HomeMy WebLinkAbout21-1402 Q I
City of Zephyrhills P.,ERMliTdN.WMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001402-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/25/2021
I
Permit Type: Building General (Residential)
Prop�eirty Number Street Address
15 26 21 0170 01300 OODO 37760 Alissa Drive
Owner Information Permit Information Contractor Information
Name: DONNA NEHRING DIANE BIERMAN Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: 37760 Alissa Dr Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00 �I
Total Fees:
Amount Paid:
Date Paid:
P.r�oject Description
REROOF SHINGLE(2 OF 8)
Application Fees
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.
11-1- Q-Lva
r.CONTRACTOR SIGNATURE - PE IT OFFICE
PERIMT�XP.IRES IN 6 MONTHS WITHOUTAPPRO D 1NSPECTION
. CALL-FOR INSPECTION - 8 HOURNOTICE-REQUIRED
PROTECT CARD FROM WEATHER
ID
A City of Zephyrhills
5335 8t'St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
i
Permit No.: BGR-001402-2021
I, Russell Dodson licensed under Chapter 468, Florida Statutes as a(n):
Contractor✓ Engineer Architect_Building Inspector
License No. CCC1327305
On or about 1/26/21 at 10:30 AM did personally inspect the:
Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge
Check which was used: 30#felt Peel and Sticker Other(List)
At the following
address: 37760 Alissa Dr, Zephyrhills, FL 33542
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:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day l°a V
BY:
Notary Pub' tate of Florida
ELIid WORKMAN
JAOa OG 191298
o a My CON�1S 2022
.: �' * EXPIRES:June 30: riter� !
dThruNotar/Public-UnderN
•.rCOF F�JJ Bonde
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name / /-id Owner Phone Number
Owner's Address 411 i C( Q: Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY0 . W.R.E.C.
=PLUMBING $
fo V
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 6
Y,
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE• REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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
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 1 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 Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are-personally known to me or has/have produced
as identification. as identification.
Notary'Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2021 014637 OR BK 10263 PG 3813 Page 1 of 1
01/25/2021 10:52 AM Rcpt:2252344 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,.Esq..Pasco County Clerk&Comptroller
Permit No. Parcel ID No 15-26-21-0170-01300-OODO
NOTICE OF COMMENCEMENT
slat,,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 following Information Is provided In this Notice of Commencement
9. Description o1 Pro 15'26-21-01700130e0000 ORANGE BLOSSOM RANCH A CONDOMINUM On 1200 PG 654 UNR D BLDG 13 A
perty. Parcel Identification No.canemN ELEMUM OR 9467 PG 3046
Streetaddre.: 37760 ALISSA DRIVE,ZEPHYRHILLS, FL 33542
2. General Description or improvement Reroof
3. Owner Information or Lessee Information If the Lessee contracted for the Improvement:
NEHRING DONNA&BIERMAN DIANE
37760 ALISd"RIVE ZEPHYRHILLS FL
Address City State
Interest In Property.
Name of Fee Simple Titleholder
gf different from Owner listed above) ��� .4
v
Address City State
4. Contractor. Code Engineered Systems Inc
82671009way Blvd Suite E Tampa F
Address city Ste
Contractor's Telephone No.:
5. Surety: y c
Name u e"'/
Address city State
Amount of Bond:$ Telephone No.:
B. Lender.
Name
Address city State
Lenders Telephone No.: N s
7. Persons within the State of Florida designated by the owner upon whom notices Or other documents may be served as provided by 2
a.
Section 713.13(1)(a)(7),Florida Statutes: U
Name ca O (6 n C
WJ d) U sCL
tDE O d�� N co
Y
Address CRY State i7 O U) rh
Telephone Number of Designated Person: O U
a. In addition to himself,the owner designates of 0 .- -
to receive a copy of the Uenors Notice as provided In Section 713.13(1)(b).Florida Statutes. �Q i O 0 Ld O
Telephone Number of Person or Entity Designated by Owner. G9 v Q d '0
O d
g. EVIratlon date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the o v O 0
contractor,but will be one year from the date of recording unless a different date Is specified): G y, a1 O D N
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT p
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN Q 0 O
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE O O O
RE-CORDED AND POSTED ON THE JOB SITE BEFORE THE FlRST INSP GTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT "' C O ikcL V
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO OR RECORDING YOUR NOTICE OF COMMENCEMENT_ A c0 Y
Under penalty of penury,I declare that I have read the foregoing notice of mencement and that the fad t s stated therein are true to the best M rNo >
of my knowledge and belief. y F y O � Z d CO
STATE OF FLORIDA
COUNTY OF PASCO
Sig roof Owner or Lessee,or Owner's or Lessee's Authorized
.1.d0itedodPartnedManager
?11 oS/ �T
?� Signatory's Title/Oiftce , }i
The foregoing Instrument was acknowledged before me this Ci day of_J&Y 20,g by 51Ted e.17 'PT&/
n I-Sri j�
as Pre—S Inc(e ei"t (type of authority,e.g.,officer,b stee,attomey In fact)for
(name of rty on behalf of whom I mentwas executed).
Personally Known t7 QR Produced Identification I�I - Notary Signature�,e lelaa
Type of identification Produced Dr'V145 l-Ar•r(A-4— Name Mitt) *Mdre al
giII Wrlea M.Hurt
COMMAH022057
.+� Ba WThfu 211
2024
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