HomeMy WebLinkAbout21-1396 City of Zephyrhilis MPERMIT dNUMBER
I L
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001396-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/22/2021
Permit Type: Building General (Residential)
Kyj Number 11
g Street Address
14 26 210010 00500 0090 4912 9Th Street
Owner Information Permit Information_-- Contractor I nTo I m an o rl�
Name: DAVID TRUONG Permit Type:Building General(Residential) Contractor: SMART CHOICE ROOFING
I bw, 0,4wl )E)A-k— Class of Work:Reroof(Shingle Only) LLC
Address: 494&OTMSr Sr Building Valuation:$5,400.00
KE�� I
r1g—FE-33M2—,� Electrical Valuation:
Phone: (813)777-4894 Mechanical Valuation:
3 3 Plumbing Valuation:
Total Valuation:$5,400.00
Total Fees:$67.00 ( / v
Amount Paid:$67.00
Date Paid:1/22/2021 10:47:22AM
Project
Description
REROOF SHINGLE
Application Fees
Building Permit Fee $67.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 653.80(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.
r
CONTRACTj!�1GjTIJRE P IT OFFICE
PERMIT-EXPIRES IN 6 MONTHS WITHOUT APPROVED-INSPECTION
GALL-FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_ City of Zephyrhills
l 5335 811 St
Zephyrhills FL 33542
(813)780-0020
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ROOFING INSPECTION AFFIDAVIT
Permit NQ L391 -- 2-0 2-1
I, (4'YYXV' LI licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer_ Building Inspector
License No. C-QQ— t Architect-332 LCjq
On or about t 2—& 12 E3`Z4 did personally inspect the:
Check: Roof Deck Nailing Dry in -k- Flashing and Drip edge
Check which was used: 30#felt Peel and Stick)!�—Other(List)
At the following .�
address: r fi h . L 3� Sq Z
a
3
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).
z
Signature:
STATE OF FLORIDA ���GNBRE&'//,�/
COUNTY OFPASCO I 2�01A?Y��C�:;
Sworn to and subscribed before this day l ' = Q *COMM N
20'1�
BY: CO920764 Q.
Q
Notary Public State of Florida ' j PUB4`GO�\`�\`
FOF �. .
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813-780-0020 Fax-81378"1021 �// /3 !l
City of Zephyrhills Permit Application f�
Building Department
Date Received Phone Contact for Permitting J
aaaa:aaa ttttt
Owners Name t fYt Owner Phone Number
Owners Address i Z2. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
41HJOB ADDRESS 1 � p�A �n c� LOT# �y -0�q 0
SUBDMSIONIV
Y"t� PARCEL ID# `C-10 2- — ly
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION Qe� BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
cz c c r9 F ff F ff F ccc cccTc ccc c s c rrrcrrrrrs-v
=BUILDING $ S 00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ lJV AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Nzr ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address License# `
OTHER COMPANY Q ' (_
SIGNATURE REGISTERED /N FEE CURREN I Y/N
Address License# 3 2
■ttNTIAL ilttttttttttttttltttt■ tt rillttl®ttttttil[tttttttttltltt.l[d
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O W Permit for new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge 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,Stannwater Plans w/Sift Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali 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
H 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
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 pearl 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 1
must take to be in compliance.Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Welland.Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment.
- 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.
1 understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"W 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this S9b/sc'bed and swom t r ed before me this
by r e e�T_by
Who Ware personally known to me or has/have produced Who is/are personally kno a or has/have produb6d
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No. n /
Name of Notary typed,printed or stamped Name of Notary typbd,printed or stamped
�•�` riABR4//,
01
OTA/?y9.�
_ 2023 N
= Cl) October 8'No.GG
%,F/OF IFV����
INSTR#2021013745 OR BK 10263 PG 201 Page 1 of 1
01/22/2021 10:09 AM Rcpt:2251764 Rao:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles Esq. Pascoou.nRy.Clerk.&Comptroller
Permit No. Parcel ID No 2(0^ 2l ^ 001 0"' 00 SW
(
//�� NOTICE OF COMMENCEMENT
State of 1' -10-1-6&A County of P qrt)
THE UNDERSIGNED hereby gives notice that Improvement wall be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the followdng!.ft.,ation Is provided In this Notice of Commanownent I cnA
1. Desa#onofPmpedr.. Perrall�McattorrNo. {?�^Z�n --•f
Street Address• 1 `tt
2 General Description of Improvement go ^ `ISO
3. Owner ormatbn or Lesseeation if the Lessee contracted for the Improvement
City StElh)
Interest in Property:
Name of Fee Simple Titleholder:
(If different from Owner 6stod above) �t
4. Contractor � State
Name city � 3'5S�8
Contractor's Teleptone No.: —
S. Surety.
Name
Address Ctly State
Amount of Boni:$ Telephone No.: ? 2 _
6. Lender: r�•tCD
(D N
Name O D S 0 O rt S
Address City State -a �i a O
O C.� � O
Lender%Telephone No.: ID N t7 p
d C CD
to O ZS n
7. Persona within the State o1 Florida designated by the owner upon wfrorn notices or other documents may be served as provided by 'n O O r`
Section 713.13(1xa)(7).Flodda statures: o o o
d � om -
Name - C m = 19
0 o a 1:
_ =A r.L
city -state � m
Address
elephone Number of Designated Person: N 0 0
8 In addition to htmseff,the owner designates of, v 01 O C
to recetve a copy of the Lienors Notice as provided to Sectiprf 713.13(1!xb)Florida CD 95
Statutes. N _� 0 M 0
Telephone Number of Person or Entity Designated by Owner. �+ N E
9. Expiration data of Notice of Commencement(fire emratfon date may not be before the completion of construction and final payment to 9re
contractor,but will be one year from the date of recording unless a different date Is spedfledy. 0Lj—D —2.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRAT10N O THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r
Under penalty of per)ury,f declare that I have read the foregoing notice of commencement and that the fads slated therein are true to the best a
of my Imowtedga errd belid. rl Q
STATE OF FLORIDA + �"
COUNTY OF PASCO
Signature of Owner or Lessee or Owners or Lessee%Augmtmd
011icedDirecrodPartner, gar ',� - `'' •r. i
SignatDrys Tlde/07tice
The Irs6tmeerdwvdsectoraN204
foregoing edged before me thla _day of 2 yf+by ''Y�) nQ vh � O^!" °
/]NO --" (type Of authority.e.g.,of—,trustee.mtomey )for'` ' ®�•
Mama of nartv an behaff of wtwm tnstrtnrrerd was exeaded) ��� r•® �►
Personally Known❑OR Produced/II�de�ntifcation Notary Stneatan
Type of Identification Produced Name(Print)
:.•�•�.,� RA ER MONCADA
NOTARY PUBLIC•STATE OF FLORIDA
�aFdP COMMISSION/lGG935673
My Commission Expires 12/01/23
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