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Q fCOfllf)tl Y City Of ZephyrhiliS PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-000310-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 06/29/2020 Permit Type: Building General (Residential) Property.Number Street Address 02 26 21 0080 00100 0056 6045 12Th Street Owner Information Permit Information Contractor Information Name: ` STARR CHAMBERLAIN Permit Type:Building General(Residential) Contractor: IRON CITY CONSTRUCTIOP Class of Work:Reroof(Shingle Only) LLC Address: 6045 12Th St Building Valuation:$6,135.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)377-5858 Mechanical Valuation: \ Plumbing Valuation: _ Total Valuation:$6,135.00 i Total Fees:$106.02 Amount Paid:$106.02 Date Paid:6/29/2020 3:16:27PM Project Description REROOF SHINGLE Application Fees Building Permit Fee $106.02 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. 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 ` Y1i�l�I7t' Z. JE19Razaa Owners Name STARR CHAMBERLAIN Owner Phone Number 813-377-5858 Owners Address 604512TH ST.ZEPHYRHILLS,FL 33542 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 604512TH ST.ZEPHYRHILLS,FL 33542 LOT# . SUBDIVISION TYSON SUB PARCEL ID# 02-26-21-0080-0010MO5_6 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM = OTHER TYPE OF CONSTRUCTION R BLOCK Q FRAME STEEL = DESCRIPTION OF WORK REROOF TOTAL TEAR OFF SHINGLES BUILDING SIZE SQ FOOTAGE 1700 HEIGHT +rc�+ =BUILDING $ 6135.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =v =GAS = ROOFING XQ SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO IRON CITY CONSTRUCTION LLC BUILDER COMPANY 1 813-909-3778 SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address 5042 SILVER CHARM TER.WESLEY CHAPEL,FL 33544 License# CCC1331711 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# llllll 1211sllllll.i_3IIl7fIlA)QfHiltlll[II.tII<li.lF11111111111111 111111111 111illiflt RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, Minimum ten(10)_working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge 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(far 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 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 dt 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 1,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,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 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,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 O, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECQRDING YQJJR N TICE QF COMMENCEMENT FLORIDA JURAT(F.S.117.03) R;oa : '• OWNER OR AGENT CONTRACTOR a o Subscribed and sworn to or affirmed before me this IT ed and sw m o or affirt�ed befor4e t/M�'s n w^ by ( ) �t" by_OC10`Thc�(� FTC— Who is/are personalty known to me or has/have produced Whojsjar_e k ovally known to me or has/have produced as identification. Vl as identification. d % m m Notary Public Notary Public ;N T ^ o Commission No. Com 7N . 4 U N o a C ub P Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped INSTR#2020103328 OR BK J V J Z7 PG a3bUU Page 1 of 1 06/29/2020 02:37 PM Rcpt:2176729 Rao: 10.00 DS:0.00 IT:0.00 Nikki Alvarez Sowles Esa Pasco County Clerk&Comptroller Permit No. Parcel ID No 0 DA���` O O S 0 O 10.1 O O NOTICE OF COMMENCEMENT State or 19 t-1G A County of Pa"Co 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 1. Description.of Property:Parcel Identification No. da„P-b— O'O g`O—0 o(ti O Q_o'S(r Street Address: (0ed45 1a- S'F ce��1,/r1f1; 2. General Description of Improvement 3. Owner Information or Lessee information If the Lessee contracted for the improvement �'d-a mac- G�oM bPr�o�n Nam XtS City Z e Stele Address Interest In Property: O W n 2 r Name of Fee Simple Titleholder. (If different from Owner listed above) Address L`eitw state 4. Contractor. Tr n CA fC-n5{YLc j`I1sn 'S"O+( ante r l,rc� G1�.... --err. 6.3 ens I . Ch c P e 1 FL Address }�I_ _ O City State Contractors Telephone No.: 5. Surety: Name Address City State n Amount of Bond:t Telephone No.: 6, Lender. Noma Address City State Lenders Telephone No.: 7. Persons within the State of 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 Y-45 0 Telephone Number of Designated Person: O E5 8. In addition to himself•the owner designates of— O f0 cn o i.,;, to receive a copy of the l.lenors Notice as provided in Section 713.13(1)(b),Florida Statutes. 0 Q a � Y N � C Telephone Number of Person or Entity Designated by Owner: �I c 0 O mmn Y 0 a. Expiration date of Notice of Commencement(the e0ratIon date may not be before the completion of construction and final payment to the p0 0 s Y contractor,but will be one year from the date of recording unless a different date is specified): U ARE CONSIDER NG To DE IMPROPER PAYMENTS NOERR: ANY PAYMENTS MADE BY FCHAPTER 71 OWNER 3�PART 1 C THE TION 713.3 FLORIDA ENT C Cr STATUTES ANDTION OF THE NOTICE OF MCAN 3 " O LLJ n RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP&RTY. A NOTICE OF COMMENCEMENt MUST BE O U RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT -g MATH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. N v v O Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best •p 0 COO LL of my knowledge and belief. O a t N STATE OF FLORIDA E6 Occ COUNTY OF PASCO -� Signature of Owner or Lessee,or Owners or Lessee's Authorized c rn Offlem/pireetor/Partner/Manager m N m A? N o Signatory'sTitie/ �Office 149 H 0 3 The foregoing Instrument was aolvtovAedged before me this_achy of I a 27ZJ by as a i (type of authority.e.g.,of iew,trustee,attorney in fed)for _ 11•.,,.,� (n of pa on behalf of vfiom ns rent cewted). Personally Known�B Produced.ldenttfiration❑ Notary Sig Type of Identification Produced Name(Print) DEANN M.SHAFFER MY COMMISSION#GG 199526 ;;n:i::•., �epNrl' d ��EXPIRES:Marychh 22.202�2 p y tided Thru Nofary Plmllo Underwibrs wpdata/bes/nogowxnmencmmt_pcO53048 s D City of Zephyrhills 5335 81h St : . Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: 52. I, S hna`F1'3c,n licensed under Chapter 464,Florida Statutes as a(n): Contractor Engineer Architect_Building Inspector_ License No. ccC On or about 7 . J as did personally inspect the:. Check:, Roof Deck Nailing v' Dry in i/ Flashing and Drip edge ✓ - Check which was used: 30#felt Peel and StickOther.(List) ,' At the following address: . —4)(. - Based upon that examination,I have determined the installation was.done according.to the Hurricane Mitigation Retrofit Manual(Based on'Section 553.844,Florida Statutes). Signature: STATE OF FLORIDA COUNTY OF PASCO . Sworn to nd subscribed before this day 7 I3 otary Public State of Florida """�'" "v AU6` URVASiii PATE! - e°. .` =. Notary Public—StateofFtorida . •: Commission#GG 091558 My Comm.Expires May 21,2021 Bonded through National Notary Assr.