HomeMy WebLinkAbout20-220 "RIUH City of Zephyrhills PERMIT'_NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000220-2020
Phone: (813)780-0020
'�.. Fax: (813)780-0021 Issue Date: 06/10/2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 210010 21500 0050 5035 19Th Street
Owner Information Permit Information Contractor.Information
Name: M&CANDACE&MARY WACASER Permit Type:Building General(Residential) Contractor: RIVA CONSTRUCTION INC
&NICOLS Class of Work:Reroof
Address: 5035 19Th St Total Valuation:$6,250.00
ZEPHYRHILLS,FL 33542 Total Fees:$71.25
Phone: (813)689-6436 Amount Paid:$71.25
Date Paid:6/10/2020 9:40:43AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $71.25
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
813-780-6020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
r assaillessE ME
/!/
Owners Name ^r? 0 Owner Phone Number � 1!G�5 7-406 3;
Owners Address So,3 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O S S L7OT�# E
SUBDIVISION PARCEL ID#
(0EMUNED FROM PROPERTYT"NOTICE)
WORK PROPOSED B NEW CONSTRB ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK E:] FRAME = STEEL
r /
DESCRIPTION OF WORK
BUILDING SUE SO FOOTAGE47 O HEIGHT
VALUATION OF TOTAL CONSTRUCTION
=ELLECTL RIRI CAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ n,
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION // I
=GAS = ROOFING SPECIALTY = OTHER 1
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
---------------------------------
BUILDER COMPANY
SIGNATURE REGhsTERED Y/N I FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REWSTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y I N
Address I License# ,
MECHANICAL COMPANY
SIGNATURE REGIs1ERED YIN FEE CURREN Y I N
Address License#
OTHER �t>/(L C�OMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/�N/
Address /� 607 /r! T/ License#
.aaaa mesa asfall assasi®##loan111841.2se .il &scald#Itm.a1211221 total at11811l.l
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RAW Permit for new construction,
Minimum ten(10)worldng days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fours.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomnwater 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.
Dircetions:
Fill out application completely.
Owner&Contractor sign hack of application,notarized
If over i2500,a Notice of Commencement Is required.(AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Rereofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Driveway"ot over Counter it 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 727-847-8G09.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the'contractor Bloch 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 IMPACTIUTILITIES 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 One time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prier to receiving a'certificate of occupancy'or final power release.It 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.
CONTRACTOWSIOWNER'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 regoations,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 wok,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,WaterANastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Sayheads, 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,pods,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 cerrection 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 ORAN ATTORNEY BEFORE RECORnINGYO NOTICE QFCOMDJ1NGgMENT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirm be me
Y
Who islare personally known to me or haslhave produced Who islare personalty mown a or v produced
as identification. idemifi .
Notary Public G Notary Public
Commission No. Commission No. ` 'i 4 1�
Name of Notary typed,printed or stamped Warne of Notary typed,printed or stamped
?o,,AV pi t,� LOUIS PULLARA,A
�� Corrlmi11810II GG 957077
.o� Expires May 27,2024
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NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No— P"
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.
I.Description of property(legal description ;6'-
a)Street(job)Address: Cn 3 5 /61*k --
2.Gencral description of improvements:
3.6wner Information
a)Name and address: Is 'q-'L'6 6d i
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address.
b)Telephone No.: 0- q-3 6V 0 Fax No.(Opt.) Az'
5.Surety Information
a)Name and address: h
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person withinthe State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Tele"'phone No.: Fax No.(Opt.)
8.1n addition to himself,owner designates We following person to receive a copy of the Lienor's Noticei as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
,9.Expiration date of Notice of Commencement(the expiration date is 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 NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPICOPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
-A NOTICE OF COMMENCENIENT MUST BE RECOR-6ED AND POSTED ON THE 30B SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CWMENCEMENT.
STATE OF FLORIDA
10
C k-,\ Signature of Owner er'sAu orizeOffice ctor/P,)nner/NWa,-er.
'T r
/i i
TP Print Name
ova
The foregoing instrument was acknowledged before me this_ day of '20,tO by (jLrjW--,-
9 as A!;O
Li --'<(type of authority,e.&officer,trustee, ta
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attorney in fact)for I (name of party, behalrof who ustrunient was execute
Personally Known OR Produced Identification Notary SignattW6 Uj
r
E
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Type of Identification Produced Name(Print) d 4-)
n rpe Fla I have read the foregoin-and th
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the facts stated in it are true to the best of my knowledge and belie
Verification pursuant to Section 92.525,Florida Statutes U It ties peidury,I de
F0Jt.\1S/N0C,A1dZtX)7
Signature orNatural Person Signing(in line#10.)Above
Construction, Inc.
Riva Roofing SIstems
To: City of Zephyrhills Building Department
5335 8th St. Zephyrhills, FL. 33542
To whom it may concern,
I give authority to Candace Nicols to open a reroof permit at 5035 191h St. Zephyrhills, FL. 33542.
Thank you,
4g-r-1-7
Gary Trupp % f 6o f e—nZtD
President of Riva Const.
Aj Ri�t LOUIS PULLARA,JR,
* � COrtur�it�lon f G(i 9870T7
' orttie hwiwrira.4rwq
1315'%V Cass Strcct
'Fwnpa,FL.33606
Phonc(813)=493-6375
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