HomeMy WebLinkAbout20-675 m
City of Zephyrhilis PERMIT�NUMBER.
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000676-2020
y Phone: (813)780-0020
1 Fax: (813)780-0021 Issue Date: 09/04/2020
Permit Type: Building General (Residential)
Property Number Street Address
03 26 21 0010 05900 0030 37329 Fountain Road
Owner Information Permit Information Contractor.litformation
Name:. JEFFREY&CHRISTINE WILDER Permit Type:Building General(Residential) Contractor: WIDNER ROOFING INC
Class of Work:Reroof(Shingle Only)
Address: 37329 Fountain Rd Building Valuation:$16,352.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)469-2316 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$16,352.00
Total Fees:$121.76 C
Amount Paid:$121.76
Date Paid:9/4/2020 1:34:OOPM
Project Description i (/
REROOF SHINGLE
Application Fees t
Building Permit Fee $121.76
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statu 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.
CONTRACTOR SIGNATUR PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City Of ZephyrhillS Permit Application Fax-813-780-0021
Building Department p
Date Received z Phone Contact for Permitting .LF13 f 7 — r�
+
Ownees-Name ¢ �L e a'fi Owner Phone Number,..:
Owner's Address 3 oZ Owner Ph Number',.'
Fee Simple Titleholder Name I. �: Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS rI 3 Z. � �� � LOT#
SUBDIVISION PARCEL.ID t o C6
j
.- OdO
tOBTAINED,FROM PROPERTY TAX NOTICE)
WORK PROPOSED ' NEW.CONSTR ADD/ALT Q SIGN. ':0. [ - DEMOLISH,
R. INSTALL 8 REPAIR'
PROPOSED USE Q SFR = 0 COMM OTHER ,
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME ` STEEL 0
DESCRIPTION'.OF WORK
BUILDING,SIZE :�- SCI FOOTAGE l J "i"cS� HEIGHT "
"BUILDING.., $ f / � VALUATION OF TOTAL CONSTRUCTION
b to ✓
=ELECTRICAL $ AMP.SERVICE. • 0 PROGRESS•.ENERGY 0 'W.R.E.C.,
=PLUMBING
=MECHANICAL $ VALUATION'OF.MECHANICAL INISTALILATION
=GAS Q ROOFING SPECIALTY 0 OTHER,
FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/'N ' FEE CURREh y -,Y/N
i
Address ` License.#,,
ELECTRICIAN :COMPANY
SIGNATURE REGISTERED:° Y/ N' FEE:CURREh_ .i Y/:N:-,:. ..
Address License#,F. .
-PLUMBER COMPANY
SIGNATURE REGISTERED Y/,N FEE CURRER
Address . ,License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE Cl1RREh Y%N'
Address, License_#`'
OTHER COMPANY,. . 4„i
SIGNATURE REGISTERED. • Y- N "FEE CURREh
Address, 1414-P ;2-,,5
RESIDENTIAL Attach'(2)-PlofPi6ns;(2)'sets'of Buiiding,Plaris;(I)''set af,Ehe'rgy.Foims R=0=1N;Permit.fo�new;construction; '
Minimum ten(10)working days after submittal date. Required onsite;Construction Plans,Stormwaiter Plans.w/Silt Fence1n61aII6dc`.
Sanitary Facilities&1 dumpster,Site Work Permit for subdiivisionsAarge projects
COMMERCIAL Attach(2)complete sets-of Building Plans plus a.Life Safety:Page;(1)set of Energy F.orms..R-O-W Permit for new coristruction.i
Minimum ten(10)working days after submittal date:'Required`onsite,Construction Plans;:Stormwater Plans"W/'Silt•Fence.installed;
Sanitary Facilities&1-dumpster.Site.W6rk Permit for_all•new projects.All commercial requirements must meet.compliance .
SIGN PERMIT Attach(2).seWof 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 Sealers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DE'ED 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.
UNLIC S th"115b'CO14TRACTOR& CONTRA.CTOR RESPONSIBILITIES:,- lf:the:,-own'er-has-,hieed.'-a=corittactor--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-6ited4or a--misdemeanor violation
under.'state-law. -If.the-owner.or intende6 contractor are uncertain as to what-licensing requirements may apply.for the
intended work, they are Advised to contact:the Pasco County-building.16 s-pection Oivision=--Licensing Sectioh at 727-847-
8009. Furthermore,.if the owner has,hired a. contractor or contractors, he is advised to have the contractor(p).,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 bean indication that he is not properly-licensed and is not entitled to-permitting-privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES'IM PACT AND RESOURCE RECOVERY FEES: The undbf§ibned*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 exist'ing, buildings,.as specked'in;Pasco-County Ordinance.number 89-07.and
90-07,--as-amended. The-undersigned.also understands,.that rsuch4ees, as maybe-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-nottinvolve a certificate of occupancy,or
final,power releasei the fees must be paid prior to permit issuance: :Furtherm6re,,,IfPPasco County.Water/Sewer Impact
fees.are due,-they.must be paid prior to permits issuance,in adcordanceiVith applicable.Pasco County ordinances..
CONSTRUCTIOKLIEWLAW(Chapter-71-3,,Florida Statutes, asamendedy- If valuation of work is$2,500.00 or more, I
certify-that 19-the applican'ti.--have.-been--provided.with .a,copy_off..-.the-.."Fl6r.ida*Constructidn-L-le'n 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 cettifythclt-IL have obtained a copyW-the above described*document-and-promise in go6d'faith to
deliver it to the"owner":prior to commencement.
CONTRACTORIS/OWNERIS:AFFIDAVIT:' I'dertify that all the:information ih-*this-application,is accurate.and thatLall work
will be done in compliance with all applicable laws regulating construction, 2onitid-4ndlarid development. 'Application is
hereby made to obtain a permit to do Work--,,-and,,.-.installation:-as-tindicated. 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,codds, zoning regulations, and land development-regjolati6ris in"the jurisdiction.,. Falso
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 agpridies-include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and'Environmentally"Sensitive
,
Lands,WaterMastewater,,-Treatirnprit.
Southwest Florida Water :"M6nadement Disttict-Wdlls, Cypress Bayheads,' Weiland Areas; Altering
Watercourses.
Army Corps of Engineers-Seawalls,.Dbcks,-NavigableiWgterwayls.
Department of Health & Rehabilitative S ices/Ehvironmental Health7-Unit;-Wells, Wastewater. Treatment,
Septic Tanks.
US�Environmentah Protection-Agoncyi!Asbestos..abatement.
Federal-Aviation Authority-Runways-.
I understand.that the following restrictions apply to the use offill: .
Use offill is not allowed ih-.-FI66d.Zone"V"tjnless:expressly permitted.
If the fill, material is�to be used in Flood Zone, W, it is understood•that.-a. drainage,-,plan-addressino a
"compensating volumer-will4be--submittedat time of permitting which-is prepared by a professional-engineer
licensed'by the State of Florida.
If.the filLmaterial 1stQ:4e,used -in Flood-Zone "K in-connection with a permitted building. using stern-wall
constructi6n,'l certify4hgtifill will.biuied-.only Wfill,the:a6ea-within the stem wall.
If fill 'material is to be used in any area, I certify-that use ofsuch fill-,--will,not adversely-affect adjacent
-
:properties.--If.use-offili is,fbund-z to-adversely effect.*adjacent properties, the owner may be:clted'far violating
the conditions.of the building'permitissued-under the vittached-permit application-,-for lots-less-'than one 0).
acre which-are.elevated-by,,fill,,an-engineered drainage-plawis required.
If I am Ahe AGENT FOR TH'E'OWNER, I prorbisdin good faithAb`informAhe owner of the permitting conditions set forthiin
thisf affidavit.prior to commencing construction. I understand Ahata,separate permit.-may be-required,for-electrical work,
plumbing,.-signs,-:wells;-.p,00ls,,,air,.poh.dit.lon.ing,,,_gps, or other-installations-not.,specMcally included in the.applicatiom:%-A
permit issued shall be construed to be a license to.proceed with th&.w6rk and notAs authority to.violate, cancel; after, or
set aside any-provisions-of the-technical-codesi--nor.shall.issuance of a permit prevent the Building official from.thereafter
requiring--a-correction of-lerr6rs-in plafis,construction or violali6ns-of any,podes.-E-very-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 suspendied-or abandoned-for-a.period-of.six(6y months-after:the_-time-the:work-is-,commenced.. An extension
may be requested,-in writing, from the Building Official for.,a,p J eriod not to exceed ninety.(90) days and will demonstrate
justifiable cause f6fAh&extension. -If-work-ceases-for ninety.,(,6,0),"'c"'o'hsec,utive days,the job is considered abandoned..
WARNING TO OWNER: YOUR FAILURE TO'.RECORD A-NOTICE-OF COMMENCEMENT MAY RESULT]N YOUR
�.P TO,"O FINANCING.CONSULT
I -YO �I NT PAY�IN.G-TWICE-FOR�'IMPROVEMENTS,.-,TO,-Y,,O.,UR 'ROPERTY.,_�F- U TEND' BTAIN
I . - . NOtIC .60-
WITKYOUR LENDER,,OR.-AN-.,AT�TORNE,.Yt,*SEF�OIRE RECORDING.,�Y�6UR,,. E COMMENCEMENT.''
FLORIDA-jUP.AT(F.S.A17.03)
OWNER ORAGENT CONTRACTOR
Subscribed.and:swom,.to(or..afi1rme;l);before;meA1hIs SubscrIbed,and.swornt6l(draffi ed)'befoMme thisby.
by
Is/are personally known to me or has/ha4e produced Who Is/are"perisohdily,known to me'br his/hive 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
INSTR#2020147112 0R BK 10172 PG 146 Page 1 at 1
09/04/2020 12:50 PM Rcpt:2200993 Rao:10.00 DS:0.00 iT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
` I
Permit No. Parcel iDNo Otlp -Q�DO'mo30
NOTICE OF COMMENCEMENT
Wool, _ County of �2
THE UNDERSIGNED hereby ohms notice Ihat Improvement will be made to certain real properly,and in accordance with Chapter 713,Florida Statutes,
ere following Infomutiod ls provided In this Norco of Commencement '
1. Description of Property:Parcel IdeWcatlon o. A3, a"p0— 3 0
Strest Address: 3 1 S' W
P. Generai Description of Improvement- S
3. Owner information or Lessee Information N Lessse nhaded for the improvement:
' e Y
Name
Address CRY e
Interest in Properly: !gtl&nne�j-
Name of Fee Simple Tit eholdee
prddretmdiram Owner,listed above)
Address CRY State
4. Contractor: r
Nam° 7 Address G / J
r
Contnctots Telephone ND.: D 3 !`{ r0��? � 33Z 3
5. Sureyr.
Name
Address City State
Amount of Sand:S Telephm No.:
8 Lender:
Name
Address City ! Sate
Lenders Telephone No.:
7.• Persons vMn the State of FWdde designated by the.owner upon WhOm nation or 0111W d0c ments may be served 95 provided by
Section 719.13(1)(a)(7),Flodda Statutes: .
Name
Address Coy State
Telephone Number of Designated Person:
8. In addition W himself the owner designates of
to receive a copy of the Llenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Oeneted by Owner
.
r:
e. Expiration date of Notice of Commencement(the exph"date may not be before the completion of construction and final paymard W the
contractor,but will be am yearfrom the date of recording unless a dylerem date Is spedBed):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713.•PART 1, SECTION713.13 FLORIDA STATUTES AND CAN
RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A Nonck 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 perfiay 1'dedere that I have road the foregoing notice of commencement and that the fade stated thereln ere true a the best
Of my knoatedge and be�lef.
STATE OF FLORIDA .J�� � �i J
COUNTY OF PASCO
spY SHERRY WIDNER �'Slgnetuns of Owner or Lessee,or OwWs or Les3ee's Authodxed j
�o,•••... c i.O�od XnxAorlFmWerlManager
* gfdo
t Camnlf991o11#GO 182748 i :
Expires Detembet 8,20214'tOi � 5orkfd7bN8udpelNota+y �s -
The foragoing haft aid war aclomovdedged before rile this-.I-day of
livos4dwMarfiv.e.g„ ettomey hr fad)tar
{n Pa. eff of o nt Wwouad).
Poroonaiy Q$Produced Identification❑ Nofery Signature
: .dJ
Type of IdentBication Produced I Name p'MM
wpdeWtbcahmocecommeneamen{Lr053048
IDici�
State Of Florida,County Of Pasco
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 sk,C'Tyr Wi ens my hand and o icial seal this
day of 2
$ Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller
Pasco Count on a
gfJBJ �¢ Y,F�
Deputy.Clerk
City of Zephyrhills
533$8tn St
Zephyrhills FL 33542
(813)�780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No:: Cu Do
0 tj JV,zI L i. licensed under Chapter 468,Florida Statutes as a(n):
I, -
ContractorZEngineer_Architect_Building Inspector
License No. D
On or about- did personally inspect the:
Check: Roof Deck Nailing V/ Dry in 1/ Flashing and Drip edge
Check which was used:.. 30#felt_Peel and Stick_Other(List) i
-At the followin�g
address: 3t`33_-( Y�� � �.
5
Based upon-that examination- I have determined the'installation was done according to the Hurricane
I.
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