HomeMy WebLinkAbout20-117 nnmo City Of Zephyrhills PERMIT NUMBER
5335 Eighth Street
a Zephyrhills, FL 33542 BGR-000117-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 05/21/2020
Permit Type: Building General (Residential)
Property.Number Street Address
35 25 21 005A 00000 1410 38540 Trellis Avenue
Owner Information Permit Information Contractor Information
Name: JUSTIN&ALYSS DAVIS&MAHON Permit Type:Building General(Residential) Contractor: GAVIN ROOFING
Class of Work:Reroof(Shingle Only)
Address: 38540 Trellis Ave Building Valuation:$7,400.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$7,400.00
Total Fees:$77.00
Amount Paid:$77.00
Date Paid:5/21/2020 11:46:58AM
Project Description
REROOF SHINGLES
Application Fees .
Building Permit Fee $77.00
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
........ .......... rrTM ............................ ..... .....
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F � 8 vo LOT#
SUBDIVISION L Vtim PARCEL ID# Z 5 &17 SW 00,00
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR AD6/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK tpax W,-7W 3 0) VA_ d14 L-16-1i
BUILDING SIZE I I SQ FOOTAGE HEIGHT]
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
r—!ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q WR.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO.
-BUILDER COMPANY
L SIGNATURE REGISTERED Y/=NJ_ FEE CURREN Y./N�
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED -Y t N FEE CURREN LXIN
Address License"#
0
PLUMBER COMPANY
,'SIGNATURE REGISTERED Y/,N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N` FEE CURREN
Address -License#
0 OTHER COMPANY 11W ILA
SIGNATURE
_LJ REGISTERED Y/ N . FEE CURREN
Address _461k,06— cGlvl License# Vek1_1 V/11
HH,HH 1HHHHHHHHHH1,11111111
jP14f HHHII H!Hl ........
RESIDENTIAL Attach.(2)plot Plans;(2)sets of.,Building Plans;(1)set of Energy Forms;R-O-W Permit1or new construction, I
Minimum ten(10)working days after submittal date. 'Required onsite,Construction Plans,Stormwater Plansw/Silt Fence installed,
Sanitary Facilities&I dumpstir,Site Work Permit for subdivisions/large projects I
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.
..................... ........ ....... .....I......1.1.................
,-'Directions: V
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)
Remofs If shingles Sewers Service-Upgrades A/C Fences(PlottSurvey/Footage)
Drivewayi-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 maybe 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-16es, 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.,m.ust:.be paid prior to permit issuance in accordance with applicable Pasco County.ordinances.
CONST_RUCTION'LIEN'L'AW(Chapter 713, Florida Statutes,as amended): If valuation.of work'is$2,500.00 or more, I
certify, that' l; 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.
CONTRA CTOR'.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-iand 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;;`Couhty..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, Alt&ing
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable-Wate"ways.
- Department of Health & Rehabilitative Services/,Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement:
- Federal Aviation Authority-Runways.
understand that the following restrictions apply to the use of fill: .-.
Us`e of-fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill r 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-66,4 a 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,celevated by fill, an engineered drainage:;plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faithao: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 nof_specifically included in the application. A
permit issued shall be'construed to be a license to proceed with:the,workt 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 pernitis-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 YOURr" __
PAYING-TWICEFOR IMPROVEMENT S�TO YOUR'PROPERTY.. [rYOU-INTENUTO:OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEYBEFORE.711ECORDING YOUR•NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by by
Who Is/are personally known to me or hasihave produced Who Is/are personally known to me or hasthave 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
INSTR#2020080975 OR BK 10105 PIS 672 page 1 of 1
05/21/2020 09:57 AM Rcpt:2163811 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
Peril No. Parcel ID No ,�S- "�� 0® 0 0 0A 1 W(/
// n n NOTICE OF COMMENCEMENT
State o1 �h 0/[,�Q/T County of
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: Parcel Identification No.
Street Address: 3 l/SI- V �//�
2. General Description of Improvement h� m x�' f
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Sly 7i", !7 v/.S
-3 75; A'12:5. -�
Address City Stale
Interest in Property: V.//AA"—
Name of Fee Simple Titleholder:
---(If different from Owner listed above) _
Address !n ,/I _ / O� f - City Stale
4. Contractor. //�—/T(/ DN
Name
Address 7 [f City State
Contractor's Telephone No.: �6/"��37
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lander.
Name
i
Address city State
Lender's Telephone No.:
7. Persons within the State o1 Florida designated by the,owner upon whom notices or other documents may be served as provided by
Section 713,13(1)(a)(7),Florida Statutes: .�
Name
Address — City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates r~ of
to receive a copy of the Lienors Notice_as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner. r-
9. Expiration date of Notice of Commencement(the explration date may not be before the completion of cons c� net payment to the
contractor,but will be one 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 TICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, 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,
STATE OF FLORIDA
COUNTY OF PASCO
ature of Owner r Lessee,or Owner's or Lessee's Authorized
Officer/DIr$�to/r'/P'eyM,1er�/Manager
Slgnatorye Title/Office _
The foregoing Instrument was acknowledged before me this day of+�/�,A!�f 2[Q,by
as 1/GUyI (type of authority,e.g.,officer,trustee,attorney in fact)for
n beh om instrument was executed).
Personally Known❑DR Produced_Ldenfification IH*— - Notary Sign ure
Type of Identification Produced L L " 'Name(Print)
,,,• LYNN REALM
�;: :� anroo�lussla+SGG282808
1 �= EXPIRES;MBICA 15,200
,4+ sataetsnnl aub0oulataa.
wpdatarats/nofcecommencemenUc053D46 _ 1 � —liili. • ,
es
State Of Florida,County Of Pasco
This is to certify that the foregoing is a
#h:v true and correct copy of the document
on fife or of public record in this office.
rnG�a`ve�riAt• Wi a ,,nyy hand and official seal this
2
W Nikki Alvarez-uowles,Es Clerk&Comptroller
1887 paste County,Florida--,,, Deputy Clerk
City of Zephyrhiiis
_ 5335 81'St
Zephyrhiiis FL 33542
(813)780-.0020
.%7q
C
j.
ROOFING INSPECTION AFFIDAVIT
Permit No.-
licensed under Chapter 469,Florida Statutes.as a(n): r
Contractor C/Engineer_. Architect Building Inspector_,
License No. 2C cJ !
On or about did personally inspect the:,
Check: Roof Deck Nailing _ D ryin Flashing and Dri 'ed e
Check which was used:, 30#felt Peet and Stick'Other(List}
At the following
address: (� � LLB: 4�C45
Based upon that examination,I have determined the installation.was done according to the Hurricane
f.
Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes).
Signature
STATE-OF FLORIDA
COUNTY OF PASCO
Sworn to ar d subscribed before this day " - �ZD
BY: i
Notary Public State of Florida"
+ �;s3vgeF,, CAROLYN CARLBERG
MY COMMISSION#GG 9M663
- Qa EXPIRES:December9,2023
Bow Thru Notary Pub Ro Undermdtars
i;
r