HomeMy WebLinkAbout21-1360 CI of Ze h rhills PERMIT NUMBER
h. City p Y
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001360-2021
Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/15/2021
Permit Type: Building General (Residential)
Propleirty Number Street Address
15 26 21 0200 00000 0330 4941 Timber Way
Owner Information Permit Information Contractor Information
Name: JOSE&MARIA CHAVEZ Permit Type:Building General(Residential) Contractor:WESTFALL ROOFING
Class of Work:Reroof(Shingle Only)
Address: 4941 Timber Way Building Valuation:$9,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)508-8693 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$9,000.00
Total Fees:$85.00 / 4
Amount Paid:$85.00 Z�
Date Paid: 1/15/2021 1:19:32PM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $85.00
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.
.aLw*^
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT 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
Building Department
Date Received 941 400 9236
Phone Contact for Permitting
iiEii EEE a[itmm
Owners Name Jose Chaves Owner Phone Number 813 508 8693
Owners Address 1 4941 Timber Way,Zephyrhills,FL,33542 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 4941 Timber Way,Zephyrhills,FL,33542 LOT# 33
SUBDIVISION Court Square PARCEL ID# 15-26-21-020D-00000-0330
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL I X I REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK Roof Replacement FL10674 FL25974-Rl FL19979 SO 29 Pitch 5112
BUILDING SIZE 1 1 Story SO FOOTAGE 1,342 HEIGHT 8 Feet
=BUILDING $9,000 VALUATION OF TOTAL CONSTRUCTION qYJ
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
./'
=GAS XQ ROOFING = SPECIALTY = OTHERIF
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE F 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
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN Y/N
Address I License#
OTHER COMPANY Westfall Roofing/Westfall Construction
SIGNATURE REGISTERED Y/N FEE CURREN
Address 5413 West Sligh Avenue,Tampa,FL,33634 License# I ccc"'92
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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 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 Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement is required.(A/C upgrades over$7600)
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
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 LE RECORDING Y
FLORIDA JURAT 77
(F.S.
OWNER OR AGENT CONTRACTOR
AT
r d sw r ffi e c ib an ) f 9is
by by
o is/fa perso al known to me or has/have produced ho i/a personall known to me or has/have produced
as identificationA identification.
Cary Public Notary Public
Commission No. 2111DCommission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<.r*PSf;,,
: ; 932006
MCAITLINAMENDA CAITLINAME NDA
MY COMMISSION#GG 932006 MYCOMISSION#GG EXPIRES:March 14 2024 m o" EXPIRES:March 14,2024
.....or;
oc".•• Bonded ThN N Public Undenvtiters 4F F:°� Bonded Thru Notary otary Public Underwriters
INSTR#2021 007089 OR BK 10256 PG 3444 Page 1 of 1
01/13/2021 11:10 AM Rcpt:2248285 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq., Pasco County Clerk&Comptroller
Permit No. Parcel ID No 15-26-21-0200-00000-0330
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter713,Florida Statutes,
the fo9owing information is provided in this Notice of Commencement
1. Description of Pmperty:Parcel Identification No.15-26-21-0200-00000.0330
S},,tAddmss: 4941 TIMBER WAY,ZEPHYRHILLS FL33542
2. General Description of Improvement Roof Replacement
3. Owner Information or Lessee information if the Lessee contracted forthe improvement
CHAVEZ JOSE&MARIA&CHAVEZ MARCO
ZEPHYRHILLS FL
Address City Slate
Interest in Property: Owner
Name of Fee Simple Titleholder.
p ``(If different from Owner fisted above)
Address C,(
4. Contractor. �C d1 ��\i V�CJt�t� +lJ i7✓� 43. ST�t� i t�V\9 state
57{-0 m L
Tampa — F
Address City State
Contractor's Telephone No.: 613-264-5690
5. Surety:
Name
Address City State
AmountofBond:$ Telephone No.:
5. Lender.
Name
Address City State
Lender's Telephone No.:
7. Persons wltidn the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)M.Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
3. In addition to himself,the owner designates of_
to receive a copy of the Lienor's Notice as provided in Section 713.13(f)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration data may not be before the completion of construction and final payment to the
contractor,but wig be one 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 I. SECTION 713.13, FLORIDA STATUTES. 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
WrrH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury.I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OFPASCO JC„Cr z.,a=rao:tersn
Signature of Owner or Lessee,or Ownees or Lessee's Authorized
Officer/Director/Partner/Martager
Signatory's TitielOffice
1 / e
The foregoing instrument was acknowledged before me this4'vq
day of (� 20 by .� .124 7—-(.�f'-tt�V C Z
as (�)VA (type of authority,e.g.,officer,trustee,attorney in fad)for
fW)A-�7l l h (name of pa behalf of who in rpenta executed).
ff I
Personally Known❑Og Produced Identtiiffiiiccationr�} Notary Signature Rw.
Type of Identification Produced Name(Print) '''% i
ZEE
c State of Florida
dall
ion GG 196217
4/2022
wpdatelbes/noticemmmencemwLpe053048
The City of
Zephyr iLi
s
Florida
City Of Zephyrhi Is
Building
Building Department
5335 8th Streef
Zephyrhills, FL 30542
(813)780-0020i
Welcome
000949-0002 Carlos M. 02/22/2021 09:55AM
MISCELLANEOUS
Description: Building
Admin Fees (66)
Reference 1: rt bp1360
Building Admin Fees (66)
2021 Item: 66
I @ 45.00
Building Admin Fees
(66) 45,00
45.00
Subtotal 45.00
Total 45.00
BUILDING 45-00
MasterCard ************.515
Ref=000000001014
ALIth=06415S
Trans ID=000000001014
Entry Method=MANUAL
TRN REF #=MCW2YFURZ0222
Change due I 0.00
Paid by: rt bp#1360 + {
Comments: rt bp#1360
Signature:
Thank YOU for y ur payment
CUSTOMER �CGPY
� c
Roof Affidavit
Roofing Inspection Affidavit
City of 7,cphyrhilts Phone:813-780-0020
5335 Sth Street,Zephyrhlls,FL 33542
Permit Number
1360
Name
Kirk Westfal -------- ------
r 1 am licensed under Chapter 468,Florida Statutes as a(n)o
C,Architect s?Building Inspector 3 Contractor rti Engineer
License Number
jCCC058392 --------_-- ---- — ------- 1
Personal Inspection Date I personally inspected the:
1/18/2021 [R]
Dry in (]Flashing and Drip Edge ®Roof Deck Nailing
Check which was used:
30 Pound Felt (o)Peel and Stick ;Other
If other,please explain:
Address of Roof Inspection
4 I Timber Way,Zephyrhils,33542 ---------- ---- ---
1
7
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
r7/— — ----- --�
Stale of Florida
County of Pasco
Sworn to&Subscribed Before This Day Not Public State.of Florida
mm/ddlyyyy.
P11 XV."
CAITWAM
FAYCOMM1SStUN#GG93 =
EXPIRES:Metd114,2024
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