HomeMy WebLinkAbout20-371 City of Ze h rhills
�.. tY p Y :PERMIT NUMBER,".",.
- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000371-2020
`W Phone: (813)780-0020
r' Fax: (813)780-0021 Issue Date: 07/22/2020
Permit Type: Building General (Residential)
Property Number Street Address
35 25 210050 00000 0680 7227 Omega Court
Owner Information Permit,Information Contractor Information
Name: SHANNON OLSON Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Reroof
Address: 7227 Omega Ct Total Valuation:$3,361.83 /�
ZEPHYRHILLS,FL 33540 Total Fees:$85.21 / `�
Phone: (813)469-8872 Amount Paid:$85.21
Date Paid:7/22/2020 11:03:18AM
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Project Description-
METAL REROOF
Application Fees
Building Plan Review Fee $28.40 Building Permit Fee $56.81
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 11,4161 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Force Tngineering&Testing Inc.
19530 Ramblewood Drive
Huinble,TX 77338
Product Evaluation Report
ADVANCED ALUMINUM
Y
ALL WORK SHALL COMPLY WITH PREVAILINI
26 Ga.Advantage Roof Panel over Pl t'fWNALLDRIDA ?UILDING CODE,
ELECTRIC CODE,
AND THE C[ry O� EpHYRHILLS
Florida Product Approval# 1763.1NA�CE
Florida Building Code 2017
Per Rule 61G20-3
Method:1—D
categanr.Roofing REVIEW/DAY'JL 15 �01D
Subcategory:Metal Roofing CIS'OF ZEPH e *L
Compliance Method:61620-3.005(1)(d) LAN EXAMINE
HVHZ R
Product Manufacturer:
Advanced Aluminum
2941 Parkway Street
Lakeland,Florida 33811
Engineer Evaluator.
Terrence E.Wolfe,P.E.#44923
Florida Evaluation ANE ID:1920
yalidator.
Brian Jaks P.E.#70159
Contents:
Evaluation Report Pages 1—4
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C E tv g �.o ri
STATE OF.,
-'r;op i
FL#1763.1 R3
September 5,2017
813-780-002-0 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
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Date Received' �' U phone Contact forrrm Permitting ulww
Owner's Name OwneuPhon:,Number.-
FeeNumbe
Owner's-Address : Co
`�a r] : ��C' Ql Ut�i" Owner:Phon Simple Titleholder Name. OwneriPhone Number.
Fee Simple Titleholder Address ff��
408 ADDRESS -7 . V A .Cod i i EL 335`i�t
Q LOT# .
SUBDIVISION PARtEL,ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORT{PROPOSED . NEW.CONSTR ADDIALT �:: SIGN Q ] DEMOLISH
R INSTALL .REPAIR.:
PROPOSED USE Q SFR' 0 COMM 0. OTHER .
TYPE OF-CONSTRUCTION Q BLOCK 0 'FRAME STEEL Q
DESCRIPTION OF WORK t � �
BUILDING SIZE . SQ FOOTAGE C HEIGHT
=BUILDING $ 53/_ �� 5/3 . VALUATION OF TOTAL CONSTRUCTION,
=ELECTRICAL .: $ +�► U AMP SERVICE Q.. PROGRESS.ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL{NSTAL'LAl`ION-''`"""•
=GAS Q ROOFING 0; $PEC{ALTY; OTHER .
FINISHED°FLOOR,ELEVATIONS FLOOD ZONE AREA =YES` ', " NOf
r -BUILDER COMPANY y t� a `ti' :° ri;*k n .,z=i•: _
SIGNATURE REGISTERED: Y/•.,N• � ;r:FE `.QCWRRE�{.;
Address
ELECTRICIAN ..,COMPANY
SIGNATURE REGISTERED Y/.N s: {, cIiRREn, Y/N' F.
Address `.License
fLUMeER COMPANY ;u
,IGNAT:URE REGISTERED LY''/'N;'_. FEE C,uRREN
Address "'Ucenser#
MECHANICAL - COMPANY
SIGNATURE REGISTERED AY 6'N=° FEE CURREn
Address License*.
OTHER. COMPANY
IGNATURE REC�I$TERED. Y i,Nc: .s FEE CURREN
Address License,#
RESIDENTIAL Attach;(2),Plot�Plans;.(2j Sets,of,Building Plans;,,(1);set,oUEnergy Fo"s;R•O-W;P.ermit focnow.construcfon,
Minimum ten(10)working days'after-sUbmiital''-date.-Required'onsite;-Coris#Uaon'Plans.Stormwater Plans w/Siit Fence_instatted,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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:afterrsubmittai;datw-Required,onsite,Construction Plans;.Stormwater P{ans.w/Silt Fence Installed,
Sanitary Facilities&'1 dumpster.Site Work Permit.for all new projects.All commercial requirements must meet compliance
BIGN PERMIT Attach(2)�sets oflEngineered°Plans:
****PROPERTY+SURVEYTequlred_for ail,NEW construction.
�4Directlons:
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 letterfrom-ownerauthorizing same
OVER THE COUNTEk-PERMITTING-• (i�6py-of,eontract=required)
Reroofs if shingles Sewers Service Upgrades;A/C ;Fences`(Plot(Survey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW C_, .
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe,subject to"deed"restrictions"
which may be more restrictive than`County regulations. The undersigned assumes resporisibility 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 maybe requieed,: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
understate 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,
portionss.of.the 'contractor Block" of this application.for whicN_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:nurriber 89-07 and
90-07-,.as amended. The undersigned-also.,.understands,.thai=tdch''fees; as may be.due,..will be identified,at the time=df-
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.-Jf 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,CountyWater/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):,-Ifvaluation.of work is$2,500:00;or-more, I
certify that I, the applicant, have-,been>:provided-with•a-copy of the "Florida Construction Lien. Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and-Consumer Affairs. If the applicant..is:someone
other than the"ownet", I certify=thatr.t`h6 e��obtaineda copyof::the-'above•described document and promise in.good faith to
deliver it to the"owner"prior to commencement:;;_. :.
CONTRACTOR'S/OVICNER'$;:AFFiDAVIT: 1'certify;#hat.all;th,,,infot�mationlin this application-•is:accurate,and.:that.alGwork
will be done in compliance:with all applicable laws regulating construction, zoning andiand-development. Application-is
hereby.made to obtain a permit to do work.and in's allatioii'�as"I' icated: I d certify,that ,no-work.or installation.has-
..:.f r: ., ,,N p,.,� m,, ., •all-laws-regulating
commenced-.�rior_to,.issuance of.a;permit and tFiat;all°.work.:will be _erformed to:meet-standards of
construct on County::a:nd City codes; zoning regulations;; and:lart"ovelopment regulations m:the.jurisdiction. I :also
certify that:I(understand:;that the regulations of other:,government::agancies may apply to•,the,intended•work,,and that it is
my responsibility.toIder tify'What actions I must take:to be in,conipliance.:Such.agencies include but-are not limited-to', .
Departinent,of.Environmental Protection-Cypress.•AB'ayheatJs;:'1Netland,'Areas;•and,.Environmentally Sensitive.
Land s;lNater/Wastewater Treatment:,,,. ..; ....:• ; .;f: ..:, ,,
Southwest Florida Water Management Distr`ictUVells, Cypress° Bayheads, Wetland Areas; AlWing
Watercourses.
'Army Corps of Engineers-Seawall,*:D, cks,-Navigabie1Nateiinrays •
Department of Health & Rehabilitative Services%Environmental 3He6lth-Unit=Wells; Wastewater.Treatment;
Septic:Tanks:
,US;:Environmental-.Protection Agency-Asbestos abatement.
Federali4viation Authority=Runways:•
I'understand-.that the following.restrictions,apply;to,the,use of till:
Use offill:is-notallowed in PIood 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• hb-till:material:is to:be.,used'in.,Flood:Zone "•A in'connection with a permitted building using,stem•wall
construction -:certify that fill will:be usedonly to fill the area withinthe stem wall.
If fill material:is.to be...used.-in any area, I certify that use of such fill will not adversely affect adjacent
pr...op,erne's;+;-:If use:of fiill..is.found.to adversely affect:adjacent-properties, the owner may be cited for violating
the-conditions of,,thwbuilding-permit issued under the attached-permit application, for lots less than one (1)
acre:wl icEl.rar; .elevated by fill;:an.engineered draiinage plan is required..
If I amJh'e;A LK ':<p0 ':T Ot1NNER,`I promise in good faith`.to:inform.the:.owner°of the permitting conditions set forth in
this affidavit;prior•&com'q encing-ponstruction. I understand;that a separate permit may be required.for electrical work,
plumbing igns; WeilS°pdois:'air`conditioning,:gas;or-other, not specifically'included in.the.application. A
permif i"s l'.ed:shalh:b:e'cons_truad;fo:;be a-license to,proceed with,the work and not.as authority to violate,:cancel, alter,:,9
y{� h'etechi:ical:codes, nor shall.issuance'.of:a:.permit prevent the Building Official from whereafter...
set asltlis ari, rovltons:nR t
requiring=a;ob rectibn-of eftors in plans;construction or violations�of=any cgdes:'.-Every paftt�issuedahall become invalid
unless t 'e•:vi'btk authoti ed;Iby such�permit is commenced within-six--months of•.permit issuance, or if work authorized�.lby.
the permit is��sgspen'ded for Aft idoned for.a period of tix;(6)months.after the'tiine the work`is°commenced: Ari:extension
maybe-.requested, in;;writing,'from<the•Building..Offcial for.ayoodo¬ to-exceed ninety(90).days and will demonstrate . _.
justifiable cause for,:.the'extension:°-If Work ceases:for ninety(90)rc6nsecutive.days,the job is considered abandoned..
WARNING-TO OWNER::-�YOUR,..FAILURE=-T..O.RECORD-k NOTICE,0F;.C:OMMENCEMENT.MAY..RESULTSlN-.YOUR
PAY{NG TWICE Ir`OR:IMpRO'1 emewTS TiO YOUR,`PROpERT,tY.,•IP YOUtINT Nb"T'O',0_8TAIN.FINANCING;CONSULT,
WITH.YOUR LEND.ETl.OR AN A'r'fORN Y.d3EP.CDI�Ei'REcORMN01Y61Ilt.'NOTICE'OF_COMMENCEMENT.
FLORIDA JURAT(F:S.`I17:03)'"
OWNER OR AGENT �-- CONTRACTOR AAIA 1
Subscribed and:sworri to-(or
affirm
7�a-20� afrme this, Susctte0d2a�n,bym e his
� Gex — Id. w; , S bww by'
LQ Y ChSow_
Who s/are�personal``y Mown to me or has have produced Who
1�2✓d,r c� a i�aje
ll kIT tme.or has/have produced
s identification. I •« = w�n� as.identification.
Notary Public ___.�Not ary•Public
commi4sl Co ssion No.
,a,l ;,, j4QUELINEaeGES
Name of NO t es�=�y n ' 57 Name of-Notary q><` BEAmber 12,2022
1_ `Expires December 12,2022 ��f�F F?°� BwedThru Troy Fain Insurance 800.38POill
" OF::°`' Bonded Thru Troy Fain Insurance b00.38�7019
s
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
I, r
Iran no n Led be_+'Wr have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc.,where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
.property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE DATE I ( 0 09,0 -0
ADDRESS Qgqq 00t.A& ItS qio
PHONE -
WITNESS PERMIT
I/Masterforms/OwnersAffidavit/NovO7
INSTR#202011737Z OR BK 7 V 141 PG 441.13 Page 1 of 1 `
07/22/2020 11:47 AM Rcpt:2184596 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit,No. iQ-000371-
Tax Folio No. . Al 0050 O O(,gp
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and m accordance with
Chapter 713,Florida Statutes,the following i miriation is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description of property): 1, r ,1
15 L o
a)Street(job)Address: rl t
2.General description of improvement(s)• Neuo Ade-AAA f"ORE
3.Owner or Lessee information(Lessee as owner only if contracted fpr improvements)
a.Name and address: Shannon 01-con C Ledbdier a7 Omeaa &-ri 2whyr 4 4j Ft 3 5g1D
b.Interest in property:
c.Name and address of fee simple titleholder(if other than owner):
4.Contractor Information
a.Name and address: �CV (i E D2 r"A oZ lot)6 "GhAe l Dr, Al dA 6-hif 33
b.Phonenumber: 513--7D 1 Fax No.(Opt.)
5.Surety Information
a.Name and address:
b.Amount ofbond S
c.Phone number: Fax No.(Opt.)
6.Lender
a.Name and address:
b.Phone number:
7.Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.13(lxa)7.,Florida Statutes:
a.Name and address:
b.Phone member:
8.In addition to himself;Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.130)(b),Florida Statutes:
a.Name and address:
b.Phone number:
Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUES,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
RECORDING YOUR NOTICE OF COMMENCEMENT.
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have-
read the foregoing and that the facts in it are true to the best of my knowledge and belief
Sigikure of Owner or Lessee,or Owner's or Lessee's Authorized Off cer/13wector/Partner/Manager
Sigaatory's Title/Officer:
State ofFlarida
County of Manatee
The foregoing instrument was acknowledged before me this&day-Of �G(L� ,20o1Oby
�fl .sl�vaY l .y/AIL " DB�7 ;who is personally known to me or has produced
G Z �; /3r.7� 7,g�g/= ;and Vdid not a an oath
(Driver's License,#)
=�,
OLL SignaaeofNotary
84386 Public of FloridaNOW/ 2022 /r(� �Print,Type,or Stamp
Commissioned Name of Notary Public
r,
JUDR
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.
Zj Witness my hand and o�ffllcial seal this
Nikki Alvarez-Sowles,Esq.,03lerk&Comptroller
Pasco County,Florida
BY. Deputy Clerk