HomeMy WebLinkAbout20-369 m
fu ��;�, City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000369-2020
Phone: (813)780-0020
' r Fax: (813)780-0021 Issue Date: 07/14/2020
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Permit Type: Building General (Residential)
Property Number Street Address
35 25 21 0010 08200 0010 7334 16Th Street
Owner Information Permit Information Contractor Information,
Name: LATTER DAY SAINTS CHURCH OF Permit Type:Building General(Residential) Contractor: FOSThR ROOFING
C/O PATSY FABRICIUS Class of Work:Reroof(Shingle Only) ENTERPRISE IN
Address: 3748 Russian Olive Ln Building Valuation:$23,980.00
ZEPHYRHILLS,FL 33541-4659 Electrical Valuation:
Phone: (813)385-4495 Mechanical Valuation: \I
Plumbing Valuation: 11 1
Total Valuation:$23,980.00
Total Fees.$159.90
Amount Paid:$159.90
Date Paid:7/14/2020 10:39:57AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $159.90
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.
N -R 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
[[[[3!!L3 P a 2 2 2 7[
rs Names �OwnelyrFPhlyy/one Number
l;1 caner sJAddress 04 ve 1 Oufinyer Phose Number
Fee Simple Titleholder Name Owner Phone Number
G' Fee Simple Titleholder Address
JOB ADDRESS 1 4 ' r 1 /-&&41 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION Qe �Mr13LLO,CrK Q FRAME Q STEEL Q
DESCRIPTION OF WORK fLI, 9,4- F o (W P
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING IS �V VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Y/�l
=GAS ORT ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY v
SIGNATURE /I REGISTERED����JJ� � YIN FEE CURREN YIN
Address W ,-34(�5 License# V
L!!!L!!![! !.!!L8![L[LLL-.I!!!.!![LLL!!!!t[.![[laLILLL[P[!![9111 to IanIat
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&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 Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Sill 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.(AIC 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/FGotage)
Driveways-Not over Counter if 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 727-847-8009.
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 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.
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, 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"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 Bulding 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 I NO TO OBTAI FINANCING,CONSULT
ATTORNEY BEFORE RE
WITH YOUR LE _C
FLORIDA JURAT(F.S 1 7.03)
OWNER OR AGENT CONTRACTOR
S b cribed.and sw to(or alfi bef me is Subscribed and s to(or a firmed)befor a this
,-
i are pets y to me or has/have produced i are persona nown to me or hasihave produced
as identification. as identification.
otary Public ry Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
=National
D HOSFELD HEATHER D HOSFELD
NotaryPublic-StateofFlorida
-StateofFlorida--GG'8'298 Commission=GG'8'298
ireshtar2'.2022 Y piesVar2 2D22
ional Notary Assn. Bonded through National Notary Assn.
INSTR#2020111637ORBK10136 PG402 page i of i
07/1 MOM 11:47 AM RcPt 2181321 Rec:10.00 OS:0.00 IT,0.00
Nikki Alvarez-SovWes,Esq.,Pasco Cou
zerntNumber
Key Number
NOTICE OF COMMENCEMENT
THE tW5WNW haeby pw notice ft mVmwmeft va be made tD gatab red pmpAy,and in asmalence volth Section 713.of the
FM&,cbhft%ft tlbvmg K=Mw is pmuided in this NOTICE OF COAgAINCEME11T.
a)Stmd Addrew
Remol
lownerliftnuabon or LeswAulltmillaimmlif the Lessee conwacted fbrft,wmvwpm
a)Nem and address C•�#A't2ect P
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,)mama and aftem-Fostees Rooting Enterprises P.O.Box 633 Brooksville,FL 34605
h)Teieome No:(3352)799-0045 Fax No.:(Qp&VQ(352)544-1003
s.Sony of vpp6m*i-,a w"of the pawamd boo!Is attached)
a)Name and address:
b)Teleowexo�
&Lender
a)Nerve and address:
b)TmIephowNo.-.
T.posonswokin the Shoof Flerlde dempated by Owner upon whm nubeesor alfwdomments may be saved as pmvkM by Seftn
713.13(1)(a)7.,Fbrwa Slsbftr:
a)Nente and address
b)TeWK--No: Fax�—k-:(Gptbxmt)
&aAnadd%w.toWmself orhmelf.OwnerdesigMes Of
tDraceime copy ot the L4eiWsNoWeas provided in Soon 7l3.13(l)(b),FlorldeStartes.
b)Rwxo Nwnbw of Person or wtty desomted by Omer.
9.Eqkabundaft of notice of commencemest0he eVn&n dais way riot be bebre the completion of cwhuction and S-W payment tothe
=*acW,Wwiflbslywfmm the d9zcf miessadirfereadatsism 120
WARNIM TO GWNM ANY PAYMENTS MADE recording
THE OWNER AFTER THE ESRATM OF W NOTICE OF MIAMENCIMIENT RFI
CO RED PAYMENTS UNDER CHAPTER713,PART L SECTKA 713.13,FLORMA STATUTES,AND CAN RESULT IN YOUR
PAVING TWICE FOR WWVBWM TO YOUR PROPERTY.A NOTICE OF COMENC139M UtW BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST INSPECTIOAL IF YOU INTEND TO OBTAIN FWANCW%CONSULT VMn YOUR LENDER OR.AN
ATl�ORNEYBEFORECOIY3MfIVMWORKOltRECORDIhGYOMNCIMEOFCOINEI IMENT.
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Type of to Nolarysignawm
Print name
bra rrg�� DOUGLAS CLOWES
DOUGLAS CLOWES
CommWoolIGG218747 o EX*S May 20,2022
EoriteaMay20,2022
7 71710,
Fosters Roofing
Enter I prises
P.O. Box 633 UP.#CCC1330166
3333B Brooksville, FL 34605-633
U 727-848-6600
-MEMBER 7/-2 :10
352-799'-0045 Date:
Name Galvanized Valley
Address Angle,Flashing
Aluminum Drip V/
City. State. Zip* Galvanized Drip
Phone Z' - Plumbing Boots: 4" --------------3"
E/3 Wo
2 V' 11/2"
GRV Vent v--'
Special Order Range Vent L,-'
Life Time Ultra Ridge Vent V-11-
Life Time
3 Tab Shingle End Plugs
02/2�0
Synthetic Umtedayment
e'erNLstiak,-_' * ' CONTRACT PRICE
90 Lb. Roll Roofing DEPOSIT
POSIT"
bv_e� -C
E MI
TPO
SBS PAYMENT ON
Cement/Adhesive COMPLETION
Plywood: 0/0 Per She t 2x6 per ft. 2 x 4 er ft. Re-nail Decking
Z/ 5-4,7 - 'e 2=� V 'It-e-
rs
�2_3,
............
All wood repair is extra. By signing this proposal you arc giving me permission to'dliange and charge for
any bad wood that is required.by law. Workmanship is guaranteed for a period of '-
years. Price
includes'ell taxes and permit fees. Prices are subject to change Without notice.Any-legal fees pertaining to
this contract or for the collection thereof shall be paid in full by contractee. Homeowner must provide
access thru driveway or-yard to the roof.
We propose he reby to furnish material and labor-complete.in accordance with above specifications, for the
sum of$ 7,�;'
Payment to be made as follows: In full upon job completion.A 3%charge will
be applied for processing credit cards.
All material to be specified. Any alteration ordeviation 1rorn the above specifications involving extra costs
will be executed only upon written orders, and will become an extra char-cover and'above the estimate.
All arrangements contingent*u 'n'st 'kes, accidents or delays beyond our control. Our workers are fully
covered by workers comp ation it Liranc
Authorized Signature Vow: This proposal mar he withdrawn br its ifnal ace-qued within=E014r.
Acceptance of Proposal ThAbbove prices, specifications and conditions are satisfactory and are hereby
accepted. You ale authorizing to do the work as specified. Payment will be made as outlined above, and
the additional rms and"conditio"i page 2 are part of this contract.
Signature: A4CY,1aWPJ ..teof-Acceptance: -7hZb,?,&R-0
I Page 176f 2