HomeMy WebLinkAbout21-1406 J
City of Zephyrhilis PERMIT
' IIUSMSEM
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001406-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/25/2021
Permit Type: Building General (Residential)
Propeirty -d U:res;�s Number
15 26 21 0170 02200 00130 1 37767 Alissa Drive
Owner Information P."e nlfll=or!mation Contractor Information
Name: ROBERT&VIRGINIA COBB Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: 60 Beaconview Ct Building Valuation:
ROCHESTER,NY 14617-1402 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:
Amount Paid:
I I Date Paid:
j1aZr9j W_ t1ffes*Vr�'_Li p_t:i_o
REROOF SHINGLE(6 OF 8)
Application r
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.
ao/Ile -
CONTRACTOR SIGNATURE PEJAR.:9FFICEf j
PERMIT EXPIRES-1N 6-MONTHS WITHOUT APPROVEUINSP-ECTION
CALL FOR-INSPECTION - 8 HOUR NOTICE_REQ_UIREDr___'_
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name (4 d e c� CI L Owner Phone Number
Owner's Address ec 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 Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK" l
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
w =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION k'
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.
BUILDER COMPANY
SIGNATURE 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_J FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
Illllllllillllilllllllllllltllllllllllllllllllltllllllllllllllllllt
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 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 maybe 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 CONTRACTORRESPONSIBILITIES: 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 contractors) 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 b'e 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, 1;
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.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-1,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.
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 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_ATGORNEY BEFORE RECORDING YOUR NOTICE O_F_C_OM_MENCE_M_ ENT.
FLORIDA JURAT(F.S.117.03) - -
OWNER OR AGENT CONTRACTOR
Subscribed and swom 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#2021014630 OR BK 7 U Z6j PG;3k5Ub Page 1 of l
01/25/2021 10:52 AM Rcpt:2252344 Rec:10.00 DS:0.00 IT:0.00
Nikki varea-Sowles Esst Pasco County Clerk&Comptroller
Permit No. PamelIDNo 15-26-21-0170-02200-00BO
NOTICE OF COMMENCEMENT
stela or Florida county er Pasco
TrfE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Comrna�re�21"V&OZW 0390 ORANGa BLOSSOM RMCH A CONDOMTINM GR 1200 PG 664 ULM 22 UNrr a s
1. Description of Properly. Parcel Identification No.co ¢accents OR Baas PG sari
Street Address: 37767 ALISSA DRIVE,ZEPHYRHILLS,FL 33542
2. General Description of improvement Reroof
3. Owner Information or Lessee Intomration If the Lessee contracted for the Improvement:
COBB ROBERT M&VIRGINIA W
60 BEACONOTEW CT ROCHESTER NY
Address city state
interest in Property.
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Addressstate
4. ContractorCode Engineered Systems Inc gay
8267 ChAway Blvd Suite E Tampa
FL 4'd�� ' • •a: �
Address City State
Contractor's Telephone No.: * ��
S. surety:
Name
Address City slat-. y r
Amount of Bond:$ Telephone No.: -- Y 3
6. Lender. v �}
Name � • �a
Address city State
Lenders Telephone No.: • g
7. Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provided by ,_ I
Section 713.13(1)(a)(7),Florida Statutes: t
O �
Name
E A
Address city state ro °'°' a
an dt v Z C 7 6-
Telephone Number of Designated Person: 4 W E cO CV ca 0
6. In addition to himself,the owner designates Of— O th _
to receive a copy of the Uonors Notloe as provided In Section 713.13(1)(b),Florida Statutes. y RS CJ
Telephone Numbar of Person or Entity Designated by Owner `P aJ Cr
O uS
9. Eurplration date of Notice of Commencement(the expiration date may not be before the completion of construction and Mal payment to the Q O tut
contractor,but will be one year from the date of recording unless a different date Is specified): v6.7+ uro p N
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT -' '0
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,AND CAN M t O O LL
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE Q) 7 N
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP CTION.IF YOU INTEND TO OBTAIN FINANCING CONSULT Q O m
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO R RECORDING YOUR NOTICE OF COMMENCEMENT. L16 Q O A
Under penalty of penury.I declare that I have read the foregoing notice o mencemerd and that the facts stated therein are true to the best ) -0 `O
of my knowledge and belief. Ml N N < p
Y U
Y_
STATE OF FLORIDA y�
SQ
COUNTY OF PASCO fillh O a- ca
Sign re of Owner or Lessee,or Owners or Lessee's Authorized
Ofacer/D dnerfManager
of
Signatory's TWPJOf6ce
The foregoing Instrument was acluioWod ed before me this day of_jaa_20 jj by l)en &I A,b
as (E b i C -h (type of authority,e.g.,officer,trustee,attorney In fad)for
(name of rty on all o1whom Instru nt as executed).
Personally Known I3 QR Produced Identification Notary Signature (" ,...cti6 S..6L— .
Type of Identification Produced v V�r5 �1 Li?YZ�ueJtama(Print) mac_
Andres M Huff
°' CORlt�AN022451
�'+ 1 ;-' 21,2024
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