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f110N` City of Zephyrhills =:aP,ERMITNUMB'ER' ':: `'
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000877-2020
Phone: (813)780-0020
%{ Fax: (813)780-0021 Issue Date: 10/08/2020
Permit Type: Building General (Residential)
Property Numlier, 'StreefAddreg'-,,
35 25 210050 00000 0040 7205 Applegate Drive
T "Owner'lnformation ` Permit informationContract or:Information
Name: DANIEL CHARNESKE Permit Type:Building General(Residential) Contractor: BRAD MCDONALD
Class of Work:Reroof ROOFING &CONST INC
Address: 7205 Applegate Dr Total Valuation:$5,785.00
ZEPHYRHILLS,FL 33540 Total Fees:$68.92
Phone: (727)514-4153
Amount Paid:$68.92
Date Paid:10/8/2020 11:58:24AM
Project Description
REROOF SHINGLE
Building Permit Fee $68.92
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 GNATURE PE IT OFFICE
PERMIT EXPI ES 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 9 f.0 0 7 7
Building Department
^7' Tti �v I�5 7
Date Received g ( t? F j7,6 " u0 63
Phone Contact for Permittin
E[lalfl� frs.E
Owner's Name OR 17)^-el A -n E k a y� Owner Phone Number �1
Owner's Address 20r l e T J Owner Phone Number
Fee Simple Titleholder Name r Owner Phone Number p�
Fee Simple Titleholder Address / 1 f�
JOB ADDRESS ? 20s- IQ C-ct J'C D-r, LOT#
SUBDIVISION AiEhA V l it PARCEL ID# Z Z I '00 90-000 C;V q 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL
t— =
DESCRIPTION OF WORK ) ra, o�A and IP l�C ROp-
BUILDING SIZE I I SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ET OOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
pp
OTHER COMPANY III/ "nMiP» k
SIGNATURE REGISTERED N FEE CURREN Y/N
Address S L U6 a I License# I CC C—13 25$3 3
gat ietlli.lf.191 algal 192's.> i.s-11.7.191.2'ilSiAIN115.3g.3 all Afl.issliss valfullli
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 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.
Directions: i
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 AIC Fences(PlottSurvey/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 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 be an 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 90-07,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—Homeowners 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/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.
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 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
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to or affirme before r this Su cr' ed and sworn to( r a rmed)before m this
OLA- /,70 by 'rnd k)GN.WaI�Vl ��bY id/act -rlc 190 2a fl1
Who'Isla ersona�I known to me or has/ ave pr uced W ho i /are pe ovally known to me or has/have produce
r z a ntificat• L as identificat'-
Notary Public Notary Public
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INSTR#2020165588 OR BK 10190 PG 1 827 Page 1 of 1
10/05/2020 09:57 AM Rcpt:2211552 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller `
Permit Number
Parcel ID Number 35-2s•2i-ooso-00000 omo
NOTICE OF COMMENCEMENT
State of Florida �; c,:rak:,;.r;,r.:m;:•;: ^.• ,,.r,=rrr:C :C_=:-nrz;K.•r:
County of Pinellas
THE UNDERSIGNED hereby gives notice that Improvements;will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description): ALPHA VILLAGE ESTATES PHASE I PB ig PGS 69-70 LOT 4 OR 9085 PG 430
a)Street(jab)Address: 7205 APPLEGATE DRIVE,ZEPHYRHILLS,FL33540
2.General description of Improvements: TEAR OFF AND REPLACE ROOF
3.Owner Information or Lessee Information If the Lessee contracted for the improvement:
a)Name and address: CHARNESKE DANIEL 7205 APPLEGATE OR ZEPHYRHILLS,FL 33540-1030
b)Name and address of fee simple titleholder of different than Owner listed above)
c)interest in property: OWNER
4-Contractor information
a)Name and address: BRAD MCDONALD ROOFING 7143 STATE ROAD 54#197 NEW PORT RICHEY FL 34653
b)Telephone No.: (727)856-7663 Fax No.:(optional) 727-856-7954
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c).Amount of Bond: $
6.Lender
a)Name and address:
b)Telephone Na:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(11(a)7.,�Florida Statutes:
a)Name and address:
b)Telephone No.: _ Fax No.:(optional)
8.a.ln addition to himself or herself,Owner designates of
to receive a copy of the.Lienor's Notice as provided in Section 713.1.3(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before file completion of construction and final payment to the
contractor,but will be 1 year from'the data of recordingunless a different date is s ecified): 20
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 71113,FLORIDA STATUTES,AND-CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE 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 perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledge and belief
�—�
W— Daniel Charneske-Owner
(SignaturoofOwnerorLbssee,orownet'sort.essee's(AuthorizedOficerlDirectorfPartner/Manager) (Pdnt Nam a and Pmvide Signatory's TilelOtfice)
The foregoing Instrument was acknowledged before me this �_ day of 0e o b p - 20 2 v
by P 4T P P I C h et r n PS a as D W r Fr (type of authority,e.g.officer,trustee,attomey in fad)
for as
(Name of Person) (type of ty,...e.g.officer,trustee,attorney In fact)
for _ (name of patty on behalf of o MAl+�t6l!.
Personal) Known Produced ID tit :.o�N °�'"'• RAYMOND LEY MCDONALD.
y Notary Public-State of Florida
Type of ID Notary Signatur e`;' Commission#GG 231051
Prl a `.,a t�:�' y omm. xPr a un
10/27/2020, Zephyrhills,FL
i
Roof Affidavit
Roofing Inspeetioit Affidavit
i
City of Zephyrhitss Phone:813-780-0020
i
5335 8th Street,Zephyrhills;FL 33542
V
Permit-Number
j BGR=000877-2020
Name
Brad McDonald
I am licensed under.Chapter 468,Florida Statutes as a(n):
0 Architect tA Building Inspector Contractor Engineer
License Number
CCC1325833 '
I
Rersonal Inspection Date I personalty inspected the:.
I1011212420 M Dry in ®Flashing and Drip Edge M Roof Deck Nailing
...-Check which was used:
Q 30 Pound Felt Peel and Stick 0 Other
If other,please explain:
Address of Roof Inspection
7205 Applegate Dr Zephyrhills,FL 33540
Based upon that examination;I have deterrnined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on
Section 553.844,Florida Statutes).
Signature
State of Florida
Cdnnty of Pasco +r�4
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' Sworn to&Subscribed Before This Day Notary Public State of Florida
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