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20-234
o` on Cityof Ze h rhills p Y , P,ERMIT`NUMBER,- 5335 Eighth Street - - Zephyrhills, FL 33542 BGR-000234_2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 06/12/2020 Permit Type: Building General (Residential) Property. Number Street Address 03 26 21 0220 001300 0200 6445 Victorian Way Owner Information Permit Information Contractor Information Name: SHELLY BOWMAN Permit Type:Building General(Residential) Contractor: RESTORSURANCE Class of Work:Reroof SERVICES LLC Address: 6445 Victorian Way Total Valuation:$13,804.97 ZEPHYRHILLS,FL 33542 Total Fees:$109.02 Phone: (813)451-4235 Amount Paid:$109.02 Date Paid:6/12/2020 10:38:46AM Project Description REROOF SHINGLE Application Fees Building Permit Fee $109.02 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. P4CONTRACTOR SIGNATURE PE IT OFFICE R T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 4-1v V G y 813-760.0020 City of Zephyrhills Permit Application Fax-813-780-0021 i Building Department /'3 f � 'I (y q Date Received Phone Contact for Permitting ( 4�01 )4D X. — —15R 1 saaaasss .sass Owners Name Shelly&Robert Bowman Owner Phone Number 813-451.4235 Owner's Address 1 6445 Victorian Way Zephyrhills,FL 33542 Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6445 Victorian Way Zephyrhills,FL 33542 LOT# SUBDIVISION Silver Oaks Village PARCEL ID# 03-26-21-0220-OOB00-0200 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL e REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = DESCRIPTION OF WORK Roof Replacement BUILDING SIZE I SQ FOOTAGE 1 0 HEIGHT s IL R.--IL r r�sre� BUILDING $ 13,804.97 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS * ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I YIN FEE CURREN Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# OTHER COMPANY S S Y V-Qn(4& V I SIGNATURE REGISTERED N FEE CURREN I Y/N Address 630 N Hart Blvd.Orlando,FL 32818 License# CCC1329220 EElE€€€Ft€[lEEE€[FE[E!E [![EEEE!€€[EE[[[€[E€!E[€EE [EE[[[[[EE![Ef[!![t RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Persil for new construction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for subdiv)sionsllarge 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 wl 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) Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter it on public roadways..needs ROW 813-760-0020 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 Divisior>—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 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 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—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"owner"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,Water/WastewaterTreatment. 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"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 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,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 MUR LENDER OR AN NEY BEFORE RECORDING YOUR NOTICE QF COMMENCEMENT. FLORIDA JURAT(F.S. OWNER OR AGENT TRACTOR u orbf�a�n�d�sw 1 or a r be m is bs ribed and sworn (ar (firmed be a me this GTAby 4 9YIo�2ot.� by 1�°IIL�I a�� avnrrf W is(a personally"known to me ar hasr' produced V'VAo i—slar�parsaoally known to or has/have produced t/ ( as identification. as identification. (��� /1/�p9�t p Notary ublic y f( Notary Public Commission No OU-IZ/. Commission No. 2/ '70 Coyal Br CQ M I 1211fer Name of of Notary typed,printed or stamped stamped Name of Notary typed,printed or stamped Coral Ritter Coral Ritter A NOTARY PUBLIC NOTARY PUBLIC 0 —STATE OF FLORIDA at —STATE OF FLORIDA Com1Tl#GG927598 i Comm#GG927598 E 1SV Expires 10/29/2023 E 19�� Expires 10/29/2023 INSTR#2020089007 OR BK 1 Q 113 PG 1793 page 1 of 1 06/05/2020 08:39 AM Rcpt 2168390 Rea 10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller P&MANe. Parcel@Na �ty'<t V� —�©�YV"V2Q NOTICE OF COMMENCEMENT states_ f2prula Caddy of aLsw THE UNDERSiGNID teerulyg�res retie ttrai tmpnmvrierrtw?f be made to amain real popady,and in accIXdanor va'4y Ghspter7t3,Fronde Stalu[es, too(slowing Information is provided In Iris.Nolte oI cor run i. DdsakMiort o1 Prope,rtry:ParCbi Were"Frst�r No.d'T� SbeotAddreas:lQ7-T� 0010dq✓./- alr- ZtgNrVit lise ab642— 2 GeAerw Cesofp000 or meprorttmnt 3. Owner tolamatlon or Lessee information 0 foci Lessee co rtracted for fhe improvement , kLZl I —0id11 Y} �anief 13DW vj ! Vamr'layl WAX/ 7_cnht.rhi f fs Address —T CrTy �—7— Stars Interest in RopNit: S1d.7o( Name of FesS Ve Tiaeholder (itddterent from Owner listed ahuve) 4, Contractor.�f[,1or, rQl7(G c�lXl/I LEf CRY sue ' SUta Oo,We(e Te`NQhcoe Ro_fS 6. Surary: Name Address city stale Amount of HoM:5 Tektphow No.: 6. Lender. Name Address city State Lendafs Teteoltate No: 7. Punters v4gun the State of Florida designated by the Amer upon wtmm routes or odwr davnrents may be served a,p-.W by Soction713.13(1 )(a)(7),Roidn Stand— Name Address City State Tetephome NamDnro/DesigrcJtod Peron: 6. In adddan to Nrnseh,the comer designates of_, m receive o Gciryof dta UaoVs tFake a3(MOYk3ed in Section 713.13(lYb),Ftedda Statute, Telephone Number of Person or EnIlyDestgnated by Owner: fl. FOr0co date of Nate of Conmemwneut(the expiration data may not be before the wmpfatloa of corc7uction and Ina!patpuent to ttre contractor.but vhi be oneyear from the date of rrzoNing unless a different date is specigadk WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COrdMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART t.SECTION 71113,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 Recario a YOUR HOTiCE OF W46MENCEhfEfff Under Penalty of paqury,t declare that t have toad the toro4Wnl7roTiceot cemne a face ctatod therein om two to the best of my,knoWiedge and belief. STATEOFFLORIDA COUNTY OF PASCO L Zriti'fn�"F' gnatureof OWworLessee.o,On&6rbM&rsesAutrrodired Otfxerl0iroclorlPanner/Manager Stgnatort(s ThlerOffice Th.bWoefg insvumertr was ad—.4adgad before coo lrb�dayofJunr. zg�. llrC.�i�?-4-3iil.t..er-1 13 &Y-9 n ns (7W nQ� (type of.ulhonty,e.g.,officer.Uustee,attorney in tact)for (namedP •of xfum mb+xncnt wa exacuted} Posonally K.—❑0 Produced Identification p� Notary S(gnalae� Type oftdenflicatfon Produced vrI•,;� L�fPH Nama(Prmt) (-fir. e/ Coral Ritter NOTARY PUBLIC STATE OF FLORIDA Comrw GG927598 Expires 1012912023 ePd.!&bcs1rn�tyce330d3 , POWER OF ATTORNEY Date: 06/11/2020 I hereby name and appoint: Wyatt Hamm To be my lawful attorney in fact to sign/pick-up my documents pertaining to permits for Zephyrhills County Building Department (Check and complete the following) F"'To sign for and or pick-up all documents: OR ❑ To this specific job for work to be performed at: Location: 6445 Victorian Way Zephyrhills, FL 33542 Parcel ID# 03-26-21-0220-001300-0200 Company Name: Restorsurance Services License Number: CCC1329220 Name of Contractor: Mic ael Hamm Signature of Contractor: State of Florida County of Orange The foregoing instrument was acknowledged before me this 11 day of June 20 20 by Michael Hamm who,is/are ersonally known tom r who has provided as identification,and who did not take an oath. *E1 Coral RitterSignature-Notary Public NOTARY PUBLIC STATE OF FLORIDA Convn#GG927598 Coral Ritter Expires 10/29/2023 Printed Name-Notary Public