HomeMy WebLinkAbout21-1405 City of Zephyrhilis PERMIT NUMBER
r =; 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001405-2021
Phone: (813)780-0020
Fax: (813)780-0021 L Issue Date: 01/25/2021
Permit Type: Building General (Residential)
Propeyrty Number Street Address
15 26 210170 02200 OOAO 37733 Alissa Drive
Owner Information Permit Information 1111111111111111111111111�00nt Information
Name: CARMEN CANCEL Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: 3717 Juneberry Dr Building Valuation:
WESLEY CHAPEL,FL 33543 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:
Amount Paid:
Date Paid:
Project Description
REROOF SHINGLE(5 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.
A Ila
CONTRACTOR SIGNATURE PE IT OFFICE
-- PERMIT-EXPIRES IN 6 MONTHS WITHOUT-APPRQV- ED INSPECTION
-- -----CALL FOR INSPECTION - 8 HOUR NOTICE-REQUIRED
PROTECT CARD FROM WEATHER
i
City of Zephyrhills
53358 th St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: BGR-001405-2021
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 10:00 AM did personally inspect the:
Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge ✓
Check which was used: 30#felt Peel and Stick/Other(List)
At the following
address: 37733 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
Sw to andsubscr' ed�before this day -24 Act r
BY:
Notary P �rl
State o%1 Florida
JACQUELIN:AWQRKM:AN
MY COMMISSIEXPIRES:JBonded Thru Notars
i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name na I Owner Phone Number
Owner's Address �';�( 55 R r. 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 B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION Q n BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK fC I e
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
A =GAS = ROOFING 0 SPECIALTY.= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . ._. . . •
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE• REGISTERED LYLN J 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 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L 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. (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
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 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 iat 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$2,506,00 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 id entify.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,WaterAkastewater 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 lessl 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 Idemonstrate
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.917-.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 Pubiic
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2021014631 OR BK 10263 PG 3807 Page 1 of 1
01/25/2021 10:52 AM Rcpt:2252344 Rec:10.00 DS:0.00 IT:0.00
+ Nikki Alvarep�YJes Esq fiasco C2yDtkCJr}t8 Comptroller
Peril No. Parcel ID No 15-26-21-0170-02200-OOAO
NOTICE OF COMMENCEMENT
Stateaf Florida Coanlyor 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
1. Description olProparty PefCBl ldentlfiCellat No.1r,26-cowoor-01704MaODA0 ORMOE BLOSSOM MCH AConmahuMUM OR 120D PG664 BLDG 22 UMrA6
ELEmENTS
StmetAddress. 37733 ALISSA DRIVE,ZEPHYRHILLS,FL 33542
2. General Description of Improvement RerOOf
3. Owner Information or Lessee Information 11the Lessee contracted for the Improvement:
CANCEL CARMEN A
3717 JUNEBMY DR WESLEY CHAPEL FL
Address city State
[Merest In Property.
Name of Fee Simple Titleholder.
Qf different from Owner listed above)
Address City State
4. Contractor. Code Engineered Systems Inc y��� a'•
8267 C&Mway Blvd Suite E Tampa FL
Address City
Contractors Telephone No.:
� 9
5. Surety: �.
Name P� �
Address City State
Amount of Bond:$ Telephone No.:
S. Lender.
Name
Address City State
Lender's Telephone No
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes: o , i
d)
Name CL U
E
Address City state W r
m O r
Telephone Number of Designated Parson: d C E O
a. In addition to himself,the owner designates of— � no-Op -C y
to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b),Florida Statutes. �b d c U i
Telephone Number of Person or Entity Designated by Owner. 3 0 y
0LLJ
9. E)qfration date of Notice of Commencement(the wiretion date may not be before the completion of construction and final payment to the (� Q co
uj p
contractor,but will be one year from the date of recording unless a different date is specified): 0 c0i O (D
70
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 3 O U-
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART1, SECTION713.13, FLORIDA STATUTES, AND CAN i y W co
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 INSPXTJON. IF YOU INTEND TO OBTAIN FINANCING,CONSULT O p 9 N
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO RECORDING YOUR NOTICE OF COMMENCEMENT. O v O O 10 O
Under penalty of per]ury,I declare that I have mad the foregoing notice o co encement and that the facts stated therein are true to the best " c o N >
Q i
of my knowledge and belief. ® m 6) O
STATE OF FLORIDA Y o
i I�
COUNTY OF PASCO IfJ E— .� o Z 0_ fT
Sign of Owner or Lessee,or Ownees or Lessee's Authorized
OfllcedDirectonP rbmedMonager
eiS a)
Signatory's TAlelOtfice
. , y��P v
The foregoing Instrument was acknowledged befores 1LLL
beefore me this day of 20a b e-n 'T 62(b I
es l(�P - (type authority,e.g.,officer.trust ,attomey in fact)for i
1 (nano of pa on I off of wtmom InsWm t cuted).
Personally Known 0 Q$Produced Identification�1 Notary Signature i
Type of Identification Produced Dt'1 N(t/S Ce(I%Q Name(Print)
Arft M.
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