HomeMy WebLinkAbout20-365 City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000365-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/13/2020
Permit Type: Building General (Residential)
Property, Number Street Address
12 26 21 0100 00000 0240 5148 Summer Hill Drive
Owner Information Permit Information Contractor Information
Name: ADA&MELKIS GAMEZ&GUILARTI Permit Type:Building General(Residential) Contractor: ROOF DOC INC
Class of Work:Reroof(Shingle Only)
Address: 5148 Summer Hill Dr Building Valuation:$8,700.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)453-3394 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,700.00
Total Fees:$83.50
Amount Paid:$83.50
Date Paid:7/13/2020 2:02:42PM
jProject Description
REROOF SHINGLE L/
Application Fees
Building Permit Fee $83.50
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhiils Permit Application Fax-818-780-0021
Building Department
Date Received kA +ti. �
Phone Contact for Permitting 22 f zz
Owner's"Name. �� i S Owner-Phone:Number." J ` ) J
Ownees'Address " -Owner.Phone.Number
Fee Simple Titleholder Name, F Owner Phone-Number -
Fee Simple Titleholder Address
JAB ADDRESS U Y-n InPar LOT# - a4
SUBDIVISION 3) : Vp:5 ..300 M 3q PARCEL.ID# i _6 l d U r 00(W'0,340
(OBTAINED FROM PROPERTY TAX NOTICE)
WORKPROPOSED . NEW-CONSTR -ADD/ALT. C�:; SIGN CJ C] - DEMOLISH
R INSTALL 8 .-REPAIR
PROPOSED USE Q' SFR'• Q COMM Q OTHER•.
TYPE OF CONSTRUCTION 0 ,BLOCK E 'FRAME 0 STEEL Q
DESCRIPTION OF WORK 5 0� 0,91 rt E & -TGi � -
BUILDING.SIZE . F J SO FOOTAGE r�1 HEIGHT.-.
EIGHT -'E19 �.
UILDING J$ VALUATION OF TOTAL CONSTRUCTION,
=ELECTRICAL i ($ AMP.SERVICE 0., PRO.GRES.S_ENERGY Q W.R.E.C.
=PLUMBING $'
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS '�( �ROOFIOWQ SPECIALTY..,=. OTHER . J
FINISHED FLOOR•ELEVATIONS', FL'OOD':ZONE AREA =YES'''% NO
4 . ., ,t,.,-,
BUILDER , f� COMPANYc9t`a
SIGNATURE l i n� Sm t1V"+ :REGISTERED.. Y•/...N• ;ik.FE,":euRREn;. t; Y:!Nr i`
Address t $ e
c� I Licensee#: �
ELECTRICIAN COMPANY.
SIGNATURE _ REGISTERED Y/.N "._ :_1;;,SE ,CURREN Y/N �(
Address
F�LUMBER COMPANY
•SIGNATURE REGISTERED Y/"N;` '"''FEE:GURRE�~ Y 1 N.
Address :4 License'#
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN '0 FEE CURRE<`'"
Address License#:
THER. -COMPANY
IGNATURE z.RWISTERED. .Y/"<W ;FEE CURREN Y. /N
Address - License:#
RESIDENTIAL Attach(2).;Plot:Plans;,(2)aets.,of•BuildingPlans;,(I,);setof,,Energy"Forme;RrO-W;:P",ermitfornewconstruction,
Minimum ten(10)working days-after'submitiaFdate:"Required dnsite; ris'tructian Plans,-StbrmwaterPians w/Silt Fence ins_tilted;
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach.(2)complete sets of Building Plans plus a LifesSafgty Page;.(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)workingday§:aftersubmittal date:.:Required-onsite,Construction Pians;:Stormwater Plans w/Silt Fence;Installe_d,
Sanitary.Facilides&I dumpster.Site Work Permit;for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered°Plana:
****PROPERTY:SURVEY requtred for all,NEW construction.
`Der®ctions:
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 _icoritr regitlred}
Reroofs If shingles Sewer's Service Upgrades:-A/C Fences'(Plot/Survey/Footage)
Driveways-Nat over Counter If on public raadwa}rs,.needs ROW
NOTICE-OF-DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which maybe more'restrictive than,County regulations. The undersigned assumes rot ponsibilityfor'compliance with any
applicable deed restrictions. .
UNLICENSED CONTRACTORS AND CONTRACTOR Min IBIL'ITIES: --kf-the'-,owner.`has hired, a':contractor..or
contractors:to undertake work,-they maybe required a be licensed in accordance with.state;and_local,regulations: -If the :-
contractor is not licensed as required bylaw, both the owner and contractor'may,be,cited,for"amisdemeanor 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 ort.contractors, he is advised to-have the-,,.contractor(s) sign
portions of the "contractor Block" of this-application.for which.:they,will be.responsible. 1fyouu,,_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:nurhber 89-07,and
90-07,•as amended: The undersigned-also.understarids,.that"stich'fees, as may be due, will be identified;at the time-'of.
permitting. It.is further uriderstoodtliat Transportation Impact Fees and Resource Recovery Fees must be-paid prior to
receiving-a "certificate of occupancy" orAnal power release._.If the:'p'roject 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'Paseo County ordinances.
CONSTRUCTION.LIEN IL`'AW'(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.of4he Florida-Construction:Lien,*'Law-Homeowner's
Protection .Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant-Wsomeone,
other than the"owner";1 certify=that(':have ofjtained'a copyof the.above desdribed document-and promise in.good faith to
deliver it to the"owner".prior to'commencement::;.,::,.
CONTRACTOR'S-1OW ER':,ShA FIDAVIT:;a';ce of #hat all;the,information-;�nµthis applicatiowis accurate:and:that all work
will be done in compliance-with a1lNapplicable laws regulafing construction, zoning and land development. .Application is
hereby made to obtain-a -permit;to do work.Anf' insta (:certify that no work.or installation'.hat
commenced-prior:to.issuance of a:permmt Bind that,:all.wor'k will.be..-performed to meet�:standards of all:laws.regulating
construction',tounty,andY'C.i .c'odes; zoning regulations;, and':land�'tlevelo'pment regulations in th jurisdictions I also
certify that flonderstand'thatthe regulations of--other::government:agencies:may applyto•ahe,intended,work, and that it is
my responsibility to'i.dentify-what-actions I must-take- be'in,coMpliance..�Such.agencies-include but are not limited:to: .
Departinent�of.'.Environmental Protection-Cypress:�'Eayheads;:W'etland_Areas.sand„Environmentally Sensitive
�'Lands��W;aterMastewater Treatment,,.:. . -
Souftest Florida Water Management District;-Woils; .",Cypress, Bayheads,. Wetland Areas, Alfering
1lll6tercourses.
Army Corps of Engineers-Seawalls;,Docks, Navigatile:Waterways.
Department of Health & Rehabilitative Servf es/Environmental�Health"Unit-.Wells; Wastewater Treatments
Septic-Tanks.
- - .US,,-Environ mental,Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways:'
I understand—that—the following:restrictions.apply,,to,.the:use,of fill:,
Use of fill"s-hotallowedin.. od':Zone..V"unless expressly permitted.
If the .fill material is to be used in -Flood Zone 'A"; it t"understood that''a`drainage plan addressing a
"compensating,;,volume" will be submitted at time'of-perritting which is prepared_by a.professional engineer
licensed:by the:State of Florida.
If th .fill.moterial:is to:be. used.'in_,Flood Zone "A"''in'connection with a permitted building using stem'wall.
construction 1:certlfy:thatfill:will'be'used only to fill the area.within.the stem-wall.
If fill- materiat.'is o. be:.used,.in any area, I certify that use of such fill will not adversely affect-adjacent
properties ::If:use:of.;fill.is.foui d to adversely affect:adjacent:properties,the,owner.may be cited for violating
the conditionss:of-4he.building`permit issued.under the.,attached.permit application, for lots less than one (1).
;acre:wlich;are Elevatedby fill,:an.engineered drainage;plan is required.
If 161m,th1wAGENt<FO T�i O NNER`, Lpromise in-goodLfaiti 'to�inform'.the;owner,of the permitting conditions set forth in
this:affidaVif"o,6r-twCorn'mencing;construction. I understand,.that-a'separate permit may be required for electrical.work, .
plum s'Aair..:conditioning, gas, or other instdllations`not',•specifically:included in_,'thw application. 'A
permit.'istiS'od"shall be';construed,;to,:be a:license to,proceed w,ith,.therwork-and not as authority to violate, cancel,.alter,,or,
set asitleatiy pY'oviiois of gtlietgch'ii'icalcottes, nor'shall issuanceaof:a.permit prevent the Building..Official fromth'ereifter:..
requiring!a�cbrre.Ction�of:ere'dr,6 w-an"s; construction or violations-of>anyfcodes Every•permit issuetl,shall.become invalid
unless tf'e,vvbrt:autf%itized�lby surf`:permit:is commenced within six_months-,of,permit issuance, or if work authorizi§&by.
the perms is suspen'ded.or"at andon d fota'period of`six�(6)months:after?tiie'time'.the work`is•commenced. An-extension
may be:requeste'd, in writing; from:_the,B;uilding.Offcial,for.a;p�eriod�not to exceed-ninety(90).days and will.demonstrate
justifiable cause for:Ahd.''extension:='If'work ceases for ninety(90)'consecutive.days,the job is considered abandoned..
WARNING TO=AWNER:;.-YOUR;,,FAILURE=TO.RECORD A NOTICE-OF,•COMMENCEMENT.MAY RESULT--IN-YOUR
PAYING7Wid.k'`EOR`IMP('O'1',E-M�ENTS4'TO'YO;UFiirPROF RTY"°I jYOUINa„,tmitpir{o,!oei'AIN--FINANCING'CONSULT .
—NVITI I-VOIJR�LLNDER'O'R AN iATTORIVEY`BEFOFtLAECCODING yv'11 �NOTIC 'dF`Ct�MMENCEMENT.
FLORIDA JURAT(F:S:117:03)'"'' l —
OWNER.ORAGENT CONTRACT RI —
subscribed'and sworn to'(deaffliined)before me this Sub'scritiediand swo" T bef me't is -
(3-Zt b .
Who Is/are personally known to me or has/have produced W is/are personally knowft me of,,has/have,produced
as identification. as idenNflcation. `>Z
<� leers Li c se
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name RN :l Sr ecf�� ARM 57
Expires December 12,2022
?.F Bonded 11uu Troy Fain Insurance BM-385-7019
INSTR#2Q20111878 OR BK 1 0136 PG 1488 Page 1 of 1
07/18/2020 02:45 PM Rcpt:2181472 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Thisrpaeefor aaebr C1wk of de Chsn[t Cart only.
NOTICE OF COMMENCEMENT
Permit Number:
Tex Folio No.
Thevadersigaedbasb7give native thatimprovementswIDEe nude tocxrlaia red prepaly,and iducordeaft hkSection723.i3of*a
Florida Statutes,tee following idmsmtion b provided b the NOTICE OF COMMENCEIIIENT.
L Lega11 lost property{stoat address nx;uired}:
-AI_01 W - coo pIJ "-Uo�-( n
. 1.5
2. Crenaai description ofimpwvemgnm e no LIA
n T
3a. OwwNsme:
Owner Address: 5Uynn%Av thill. VIL zeokwrin,lls 1 2.
3b. Owner's inoersst in site: l Jt_1/°
3c. Fee Simple Title holder(of other than owner)X
Address*i
4. ConftwtorN 6O lv u A
Address Phew 913 Ana 6112
5. Surety Name: Amount ofbond:
Address: Phone:
S. LenderNsme: eamec
Address: Phone:
7. Person within the State ofFl designated by owner open whom notices or odwdommaeats_may be served as provided by
Section 713.13(lXa)7,Flori tatutm
Nerve: Address:
Phone Number.
s. to addition to himsei$ designates the following pasonto receive a copy of the Lieaues Notice as provided in Section
713.13(l)(bj Florida S
Name. Address:
Phone Number:
9. Expiration date of Notice o (expiration data is and(1)year from date of recording unless a difiermd date is
�4.
WARNINGTOOWNEB:ANY PAYMMMADEBYTHROWWMAr*tBR'r'QEEXPDtAT10NOFTli6NOT[CEOFCoMMENGMNTARE
CONsmnm v&momm PAYMENTS UNDER CHAPTER 7mrART r,SECTION 7I3.r3,nmmA SrATuxxXAND Ci%N RESULT INYOUR
PAYINGTWI,MFORMMOVEMFNUTOYOURPWPERTY.AK(VnCEOFC011IIMENMMMMMBERECORDEDATIDPOSMONTHE
joBsnzB oju;TREpiRSfINSPE rwx WYOUINTFNDTOORTAINFR4AN@1G,CONSMTWiTBYOURLENDEROBANATrORNEY
IEFMCOP&WMCMWORKOStREWIWMGIYANorporcopam
LISA MARIE PALINSKYA AA
.*s MY COMMISSION#GG037724 Sigaahas of or or orLasoe's Authoriared
EXPIRES October 11.2020
dwHo�
Siglatotya rlde/office
STATE OF FLORMA..-
PA
The f iastoacent was s/dtmowledge before me this_�{L_ day of 20 L !
by �y S 1 S L'1A VVg z) m 0 w r" far a b a b�. G1 dew SS
Personally y Kaawo ORProbwedIdeatifiearial
Type ofwwificeu'anftrodn StoO
S' Pablic
itador of perjay,t dectrse that i the foregoing cad that the facts stated ice' are tnle the bat ofmy taowtedge and belief
4
Si Signing Alpve
• {Ampydayl,aodama6e.wc5ednihetlmedioeods'inndthuNdbaedCamaracm�) Vpdwd29N0V2D12
IRC
State Of Florida,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.
Witness my hand and o cial seal this
08Y 0 k1k., 2Q20
Nikki Alvar 0, les,Esq. erk&Comptroller
Pas • o ty,F orlda
B Deputy Clerk