HomeMy WebLinkAbout20-148 o
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nnniun City' Of Zephyrhilis PERMIT,NUMBER
5335 Eighth Street
Zephyrhills,,FL 33542 BGR-000148-2020 .
Phone: (813)780-0020.
n : Fax: (813)780r0021 Issue Date:05/26/2020
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Permit-Type: Building General (Residential)
Property Number Street Address
14 26 21 0010 02400 0120 4836 19Th Street
Owner Information, Permit'Information Contractor Information - ,
Name: .CRAIG SAGALOW Permit Type:Building General(Residential) Contractor:A BARTLETT ROOFING &
Class of work:Reroof CONSTRUCTION SERVICE
Address: 4836 19Th-St Total Valuation:$3,639.00
ZEPHYRHISLLS,FL 33542 Total Fees:.$58.20
Phone: (201)923-1620 Amount Paid:$58.20
Date Paid:5/26/2020 :2 :53AM 10 /'
Project Description
REROOF SHINGLES .
Application Fees.
Building Permit Fee $58.20
REINSPECTION FEES:.(c)With respect to Reinspectionlees 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. N -CCUPANCY BEFORE C.O..-
NO
OCCUPAN FORE C.O.
a rj!��
CONTRACTOR SIGNA URE PE IT OFFICE
P MIT EXPIRES 6'MONTHS . THOUT APPROVED INSPECTION -
CALL FOR INSPE - 8 HOUR NOTICE REQUIRED
PROTECT CARD. FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
r
Date Received Phone Contact for Permitting —
Owner's Name C OLD Owner Phone Number �� r."I�►J"�����
�49,66 I - r-ee-E fly ILA
Owner's Address Owner Phone Number
4a
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS L4 O Z�Lc q
LOT#
SUBDIVISION PARCEL ID# 14, orlLo ,C9N I • 00 10 -Da-400 •�l�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL B REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK �J\eu� I e �O
BUILDING SIZE F SQ FOOTAGE HEIGHT
=BUILDING $ co VALUATION OF TOTAL CONSTRUCTION
�C�3q . -
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANYL4 C
SIGNATURE REGISTERED Y/ N FEE C Et, Y/N
Address License#
.ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N 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&I 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 Sewq s,..,.._,;Service UpgradesrA/C. Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on.,public.roadways..needs ROW r:
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 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,WaterMlastewater 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 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.
If1he 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-wFiich 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 INTOD TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR 90TICE OF OMMENCEMENT. _
-- FLORIDA JURAT-(F:S-117:03)- -- --V— -- - - - — — -- -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subsc'bed and sw to(or rmed)before met '
by by
Who is/are personally known to me or has/have produced Who i e pe ally known to me or has/ cad
as identification. � as identification.
Notary Public Notary Public
Commission No. Commission No.
(2,6\o� L)1AktWo\A CIO
Name of Notary typed,printed or stamped Name of Nota ped,pdrited�ped
;�'��� •. CARLOS MALDONADO
Commission#GG 346275
Expires June 18,2023
.QF,�►. Bonded Th.Troy Fain Insurance 800465.7019
///A. BARTL:ETT
ROOFING & CONSTRUCTION SERVICES, LLC
38408 3rd Ave. ( Zephyrhills, FL 33542
(813) 782-5585
Email: CoreY �h abartiettroofin .com Lic. #CCC 1331965 Ali
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RESIDENTIAL - COMMERCIAL - MOBILE HOMES
LICENSED - INSURED - BONDED
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THANK YOU
a'tah � �Ala 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 appiv to all.credit card transactions. Total ;. .
City of Zephyrhills
i
5335 811 St
Ze h rhills FL 93542
p.,Y 1
(813)780-. 020
i
ROOFING INSPECTION AFFIDAVIT ;.
Permit No.: 0 n 0 1 "[ Z 0
I, t7 A) licensed under Chapter 468,Florida Statutes as a(n): `
Contractor.. Archite.. - Building Inspector-
LicenseNo:
On or about did personally inspect the: t
Check: Roof Deck Nailing.: : . Dry in.. --' Flashing and Drip,edge
Check Which was,used: 30#felt_Peet and Stick_Other(List)S to '`C LAR,11—"4
At the following r—
address": `0
�S.
Based upon that examination,I have determined the installation was done.according to the Hurricane
Mitigation Retrofi anual.(Based on Section 553.844,Florida S utes). j
i
-Signature
STATE OF FLORiDA
COUNTY OF PASCO
Sworn to.and subscribed before this day
F:
BY:
Notary Public State of Florida
1.
INSTR#2020082969 OR BK 1 01 07 PG 270 Page 1 of I
08/26/2020 11:43 AM Rcpt:2164851 Rec:10.00 DS:0.00 IT:0.00
Nikki AlVarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No. O&R'0004�007_0
Tax Folio No.' Iq-.%U -; 1.00 10-DP,4D0-C I a0
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 d ti i of ro erty): )L4 , AD-P4 - Do lo - o a c-)I Djo
;W'4;rt1.OL
a)Street(job)Address: qm 1 b,,..4.
2.General description of finprovement(s): gvj:UQ Mka V-C4
3.Owner or Lessee information(Lessee as owner only if gontracted for ingovements)
a.Name and address-Cr al#_E)& -5
b.Interest in property- V U
c.Name and address of fee simple titleholder(if other than owner):
4.Contractor Information
a,Name and address. A marnert mOOTing a t.,onsir%-)VCS, W., ;3tj4uu ;3ra Ave, /-epinyrnins, I-L;5;504;L
b.Phone number:01 04-auco Fax No.(Opt
5.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 person(s)to receive a copy of the Liences 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 I 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 COMME EMENT.
-' YOUR NOTICE
E OF T 0 COMM I Statutes.
Verification pursuant to Section 92J525,FRorni Statutes.Under penalties of perjury,I declare that I have-
mad
pursuant 1;facts in it true to t
mad the foregoing that the facts in it true to the best of my knowledge and belief.
Signature of 6w-ner or or er's or Less Authorized Officer/Director/Partner/Manager
Signatory's Title/Officer: nCiV c�f5 64Z`
State of Florida
County of Manatee
The fi) going acknowledged before me_thi;,lcQ 1. da IyLa�k 20.' Oby
ins1rument was 'y_9 "
MA-ik 'SC�C� who is personally kn6i�m to iAc or has produced
YC)AA(_p aQ S �and.whqAi.d/did not take.an oath,
(Driver's License#)
Notary Public State Of Florida signature of Notary -
Tina m Prater
Commission GG 211085 Public orida
My
04/25/2022 A-0-
Print,Type,or Stamp
Commissioned Name of Notary Public
State of Florida,This is to certify County Of Pasco
IfY that the foregoing is a true and correct copy Of the document
In fodWe T-rwt on file Or Of public record in this office.
A Witness,my hand and official seal this
2C)7-(D-
_�tday of Comptroller
77 0
Alvarez-Sowles,Es .,Clerk&
1887 Nikki Alvarez�S
Paso nty,Florida--,.,
Deputy Clerk
OF
BY