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Home My WebLink About21-1361 j / ! +►i +� ., City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-001361-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/20/2021 Permit Type: Building General (Residential) Propeyrty Number Street Address 13 26 21 0140 00000 0810 139575 Meadowood Loop Owner Information Permit Information Contractor Information Name: JOHN SKIDMORE Permit Type:Building General(Residential) Contractor: SCOTT BLACKMAN Class of Work:Reroof(Shingle Only) ROOFING INC Address: 39575 Meadowood Loop Building Valuation:$7,500.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)909-5733 Mechanical Valuation: ^ Plumbing Valuation: .n l/ice Total Valuation:$7,500.00 Total Fees:$77.50 Amount Paid:$77.50 1 Date Paid:1/20/2021 1:27:13PM l P.roject Description REROOF SHINGLE Application Fees Building Permit Fee $77.50 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 SIGNATURE PE IT OFFICE -PERMIT EXPIRES IN 6 MONTHS WITHOUT-AP PROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills 5335 81"St Zephyrhills FL 33542 _ (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No n licensed under Chapter 468,Florida Statutes as a(n): Contractor, Engineer Architect_Building Inspector License No. Q Ge 05-"45- On or about 11 �-� did personally inspect the: Check: Roof Deck Nailing l•� Dry in !/' Flashing and Drip edge Check which was used: 30#felt Peel and Stick_Other(List) �c- At the follo ing address: 15 7 5- M t a d a wood LUv "Z.e-1214 c41, N'`1 S . E 1 33 5 `I 2- 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: i STATE OF FLORIDA ! COUNTY OF PASCO .i Sworn�tyoy _ and s/�ubscribed before this day Notary Public State of Florida i S*"Y' MIS CHA�LR VELL S 'y Ci}MMiSSION#.CG 1849" CXNR S;Fe:ruary 12.2022 Banded Thsu No Pubii§under writers .. k- d x INSTR#2021013052 OR BK 1 0262 PG 1373 Page I of 1 01/21/2021 11:58 AM Rcpt:2251383 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco%V�UjWlk&Comptroller State Of Flodda,County �7 R g, that the fftgoing 15 a' is to certify This nt copy of the document true'and correct CO on file or of public record in this office. -hli noe my hand and* 81 seal t 2 0 day 'rk&comptroller ;N1 I Alvairez-Sowles,Esq. r1m da Pas9so-�—' D Clerk By 2 6,- o I g Ci -ooucjc>.- C)cdl o -MtHMMM po*jad p=d 3-216-2I ONO 0000 0 — 0�1 1) Sim& S77 /31)v azl w 0 do 01 1 to 2 e-1*10 Im'r�' .-Omwd' d(IMPMwinw R.'t T Yz ze,6*j,,,h,1h F-1 fty. 4' Ike 14 Rb, rl *334; 7to �.Wuhoddb No 6IAn* 71k A 7.mnqof 0).Tdeph=-Nbj ij%mw=&Adl rem PIT .. ?ttdteta:a date be WAWMGTG,OWMM- AWTJ?AV-WM1 -N-W'-X.W�Vft- 01VMAVMTfMWMU0N0'F-7=NDT1CZ0F '7L%l? "r-1,=M0N7 2 CON$ COM'UN W Woomm"To,IYOMI'Mmm. rN ikil;�M-3211ORRIMFi3tIff OU -UMIKORANATWIRMUDWER A vempi M ftm me ab 12-0 the g Wm*m was admwkdpd be _'&W of 20.21 by /5 L..,-*^ZAO- W;rqf-*-ft-4iP-Moen- in ft)far j; NOWY SJivatice V on;rmont to&wftb 92.515,-lh'-Qri&Stitutae.Under tiles ofpctJisiyi.I dealem 6>r#I Lave reed 6se fdrago . and tea .......... SCOTT C BLACKMAN Notary Public-State of Florida Commission 9 GG 230776 or W?V My Comm.Expires Jim 20,2022 I Bonded through National Notary Assn. 813.780-0020 City Of 2ephyrh111s Perrrilt ApPllcati0rl Bugg D°Psrtrnent Data Received -Phone Contact For Permttt 13 Owner's Name JOA,, 10 5 6 / Owner Phcr Number F 1 Owner's Address ,SAS Arct d o o• O Owner Phone Number Owner Phone Number JOB ADDRESS /S Meox&ot/A ciab LoCT LOT* `{ SUBDIVISION PARCEL ID# /3' - I'61 0 - I0 l (OBTAINED FROM PROPERW TAX HOWIE) WORK PROPOSED, a NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = I DESCRIPTION OF WORK rJ O C 2A.n tee) L0.rnp /tiC Shrn Jam'/off kc,"f s Ple�l:,� i BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING i VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING rIS�G o� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r ` =GAS = ROOFING SPECIALTY= OTHER FINISHED FLOOR ELEVATIONS � FLOW ZONE AREA AYES NO BUILDER COMPANY SIGNATURE REGITERED I Y/N FEE C WMD• Y/N Address V0enie IN COMPANY SEIGNACT�URE REGISTERED I YIN FEECIrRREN LYIN Address User°$# i PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURFla "Y/N I Address License# COMPANY MECHANICAL RE LSTERED I Y/N FEE CURREr. Y/N SIGNATURE 7 r Llcensa# Address _ COMPANY C.O ,� 14C OTHER REasTEriEO Y/N FEE cuRREn Y/N SIGNATURE Address 1�0 n1�P. License i RESIDENTIAL Ate�h(2)Plot Plans;(2)eats of Building Plans:(1)set of Energy Forms:R•O•W Penult for new constructlon, Minimum ten(10)wodklg days after submittal date.Required onsets,ConsWetion Plans,Stormwaler Plans w/Silt Fence installed, Sanitary Facilities 61.dumpsler:Site Work Permit for subdivlslonallarye projects COMMERCIAL Attach(2)complete see of Bvlldhg Plans plus a Life Safety Page:(1)sat of Energy Forms.R.O.W Permit for new rprhstrut tlon. Mary FeWitla d I drrhpstaar.Site Workum on(MmorldnodsYs s Permit for AM now pro)eda.AN Commercial Plans,S10-icemen ater Pens w/Slit Fence installed, retMhiromene must meet compliance � SIGN PERMIT PR((OP RTRTY SURVEY regA-ed of Engineered ens.for AN NEW 00"InJOWn. 3.. o)apploNon, ed "aC�nIneq it over$7600 ea regmred. IAA hrPRad„ ) ,# ;4'. the mnayaor)or Power of Atbmey(for the owmr)would be someone with noWirad letter from Owner suftftng same .•,.;,VM aver. ... � RPERMIoopyofeontractroqulrad) RffWsh�ao Savers ( Upgrades A!G n..Fences_(eWt/Survey/FooeW) raPe�+r•r .._..._. NoLoverCodnN�(rlfonpubtcleadways..needsROW !F!?i'!i'\V�r�;a, -• -- s -- - ._-_ .. i < T tail , -- Scanned with CarnScanner RESTRICTIONS: The undersigned understands that this permit may be subject to'dead"restrictions' NOTICE0y DVEDmore restrictive than County.regulations. The undersigned assumes responsibility.for compliance with any which maYded restrictions. opploble.' CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or UNLICEN to undertake work,they may be required to be licensed in accordance with state and local regulations. if the wr,traoidrs contra is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation u ,state law. It the owner or intended contractor are uncertain as to what licensing requirements may apply for the infended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- so. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractors)sign portions of the•contractor Block'of this application for which they will be responsible. If you,as the owner sign as the I _contractor,that may be an indication that he is not properly licensed and Is not entitled to permitting privileges in Pasco County- 1 r SPOERY FEES: The undersigned understands ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change ofexisco County Ordinance number 89-07 and as amended. The undersigned also understands,that such tees as may be due,will be Identified at the time of ing. urce Recovery Fees must tue pall prior to rng 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$2.600.00 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'SiOWNER'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,Weiland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. Southwest Florida Water Management District Wells, Cypress Bayheads, Welland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks, i) US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: I - Use of fill Is not allowed In Flood Zone•V'unless expressly permitted. —! - If the fill material is to be used in Flood Zone W. it is understood that a drainage plan addressing a 'compensaUng volume'will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - ff 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 wiN be used only to till the area within the stem wall. - If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent I properties. if use of tin 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) we 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 r permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or L set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter —r `f 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 y the permit is suspended or abandoned fora period of six(6)months after the time the work is commenced. An extension I may be requested,in writing,from the Building ofncial for a period not to exceed ninety(90)days and will demonstrate e 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 REPERTY O D. I YOUR R YOU INTE NOTICE OF COMMENCED TO OBTAIN. T..CONSULT WITH YOU DE .OR AN ATT NEY RIM JURAT(F.S.11T F .(13)) - /_��l ��n�� ,ICr.�/r� CONTRACTOF,�� OWNER put OEHi a a Su and cwom (or arfirtn Ito To this m(or �n Subscribed and sworn ( f'� �, �ciZo by i cch F I U Fla. W tale naAy kit o me or hedheve produced ��— io mo or nay:. ='—"= as IdentlOcalbn. Who nIdpertYlfutlon. �� %1 '�f7��t t NotaryPubflc ,/� f Y Notary Public Commission No, Name 1501 I Nameof tncw�Re"�t e IN tar e co twine �trootst�o t! , 4 €`v Ex.imNowbn QU-dov .. �Fap„a,y12� 'kf�,h.•• eon::f�rn,„a„ya,cmu�a. e,J�01Mn Ills I Scanned with CamScanner