HomeMy WebLinkAbout20-326 City Of Zephyrhilis PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000326-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/02/2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 210010 17300 0170 5324 17Th Street
Owner Information Permit Information Contractor Information
Name: ROBERT&PATRICIA DUNHAM Permit Type:Building General(Residential) Contractor: PARLAMENT ROOFING &
Class of Work:Reroof(Shingle Only) CONSTRUCTION
Address: 5324 17Th St Building Valuation:$16,431.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)997-6211 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$16,431.00
Total Fees:$122.16 /
Amount Paid:$122.16
Date Paid:7/2/2020 11:20:06AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $122.16
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
a L
NTRACT SIGNATURE PE IT OFFICE
PER EXP RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Ph,,.,..,Contact for Permitting 1(S CIS r. . . .
Owner's Name Owner Phone Number
Owners Addressl L1-1-t*x M7 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
49B ADDRESSI'I- 33 LOT#
SUBDIVISION PARCEL ID#FJ F 7-6-2-1,-0010 171300-601D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE I I SO FOOTAGEP� HEIGHT
- .Ea. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UILDING 1 VALUATION IATION OF TOTAL CONSTRUCTION" &'4z)I
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . tale
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN LILN J
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN
Address :1License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y1 N FEE CURREN LY/N
Address License# I I
OTHER �i COMPANY rR.A0dY.,e,0J_ afE5
SIGNATURE REGISTERED Y/N FEE CURREN LYLN Y
Address T-21*6 Xopynaot-6 C License# F(-cc a 2A J 7A
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&I dumpster,Site Work Permit for subdivisionsnarge 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*.
Ffll 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 Attomey(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(PloUSurvey/Footage)
Driveways-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 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 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 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 car*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 car* 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,Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 "A7, 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,)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,after,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 IMPROVEMED)TS TO YOUR PROPERTY. IF YOU INTEND TO OBT41 FINANCING,CONSULT
N vWITH YOUR LENDER OR AN ATTERNEY BEFORE RECORDING YOUR NOTICE 05<MME—ftEMENT.
FLORIDA JURAT(F.S.117.0*
us OWNER 0 ENT CO=C
03 �_o_m_4_i rrg"ffirgified)before me this
n we a rn�� Subscribed OnAd�sTw 5o r a y py y
y L
C,1
Vft~"6 we onally me Ar hasfhave produc49 Who istare personally known to me or has/have produced
as Identification. as Identification.
E!
Z EZ
<2'0 otary Pubtic Notary Public
ie 20
0 :... qftmispion No.
WZ2 Commission No
it 9nonff-�)aow mw(�t
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2020105856OR BK10130 PG1896 Page I of I
07/02/2020 10:46 AM Rcpt:2178151 Rec: 10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
A
Permit Number
Parcel ID Number
N 0 Tj C E OF COMMENCEMENT
State of Florida THis AREA Is RESERVED FOR CLERK OF THE COURT CERTIFICATION
County Of Pinellas '
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.
!.Description of property(legal description): tf4%4 OP 2,ej&c-i�,I L I �9 I e4—& S+ 4-6—75 -1-7 1 dC 713
a)Street(job)Address: ('W St '21-46-tri-WI
2.General description of improvements:
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: 5_"3�%+ ll� -4-, 9.4i r►�- %IISSS. 5-354-2—
b)Name and address of fee simple fifteholder(I different than Owner listed above)
c)Interest in Property. 0%,-kqC 4-
4,Contractor Information
8)Name and address; 9.-cOveke, !i2-9V6 IrC 3-
b)Telephone No.: :7 L 5''i U !:H t o Fax No.:(opfionao
5,Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.;
C)Amount of Bond, $
Lermleir
8)Name and address:
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7,,Florida SWes:
a)Name and address:
b)Telephone No.: Fax No.:(option!}
e.a.in addWan to himself Or herself,Owner designates Of
to receive a copy of the Liences Notice as providid in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner.
9.Expiration,date of notice or commencement(the expirition date may not be before the completion of construction and final payment to the
conhetM but win be I year from the date of recording unless a different date is spedW: 20
WARNING To OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
"D OWNER:
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
CO T JOB BEFORE
HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
C
ATTORNEy BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
13
tinder
R of p nury
nder penally perjury,I declare that I have mad the foregoing notice of commencement and that the facts Stated therein are true to the best of my
k;nTwMed9e an"beOkef. .�,.—:r
'W
Omer Of Oft'Ud W Loma's(Authorized Tdnt Name and PMV(ft fine"Tile/Office)
The for oing InstpuMent was acknowledged before,me this; day of k
by (typecisuftte.g.cffioer,tM va ,aftmeyin fed)
for
(Name ofPerson} (type of authorny....9-9.Acer,trustee,anomey in fact)
for W"(name of party-on behalf of whom instrument executed,.
Personally Known 0 Produced ID- N
Type of ID DtafySignature
Print name:
NOTARY STAMP JOSEPH MEJIAS'bE Hdy0S
Notary Public,State of Florida
MY Comm.Expires dui.29,2023
No.GG 359902
State Of Florlda,County Of Pasco
This is to certify that the foregoing is a
true and correct copy of the document
on file or of public record in this office.
Ing we Trwt Witnessjny hand and official seal this
day of (at)i it
Nikki Alvarez-Sowles,Esq.1 Clerk&Comptroller
Pas ounty,Florid
Pas
1887 BY Deputy Clerk
i
OD
City of Zephyrhiils
5335 80'St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: 6 06324o-2-07--)
3 gk, licensed under Chapter 468,Florida Statutes as a(n):
Co,ntractor;4,1ngineer Architect Building Inspector
License No. CCC 132CI?2q
On or about —7 Z 710 did personally inspect the:
Check: Roof Deck Nailing Dry In Flashing and Drip edge
Check which was used: 30#felt Peel and Stick /Other(List)
At the following
address: &T
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
Swor and�-ubscri6 ore this day
B
Notary Public Sta 4oFlorlda JOSEPH MEMAS DE HOYOS JOSEPH MEXAS DE HOYOS
Notary Public Iitatul,of Florida Notary PubliL ,,.,te of Florida
My Comm.Expnes Jul.29,2023 My Comm.Expnas Jul.29,2023
No.GG 359902 No.GG 359902