HomeMy WebLinkAbout20-594 � i D
City of Zephyrhills
�`�'PERMIT.�NUMBER�
_—° 5335 Eighth Street, " ; *'`
' Zephyrhills, FL 33542 BGR-000594-2020
Phone: (813)780-0020
4 Issue Date: 08/19/2020
V.
Fax: (813)780-0021
Permit Type: Building General (Residential)
Pfoperty Number streevAddress -
14 26 210010 00300 0015 38832 South Avenue
-` Own y,.- .r,e., _. .. o , - j -. ;ati .,�^l ern
er Information. Permit Information Contracfor`frifo�mationE `=
Name: PETER&CARRIE CRUMB Permit Type:Building General(Residential) Contractor: PROTEK PROPERTY
Class of Work:Reroof(Shingle Only) SOLUTIONS INC
Address: 38832 South Ave Building Valuation:$5,500.00
ZEPHYRHILLS,FL 33542 Electrical Valuation: /
Phone: (813)378-7355 Mechanical Valuation: CV®s
Plumbing Valuation:
Total Valuation:$5,500.00
Total Fees:$67.50
Amount Paid:$67.50 �/
Date Paid:8/19/2020 10:24:58AM
Projectbescription REROOF SHINGLE
Application Fees
Building Permit Fee $67.50
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 I 6 9XTURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PRi k
gT
v
ROOFING I HEATING I AIR
2100 W Dr Martin Luther King Jr Blvd., Tampa, FL 33607
Office: (813) 855-2353
City of Zephyrhills- Building Department
5335 8th Street, Zephyrhills, FL 33542
RE: Protek Property Solutions, Inc
The people listed below are hereby authorized to record a license, sign for, and obtain and/or
pick up permits. This Form Supersedes All other letter and forms
1. Anthony Jaramillo
2. Heather Bledsoe
3. Chandler Chapman
4. Ernesto Valdes
License Holder: Raymer Moncada Signature:
Licensed Number: CCC1332616
License Holder: Alexander Hoffman Signature: S.
Licensed Number: CAC1820411
NOTARY SECTION:
State of Flo ' a
County of
Sworn to and subscribed 6efore this day: Rumist 9. 67j)
These individual(s) are: NhGn
Notary Public State of Florida: '
00 Notary Public State of Florida
+p Heather Ann Bledsoe
My Commission HH 017368
Expires07/01/2024
INSTR#2020135507 OR E3K 10 159 PG 3729 Page 1 of 1
08/19/2020 09:30 AM Rcpt:2194756 Rec: 10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
TM space for use by Ckerk of ifte CkcW#Court ody.
NOT
Permit Number
Tar Folio No.14-26-21-0010-W30G-M15
The undendped berft jgCyes ncdc�that'linprvvement-'%M be and In creardearc with section 713.13 or the
Flaride qwateg.the e'>wlng Iniontailon Is rovided aeN0T6f.-;.
1. Legil Description of pro"y(strect.aW:mired):
Assessed In Section 14,Township 2 f."xith Ran92-21 Eastof Pasco County,Florida
MOORE$FIRST ADDITION P8 I PG V WEST 70.00 FT LOTS 1 A 2 BLOCK 3 OR S&O PG 353
I.—GCe—WaMscription-of
PEN
3a. OwnaNamc- •k�e ro! Tjr�j im A
Owner Address: is A V—t
.1b. Owner's interest in sire: '0 r I-
3c. Fee Simple Title holder(of other than owner) WA
Address:
4. Contractor Name:_P10A Property Solutions
Address; I M_j E.ZLVndon Blvd.Tampa FL 33511 Phonc:813-855-2353
5. Surety N=c-. NfA Amount of bmtd: WA
Address: WIA Phone: MIA
6. Under Name-. NIA, Contact: WA
Address- N/A Phone: N/A
7. person within the State of Florida designated by owner upon whom notices orothcr documents may be served as provided by
Section 713.13(l)(a)7.Florida Statutes.
— Name:. orw Address: A V,- P.
PhoncNIumber
8. In addition to himself.Owner designates the following person to receive u copy Zir(he Lienor's Notice as Provided in Section
713.13(I)th i,Florida Statutes.
Nam: WA Address:
Phone Number:
9. Expiration date of-Nmicc.of CommencimiCST(expiration date Is one(1)year from date ofreconfing unit,,;a different date.is
WARNINGTOOWNER:ANY PAIMEN"MADE BYTHE OWNER AVMR THE EXPIRATION OF THR NOTICE OF COMMENCEMENT ART
CONSIDERED IMPROPER PAY141EM UNDER C71APTER 713.PART 1.SECTION 713.1.1.FLORIDA STATUMS.AND CAN RMILT IN TOVDt
PAYING rWICT.FOR IMPROWAUNTS TO YOUR PROPERTY.A NOTICE OF CONMENCHAU.NT MUST HE RECORDED AND PM'VDM. ON THE
aA 81 TESEFURZTIIEFIRSrl.v--;PECTIZXN. IF YOU INTEND TO(WAIN FINANMG.CON.%ILT%VM4 YOUR LENDER OR AN ATTORNEY
R&FORE COMMENCONG WORK OR RECORDIN URNOTICE OF COM Ir.MIENT.
Signature of Owner or I.ecs e,or Owner's or Lessec's.Authorized Ofriccr/Directorlpanner'Niamgcr
Signatory's Title.'Officc
N
Ann r4Cb%"
n% re
4�
m th6 I I. �i helive c day of GuQtA'4 20 At'.%Yas acknouledge
W for BkWe- V(e'qlCjOpk%ra
Z ftAmdly Ko4n 2.
OR Produced identification
'Produced
ye U. . *q, -
OY'LCJJJ�.Cir,4ers'lice,thsto
r
Sigmaure-Notary Public
Jdert'.rltertttr
*.';,Uiiderpenaltimofperjury,I declare that l have read the foregoing and thali the facts stated in it are true to the best ormy knowledge and belief.
Signature ol'Natural Person Signing Above
ho
County Of Pasco
Florida, foregoing►s a
State that the oing
This is to certify
true and correct copy of the document
r •
on file or of public record in this office•
my hand and official seal'his
taa 2�
W itnes
" rn yncrv+o.T,,sr m �{'� day of Clerk&Comptroller
°�a• � Nikki Alvarez-Sowles, s4^
pas ount Florida Deputy Clerk
Yt�S7 ,
�+ By
OF
i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
` Building Department
Date Received Phone Contact for Permitting
■aaaaaaa taata c�
`bl Owner's Name �,� Owner Phone Number U t
Owner's Address t Z l Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
(
JOB ADDRESS vl�(�17 WL Z LOT# 1�
SUBDIVISION ARCEL ID#
I ,Z 1' Dol _ 1�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME
`_ IJ STEEL =
DESCRIPTION OF WORK k 1Y> G WU�T
BUILDING SIZE SQ FOOTAGE 1 I� HEIGHT
a.TIC['C-CCt><C><[-k k k k M C�CiCrIC><IC
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.EC.
=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 I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address r I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN LY/N
Address LLicense#
OTHER ND COMPANY l v- C IOIUflEJV"
SIGNATURE 1112,1WI&1L� 1L 1t/� 1/ REGISTEREDi I�Y/N FE CURRE Y/N
LNa I Address l 1 i-�, ,I License# Z
a>t■aaaaaaalaaaaaaa.aaaaals:aaaaaae:a laaaaaa aaaaalaaeaaaaaaaaalaaaal
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,Stornwater Plans w/Sill 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 Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Slit 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.
Dlregions: ------------------------- ----
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 of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
.� Building Department
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 727.847-80D9.
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 1,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowners 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
understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions 1
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 fig:
- 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 shag 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
COMMENCEWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR 11, IC P(UjI�`III l tM t
Subscribed and sworn to(or affirmed)before me this scri ad and swum to or ar ed be ore m this
J
by by
Who istare personally known to me or has/have produced Who is/re pe nown to r has/have produced
as identification. as identification.
Notary Public P Notary Public
Commission No. Commission No. 44r 0 1
Name of Notarytyped,printed or stamped Name of llbtii � �I�`/�t ���typ p p ry typ pooled or stamp
00 Notary Public State of Florida
Heather Ann Bledsoe
['-uJ_,di
My Commission HH 017366 Expires OV0112024