HomeMy WebLinkAbout20-23 i p
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l City Of ZephyrhillS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000023-2020
='. ,` Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 04/28/2020
Permit Type: Building General (Residential)
Property Number Street Address_ -
14 26 21 0010 00100 0015 38948 South Ave
Owner Information Permit Information , Contractor Information
Name: LEAH ROYAL Permit Type:Building General(Residential) Contractor:A. BARTLETT ROOFING OF
Class of Work:Reroof CENTRAL FL. INC.
Address: 38948 South Ave Building Valuation:$8,639.00
Total Fees:$124.80
Phone: (352)999-2071 Amount Paid:$124.80A6_
Date Paid:04/28/2020
Project Description
REROOF TPO
Application Fees
Building Permit Fee $83.20 Building Plan Review Fee $41.60
i
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.
CO RACTOR SIGNATUR PE IT OFFICE
PE MIT EXPIRE 6 MO 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 Receives l(._ R► �i� Phone Contact for Permitting — iY............
rrrrrrr=
Owner's Name Gt Owner Phone Number C
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS w f l Et Z LOT#
SUBDIVISION PARCEL ID# 1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
Fa INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK lid / 9 k IAIS t#
BUILDING SIZE l Q SQ FOOTAGE[= HEIGHT l E
I /UBUILDING $ ( VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ �j AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS F
NG Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY & Vt `'V
-SIGNATURE REGISTERED Y/ N FEE CUIREN Ly
/N
Address License# 3
-ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
.PLUMBER COMPANY
.`SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
I
_ I
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License# "'-
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:
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 Aftomey(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(PlottSurvey/Footage)
Driveways-Not 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 codpliancie',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'arid local regulations. If the
contractor is not licensed as required by law, both th6 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 1, 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"owrier".,prior to commencement.
CONTRACTOR'SIOWNER'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,'WaterMastewater 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,the4ollowing 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 "K, 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).
acrewhich.areelevated by fill,an engineered drainage plan is required.
If I am the AGENTFOR7HE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit."prior twoommencing construction. I understand that a separate permit may be required for electrical work,
plumbing,,s i ign's, 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.,provislons'of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring-,a,ccirrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless th a.-work.authorimed 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 bezirequested, 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 IN ND TO OBTAIN FINANCING,CONSULT
-WITH-YOUR LENDER70RAN-ATT ORNEY BEFORE-RECORDING-YOURAOXICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR—
Subscribed and sworn to(or affirmed)before me this SE7bcubed and swo4to(or a,%Trmed)before me this
by
Who Ware personally known to me or has/have produced Who I are ally known tome or hasfhave produce
asIdentification. as identification.
Notary Public Notary Public
Commission No Coj mm;! Zn No.
a• JACO
Name of Notary typed,printed or stamped Name of Notary PEf, tq GG 27645.
December l ,
INSTR#2020067833 a�i'i3�c '�009 �c 2642 Page i of 1
04124/2020 01:35 Phi Rapt:2156358 Re6:10.00 .DS:0.00.IT:0.00
1 Nikki Alva rez-Sowles;Esq.,Pasco County Clerk&Comptroller
NOTICE OF Ct?MMENCEMENTT
Permit No.
Tax Folio No. - `'�-=Io- 00 t 00-C}O i J
THE UNDERSIGNED herebygives'notice that improvement will be made to certain rcal property,-and in accordance with
i Chapter 713,•Florida Statures,the following information is provided in dtisNOTI(E OF COMMENCE1tiiE1v"I,°
1.Description of property(leggy f Prp�y)
j�-}.-ate-atop to-- o-otc �cot
a)Street{jab)Address: FG _
2.General description of improveznent(s): 7
3.:.Owuer or Lessee.informatioa _ as o_ valy if titracted for' pr van is};
a.Name and address: 3 q �
b.Interest in property
c,Name and address of fee simple titleholder( other than owner): I
4;Contractc=laibrmatirn' I
a.Name and dddress' +
A barueu mooTirltg at L on'str bvcs, LLI.,;Stf4Ut$fro live,Lepgrrltiis, 1'L;5;504'L
b.Phone number:is 1 Fax No..(Opt.). 3
5,Siuety Information.
a.Name and address:
b.Amount ofbeutd S
a Phone number,- Fax-No,(Opt.)
6,1ender
a:Name and address:
b.Phone number:'
7.Persons within the State ofTlorida designated by Owner upon who notices or other dominants may be served as provided by
Section 7I3.130)(a)7.,Florida Statutes: }
a.Name and address! i
b.Phonenumber:
$An addition to,himsell;Oyvner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.130)(b),Florida Statutes;
a.Name and address:
b.Phone number: !
( Expiration date of notice of cotnrnencament(the expiration date is 1 year from the'idate of-recordii g tntlM, a ditterent
i detc is speclfled). --.
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 713.13;.FL,ORIDA.STATUES,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.
t BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
j WITH YOUR LENDER OR AN-ATTORNEY BEFORE COMMENCING WORD.OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Verificaation pursuant to-Seeopni 92S25,Florida Staitutes.Under penalties of perju ry,I declare that I.have-
r6d the foregoing and that the facts in it am trite to the best 4 my knowledge and belie!:
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SigTL=C of Owaef'm or zi:'s Lessm's,Authorizpd 08icccJDaecior/Puzuta/MRT�er
Sigtuttx}'s.�tla'DilicxY: Wl .�jx�yso_�y,
i
State ofFiorida. +
$ County of Manatee
The t' reg ing instpment,was acknowledged before:me this day of 2422by
3..�1.. wlio s.pt�sonally lmo m to or has produced
and who didldid not'takc an oath.
(Driver's License#) -'
I ►`' Nottcty P"C Sun as FW4a ':Signal tuti of Notary. +-}/� �^
tepitcsOtr2S+20Y1277055 = t atcof�t{1�d�i ' 1�...L`'y
Print,Type,or Stamp
Commissioned Name of Notnry Public
Florida 13tuilding Code Online 9/26/19,C24 PM
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_'.4. { Product
'Approval
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; Appli athm QataU
Application'iype Revlsien
Code.Version 2017 L�t ITH PRO0111LING
Application Status Approved )RK SHALL COMP
ALL W
CODES FLORIDA FtIC CO®COI�E,
Comments ELE OF ZEQHYRHILLS
Archived AND HE CITY
ORDINANCES
Product Manufacturer GAP
AddresSJPhone/Email 1 Campus Drive
Parlst pang,NJ 07054
(800)7W3411
mttleh@gaf corn
Authorized Signature Robert.Nleminen Af R 6 e LOZO
Ireitii@nemaetc:com
REVIEW DATE
Technical Representative William Broussard CITY OF ZEPHYR
Address/Phone/Email 1 Campus Drive MINER
Parsippany,W.07054 PLAN EXAMINER
(80¢)'766-3413
TechiticalQuestlorisGAFtargaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Gompiiance Method Evaluatlon.Report fro m a Florida Registered Archltect.or a Ucensed'Florida
Professional Engineer
Evaluation Report-Hardcopy Received {
Florida Engineer or Architect Name who developed: Robert Niemineri I
the Evaluation Report
Florida license M-S9166
Quality Assurance Entity UC LLC
Quality Assurance Contract Expiration Date 12/i7/2021
Validated By John W.Kneievich,PE
Validation Checklist-Hardcopy Received
r
Certificate of Independence
Referenced Standard and Year(of Standard) 5 ndard year
ASTM D6878 2011 z
FM 4470 2012
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/f/A. BARTLETT
ROOFING & CONSTRUCTION SERVICES, LLC
38408 3rd Ave. I Zephyrhills, FL 33542
(813) 782-5585
Email: Coreyh@abartlettroofing.com Lic. #CCC;1331965
RESIDENTIAL COMMERCIAL MOBILE HOMES Z'
LICENSED - INSURED - BONDED �O
Date �l 2
Narne
Address 3 l/2
.Phone J .'" � '_�v 71
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THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. —
1.5%process fee will aoalV to all credit card transactions. Total � �.