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Ion��n City of Zephyrhills PERMIT'NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000626-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/10/2020
Permit Type: Building General (Residential)
Property Number Street Address
35 25 21 005A 00000 0990 38628 Alpha Avenue
Owner Information Permit Information Contractor Information
Name: KAY MYERS Permit Type:Building General(Residential) Contractor: QUALITY ROOFING
Class of Work:Reroof(Shingle Only)
Address: 38628 Alpha Ave Building Valuation:$9,620.00
ZEPHYRHILLS,FL 33540 Electrical Valuation:
Phone: (479)207-1429 Mechanical Valuation:
Plumbing Valuation: (/ `
Total Valuation:$9,620.00
Total Fees:$88.10
Amount Paid:$88.10 X� l%— 2-0
Date Paid:8/10/2020 2:47:55PM V /
Project Description
SHINGLE REROOF
Application Fees,
Building Permit Fee $88.10
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.
OPAIGNATURE Y PE IT OFFICE
Lp;;;WIIT EXP6591N 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 Permitting
rrr-rrl"m..... .. ....... ......... .. .....
Owner's Name a L- —V Owner Phone Number 1.y&-4zZZqg?jK
Owner's Address s glplwhve-,
Own r Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS U�K A&A& LOT#
SUBDIVISION F. PARCEL 11191 -406-54
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
=12
PROPOSED USE SFR 0 COMM u OTHER I I OV V
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL
P/7 01:4
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $
" "70"I '?��J- VALUATION OF TOTAL CONSTRUCTION 6�6 a A0?"
ELECTRICAL $ AMP SERVICE. PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING 1$
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
]GAS Q ROOFING F--1 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
,BUILDER COMPANY &C
SIGNATURE REGISTERED Y/1N FEE CURREN 1-1 LX L N J Q�4
Address License# 1 6(flcl 3�=40.5-1
ELECTRICIAN COMPANY
SIGNATURE REGISTERED AjY/ N FEE CURREN
Address . I License#
PLUMBER COMPANY
:SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J
Address License# F--
MECHANICAL COMPANY L—
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE T REGISTERED L_Y_LN-j FEE CURREN
Address License#
i i i 0 a V 2 2 2 i v I a
RESIDENTIAL Attach(2)Plot Plans' sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconstruction,I
'Minimum ten(10)working days after submittaldate. Required onsite,Construction Plans,Stormwater Plans w/Silt Pence installed,
Sanitary.Facilities&.,I clumpster;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 aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fdciliti6s&1 diirnpsier':Slte 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.
Fill out application completely.
Owner&Contractor sign,back of application,notarized
If over$2500,a Notice of Commencement is required. (AfC 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 of contract required)
Reroofs if shingles Sdwers Service Upgrades A/C. Fences(Plot/Survey/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"i estrictions"
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 1 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#o 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-beused lonly 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 foundto.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 ingood_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, orif 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 OB AIN FINANCING,CON T
5WITH-YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC CO NCEMENT.
FLORIDA JURAT(F.S. 117.03) —-- ---- -_ —_ _ _ _ -- -- _- _ - — ---
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swo to(or affi )be e e
by by -
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/havd produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
t INSTR#2020135297 OR BK I Q 1.69 PG 27.22 Page 1 of 1.
08118/2020 03:31 PM Rapt:2194608 Rec:10.00 'DS:0:00 IT;0.00
Nikki-Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
,PermitNumber
Parcel lD Number
.NOTICE OF COMMENCEMENT
'State of Florid-
County of--�
THE:UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Sectio i 713.13 of the
Florida Statutes,thelbIlowing information Is provided in this NOTICE OFCOMMENCEMENT.
1.Description of property(JseaJdescrlptlon): ,,. 00WYMOM
a}Stt�et{jozrjAddtess;
2.Generai deseription of im ,. e
3.0wnertnformallonort_ nfonmatlonff Lessee ctedforthe a ernent:
a}Name and address:
b)Name and address of fee simple titleholder if d*fewi t than C"er,listed above)
c)Interest io property: �7 v17 if
4.Contractor Information
e)Name.and address: « 0 AFL
b)Telephone No:: i '-�DlJI feu Na. {optional} -
6.$urety(if applicable,a copy of the payment bond-is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond:$
6.gender
a)Name and address:
b)Telephone No::
7.Persons tKititln the State of Florida designated by Owner upon whom notices or other documents may be served as-provided kiy sectl6n
7i3.13'{1.){a)7.,Florida Statutes:
a)Name and address:
0)Telephone No.: faz No.:(optional)
8:a)'In addition to himself or hersetf,.Ownerdesignates- of
to receive a copy-of the Uenors Notice as provided in Section 713.13(i)(b),Florida Statutes.
b)Phone Numberof Person.or entity designated"by Owner
S_.Eiptiattorr date of notice of commencemod(the expiration.date-may not be before-!fie completion of construction and final payment to the.
contractor,but will be.i ear from the date of recording unless a different date.is specim. 40...
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION.OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 118,PART),SECTION T13.13,FLORIDA WATUTES;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 wrrii'YOUR UNDER OR AN
C ATTORNEY-BEFORE COMMENCING WORK OR RECORDING YOUR-NOTICE OF COMMENCEMENT.
Under penalty of peouty,I declare that I have.read the foregoing notice of aomm_encement.and that.the facts stated therein are true to the best of my
Itnowledge and belief.
�
(Slg�iatureorOxrt�trcr or sales srtlrorired.�ilP ) NOWWWPmvileS"WaTdW )
The foregoing instrument was a�owledged before.ma by means of physical presence or on-line notaitzation,this -day
Of -u 20 by..Va,j MYl c, as c_ -- -(type of authority;e.g:officer,trustee,attorney in fact)
for l'S .as CW_�GY"
(Frame } 9ge of awhaih+,a g.oiaw tmswe awnw in.w)
for s ► (nine of parhi on(>e d of when lrolrtetrartwasexeamo.
Persona8y Known Produced ID ❑
Notary Signature
P 14tbr Print Harris tX
t IMCamiW10rt03�ODie6
�1p EVON Ot'H
City of Zephyrhills
5335 81h St
Zephyrhills FL 33542
(823)780-0020
V
ROOFING INSPECTION A FlD VA IT
PermitNo.• 'Cd�t�+ rv�J� da
11 �J L ��•��`�t licensed under Chapter 468,Florida Statutes as a(n):
Contractor V Engineer,Architect_Building Inspector,
License No.
On or about a2Wdid personally inspect the:
or
Check: Roof Deck Nailing Dry in v Flashing and Drip edge
Check which was used: 30#felts Peel and Stick_Other(List) - 4'e f�.-
At the following
address: Ve—
Based upon that examination, 1 have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes).
Signature:
STATE OF
COUNTY OF PASCO =s'•' '•: ERtCACHASE
WCOMMWI0N#GEC3W%
Sworn to and subscribed before this day �';� pp�. et�i�U=ember1ftdewA�re
BY:
Notary Public State of Florida