HomeMy WebLinkAbout20-803 City of Zephyrhills
V In PERMIT NUMBER
5335 Eighth Street ,.;
Zephyrhills, FL 33542 BGR-000803-2020
Phone: (813)780-0020
fj Fax: (813)780-0021 1 Issue Date: 09/29/2020
Permit Type: Building General (Residential)
P'ropecty"Number Street Address
t r. ,
15 26 210190 00000 0330 4718 Silver Circle
:1OwnerInformation ~. Permit Information Contractoranformation;' ,
Name: HENRY PETERS Permit Type:Building General(Residential) Contractor:A. BARTLETT ROOFING &
Class of Work:Reroof CONSTRUCTION SERVICE
Address: 4718 Silver Cir Total Valuation:$13,735.00
ZEPHYRHILLS,FL 33541 Total Fees:$108.68
Phone: (813)403-9083 Amount Paid:$108.68
Date Paid:9/29/2020 2:18:35PM
/0,
P`r"oject:Description w. .4�.....
SHINGLE REROOF
Appli atl_dn fees,
Building Permit Fee $108.68
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.
CONTRACTOR SIGNATURE 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 xrr Yo_
Building Department
Date Received Tlv V�
. Phone Contact for Permitting —
.aaaaaaaa I a a a a a
Owner's Name Henry Peters Owner Phone Number 813-403-9083
Owners Address 4718 Silver Circle,Zephyrhills, FL 3354 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 4718 Silver Circle, Zephyrhills, FL 33541 LOT#
SUBDIVISION PARCEL ID# 15 26 21 0190 00000 0330
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK New Shin le Roof w5earOff
BUILDING SIZE SO FOOTAGE HEIGHT
re c t�rs�cccr r erscccrc s c ccc rc���srrc rcc�ss m
=BUILDING $ 13,735.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ® ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address I License#
ELECTRICIAN- COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER �/ abMPANY A Bartlett Roofing&Construction Services,LLC
SIGNATURE ^ REGI ED I Y/N FEE CURREN Y/N
Wills FL335Address License# F CCC 1331965
eeeeeeeeeeeeeeeaeeeeeeeteeeeeeeeeeeeeeeeeeeeeeeeeeereeeeeeeeeeeeaeet
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 subdivisionsAarge 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.
Dlrectlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required.(AIC 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-e13-760-0021
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 Division—Ucensing.Section at 727-847-8009.
Furthermore,if the owner has hired a contractor or contractors,Fie 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 property licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES 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 I,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 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 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 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.
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,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 C VENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU I E D TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO
FLORIDA JURAT(F.S.117.03) FHanney
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or 7produced
by byre
Who is/are personally known to me or has/have produced Who is/are personally kno to me or hasas identification.
Notary Public Notary Public
Commission No. Commission No. GG2110655
Tina M Prater
Name of Notary typed;printed or stamped• Name of-Notary typed;printed or stamped
INSTR#2020160999 OR BK 1 0185 PG 2464 Page 1 of 1
S/u 09/29/2020 01:30 PM Rcpt:2209161 Rec: 10.00 DS:0.00 IT:0.00
fl Nikki Alvarez-Sowles,Esa Pasco County rl (er
I
2
Permit No. Parcel ID No 15-a(o•A I •'C 00•O ZD-0,53C)
NOTICE OF COMMENCEMENT
stale Of
Florida County of Pasco
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 Commen t: •AI •� •ObOOO•^�
1. Description of Prop : 343
:: P9�1 Ids on No. V
Street Address:T 1 U •1 Ye r
2. General DescriW of Improvement �.�/'
lAt U •e UUtLL
3. Oq rdormation or Les e Infoirnation If the Lessee contracted for the Improvement
LI-elf S p
C `•�,,p v
nttedrestInProperty: rn� �LVr ►ter CIry `-^x J4r
Name of Fee Simple Tlfteholder.
(If different from Owner listed above) a�
Address CI Stale N
4. contractor. A Bartlett Roofing &ConstructiA Services LLC o Q
"tee 38408 3rd Ave Zephyrhills FL @ 5 a; u) o
Address City Stale O O Y N U (2
Contractors Telephone No.: 813-782-5585 33542 a N ca
.. O O �57
5. Surety: O �-0 =@ V
Name
Address City State Cry O o a
Amount of Bond:S Telephone No.: O s O O W
z �, U 't7 M
0 Ma. Lender C to
L N
Name y «' co O 3i
O
V c O O
Address City Stele O a r @ N or
Lenders Telephone No.: LL. v Qj o 7
aO
7. Persons within the Stale of Florida designated by the owner upon whom notices or other documents may be served as provided by C O Q
Section 713.13(1)(ax7),Florida Statutes: m N rD d)
Name E O c ~
;� o31V Zd ,00
Address city State
Telephone Number of Designated Person:
a. In addition to himself,the owner designates
to receive a copy of the Lienore Notice as provided In Section 713.13(1)(b),Florida Statutes. ® r¢
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to jj///� os /�+,•. '
contractor,but will be one year from the date of recording unless a different date Is spedled): 'A x�. x 1 *> t
v�C"'P`�o�` S z jbr
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEME —_;TIN !•- e, M
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND Q"e y�Fri 2 �i
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST <
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONS '
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Under penalty of perjury.I declare that I have read the foregoing notice commenoeme d that the fads stated therein we true to the bes
of my knowledge and bellef. + •
STATE OF FLORIDA �
COUNTY OF PASCO
Signature of or Lessee,or Owners or Lessee's Authorized
Officer/Dtredor anner/Manager
Home Owner
Signatoiys Title/Office
The foregoing Instrument was acknoMeqgfd before me hld^Lday ,2tPby_"'CW I•Q kys
as (type of authority. .g.,officer,trustee,attorney in fad)for
(name of p�r gn behalf of whom
Ins entw executed).
Personally Known❑Q$Produced Ides o(n® Notary Signature '�rAi
Type of Identification Produced y Name(Print) K `
P Ua s-o
OWN
Notary Public State of Florida
? Tina M Prater
My Commission GO 211065
pads Expires04/25/2022
wpdatafbcs/noftecommenoement_p W 53049
Zophyrhlllt,FL 10/12120,12:42 PM
Roof Affidavit
Roofing Inspecdon Affidavit
City of Zephyrhills Phone:-813-780-0020
5335 8th Street,Zephyrhills,FL 33542
Permit Number
BRG-000803-2020
Name
Henry Peters
—lam licensedmuder Chapter 468,Florida-Statutes as-n(n):
e-i Architect Bullding Inspector Contractor Engineer
License Number
CCC13319M
i
Personal Inspection Date l personally inspected the:---- ------ ------ --—----_ _-_.___.._
mm/dd/yyyy 0 Dry in 0 Flashing and Drip Roof Deck Nailing
Edge
Check which eras used: --- - - -- ----- — ----- ------ -- -- - - -- - --
,o.30 Pound Felt E3 Peel and Stick E1 Other
If other,please explain:
Also used Peel&Stick in Valleys
i
Address of Roof Inspection
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