crrccccrccccrrcccrrr�
=BUILDING $ -7 V'l .,r VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 43 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i I � f I 61
BUILDER � COMPANY
SIGNATURE REGISTERED -YIN FEE CURREN I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address License#
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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 Fortes.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 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 Zephyrhills 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 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 Divislon—Licensing Section at 727-847-8009.
Furthermore,If the owner has hired a contractor or contractors,he is advised to have the contractors)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.
TRANSPORTATION iMPACT1UTILITiES 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 recelving 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.'Furthernore,if Pasco County WatedSewer 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 M500.00 or more,t certify that 1,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeownees Protection Guide"prepared by the Florida Department of
Agriculture and Consumer Affairs.It 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
CONTRACTOITSIOWNEWS AFFIDAVIT:I car*that all the IMoenation In this application is accurate and that all work wit be done in compliance with
all applicable taws 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 thejurisdic6on.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 Sensifive
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"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 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.
III am the AGENT FOR THE OWNER,I promise in good faith'to inform the ownerof 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 shaft 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 YOU INTEND TO OBTAIN FINANCING,CONSULT
FLORIDA JURAT(F.S.117.03) !1 /
OWNER OR AGENT CONTRALTO �_ 1
tr�js� sl o{o ffirme aremgthis u m edam to ra ) r
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Wh we personally known to me orhasfhave produced Who Ware personally known t6die or asdhave produced
as idnnenifcafion. as Identi8ca on
+�/ r Public ji "tary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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p.*r'v pkrl Notary Public State of Florida G y pt�Y�oa� Nolan Public State of Florida
Carol Martin �'a > ? r Carol Martin
y �_ MY Commission GG 189304 � � �c o"` My Commission GG 189304
y r o' op Expires d 3/22/2022 Y+yor�; Expires 08122/2022 '
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INSTR#2020120366 OR BK10144PG31 61 page 1 of 1
07/28/2020 09:38 AM Ropt:2186371 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
permit NO. Q(.'-071 0010-4zoo
NOTICE OF COMMENCEMENT
Stella of Vorlwat- Calmly of ?asco
THE UNDERSIGNED hereby given notice that improvement will be made to certain real property.and In accordance with Chapter 7131 RmWs statutes,
the fbgovft information is provided In this Notice of Commencement
I Description al'Properly:Panxildentificallon No.
4fRIR 17 "—"- -St. -ZfPK,+rh',Ar StreetAddress:
2.
Omer I"atton or Lessee information tithe Lessee contracted for the improvement:
qsT�� n:zi:k S+,-
Address city side
Interesu npropertf.
Name of Fee Shnple Titleholder.
(if dilferent from Oww listed above)
Address State
4. Contractor. Aj0jJAA.),3S city
2-cl e-,-
Address state
Cwtuctoes Telephone Na,: a--t-'L Cny
5. surcy. ;
Name IV if
Address city stow
Amount of Bond:S. Telephone No.:
6. Lender
I Name V3
Address city state
Lendeft Telephone Nw
7. Persons vi"the State @rFladda designated by the av;ner"up6h'whom IroXces or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Stabiles:
Name
Address city state
Telephone Number of Designated Person:
EL In addition to himself,the owner designates of—
to mcehm a copy of the Lienon's Notice as provided in Section 7 13.13(1)ft Florida Statutes.
Telephone Number of Person or Entity Designated by Ovew.
9. Exphrdw,date or Notice of Commencement(the expiration date may net be before th6 complation-ef carelructan and final pwymerrt to the
contractor,btd vA be one yearfrom the date of is= Ing untesse different data lssped III:
I
. .. .
NVARNING�TO OWNER: ANY-PAYMENTS-MADE-BY THE-OWNEWAFTER THE EXPIFtATION-OF-THEzNOTICE-OF-COMMENCEMENr
ARE CONSIDERED IMPROPER PAYMENTS UNDER CRAPTER 713,-PART 1, SECTION 71313 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A ka&OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
VVTTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Un de mylmr p—.W.4=2d
* 'y declara Owl I have read the foregoing notice of commencement and that the facts stated therein are true to the best
nj
STATE OF FLORIDA
COUNTY OF PASCO
Sig of Owther or Lessee,or Owner's or Lessee's Authottoad
Signow"Thle/office
The foregoing bmtrumtrn:wa&admaoitedged hetwe me Ws_.!Ldy of 201—A by
QUOt9- _as- (MM of nuftrhy,e4..affl_'bUSt_.no_*Infect)for
behalf of whom Instrument was ejmcute4
P..** 0 OR PmIduced Identification M�' Notary Stgnabae
Type of IderdificationPanfuced Name
Creditdd Tore A"Iount Of
The it ame ayes
A FUSA P SAVAGE En ant
r teed
Notary Pu0c,State of Florida
0DITIMISS100 GG 80157 Ba. ter rn a.
MY comet.expires Mar.6,2021
wpdataMc%?rwffcw*mmenoamenLpcG&3CW8
STATE OF FLORIDA,COUNTY OF PASCO ��`� -�• °b'��
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 .
In ycd'We 7Susi �
WITNESS MY HAND PD OFFICIAL SEAL THIS N. v,
DAY OF 2 b ,4
y a
NIK A{VAREZ SO 5, CL RK&COMPTROLLER 9 ,
z�S
gY I� DEPUTY CLERK +} 1� •
OF
8/27/2020 Zephyrhills,FL
Roof Affidavit
Roofing Inspection Affidavit
City of Zephyrhills Phone: 813-780-0020
5335 8th Street,Zephyrhills, FL 33542
Permit Number
SCE - WD b H(.o - 2oao
Name
I am licensed under Chapter 468,Florida Statutes as a(n):
Architect ,) Building Inspector ,-Contractor 1 Engineer
License Number
Ccc oS ��oll
Personal Inspection Date I personally inspected the: —
mm/dd/yyyy r ry in Flashing and Drip R<oof Deck Nailing
Edge
Check which was used:
30 Pound Felt Peel and Stick (;�6ther
If other,please explain:
Address of Roof Inspection
0�
qgjS
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).
https://www.ci.zephyrhills.fl.us/FormCenter/Print?formlD=75&Preview=YES&Save=False&savedProgresslD= 1/2
8127/2020 Zephyrhills,FL
Signature
)jA,Qj
State of Florida
County of Pasco
Sworn to&Subscribed Before This Notary Public State of Florida
Day W W 9 W4WmWN^rWpW vw4w,"t
NotaryPublo.S1.4. Of Forlda
mm/dd/yM IK IIIN. Tabitha Marsr,,*,-h,,
My Commission'-o—!06
Expires 071231202-;
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https://www.cizephyrhills.fl.us/ForrnCenter/Print?formiD=75&Preview--YES&Save=False&savedProgresslD= 2/2