HomeMy WebLinkAbout21-1319 y •:
City of Zephyrhills PERMIT NUMBER
r I 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001319-2021
., Phone: (813)780-0020
i4 d" Issue Date: 01/06/2021
. Fax: (813) 780-0021
Permit Type: Building General (Residential)
Prepeft Number Street Address
02 26 21 0230 00000 0050 38650 Evelyn Lane
Owner Information Permit Information Contractor Information
Name: MARIA&JOHN ESTRADA Permit Type:Building General(Residential) Contractor: QU LITY ROOFING
Class of Work:Reroof(Shingle Only)
Address: 38650 Evelyn Ln Building Valuation:$10,200.00
ZEPHYRHILLS,FL 33542
Electrical Valuation: /►
Phone: (813)453-9909 Mechanical Valuation:
Plumbing Valuation: DDD l
Total Valuation:$10,200.00 O
Total Fees:$91.00
Amount Paid:$91.00
Date Paid:1/6/2021 1:36:35PM ��✓✓✓ """
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $91.00
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.
CZYIAka2IGNATAE PE IT OFFICE
(--; IT 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
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Building Department
Date Received /—� Phone Contact for Permitting
`J
Owner's Name p r Gt- Owner Phone Number
Owner's Address ! ��Own hone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address n,,``N// �j �J a
JOB ADDRESS v l.Le r / S / ` � LOT#
SUBDIVISION PARCEL ID# G �1/�D J� 00000'—
ti (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
.WORK PROPOSED R
INSTALL REPAIR
°,;;,PROPOSED USE = SFR = COMM = OTHER
k:.TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL
-,DESCRIPTION OF WORK D ro,
V ILDING SIZE l � SQ FOOTAGE HEIGHT O
:p .. .. . . . . . . . . . . . . .. . . . . . ..r9r1r1r1" . . . . . . . . . . . . . . . . .
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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BUILDER COMPANY lr l /G er BD A LL6, / ..
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N X
Address ( d/1! J 3��3 License# 11{/////�`
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
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 dumpstercSite Work-'Permit for subdivisionsAarge projects
COMMERCIAL At(aah`';(2)�niplete sets QfBdilding,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/Silt 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.
. . . . . . 9 . . . . . . . . . . . . . . . . . ... ._. . . . . .
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(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
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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 responsibilityfor_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 newbuildings, change of
use in existing buildings,,or expansion of,existi6g 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 h6,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
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construction, I certify that fill will be used only to fill the area within the stem wall. i
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
-WIT-H YOUR~LENDER-OR=ANATTORNEY BEFORE-RECORDING-YOUR NOTME OF-CO
11MENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and s om to o ed) w14fme4W
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/hake 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
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City of Zephyrhilis
E l 5335 81'St
' Zephyrhills FL 33542
4
(813)780-0020 s
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ROOFING INSPECTION AFFIDAVIT
Permit No::
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Z5, / "i p�it{t� licensed under Chapter 46$,Florida Statutes as a(n):
Contractor V Engineer Architect Building Inspector
License No.
CC r 1__39SC2o5-
On or aboutJ�w 1 did personally inspect the:
Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge V i
Check which was used: 30#felt_Peel and Stick Y Other(List)
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At the following / n f
address: (P�y EV,l� L—GZ/1e.
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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).
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Im.
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Signature:
STATE OF
COUNTY OF PASCO `
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S n to and subscribed are this day \ i`
BY:
Notary Public Sta of Florida [
VIRGINIA A DORR
;,o 'pSState of Florida-Notary Public
Commission # GG 17Eid tl
My Commission tsx�ir�� 1:
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February 96,26�•2
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