HomeMy WebLinkAbout21-1437 f _
D
Q
nnine V City of Zephyrhills PERMIT NUMBER
-, 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001437-2021
Phone: (813)780-0020
' Fax: (813)780-0021 Issue Date: 01/29/2021
Permit_Type: Building General (Residential)
Property Number Street Address
10 26 210120 00000 0380 5847 Yorkshire Drive
Owner Information Permit Information Contractor Information
Name: ALICE KLISTRA Permit Type:Building General(Residential) Contractor:TOTAL HOME ROOFING
Class of Work:Reroof(Shingle Only)
Address: 5847 Yorkshire Dr Building Valuation:$8,700.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (802)233-4379 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,700.00 i
Total Fees:$83.50
Amount Paid:$83.50 1 �,�✓61 L✓
Date Paid:1/29/2021 2:02:23PM �11
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $83.50
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 SIGNAY E PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I _ �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receivedf
`` 1V Phone Contact for Permitting Hy
Owner's tl �� Owner Phone Number 2-
Owner's Address 5 _1 Y hi f P Y- \Vv1� FL Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address V 1 ` 1
JOB ADDRESSInt 10Y�S im lb`,- ! LOT#
SUBDIVISION Qn PARCEL ID# — 'ZO OWOC) —03
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM [± O HER e pO ' ct
TYPE OF CONSTRUCTION n= BLOCK Q FRAME = STEEL
K� =
DESCRIPTION OF WORK roor �u Z onf YYOh1AY"or f �I
BUILDING SIZE SQ FOOTAGE Ol) HEIGHT
=BUILDING $C�� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ C� AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY i r
SIGNATURE }REGISTERED N FEE CURREN Y/N
Address Y• YG'nfaoo License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN Y/N
Address License#
■■aeaaaaaa �aaaa.aaaaaaaa..�aaa.aaaaaa_aa.a �..aaa.aaaaaea.aaeaaaaaaaaaaaat;.aa.aa_I
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,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,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 AIC Fences(Plot/SurveylFootage)
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'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,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 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 F ILURE TO RECORD A NOTICE OF COMMENCEMgOT MAY RESULT IN YOUR
PAYING TWICE FOR IMPR N YOUR PROPERTY.IF YOU INTEND NCING,CONSULT
WITH YOUR LE" LTTOBhWy BEFORE RECORDING Y ARM I-CRAM
FLORIDA JURAT(F.S. .0
OWNER OR AGENT CONTRACTOR
Subscribed and sworn or a r ed)before me this Subscribed and sworn to(or ed)before me this
b by
Who islar a nown o m r has/have produced Who is/are e m or has/have produced
as identif as identification.
Notary Public n Notary Public
Co ission No. 7 C mission No.QG 31'''I-S``3 b
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
goYESENIA LEONElm
Public State of Florida ESch)A LEON Notary Puolic•State of FloridaCommission+GG 317536 mission;Comm.Expires Mar Z8,2023 My h National Notary Assn. GG 3175ded through Nxpjres Mar 2B,2023 atfonal Notar}rgssn.
INSTR#2020203152 OR BK 10226 PG 1522 Page 1 of 1
12/02/2020 10:11 AM Rcpt 2232635 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
wwayn unnNyn v.r rmavrrowo-rwaorn roov..cocowvu
Permit No. Parcel 10 No
NOTICE OF COMMENCEMENT
stalsof Florida County of Pasco
THE 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 Commencement y -�f �p-��/�
1. Description of Properly:Parcel Identification No. il"���0—21—D�Lp'lA_J in—_DF)
Street Address:�7 ������tre �r 7eDh\Trb1ll'S FL tel:] 12
2 Generel Description of Improvement RE-ROOF r,
3. Owner Information or Lessee Information if the Lessee contracted for the improvement.
R�iTiGC1 fkMi►l
Address
B S I Vnr KSh i re IV 7-qQ 11y r h i 111 �.
city $tale
Interest in Property: OWNER
Name of Fee Simple Titleholder.N/A
N/A (If different from Owner listed above)
Address TOTAL HOME PROPERTIES_ DBATOTAL'WrOME ROOFING state
4. Contractor,
597 HASTY COURT SUITE 40 ROCKLEDGE FL
Address City State
Contractors Telephone No.: 321-452-9223
5. Surety: N/A
Name N/A
Address City State
Amount of Bond:$ N/A Telephone No.:
s. Lender. NIA
Name N/A NIA
Address City state
Lenders Telephone No.:
7. Persons within the Stale of Florida designated by the owner upon whom notices or other documents may be served as provided by
Seddon 713.13{1xe)(7),Florida Statutes:
Name �J/{
N/A N/A
Address N/A City State
Telephone Number of Designated Person:
a. In addition to himself,the owner designates N/A 'Of—
N/A to receive a copy of the Lienors Noll provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the dale of recording unless a different dale is speciried): N/A
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
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 ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I dedare Ihat I nave read the foregoing notice of cemmencemenl and that the facts staled Iheratn are true to the best
of my knowledge and belie(.
o.rap.a W.
STATE OF FLOR19!sft�Hogan � Gq,((µ( µ,
COU dG�dd'�'''
NOTARY PUBLIC Signature of Owner or Lessee,or Authonzed
STATE OF FLORIDA Officer/Director/ParmedManager
Conyrr;{GG354624 OWNER
FJ(P1res BI2812022 '';;�� Sig1nstoys Title/Office A
The foregoing Instrument was acknowledged before me this day of V 20jaby [7 n(�,i w.1
as OWNER (type of outhority,e.g.,officer.trustee.attorney in fact)for
SELF (name f an r on b�aH of whom instrument was executed).
Personally Known❑Off Produced IdentificatlorA� Notary Signature LL��LfN�,/ A
Type of Identification Produced N` l Name(Print) 3.ctd 8Ft/r
wpdatalbcs/nollcerwmmencemenLpcO5304a
12/1/2020 20201201_112447jpg
STATE OF VERMONT
SUPERIOR COURT PROBATE DIVISION
Chittenden Unit Docket No.:980-7-19 Cnpr
Estate of Alice M.Kustra
Certificate of Appointment of Fiduciary
DateafAppofnLnenr Namea udery/Co-Flduuory
I hereby certify that on 7123/2019 PatrIcia'Austin
was/were appointed by the Court to serve as the Fiduciary(ies)for this proceeding and has/have
accepted the responsibilities and trust related to this position.
i
Based on the Court's records,I certify that the appointment has never been revoked and remains
in full force and effect.
Doted slgna Iof Regbter/Prabale lud2r
7/23/2G19
Print e Name
regory 1.Glennon,Judge
.trftcaj P7ia' er vf'cua:e�i'�iR=15,
flaps://mail 0000lu.condrnaiUu/2/Ninbox/FMfcgxwKjlBzVVzVhPFGVXsdBd£gioSMprojector=l&messagePartld=0.I Ill