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Home My WebLink About21-1368 PERMIT 1IT110 UH City of Zephyrhilis M P., ,M NUMBER M,BE 5335 Eighth Street Zephyrhills, FL 33542 BGR-001368-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/20/2021 Permit Type: Building General (Residential) 10 10 LP;Zro I_e fty]Number Street�AddrFls 15 26 21 0200 00000 0220 4731 Timber Way Owner aInformation Permit Information C_-�,-6.,n_tMgc Information Name: ROLIDAN TRST JOSE ROLDAN SR Permit Type:Building General(Residential) Contractor: QUALITY ROOFING TRST Class of Work:Reroof(Shingle Only) Address: 40030 Lynbrook Dr Building Valuation:$6,400.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)469-0594 Mechanical Valuation: Plumbing Valuation: Total Valuation:$6,400.00 Total Fees:$72.00 Amount Paid:$72.00 Date Paid:1/20/2021 3:38:09PM §P�r"eject Description REROOF SHINGLE Application Fees_ Building Permit Fee $72.00 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. Q 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 �— 7i/ Phone Contact for Permitting 2777 —�4t� -1,3-f 't - Owner's Name Owner Phone Number Owner's Address ber x64 v; Owner Phone Number Fee Simple Titleholder Name �Ow er Ph Number F` i. Fee Simple Titleholder Address ► JOB ADDRESS /� l �// !v '7' LOT# SUBDIVISION PARCELID# (OBTAINED FROM PROPERTY TAX NOTICE) ':WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH F INSTALL REPAIR ,jyPROPOSED USE Q SFR Q COMM Q OTHER k_,TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE .V HEIGHT 4s BUILDING $ VALUATION OF TOTAL CONSTRUCTION - "- ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. f =PLUMBING $ tzvaf =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P 0 GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO - - - - - - - - - - - - - - - BUILDER COMPANY dXd J V6 ff l i� /7 SIGNATURE REGISTERED Y/ FEE CURREN Y/N ^ Address EZ7 / / 3?.5933 License# ga ELECTRICIAN COMPANY SIGNATURE• REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER ; COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address i License# OTHER ! COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# Illlllllllltllllllllllllllllllllllltlllllllllllllllllllllllllllllll 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 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. . . . . . . . . . . . . . . . . . . . . . . Directions: 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 Aftomey(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 e NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"Crestilctkons" 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 localregulations. If the contractor is not licensed as required by law, both the owner andl 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 contrac*(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. I - TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undeirstands 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 s 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 accords lice 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—Homeowner's Protection Guide".prepared by the Florida Departient of Agricultu I re 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 c ga en ies 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 Bay!peads, Wetland Areas and Environmentally Sensitive Lands,WaterMastewater Treatment. I Southwest.,,_Florida Water Management District-Wells,' Cypress Bayheads, Wetland Areas, 'AlteringWatercours es. 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"Y"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 W 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 thel attached permit application, for lots.less than'one (1) acre which are elevated by fill,an engineered drainage l 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 lof 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. I i 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-AWATTORNEY BEFORE RECORDING YOUR NOTWX-4DF;-COMMENC FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTORO:'00 Subscribed and swom to(or affirmed}-before me this Subscribed and s rn to me tp 5 a Wff 8!) by Who lila—repersi6nally known to me or has/have produced Who is/ personally k wrt fd me or hash produced as identification. as identification. sNotary Public ' Notary Public Commission No. Comml sl No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped JACQUELINE BOGES A"'t commis8ion#GG276457 Expires December 12,2022 Bondod Thru Troy Fain insurance ownsqoi INSTR#2021011 160 OR BK 10260 PG 2279 Page 1 of 1 61/19/2021 04:46 PM Rcpt:2250471 Rec:10.00 IDS:0.00 IT:0.00 E Nikki Alvarez Sowles Esq..Pasco County Clerk&Comptroller M•; Permit Number Parcel ID Number NOTIVE OF State of Florida County of�..�,_.. SC THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following Information is provided in this NOTICE OFCOMMENCEMENT. 1. Description of property(legaldescrlpfion):.w._� +�-02 -(}200-00 —0.7,,7_0 _ a)Street(�ob)Address: _ _°!_�_. --�- _.._.-.t.�'U,L .S._.JR—-,. . _.General description of improvements: 3.Owner Information or Lessee information If th Lessee contracted for the im rovement: r_ r a)Name and b)Name and address of fee situ le titleholder(if different than Owner listed above} c)Interest in pr(perty:__.-...- •___.._..._._.-_._.__._._..._.__..__...__...._.......... _ __-----_._._._---- 4.Codiractor Information a)Name and address; /� 1.lgy t.0 D_pfiu_z b G` t, uallly�)_011 5,_-7.c��-61166 kf oWl:,rx 4W�e b)Telephone No.: Fax No..(optional) 5.Surety(if applicable,a copy of the payment bond is attached) a}Name and address:_._�_.__—._--..•----------_.__-----__.__.__....._._..___._-_. .-_._.--------...__._.______.______.__.._..____ ._.____.__.._:___..._._:_._. ...:._.__-_ b)Telephone No.:_ ---._._._.._..__...._....._.__ c)Amount of Bond: -__._-.._-----_ _._-- 6.Lender .a)Name and address:_-- ,�ti Teie hone No P ' 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a)Name and address: __-.-- b Telephone No.:._..__ Fax No.: o #tonal - 8.a)In addition to himself or herself,Owner designates _•—_.-____,___—..._ __... of to receive a copy of the Uenor`s Notice as provided in Section 713.13(1)(b),Florida Statutes. - b)Phone Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified)_..,M,.___._, 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 t,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:WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCIMWORK OR RECORDING YOUR-NOTICE OF.COMMENCEMENT. _.__.._.__---___...___..___.,: ..............._..__.. Under penalty of periury,l decla're that I have read the forego ng notice of commencement and that the facts stated therein are true to the best of my knowledge and b 'ef. (Signature of Owner essee,or Owner or Lessee's(Authorized Cheer@irector/Partner/Manager) Print Name and Provide Signatory'sTMPJOffice The foregng i men#was acknowledged before me by means ofj physical presence or [ on-line notarization,this ._.,.1 da ofS�n:V A,IL�t 20l_b �p_5 e1_. 0. -as•.•..,-_,p, Y1�2 _._'„'(type of authority,e.g.officer,trustee,attorne ' TT - for S--- . _ 0 _ � _ as (Name of Person) (type of authority,a.g,officer,trustee,aftomey 1 P a"ell 6659 for (n eofpanyonbehalfofw instrumentwasexecuted, 1, �\00 a GG,� �t8� Fro �q �EypZ Personally Knowri ❑ Produced 1 ,; °s4c'45`com coU`y o6,Zap Type of ID Notary Signatur _-- _- - ��- Print name , - i i i i i State Of Florida,COUnty Of PaSC® This is to certify that the foregoing is a � true and correct copy of the document 2$ . �,s �: •� on file or of public record in this office. r? KIV, rust 41 Witnes�my hand and official seal this , �� day of 2 ! Nik` ki Alvarez-So es,Esq.,Cle &Comptroller t�87 , Pasco CoG t�,Florida, By - '�� ,Deputy Clerk i City of Zephyrhilis 5335 81"St r .. Zephyrhills FL 33542 (813)780-0020 ROOFING;INSPECTIION AFFIDAVIT Permit No Mill � licensed under Chapter 468,Florida Statutes as a(n): Contractor V Engineer,_Architect_Building Inspector_ License No. On or about 4M did personally inspect the: t� Check: Roof Deck Nailing Dry in Flashing and Drip edge Check which was used: 30#felt Peel and Stick V Other(List) At the following / �j;'' �f address: �731 Y l t l� 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- f STATE O 4& COUNTY OF PASCO S n to and subscribe BY: 1 i Notary Public Sta of Florida VIRGINIA A CJORR State of Florida=Notary PuEilie = � Comm '1768 0 My Commission #C4�- CorfIMi gl0f1 P%Pif�is OF oil,F�o�� FebrUery ty�if,g � �U a:. is �t 5}1 y{r} i