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0 ►.�oR�u�� City of Zephyrhills :: cPERMIT NUMBER`"`.- 5335 Eighth Street Zephyrhills, FL 33542 BGR-000820- 020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 09/ /2020 Permit Type: Building General (Residential) Property.Number Street Address 14 26 21 0010 01900 0060 14823 4821 9Th Street t.Owner.lnformation. Permit Information Contractor Information Name: ZEPHYRHILLS MM LLC Permit Type:Building General(Residential) Contractor: NEMETZ ROOFING Class of Work:Reroof(Shingle Only) Address: 147 Bedell Ave Building Valuation:$7,164.97 HEMPSTEAD,NY 11550-1105 Electrical Valuation: Phone: Mechanical Valuation: f fj Plumbing Valuation: \ Total Valuation:$7,164.97 Total Fees:$75.82 Amount Paid:$75.82 Date Paid:9/30/2020 11:05:49AM Project Description REROOF SHINGLE Application Fees Building Permit Fee $75.82 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 Building.Department Date Received Phone Contact,for Permitting - W 4 Owndei Name - '� � � ?= OwnersP.hon®.Num-ora Owner's"Address / G' ;� :Owner:;Phon®Number;-. Fee Simple'TitleholdeeName Owner.Phohe':Nurnber. Fee'Simple Titleholder Address. JOB ADDRESS.: SUBDIVISION Ei;iD#" d7 .,(OBTIUNED,FROM;PROQ�RTIE:TAX NOTiCE), WORK'PROPOSED'` NEWEONSCR .:..:>.:. .:ADDIALT SIGN` DEMOLISH. e INSTALL REPAIR' , PROPOSED USE . =SFR Q COMM :; ." :O7rHER-,-;F77777 TYPE OF:CONSTRUCTION BLOCK: ' FRAME' f7 I STEEL ;t - DESCRIPT,ON,QF WORK, �� �! r �� BUILDING-SIZE 4; �.SQ FOOTAGE© HEIGHT BUILDING--", :. ''•'.` .,: ,;,. .:.,. ,.: ..m " . - .:, kl C� VALUATION'OF.TOTAL coNSTRUCTION' =ELECTRICAL $ AMP.SERVICE: •PROGRESS;ENERGY- :E.C._ 0 RLUMBlNG $. =MECHANICAL $ -- VALUATION OF-MECHANICAL INSTALLATION.: GAS ROOFING . SPECIALTY OTHER c� o o .' .OTHER, l FINISHED FLOOR ELEVATIONS R6tOOD ZONE AREA` [ YE$ NO. WILDER COMPANY .: SIGNATURE r° ;REGISTERED• ^,Y'/'N: = . ' FEE;CURREN Address i:icense.# ... �. i ELECTAICI, ,COMPANY SIGNATURE ;: REGIS7EREb? Y7,:N"..' ,,FEE,C,URRE.R Y/N; Address :- License#,'] PI:UMBER COMPANY SIGMAT.URE ;::REGis7EREb, Y:J.jN..: FEE;CURREn Address . Lice»se#' MECHANICAL;, 'SIGNATURE REGISI EREb Address r 'License#' ..: OTHER, COMPANY'''" SIGNATURE ^, / _ ..'rREGytS tIREb" Adis. ZS G- !L' cense# 1. set ok Eli r` Amtsi R=O=W'Rerriii Jfb . RESIDENTIAL. Attach{2)PliitPlans;(2)setsraflBuildfiig'Rlafis,(1)..- gy? _.,;,", .. t."..-_., wsconsfrtiition,.; •: Minimum ten(10)working.days after subrriittal.date. Required orisite:°Constiu tion Plans;=Stonnwater FlanswI Silt Force-installed;;; Sanitary Facilities&1 dumpster;:Site.Work Pemtit;for subdlvlslonsflarge projects COMMERCIAL Attach(2)'compiete sets of:Buitdtng Plans plus.a:.�ite Safety'Pag set of.Energy"Forms.,R-O-WrPermit.for new construction..:::: _. Minim um'ten(10)working days'after.siibntittal datd*:'"Re_gtsiWe-orisite,.Construction Plans;StarmviaterPtans wl-Silt Rini installed;. Sanitaryf'acilitles&�1'dumpster:Site:Work:Perinitfor,_all,new,projects.All commerclal requlrements'mustmeet.compliance SIGN PERMIT Attach(2)i,"is:of,•Engineered-Plans. ****PROPERTY SURVEY required for all NEW construction. Directlans: Fill out`applieation completely. Owner&Contractor sign,back of application,notarized If over$2500,-a Notice:of.Commencement Is required. (A/C:upgradesomer$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some 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 DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable-deed-restrictions,. UN[i ENSED`CONTRACTORSo'AND'*CONTRACTOR'RESPONSIBILITIES:,..if�-the:,owner.:hasrhired4a•�bontractor-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-maybe cited-4or a--misdemeanor violation under.-staWlaw.-.if the_owner.or intended+contractor-are uncertain.as to what-licensing requirements may app! ,:for..the intended work, they are advised to contactthe Pasco CountyBuilding 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. 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.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 90-07i.-as amended. The-undersigned..also.understands;..that°-sucliyfees,.as may be-.due., will be identified at the,time,of permitting. It is further undetstood'ihat=T-ransp'ortation;lmpact Fees and Resource Recovery:Fees must be paid.prior. to= receiving a`"certificate of.occupancy" or.ftnai power release. if they project doesmot.invol-ve a certificate of occupancy.or. final.power releasei the-fees-must be paid prior to permit issuance: '•Furthermore,IVPasco County.Water/Sewer Impact fees.are-due,-theymust:be paid,prior to permiVissuance in accordance}with applicable:Pasco County ordinances.-.., CONSTRUCTION'LIEN'.LAW(Chaptet7l3;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-Lie n Law—Homeowner's Protection Guide" prepared by the Florida..Department of Agriculture and.ConsumerAffairs. If the applicant is someone other than-the"owner";1 certify-that-.Lhavwobtalned a copy,61".the above described-document-.and-promise'`in'go od"faith'to deliver•it to the"owner":prior to commencement. CONTRACTOR'S/OWNER':S;AFn6AVIM1,,Ccertify.that all.the;inforrnation.1h.'this-application4s accurate-and that,alt,work will be done-in compliance with all applicable laws re9ulating construction;zoning and'lahif*.& elbornent. Application is hereby made to obtain a permit to do woric�and installation°as 1 hdicated. 4 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 :zt>ning regulations, and taridi-6velopmeht regulations in..the jurisdiction., Valso, certify;-that,I understand that the regulations of other:government agencies may.ppply,tq,,1he.intendedwork, and that it is my responsibility to identify what actions.I must take to:be in compliance. Such'pgendia6-Includebut are not ilmited to: Department of Environmental,Protection-Cypress Bayheads, Wetland-Areas and'Environmentally Sensitive Sensitive- .-Lands,WatedWastewater„Treatn'tent, Southwest Florida Water"'Management District-Neils,' 'Cypress Bayheads, Wetland Areas; -Altering Watercourses. -.• Army Corps.of Engineers-Seawalls;��Docks,�Nayigable--Waterways. . Department of Health & Rehabilitative'Si,pices/EnvironmentalHealth'-Unit=Wells, Wastewater.Treatment, . Septic Tanks. US:Environmental Protect!6hA,gency Asl estos:;abatement... Federal-Aviation Authority-Runways: I understand;that the€oltowing:restr-ictions.apply.tq,the use'of4fili .: Use of Ill.is riot allow edan;Floo,d..Z,ner°V"`unless:exp,.essly permitted. If the fill material ist V be.used.in Floodz,Zone-W it is-undersfood-that•a-<drainage:.pian addressing a "compensating:volume"w ithbe submitted�_ai time.•of.permitting which•is,prepared by a professional engineer licensed by the State oflrlodda. - . if.the fill.materiai;:is-,:to:be..used.,in•.Flood...Zone• A? in•<connection with a permitted building. using stem-wall. construction,=1 certiI`Y4hdVfiII-will:t �cued:only to#il!'ittie area•within the stem.:wall. if fill material is•to.be used:in any:-area, .1 certify 7th6t-use- of such fill'wiil: not adversely affect adjacent properEies: If use of fillas..faund#o adversely affecY_adiacent propertie% the.-owner may be:cited for violating the conditions.of the buil-ding.permit•issued:.under,#he..attached"permit7application; for lots iess;than one {1} acre:which,are-eleuated:by:fiH;fan,-engirteered drainage�.pian is required. If I am the AGFNT:fOR-THE"OWNER; I prorhise,:ingood faitti=:to46ibrnthe owner-of:the permitting:conditions set fort h{in• this affidavit.prior ta.cammencing construction. I understand thafa separate permit.-may. required for electrical work, plumbing,_ igns,::wells;:pools,.:air:cohditt ing;,.gas,. or other--installations-not.apecifcail. included in the application:,:A permit-issued.shall be construed to be a license to proceed..with..thework and not as authority to.•viotate, canceli alter, or set aside anyprovisionls-of thertochnidbi-codes;=nor:-shall.issivance.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 invalld�'- unless the work authorized by stich.,permit is.commenced within six months of..pe'rm1t'issu6nce,or lf'wor'k authorized by the permit-is suspended•or-abandoned-,for-a-period-of.six(6ymonths7aftet:the:tiine7the�worR--,is:_eommenced:. An-extension may be requested,..in..writing, from the Building Official for.,,a,peplod noti to exceed ninety.(90) days and will demonstrate justifiable cause for.the extension. °if.work ceases'#or ninety:(.$0);ddnsecutive days,the job is considered abandoned. WARNING TO.:•QWNER: YOUR FAILURE TO RECORD.A-:N.OTICE QF.,.COMMENCEMENT.MAY RESULT:iN YOUR PAYING-TWICE�I�OR-iIMPROVEMENTSsTQ?YQ.URrPROPERTY-IE�Y!gU:INT NA iTO:Q TAIN'FINANCING;,;CONSULT ----WITH,- YOUR LENaE OR.AN,ATETORNEY-BEFQ RBCO.RD.ING: GO.URwNOYid. .- M'�t�fCIrMENT.: FLORIDA JURAT(F.S:117:03) OWNER..ORAGENT .. ::.CONTRAC R Subscribed-and swom.to(or:affirmed)befare me.th(s ;SubsqOti (or affin ' before,: a this Who Is/are personally known to me or has/have produced Who is/are-perso lady known to me or has/have.produbed as identification. as1dentification. Notary Public Notary Rubllo Commission No. °Commission,No..: Name of Notary typed,printed or stamped Name of Notaryytypedi printed or stamped m " r Q n ((� City of Zephyrhills :PERMIT N_ UM R 5335 Eighth Street Zephyrhills, FL 33542 BGR-000 9-2020 F ' Phone: (813)780-0020 Fax: (813)780-0021 Issue vat . os/3o/2020 Permit Type: Building General (Residential) Property Number Street Address 14 26 21 0010 02000 0091 4828 4830 9Th Street Owner Information Permit Information Contractor Information Name: ZEPHYRHILLS MM LLC Permit Type:Building General(Residential) Contractor: NEMETZ ROOFING Class of Work:Reroof(Shingle Only) Address: 147 Bedell Ave Building Valuation:$9,208.14 HEMPSTEAD,NY 11550-1105 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation:$9,208.14 Total Fees:$86.04 Amount Paid:$86.04 Date Paid:9/30/2020 11:05:49AM f Project Description REROOF SHINGLE Application Fees "e, Building Permit Fee $86.04 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. CONT CTOR 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- Building Department Date Received Phone Contact.for Permitting — Owner`s Name. Own eriPhgne.Nifmtier<;': Owner`s Address jyiT P c Jh '.� :Owner.:Phan®Number:,. Fee Slmple'TItlBhoider Name Owner.Phone Wuml or F,ee Simple Titleholder Address. t7 i JOB ADDRESS - `ii1� 1 U LOi`#:' SUBDIVISION . PARGEL';ID#: .��/— 1*77 �,. -. ;, '(OBTAIMEDFROMiPROPER?i(:SAxNdTiCE)• ._, WORK'PROPOSED NEWGONSTR .::,.:.;'• .:ADD/ACT . SIGN' =0.. ': 'DEMOLISH e INSTALL .. ,:REPAIR ' PROPOSED USE SFR' Comm OTHER,i ' : ' TYPE OF;CONSTRUCTION �' BLOCK' _ FRAME': 0"' :STEEL DESCRIPTION;OF•WORK BUILD1Nq:SIZE, .SQ'FOOYAGE 1�� HEIGHT =BUILDING>_ $ r (i - VALUATION:OF.TOTAL:CQNSTRUCTION ELECTRICAL r$ AMPSERVICE% Q PROGRESS;ENERGY Q` W:R:E.C.f PLUMBING $ =MECHANICAL $ VALUATlON.OFIMECHANICAL INSTALWION GAS ROOFING . ?s LSPECIALTY ?OTHER J o o • ' o FINISHED FLOOR ELEVATIONS "FLOOD ZONE-AREA AYES' NO. BUILDER COMPANY SIGNATURE "REGtS7ERED, i:Y%`N Address l:Icense:#..: .: t ELECTRICIAN' COMPANY SIGNATURE ::REGtSTEREDa Y'I':N . . :.. :,FEEc,URREK Y!'N.,.: Address „ PLUMBER (COMPANY. SIGNATURE REGISTERED' Y i..;N FEE CURREi` Y.J N:. Address . MECHANICAL: COMPANY SIGNATURE :REGISTERED ..' Y!'N' EEWkREI+' YJN":. : Address t:icense_#:' 'r OTHER. .. iM„PANY`.;t' �`. G SIGNATURE 1 :"REGtSTtcRER `: Y .N.; F,EE CURRE Ali!_ d/ t4411 AV '' /� license#. ! :i RESIDENTIAL Attach(2)Piot Plans;(2)'§etsof Building Plahs,(1s).set okEnig ,Forms;l 'O?VII;PermltiforiiewscofisfrucUon,::" Minimum•ten(10)working.days aftersubrWitatdate. Required onillbi-Construction°Plans;8t6rmwat6r Mails.*/Slit Fenowinstalied Sanitary Facilities&1 dumpster;:Site.Work Permit.,focsubdivislons/large projects COMMERCIAL Attach(2)complete sets of.Buildirig_Plans;plus_aLiferSaf sty`Page;.(1:).set of.Energy.Fomas..R:O-W_P.ermit for new:constructions Minimum ten(i0)warBing days aftdrsut�rfi ttat dat8:-`Rdquiretf'onsite,.Constructron Plans;StifrmW6tdrPlans.*i,Sflt Fe644nstalled- Sanitary`Facilities&`1`dumpster:Site:Work;Perrilit;foroil new.prajects:All commerciaCrequirements must meet.compliance SIGN PERMIT Attach(2).sets.of..Engineered Plans. "'PROPERTY'SURVEY required for all NEW construction. 'Directions: Fill out'appiication 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 Sealers Service Upgrades AIC 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 Jo"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable;deed,restrictions. UNLICENSED'CONTRACTORS r AND"CONTRACTOR`RESPONSIBILITIES:`-.If the owner•-:hasp hired.•a:contractor-•or contractors.to.undertake work-they may-b'eorequired,to beTcensed in:accordance with state and local regulations.. If4be. contractor is not licensed as required by law, both the•owner and-contractor may be cited for a-misdemeanor violation under.-stateJaw....if_the-owner or lntended contractor-are uncertain.as4o what1icensing requirements may apply,.for.-.the intended work, they are advised to contact-the Pasco CountyBuilding_1rispectiorf Division--Licensing Section at 727-847- 8009. .Furthermore,.if.the. owner has.hiredq.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. 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 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,.theit':such fees,.as maybe due, will be identified at the,time•.of permitting. It is further understood'that,Transportation,,lmpact Fees and Resource Recovery:Fees_must be paid prior. to= receiving a`"cerI ficate of.occupancy" or..finIai poWdr release. If-the project does.�inot involve a certificate of oocupatacy or., final,power release; thefees-must be paid prior to permit issuance.-*Furthe'rmore, &Pasco County-Water./Sewer Impact fees.are.due,-theymust be paid.priorto permitissuance in accordancewith applicable-Pasco County ordinances..... CONSTROCTIONI_LIEN'•LAWC(Chapter'713;Florida.Statutes,as:amended): if valuation of work is$25.00,00.or more, i certify #hat I,-•the applicant*; hi ive-been•••provided,.with a.:copy-of•.the._"Florida.'.Construction ,Lien •Law—Hdmeownef's Protection-Guide" prepared by the Florida-Department of Agriculture and.Consumer-Affairs. If the applicant is someone other than-the"owner",I dertify1h6f•i haveobtained a copy ofthe above.desctibed-document.and-promise`in good'falth'to deliver it to the"owner°:prior to commencement. CONTRAC.OR'S/OWNER';S>AFFIDAVlTa.:Vicertifythat all.the-information.in.this-application-is,accurate.and that-all-work will be done in compliance with all applicable.laws regulating constuctik zonin4..Iand.AaVelopment. Application-is hereby made to obtain a permit* to da work and t'instaiiation°tas 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=iandi-development.63 gulations ln2the jurisdlction.: t.: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.)must.take to.be in compliance. Such ageneies-:ineludebut are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and-Environmentally`Sensitive ...Lands,WaterMastewaterFTreatmentc s.,.,.,:;.._,-.;> •,; Southwest Florida -Water, �Nlanagernent District-Wens,' Cypress Bayheads, Wetland Areas; Altering Watercourses. Army Corps of Engineers-Seawalls;�_Docks,i:Navigable-.Waterways. Department of Health & F2elaafiilitative S�mvices/Environmental Mealth-Unit-Wells, Wastewater.Treatment, . Septic Tanks. US:Eh rirpnrnentatiProtection,AgencyaAsbestos.:abatement:. Federal�AViation-Authority=Runways: 1 understand that thefoilowing.restrictions.applyto_-:the use otfgl: Use of fl{'is not allavired=iniFloitl:LoneV"unleseexpressly permitted. If the fill material" 4i toy"be.used.in Flood::Zorie*W- {t is-understood=-tl af.:;a.-diainage.,.plan-addressing a "compensating:volume wiltMtiesubrnitted�_at time:of.permitting.which-is,prepared by a professianat-engineer licensed by the State ofFlorida. - if.the fill..materialAs,,.to;be-.used_in;flood..Zon6�4"A"'Aril--conrlection with a permitted building. using stem-wall-- constructiom,'I certify4hi-i4ifill:wlil:Isa usee.d,:only to-�U th6 ea-within.the-stem;wall.- If fill material Is to be.used.in any area, I cdrtif ifidt 4a 6'tbf'siach'-flf-m-41l�noVadversely-affect adjacent properties:-df use of",fill is.f6und to:a'vers®ly'affect_adjacent properties,.the.:owner may be:cited for violating the conditions.of-the buiidii g:permit•igsti6o�-under:the-Attached permit application;for lots--less-than one M. acre-which.are=elemated..by fill;,a longineered-dtW0ge�plan its required. If I am the AGENT-l#ORTTHE'd�NNER, I promise.:in-goad faith`,:Wiriform:the ownerof the,permitting:conditions set forthYin this affidavit.prior to.commencing-construction. I understand"that"a separate per*m,, tmay`be-required for-electrical work, plumbing,_signs,.wells-pools,,.air coP4(taoning,,,_gas, or other=installations-not:.speCifeallyancluded in the applicatioir.;A permit issued shall be construed to be a license to proceed with the.wo'rk and not As'authority to.•viotate, cancel; alter, or set aside any"provisionsrof=the.technical-codes;�nor.shail.issiiance-bf.a permitprevent the Building Official from.thereafter-' requiringwa•correetion.of:errors;.inplaris, construction or violations`of any_codes:;-Every:permit;issued.shaii:become invalid`° unless the work authorized by such..permit is commenced within six months of permit issuance,or if work authorized by r' the permit-is suspended•or-atiaridoned-for--a=per{od-of•six(6ymonths-after_the•,time=the!work-lis'_commenced.-An extertsion may requested,,-in-writing,-from.the Building Official for:of pepiiPd noti to exceed:ninety.(90) days and will demonstrate justifiable cause fort-the•eiitension: if:w6rkeases-for.ninety(.90):dbhsecutive days,the job is considered abandoned. WARNING TO,,QWHER: YOUR EAILURETO'.RECORD.A,,#0TICE OF COMMENCEMENT-MAY RESULT 1N YOUR PAYING-TWICE•,FOR4iMPR{flNEMEN7Seta YOOUR�•PROPj5RT IF 1 OU![ Y N.a TO OBTAtN"FiNANCINO-CONSULT 1NtTH YOUR 1=ENOER�UR.i14N,?ATi b.RNEY�i3EFCG.RE�REC.O.RDIN:G;YO.URHN07?I FLORIDX-JUK-ATT(F.S:'117.03) OWNER.OR AGENT •. CONT., TOR Subsddbediand;swom•to'(or:afflrmed)bef6ie:me.this• Subsgli.ed:a''+:_w-�to(boraffirfii�40ef6ro�etlis by. . by r E-' . Who is/are personally known to me or has/have produced Who is/ara personally'known to'me or has/have,produced as identification, asldenfification. Notary Public Notary;Public Commission No. `Commissiorift..: Name of Notary typed,printed or stamped Name of Notary typed;printed or stamped m City of Zephyrhills P3F'MuT-0 IBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-000818-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 09/30/2020 Permit Type: Building General (Residential) = � Property:Number Stredi Address = 14 26 210010 02000 0060 4829 4831 16Th Street wner Information` Pdrmit InformationContracto�,lnformation "` ` Name: ZEPHYRHILLS MM LLC Permit Type:Building General(Residential) Contractor: NEMETZ ROOFING Class of Work:Reroof(Shingle Only) Address: 147 Bedell Ave Building Valuation:$9,945.21 HEMPSTEAD,NY 11550-1105 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation:$9,945.21 Total Fees:$89.73 Amount Paid:$89.73 Date Paid:9/30/2020 11:05:49AM P o�ect pp ,4 REROOF SHINGLE Application^Fees Building PermitFee $89.73 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 •. r 813-780-0020 City of ZephyrF ills PermitApplication Fax-813-780-0021 Building.Department Date Received Phone Contact,for Permitting: — !zS' Owner'stNam® /a/x G i Owner.Plior�®;Numb'er Owner's dress °/ / a try /^ ►ner;P.hone:Number:• Fee Simple7itlehotder'Name. . Owner-Phone:NuM er Fee'Simple Titleholder Address JOB ADDRESS Lr� /i lj�/ �`✓� t50T# Lam. � `•.,... :: SUBDIVISION P'ARCEt:;iD#: � PT4!Npp;FROM.PROPERTY:tA)(,N6T(CE) WORK�PROPOSED' -:ADDIALT SIGN ;;0. .,.,. .., 0.. DEMOLISH . e INSTALL.. REPAIR PROPOSED USE Q SFR :0 ., COMM Q.:. .'. OTHERr, 1YPE.OF CONSTRUCTION Q BLOCK 0 FRAME'. : `.; }' : STEEC r0 y DESCRiPT(ON,QF WORK- / /� p BUILDING;SIZE., SQ F007AGE d _ HEIGHT • w VALUATION:OF.TOTAL CONSTRUCTION } =ELECTRICAL $_ AMP SERVICE>" 0, :PROGRESS ENERGY 0 '1!Ii:R:E.C.. i =PLUMBING $ =MECHANICAL $ VALUATION:OF"MECHANICALINSTA TION_: ' � ROOFING , SPECIALTY.: OTHER. FINISHED FLOOR ELEVATIONS FGOOD-ZONEAREA: AYES: -11144+ BUILDER II COMPANY .•;;:. SIGNATURE r- ".`REGISTERED Y-6`N:'-.=... FEECURREh' Y7=N:';_-- Address a censer# (. I .. ELECTRICIAN' COMPANY:. SiGNATUR REGISTERED:' - !Y 1;iN.'. :,FEE,cuRREN )LI`N`.:..: Address Ldcense#z 1 PLUMBER COMPANY SIGNATURE REGISTERED: Y/ N;•.. FEE CfJRREK" .'r i'i,Y:/-N;:; Address . f ,Llcense#.j: 1` MECHANICAL COMPANY SIGNATURE'. :.". REGISTERED"•, .Y7 N: FEE CURRW .. Yi Address,,," -- : License'#' OTHER. SIGNATURE " REGiST�D :` -'1 Y"I;: FEE CURREE` :Y JiN",`. Aaa,re .I Y.C. se ' ' . . .. " . ' ` ` i . RESIDENTIAL Plot'Plais, 2 se ( Pia ) n9110n . ... — Minimum•ten(18)working,days.,after submittal date..Required onsite;:Co6is action;Plans;Stormwatet Pians.w!�S)ffF.,ence installed;`; Sanitary Facilities&1 dumpster;Site Work Permit;;fotsub_divisionsAarge prgjecis COMMERCIAL Attach(2)complete sets•of;Buildirig Plans+plus a L'ie-ao ej of go;{1-)-set of'.Energy:FgFMs._R:O-W.PemUt.for new consttucUon.r_ : Minimum ten 40)wor4dng daysafter submittal date:`RLi.44 `d:onsite,:Contftction Plans;:Stdimwater;Pians wl•SiitFence instailed Sanitar)rFaoilities&I-dumpster.Site Work;Perniit.for.ail•new.psojects;All commercdal-requirements must:meet.compllance SIGN PERMIT Attach(2).sets:of.:Engine ered Plans. ""PROPERTY'SURVEY required for all NEW construction. DirecFrons: Fill out'appiieation completely. Owner&Contractor sign,back of application,notarized if over,$2500,-a Notice.of..Commencement is.required.,.(XC up0rad6s-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(PlotfSurvey/Footage) Driveways-Nat 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 maybe,required3 to'be:licensed in:accordance with state and local regulations..: lf,:the. contractor is not licensed as required by law, both the•owner°andLL 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 contactthe Pasco County'.Building inspection'Division--Licensing Section at 727-847- 8009. -.Furthermore,.if the, owner has�h{redl.a-contractor or contractors, he is advised to have the contractor(s).,sign portions-of-the "contractor.-.Block",of this.-application for which they wilt 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"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'{n 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,..theit:such4des,.as may. be-due, will be.,identified at the time•,of permitting. it is further understood�that'Transporfation.;tmpact Fees and Resource Recovery:Fees must be paid.prior to= receiving a "certificate of.occupancy"or.finai,power release. If the.project doest=not:involve a certificate of occupancy._or.: final power release; the-fees must be paid prior to permit lssuan'ce: •Furthermore,4f5Pasco County Water/Sewer Impact fees.ace-.due,.theymusLbe paid.priorto permit{ssuancei in accordancewith applicable Pasco County ordinances.. CONSTRUCTION"LIEN'.LAWi(ChapteelI3;Florida.Statutes,as.•amended)• If valuation of work is$2,5g0.00.or more, I. certify-that 1;-the applicant; have-beem'.-provided:-with -a.:copy-of.-the._"Florida:"Construction -Lien Law—Homeowners Protection Guide" prepared.by the.Florida,Department of Agriculture and.Consumer Affairs. If the applicant is someone other than-the Oowner,'I derEify:that-.l have--obtained a copy-of-the above described document and-promiee'`in'good'falth'to deliver it to the"owner":prior to commencement.. . CONTRACTOR'$/OW NER':S>AFFIDAVtT..1.1:_certify that all;the:information.in:this application is-accurate.and that 1.work ' will be done,in compliance with all applicable:laws:regulating_construction;zoning',.and'tand;;devehpment. Application.is hereby made to obtain a permit to do>*-.w6rk,,dhd:,ir stali6ti6n3fas°Indic6ted. I certify that no work or installation :has, commenced.priorr.to. issuance.of a permit and,that ail work will be performed-to-meet—standards of all laws regulating construction, County,and-'Clty.codes; zi ning.regulations, .and=landl:development regulations in the.jurisdiction.: i.::also; certify-that 1 understand that the regulations of other:government agencies may.applyjo.the intended work, and that it is my responsibility to identify what actions.I must.take to:be lin compliance. Such'agend1e6�ihclude-but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and'Environmentaliy'Sensitive _Lands,Water:Mastewat�fffeatment: Southwest Florida Water `Management District=llilells,' Cypress Bayheads, Wetland Areas; Ajtering Watercourses. _ Army Corps of Engineers-Seawalls;`Ddcks,t..Navigable Waterways. Department of Health & Reti- i 4fitative 8- vices/Environmental Health Unit=Wells, Wastewater Trea#ment, . Septic Tanks. US,Environmental=.Protection..:Agempy„Asbestos.,abatement. - Federal°Aviation Authority=Runways: I understand that the-foilowing.restrictions,applyta:,the upq cif}fill::,. Use of All,is riot alloii id-in trl4ott:rZone"N1/°i niess'expressly permitted. if the fill material' isi t-ebe.used.in Flood,.Zone'""A";' it is-under-stood>'that �a..-4iainage.:plan.addressing a °compensating:volume"wiltbe submitted at time..of.permitting which:is prepared by a professianat engineer licensed by the State ofT'todda. - if:the til{..materiat;is #o:::be;usedjn,_f lood,.Zone�i,u in,<cannection with a.permitted building. using steryi-wall..- constructlon,'1 certifyctliatffill:wi11-.6 .useii':onlytafillithe area-within.the.stem;wall._. If fill material is to be:used*-in any. area, I.certify that use"�of',such-fiiil wiIF"nat=adversely:affect.adjacent .properties:if useof,fill isefiound_to.,adverselyaffecC:adjacent properties, the_owner_maybe:cited for violating the conditions:of�the building:permit*•issueptunderthe•attached permit-.•application;'for lots-less-than one (I) acrewhich•are.eleuated byfiR;,annenginoered drain"age O)an',Is required. If I am the AGEt -.F4R��'HE-OWNER; i prostiise':ln'good 6164oitiform,:the owner:of,the.permitting:conditions set forth=.in thistaffidavit.prior to.commencing construction. 1 understand:that"a'separate permit::�may`be'required for-electrical work, plumbing,_signs,_wells;pools,:air:corlditioning,�.gas, or other•:installations-not.,specificallywincluded in.the application: -A permit:issued shall be construed to be a license to.proceed with.the.work and- as'authority to.•viotate, cancel; alter, or set aside any"provisions•of theN#echnleat-codes;,norwshali.issuance•,ofa permit�prevent the Building Official from.thereafter::.: uction or violatiiiAs of.any codes:::-fuery.permit-issued shaii..become invalid ' requiring. -errors'in-plans, constr unless the work authorized by such..per. t is commenced within six months of permit issuance,-orif Work authorized by i the permit-is suspended•or--abandoned-,for--a-period-of:six(8)`months-afterzthe=:time-therwork:is commenced.-An�extension maybe requested,•ln.wrlting, from.the Building,Official Iona:peripd not!to exceed ninety.(90)days and will demonstrate justifiable cause fors-the,extension.•°1€:work'ceases'fQrrninety:(9lJ nsecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAiIURE'TO RECORD.A;NOT9.CEi .COMMENCEMENTMAY RESULTiN YOUR PAYiNO�TNICE°FOR IMPR}tEMENTS1 C Y UR ROP RTl _IFY U;14;' T., :_.�:,':OF ,_, ANCING 'CO . WITH 14QUR LENC)ER QR�AN.A,, ORNEY-BEFO�RE�RI`CORDINO::iGOU.R`NOTI F.COMMENC. MENT.: FLORIDA,JURAT,(F.S:_.117.03) _ _ -_ OWNER OR=AGENT .. NTR�cT t 'tfisSubscribed:andsaom,to(ccafirmeJ);befoeme.thJs S.ubsct )i by. py Who Is/are personally known to me or has/have produced Who ls/are"personally known tome'or hasthave.produced as Identification. as-idenfifleation. _ Notary Public Notary,Public-- Commission No. Commission No.. , Name of Notary typed,printed or stamped Name of Notary•typed;printed or stamped I j TN LG LLC NEMETZ ROOFING &CONSTRUCTION 1819 Lindbergh Lane, Port Orange, FL 32128 Phone (386) 663-1800 • Fax: (386) 423-8485 * email: nemetzroofing@gmail.com www.nemetzroofing.com September 29,2020 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 RE: Authorization To Pick Up Permits To Whom It May Concern: Please authorize Jose Caride to pick up Permits on my behalf. Please let me know if you have any questions or need any additional information. Thank you, C � Theodore Nemetz TNLG, LLC dba Nemetz Roofing Ted Nemetz, LLC dba Atlantic Seamless Gutters Owner/President CCC1331819 CCC1331271 CBC1252702 State of Florida, County of Volusia The foregoing instrument was acknowledged before me this 29 day of September 2020 ) by Theodore Nemetz, who is personally known to me 'Vl/ or who has produced as identification. Notary signature nature Anite Mott Stamp: a�'r Notary Publl State of Florida ': r4 Comm#HH034395 Expires 8/19/2024 1/10/2021 Zephyrhills, FL Roof Affidavit Roofing InspeL4ion Affidavit City of Zephyrhills Phone:813-780-0020 5335 8th Street,Zephyrhills,FL 33542 Permit Number BGR=000820-2020 Name Jose Caride I am licensed under Chapter 468,Florida Statutes as a(n): Architect rc)Building Inspector (ate Contractor Q Engineer License Number CCC1331271 Personal Inspection Date I personally inspected the: 12/14/2020 Dry in v❑Flashing and Drip Edge v❑Roof Deck Nailing Check which was used: O 30 Pound Felt O Peel and Stick Co,Other If other,please explain: RhinoRoof Synthetic 151b.Felt Roofing Underlayment Address of Roof Inspection 4823/4825 9th St 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). Signature State of Florida ��cl►�'•- EILEEN JOANN CARIDE KCounty of Pascoe Notary Public-State of Florida - ® Commission k HH 03802] loded My Comm.Expires Aug 31,2024Sworn to&Subscribed Before This Day Notary Public State of Florida through National Notary Assn. 12/15/2020 ® www.ci.zephyrhills.fl.us/FormCenter/Print?form[D=75&Preview=YES&Save=False&savedProgressl D=33 1/2