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HomeMy WebLinkAbout20-648 ED City of Zephyrhilis PERMIT NU 4ER' 5335 Eighth Street Zephyrhills, FL 33542 BGR-000 48-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 08/31/2020 Permit Type: Building General (Residential) Property Number Street Address 1126 21 0010 13900 01A3 5519 16Th Street Owner Information Permit Information Contractor Information Name: PATRICIA NUGENT Permit Type:Building General(Residential) Contractor:TADLOCK ROOFING, INC Class of Work:Reroof(Shingle Only) Address: 5519 16Th St Building Valuation:$6,100.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (309)310-8981 Mechanical Valuation: Plumbing Valuation: Total Valuation:$6,100.00 Total Fees: Amount Paid:d:$70.$70.50 Date Paid:8/31/2020 3:34:36PM Project Description REROOF SHINGLE Application Fees Building Permit Fee $70.50 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. IGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-;311-0020 City of ZBphyrhillS Permit Application FaY-eta-r an-o021 Bbl:dmg Department r Dam Received Phano^_ant_rot far Pormalun +L4U J 877.5610 Wnn Illl•al• Isa�rr Owner's Name Owner Phone Number r Owners Addmas J Owner Phone Number 'I LSame Fee Simple Titleholder Name Owner Phone Number Same Fee Simplo Titleholder Address _ I r. JOe ADDRESS ���.. LOT p1�) SUBDIVISION [ PARCEL IDa ' — W o 3100 (ODTMNED FROM PROPERTY TAXNOTICE) 1�1 iiY WORKPROPOSED B 'INSTALL A ALT © SIGN 0 = DEMOLISH INSTALL REPAIR PROPOSED USE SF Q COMM = OTHER I TYPE OF CONSTRUCTION BLOCK Q FRAM kJ STEEL = DESCRIPTION OF WORK BUILDING SIZE Ir Sp FOOTAGE+ HEIGHT ,C.rkvlk,t CIC C CC ECtt t 9 C CICC CC iCCCCCC-CCCC CC CCCC tCCC I IC CIE CICIt %t CCtC CitlC1.' IUDING IS o— VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL �i(S�,1 ` AMP SERVICE Q PROGRESS ENERGY Q W N_X. =PLUMBING IIS I =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION yJ =GAS 0Q ROOFING 0 SPECIALTY = OTHER 1111 eo FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ffffffffffffffffftfffffHfdifffffffffffffffffffffffffffffffffffffff� BUILDER COMPANY SIGNATURE :_.a rr_a_p YiN ISE CVe2EN YfN Address Ucense e ELECTRICIAN COMPANY SIGNATURE _e Address License d PLUMBER COMPANY SIGNATURE afcsr�r[D Y:N L r7a9-i+ y r N 17 Address I License o �— MECHANICAL COMPANY SIGNATURE J EG 3rrr1 Y•N - Address I Isccnse 0 OTHER I I OMPANy Tadlock Rctdtlr:g SIGNATURE t , I I r +sa:t:nca YrN �.....e_a YtN y it /'� Address wnurrn Ave Sint •i t i+nm FI: � Licensed 17 I 1111111111 IOt11IIt1111A 111111111118111111111111 Its 111111111111tllllt RESIDENTIAL Allach l-?Plot=tans:l2)sets of Bulding Plaits:fl)set of Energy Forma:R OW Permit for new conslru:bon, Minimum ten I i(j)working clays after submdta�daie Required nnsite Connimmon Puns Slnnnw,xei Ptrrn..vl S'll''•:rite inslatled Sanitary'an!dios h 1(Ilmpsler,Site Wore.Parma for subn.visco—Lime orolecis COMMERCIAL Altair,f2)cornfnale sets of 31,tldmg Plans pairs a I.de Safety Page.I I i se1 of Energy Firms R O-W Permit fof new connlnauon M1Nnmum ten(10)working days slier subraRtal date.Rehired onste,Conslructlon Piars,Slormwaler Plans•xf Sul=once inslnaed, Sarn;nry FacJnles d 1 dumpslor Sile Worn Parma for all new prolecls•All commor tai?.lwrem.nts must meet uompdance SIGN PERMIT Aliacn(2)sets of Engineered Plaits '—PROPERTY SURVEY required for all NEW consuudmn. 1^!'i•�44'F'l-�4 - ii�1•4iiiKi44.1 +•t1r64-61-t•1-644iKf ' Ulrncttons: Fill out.lpplic•ATon completely Owner Contractor sign back of application,totartzea 1f over$25(10 a Notice of Cam mancome or is raqui red-IAIC upgrades over ST500) •' Agent Ifor the uoulraulor)or Power of Allome-y(for the owner)would be someone with rrtanna(cd leller from owner aulnorairg same OVER THE COUNTER PERMIfrING fcopy of contract le:tuhed) Reroofs d aha gles Sewers :in,,ik:e Upgrades AIC =am:es IP1o'JS;:rn:yl=oclagr.} Drivoways-Mrir over Connie#4(in pnbitc roadways neers 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 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. CONSTRUCTION LIEN LAW AChapter 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 Lien Law—Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", 1 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 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. 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 permit may be required for electrical work, plumbing, signs, welts, 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 YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURaff4r QE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sw to(or a )before me this by by_ o4a_'-P4 Who is/are personally known to me or has/have produced Who Is/are personally known t me or has/have produced as identification. as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped /7 R100FINb®R 5 �TAD.LOCKNO.N-, ,. To Whom It May Concern, Donny Francisco and Wayne Freeland are authorized to Register Tadlock Roofing with the City of . Zephyrhills Building Department and to pull permits and manage permits on behalf of Tadlock Roofing. —21 a e Tadlock, President STATE OF FLORIDA COUNTY OF Zephyrhills Sworn to and subscribed before me by means of X physical presence or_on line notarization,this 29 day of May 25. 2020 by Dale Tadlock,•who is' i personally known o me or produced as identification,and did take an oat . Wrp&° + TODDASEANETNy * * Oommlaalon#.00 2813f1 Notary Public Printed Na e: B0'44Th MkFM 2 023 i Li'c. CCC1328417 502-C1 Capital Circle SE I Tallahassee, FL 32301 850.877.5516 1 850.878.0289 Fax www.tadlockroofing. corn