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F City Of ZephyrhillS PERMIT°:NUMBERha
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5335 Eighth Street „.:,.
PAN,-
FL 33542 BGR-000096-2020
1s Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 05/27l2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 21 0010 11600 0011 38702 8Th Avenue
Owner Information Permit Information Contractor Information
Name: DAVID&BETTY SMITH Permit Type:Building General(Residential) Contractor: A BARTLETT ROOFING&
Class of Work:Reroof CONSTRUCTION SERVICE
Address: 38702 8Th Ave Total Valuation:$17,009.00
ZEPHYRHILLS,FL 33542-4208 Total Fees:$187.56
Phone: (817)885-824 Amount Paid:$187.56
Date Paid:5/27/2020 :46:36AM
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Project Description
METAL REROOF
Application Fees.
Building Plan Review Fee $62.52 Building Permit Fee $125.04
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.
CONTRACTOR SIGNA PE IT OFFICE
PERMIT EXPI S IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL OR INS CTION - 8 HOUR NOTICE REQUIRED
ROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting ! — CN V �
Owner's Name LmL Grn j Owner Phone Number 8�3'
Owner's Address 38►�oa lve Zk-i lls PL 33 q'A Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �j
JOB ADDRESS �fla R VL zVl l `is I 335 ` LOT#
SUBDIVISION PARCEL ID# `a�'��' ���� ' I [Lacc" co I l
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR H
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
,,PROPOSED USE A SFR = COMM = OTHER
TYPE OF CONSTRUCTION - BLOCK Q ,FRAME = STEEL =
DESCRIPTION OF WORK t� irY1 �w` Uo mar Dom' tsu�i cZ-�tccl,�
BUILDING SIZE SQ FOOTAGE= HEIGHT
BUILDING $ I n �On . VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 1 '{ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ 1�
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 10it"
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO &Cu y �— 0 p
1/
_ l OM PY — ..
SIGNATURE REGISTERED Y/ N FEE CURREN 11YINll
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN
Address License#
.PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER _ _ _ COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
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 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
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—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 ail 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 thatthe following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W"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.thi 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,Wlich..are elevated by fill, an engineered drainage plan is required.
If I am the-AGENTFOR 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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
—------
Subscribed and sworn to(or affirmed)before me this Subscribed-and swom-td'(6 affimted);l%,ine this
by6`_`15y
Who is/are personally known to me or has/have produced Who-is/are-personally known to me or has/have 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
1
///A, BART'LETT
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
LICENSED - INSURED - BONDED
Date
Name
Address-
Phone
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THANK YOU ®�ca•�� -� , ,—0
Your Business is Appreciated OO
Payment upon completion unless previous arrangement made.Warranties pertain to original owner. 6 7S
All arrangements contingent upon strikes,accidents or.delays beyond our control.Ownento 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 apply to all credit card transactions. Total
INSTR#2020073391 OR BK 1 0097 PG 2538 Page 1 of 1
05/06/2020 10:41 AM Rcpt:2159354 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alv6rez,5stYLlQ5 F.at3 Pasco County v clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No._ _ _
Tax Folio No. 1 —Ata—Zt 1— Qom} 11 GdID-"00 L I
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 COMMENCEMENT,
1.Description of property(legal des on of prop } t—a(C'cl i_00 to" 1 I Co 00— 00 t 1
a)Street(job)Address: tea, t' S S
2.General description of improvement(s):
3.Owner or Lessee inf lion(I,gssee as owner only if contracted for im oveeats)
a.Name and address: �QNiCJ► Shli`�-G. 3�"Zc fi`i"Ut° Z�l.�ti�s .
b.Interest in property:
c.Name and address of fee simple titleholder(if other than owner):
4.Contractor Information
a.Name and address: A oanieu MOOTing &uOnSTr WCS, W.,uts wts iiro Ave, LepnyrniiIS, t-L SiiO4G
b.Phone number:tS l Fax No.(Opt.)
S.Surety Information
a.Name and address:
b.Amount of bond$
c.Phone number: Fax No.(Opt.)
6.Lender
a.Name and address:
b.Phone number:
7.Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.130)(a)7.,Florida Statutes:
a.Name and address:
b.Phone number:
8.In addition to himself;Owner designates the following persons)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 commencement(the expiration date is 1 year from the date of recording unless a different
date is specified)
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 1,SECTION 713.13,FLORIDA 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
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.
YaMeation pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have-
read the foregoing and that the facts in it are true to the best of my knowledge and belief.
Signature of er or ee,or Owner Lessee's Authorized Officer/Director/Partner/Manager
Signatory's Title/Officer; kbnFr~
State of Florida
County of Manatee
The=Oregog"instrument was acknowledged before me this y of Iy l ,200 by
wfio is personally_known t e or has produced
nip—41,—'33 �0 d vyho did/did riot-take an oath.
(Driver's
,gar Notary Public State at Florida Signature of Notary.
Tina M Prater I'ubIic State ofFlorida ��';
My Cwnmtssmton Gti 21 1085 ' l
�►a t rrp.res arzsrsox2 Print,Type,or Stamp
Commissioned Name of Notary Public C
01C.-
State 01 fjorldat County of Pasco
that the foregoing is a
certify ttle,document
is to y of itce.
I correct GOP
d in this 0
true an( record g public re
'IN on file of 0 1 ot"Clal seal th's
my hand aN
2 C90
W my -�O-mptrojler
day 03A jerk&
S.wtes,Esq.,
% ,jWWI O'Brejorid�
Clerk
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