HomeMy WebLinkAbout20-495 m � ,
�< n City of Zephyrhills
-PE •�
` J 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000495-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/30/2020
Permit Type: Building General (Residential)
Property Number ' 'Street Address
04 26 21 0020 00000 0OA2 6555 Brentwood Drive
Owner Information Permit Information Contactor Information
Name: WILLIAM SOMERVILLE Permit Type:Building General(Residential) Contractor:ALAN'S ROOFING INC
Class of Work:Reroof(Shingle Only)
Address: 6555 Brentwood Or Building Valuation:$13,815.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (213)838-9922 Mechanical Valuation:
Plumbing Valuation: 1/�
Total Valuation:$13,815.00 Y
Total Fees:$109.08
Amount Paid:$109.08
Date Paid:7/30/2020 4:24:36PM l
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $109.08
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 SIGNATUR PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PfV y
813480-0020 City.of Zephyrhills Permit Application Fax-813-780-0021 71V V4_
Building Department
Date Received r Phone Contact for Perrnittin G
Owner's Name W U( �i IOwner Phone Number
Owners Address J �eT[� Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �l� LOST#���
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK a— 99422 '
BUILDING SIZE SO FOOTAGE l(�J 5 HEIGHT
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ■T7
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = 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 License#
PLUMBER 7 COMPANY
SIGNATURE REGISTERED I YIN FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATU REGISTERED Y/N FEE CURREN q Y/N
dres l . I7�1.(,' ic1 Q( ' Jl� License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction,
Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift 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)
i
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 of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
i
Driveways-Not over Counter if on public roadways..needs ROW
I
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, 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 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.
FLORIDA JURAT(F.S.11/7.03)
OWNER OR AGENT (/ r� eJ� CONTRACTOR
Subsc bed and sworn l G)b F-e� �r Subscribed and bw om to(or affirmed)before me this
GdJ71J b IC' 6¢
Who rslare pe I me or has/have Produced Who is/are personally known to me or has/have produced
as identification, as identification.
���-7q Notary Public Notary Public
Commission No. G� 1'45� / 1 Commission No.
Clio le-5 -1 • 1-11
Na Name of Notary typed,printed or stamped
CPS CHARLES J.HIGDON
`ga:...ei�.;
MY COMMISSION#GG 125479
EXPIRES:July 17,2021
�'•'•,;o�F�° Bonded 7hru Notary Public Underwriters
INSTR#2020120245 OR BK 1 01 44 PG 2780 Page 1 of 1
07/27/2020 01:17 PM Rcpt:2186287 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMWENCEIVIENT
Permit No: nr ``��►
Tax Folio No, 1_'�oogB- oovoo- OoAA
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 715,
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. may.
(legal description ci roperty): i. ��' t"`�� (410-y
1.Description of property( g pt
ti W F rA r-
t`t t ;111 F4- .e a
TO
a)Street(job)Address: rr S L '335
2.General description of Improvement(s): Re-Roof
3,Owner or Lessee Information Lessee as owner only if contracted_for im rovements I/
a,Name and address:��.�xa'Lt(1 � � D�'
b.Interest in property: Ow er .c-
c.Name and address of fee simple titleholder(if other than owner):
4.Contract Information
a-Name and address:,Alan's Rooflne Inc/Alan Field 14498 Ponce De Leon Blvd.Brooksville,FL 34601 CCC046942
b.Phone number: 352-686.3330 Fax No.(Opt). 352-75"902
55urety Information
a.Name and address:
b.Amount of bond$
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(1)(a)7.,Florida Statutes:
a.Name and address:
b.Phone number:
8.in addition to himself,Owner designates the following persvn(s)to receive a copy of the lienor's Notice as provided in Section
713.13(i)(b),of Florida Statutes:
a.Name and address:
b.Phone number:
Expiration date of notice of commencement(the expiration date is i year from the date of recording unless a different'date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7.13,PART 1,SECTION M.13,FLORIDA
STATUTES?AND CAN RESULT IN YOUR PAYING TWICE FOR INPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDED 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 th foregoing and tha the facts 1 tare true to the best of my knowledge and belief.
Signatu a of Owner of Le ee,owner's or Lessee's Authorized Officer/Direct/Partner/Manager
State of NorRha M c lti�9 4n
Cou my of Arta 1%&^
The foregoing instru ent was acknowledged before me this 2 9 day of, �`y 20�by
1'IV l i�+►► 9 MrA r✓V who is personally known to me or has produced 5 54.1 1 Z `E 4 L ! 7 q
and who did/did not take an oath. _= I_ (Driver's License#)
AMY M WILLIAMS
Notary Public-Michigan Signature of N ry Public.
Ionia County State of Flefiele A7
My Comn':,ss:r,1,i r:: e "<r.v',7,2020 Stamp AMY M WILLIAMS
Acting �_:_ Notary P„ol,c-Michigan
loma County
My Commiss�nr r� , s N�Lv 17.2020
Acting in the Cuurty of
STATE OFF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT n ..
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE (('
WITNESS MY HAND AN—D�OFFICIALSEALTHIS f" oa-1ve?r °
DAY OF 3 2
NiKK!A/L�VAREZ-SOWLES,CLE &COMPTROLLER �{ '4 .�� y`•
BY (b jt ����,t.,L�i DEPUTY CLERK
D
City of Zephyrhills \
5335 811 St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: /5
I, ,/ � •wL`�il yI licensed under Chapter 468, Florida Statutes as a(n):
ContractorXi Engineer_Architect_Building Inspector
License No..el C- ct l�
On or about fieS fe-5 70' / did personally inspect the:
Check: Roof Deck Nalling-X- Dry in 1)(5— Flashing and Drlp edge
Check which was used: 30#felt_Peel and StichOther(List) (,*--"%0JWy'A6"v1C
At the following
address: � P
.l6 3 `
IF I
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:
—(f�
STATE OF FLORIDA
COUNTY OF PASCO
Sw"ate
this ay
BY:
No
N""n"•a CHHl4WW.B ijaGDON
W COMMISSiom#GG 0479
EXPIRE&July 17,2021
,,; r.N gpnded naui Y ctt