HomeMy WebLinkAbout21-1395 i.
I City of Zephyrhills PERMiii NunnBE�
5335 Eighth Street
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Zephyrhills, FL 33542 BGR-001395-2021
. � Phone: (813)780-0020
4 .f Fax: (813)780-0021 Issue Date: 01/22/2021
Permit Type: Building General (Residential)
FPopertyNumber _ $tr'eetAddess �r,
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14 26 21 0010 00500 0100 4916 9Th Street
=�,�Owner„Information. .� >• r= ,.,Contractor Information
Name: DAVID TRUONG Permit Type:Building General(Residential) Contractor: SMART CHOICE ROOFING
Class of Work:Reroof(Shingle Only) LLC
Address: 4916 9Th St Building Valuation:$5,400.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)777-4894 Mechanical Valuation:
Plumbing Valuation: t
Total Valuation:$5,400.00
Total Fees:$67.00
Amount Paid: �✓2-t
Date Paid:1/22/2021 2/2021 10:47:22AM
REROOF SHINGLE
A p cation_�Fees . A $' `
Building Permit Fee $67.00
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.
CONTRACTOR SI&VILIRE PE IT OFFICE
= PERMIT EXPIRES IN 6-MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION --8 HOUR NOTICE REQUIRED -- -- -
PROTECT CARD FROM WEATHER
s 813-780-0020 City of Zephyrhills Permit Application FaX als Sao 0021
Building Department ��✓ ���
Date Received Phone Contact for Permitting
aaaItaaaa tv Owners Name / °t v Owner Phone Number / 7 y
Owners Address 1 I�� , Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address //'
JOB ADDRESS i I F(_ LOT#
SUBDMSION C'cS • PAbRCELID# G.�'� V (Q " Co
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK 0 — t
BUILDING SIZE SO FOOTAGE HEIGHT
c e rz-rrrr rcrrc-rc-rrr�x-s-c-c x-�-s-r rrrrc-rccrc-c-c-c-�
=BUILDING $ kNo VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ l� AMP SERVICE Q PROGRESS ENERGY Q W.FLE.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS [�Rr ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREN I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE I REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE E REGISTERED I QO/N FEE CURRENNnnY/N 11
Address License#
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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,Constriction Plans,Stornwater 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,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$2500,a Notice of Commencement is required.(AfC 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(PloUSurvey/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/UTILrrIES 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'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, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater 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%r 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 she(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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
YWN—
Subscribed and bsworn to(or affirmed)before me this � ed and bswom or ed)before me this
Who is/are personally known to me or has/have produced Who is/are personally k o me or has/have produced
as identification. as identification.
Notary Public r Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printeo or stamps
0 Tq?p
Q my Gomm.Expires;
N 0OW 8,2023 N
No.GG 920784
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INSTR#2021013746 OR BK 10263 PG 202 Page 1 of 1
01/22/2021 10:09 AM Rcpt:2251764 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No (��' Z/.. 00(0" V'()o
C-6 �& NOTICE OF COMMENCEMENT
.- _� Countyd �
State d
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real Property,and in accordance vAtb Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Commencmnent: ryry � � n
1. DescrWm d Property,'Parcel Iderakagon No. d^ ���Q Ct����!.
Street Address VI 1 S
2. General DescriptiondImprovement A(:?-- mop!
3. owner Irdomnatbn or Lessee Information If the Lessee contracted for the Improvement
Address Z �� state
336 L Y
Interest in Properly:
Name of Fee S6nple Titleholder:
(If different from Owner listed above)
Address City State
4. Contractor.
Addrese _ C4ty state
Contractors Telephone No.:
S. Surety:
Name
Adder City State
Amount of Bond:S Telephone No.:
6. Lendx: d Z = c
Name 7
Address 0 CD CD N rn !D
Y State O �j pR CR.
Landers Telephone No.: CD
CL
7. Persons within the State of Florida designated the owner = N a o SOD
gn try upon wlorrn not'ses t#ether documents may be served as provided by � � � � XS
Sed on 713.13(1)(a)(7),Florida Statutes: \ O O 0, cf �
0, CL
Name �. O a A CO
rr fD � •+
N CLQ `�
Address City gee _ O Oa Oi 0 C
Telephone Number of Designated Person: C-) ? O
N 7 fb -r
B. In addition to himself.the owner designates of N O O
to receive a copy of the Lienora Nice as provided tr1 Section 713.13(1)(b)Florida SNdtuOes. N O C
Telephone Number of Person or Entity Designated by Owner D N ? B
9. Expiration date of Notice of Commencement(the a)#ndm data may not be before the completion of construction and final payment to the rn
wntrador,but will be one year from the date of recording unless a different date Is specifteo.
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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 77 rp
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under ltyof Wuryy.I declare that 1 have read the foregoing noUce7comnd ent a brat the fads stated thereln are true to the best
of my lu� and bellef.
STATE OF FLOR113A
COUNTY OF PASCO
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d a Lessee.or owners or t.essee's Authorized
OiTicar/DlractodPartnadManager �
d1/�JIti�,FZ /ti, a�
r7 Sfgnstoys Tdlelt>tf=
The foregoing irtstwiend was acimrnMedged before me this 21 day d,1Q n .2&,by
as nt L 1 (type of authority,e.g..dficer,trustee, tad)
( d m of whom Instrument was o ecuted).
Personalty Known[7 O$Producedflarr Notary Sfgrnatrrre
Type of Identification Produced Name(Print)
RHYMER MONCADA
NOTARY Pl1BI.IC•STATE OF FLOPoDA
e, COMMISSION#GG 935673
My Commission Expires 12/01123
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