HomeMy WebLinkAbout21-1448 D �
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City of Zephyrhills PERMIT NUMBER
-- �: - 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001448-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/03/2021
Permit Type: Building General (Residential)
Property Number Street Address
11 26 21 0010 02900 0050 5651 5Th Street
Owner Information Permit Information Contractor Information
Name: MARY COWDEN Permit Type:Building General(Residential) Contractor:WIDNER ROOFING INC
Class of Work:Reroof(Shingle Only)
Address: 5651 5Th St Building Valuation:$6,859.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation: C17
Total Valuation:$6,859.00 �
Total Fees:$74.30 Amount Paid:$74.30
Date Paid:2/3/2021 10:18:19AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $74.30
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.
-22iz�L -A
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City Of z6phyrhillS Permlt Application Fax 813-780-0021
Building Department
Date Received ` n-Phone Contact for.Permitting �l 7 �� — 6 53
Owner's Name C G?.j Ott Owner Phone Number
Ownees'Address ( % ~ 5' Owner Phone Number: .. t
Fee Simple Titleholder Name �. Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS. ~ LOT#
. � -.
SUBDIVISION - -PARCEL D# - 0010.02. .ciQ,-.00—�
(OBTAINEDfROMPROPERTY TAX.NOTICE),' .
WORK PROPOSED R
NEW:CONSTR 8 ADD/ALT Q SIGN e0_. Q DEMOLISH
INSTALL REPAIR.,, .
PROPOSED USE Q SFR Q COMM OTHER .
TYPE OF CONSTRUCTION �' BLOCK Q FRAME ' STEEL 0
DESCRIPTION OF WORK S,F t `
BUILDING SIZE ] SCt FOOTAGE S HEIGHT,
=BUILDING $ r5 �� VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL $' AMP SERVICE: Q PROGRESS ENERGY 0 �W.R:E.C.; .,
=PLUMBING ($
L
=MECHANICAL $ VALUATION OF-MECHANICAL INSTALLATION
]GAS SPECIALTY ROOFING ; •OTHER
[ I �. C�
FINtSHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES "NO
BUILDER COMPANY
SIGNATURE REGISTERED :'�'Y T'N '=';•` 'FEE CURREi� Y is N .
Address Lice ' e#>
ELECTRICIAN,, 'COMPANY::
SIGNATURE REGISTER ED•: ,Y;/:N FEE.CWRREi,
Address License#.
PLUMBER COMPANY
SIGNATURE REGISTERED Y/.Wt FEE CURREN LaN'
Address License# '
MECHANICAL: COMPANY.
SIGNATURE REGISTERED Y/ N FEE CURREN' Y J N
Address. License#'
OTHER. 4 \ COMPANY
SIGNATURE {f� REGISTERED` Y t N= FEE cuRREs+ " t.N`
Andress . !} V t C' .:'License#.. CC-_C 05.7�_�-.Y
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building,Plans;{1)setof.Energy.Forms;R=O=W',Perinit.far.new,construction;
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans.w/•Silt Fericiinstailed,
Sanitary Facilities&1 dumpster;Site Work`Permit for subdivisions/large,projects
COMMERCIAL Attach'(2)complete sets of Building Plans plus'a,Life SafotyPage;(1)set of Energy.Forms..R-O-1N_Permit for_naw construction.:. -
Minimum ten(10)working days after submittal date."Required onsite,Construction Plans;..Stormwatet Plans:.w/Silt Fence:lnstalled;
Sanitary Facilities&`.1-dumpster.Site.Work:Permit for all,now projects.All commercial-requiremenWrriust 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 ofapplication,notarized
if over-$2500,.a Notice of Commencement Is required...(AtC upgrades over,$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)-,
Reroofs if shingles Sealers Service Upgrades A/C Fences(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit.maybe subject to Odeed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliancevith any .
applicable,.deed..restrictions.
UNLICtii$'lt6'COWTRACTORS','AND'CONTRACTOR'RESPONS191LITIES:---If,-the.-.owner,-�has-hifed"-a-:conttac'tor or
contractors-to,undertake work, they may--be required to be licensed in�accordance with state and local regulations- If the.
contractor-is not licens6d as required bylaw, both the-owner'and-contractor-may-be,-cited for-a-misdemeanor violation
under-state law. -If the-owner or intende&contractou,'are uncertain as to what-licensing requirements may apply.for-the-
intended work, they are advised to contact the Pasco County-building.In s-pection Division—Licensirig 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 bean 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
ing buildings,1a.s specified-in iPasco County Ordinance-number 89-07.and
90-07;--asamended. The-undersigned.also understands, that-sudh.,-fees.,as may, be-due, will be identified at the time of
permitting. It is further understood'ihat'T-ranslyortation:l.mpact Fees and Resource Recovery.Fees,must be paid prior. to
receiving a "certificate of.occupancy"or'.final.poWer release. If the project does not-Jnv.olve a certificate of oqqqpanqy,or
final.power releasei-the fees must be paid prior to permit issuance. :Furthermore,'4PPasco County-Mter/Sewer Impact
fees.are due,..they.mustbe paid.priorto pormitissuance in accordance;with applicable Pasco County ordinances..,
more I
CONS-TRUCTION'-LIEN'LAW�'(Chapter-71,3,,Florida Statutes, as..arnended If valuation of work Is$2,500.00 or
certify-that-l-, the.'applicanit"i-have been_provided. with a-.copy..of I the...."Florida.,Construction.-Lien Law=Hdmeownet's
Protection Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs. If the applicant is someone
other than:the"owner",'I"ceritify.th6t-I have`_obtained a copy,of-the above described'document�and-promise"in'goo.dlaith10
deliver it to the"owner":prior to commencement.
CONTRACT-OR'SIO.WNERI.S.AFFIDAVIT-.:'.I-certify that all the information.1n.,this-application.is accurate-and that-all:'Work
will be done in compliance with all applicable"laws r6dtila'ting'conitru6to n,-20niiid.'arid.land.devel6pment. Applicationit
-
hereby made to obtain a permit to do :w* otkaihd1,,ihstaIIatioh::as indicated. *1 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 tegFolati6ris irf-the jurisdiction., I:also t
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'Erivironmentally'Sensitive
_Lands,WaterMastewahr.Trqatment.
-Southwest Florida Waiter "Minefdaiment Distriot-Wells,' 'Cypress Bayheads, WiAnd Areas,- Altering
Watercourses.
Army Corps of Engineers-Seawalls;Dticks,Navigable-Waterways.
Department of Health & Rehabilitative S�6-Ixvices/Ehvironmental-Health-Unit-Wells, Wastewater. Treatment,
Septic Tanks.
US:Environmental;Protection.Agency--Asb.estos.:obatement.,
-----FederalLAviation-Authority.:Runways..-.:--..-
I understand.that the followingrestrictions apply to the use offill:
Use of.fill,is not allowed ih-FIood,.Z6ne",..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"-willbe-submitted-at time of permitting which-is prepared by a professional engineer
licensed by the State of Florida.
lf,theflill.,m.aterial i$tQ_be.used in Flood Zone-Mrjn connection with a permitted building using stem wall
construction,11 certIfy7thc1tJfll[-wilI b6.;used-only toflll:thezarea-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.-Jf use-offill'is.found to-adversely affect.adjacent properties, the-owner may belcited for violating
the conditions.of the buildifto-p' ermit issued-.under1heattached permit-application-,for lots lessAhan one (1)
acre wh.ich-are.elevated-by-fill,an engineered drainage-plan.1srequired.
If I am the AGENT,%FOR-THE'-OWNER, I prorbisel yin:goad faith-tdsinfbrml:the owner of.the permitting conditions set forth-in
this;aiffidavit 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-.applicatlonv.L A
permit issued shall be construed to be a license to proceed with the work and'not as authority to Molate, cancel; after, or.
set aside any provisions-of-the technical codes;-nor shall.issuance of permit,prevent the Building Official from thereafter,
requiring-a-correction oferrors-in.plairis, construction or violations ofiny,,codes.--Every-permit.issuedshall.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 suspendied-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,,periood not to exceed ninety.(90) days and will 'demonstrate
justifiable cause for'the,extension...lfwork-ceases,for:ninety(90)'consecutive days,the job is considered abandoned.
,
WARNING TO-OWNER: YOUR FAILURE TO,.-RECORD-A,NOTICE-OF COMMENCEMENTMAY RESULT.IN YOUR
PAYING-ING-TWICE-FOR-IMPROVEMENTScTO YOUR-.-PROPER.TY--.-<1F.,,YOU-4'1NTEND-TQ-*QBTAIN,-F]N-ANCING -.CONSULT
WITH YOUR L-ENDER.,OR.AN.!AT.,�TORNEY,-�BEFORE,,',RECO RDING..,.�Y�'dtiR.�NOt�ICE.CiF,.COMMENC; ENT.
FLORIDA!JUMT. i(F.S117.03)
OWNER,OR AGENT CONTRACTOR
Subscribed.and.swom,,to(or.,afflrmed);befor,e;me,thls Subscribed,and sworn to(or affi.ri-hed)bef6re7me1hIS
by
Who Is/are personally known to me or hasthaVe produced Who is/ar&p6rsoh6ily'known to me,or h6s/heive produced
as Identification. as Identification.
Notary Public NotaryPublic
Commission No. Commission-No..'
Name of Notary typed,printed or stamped Name of Notary typed;printed or stamped
D
City of Zephyrhills
5335 8th St
Zephyrhills FL-33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No:: Zw z(.
licensed under Chapter 468, Florida Statutes as a(n):. .
Contractor Engineer . Architect_Building Inspector_
License No.
..C-C.0
On or about `C Z� did personally inspect the:
Check: Roof Deck Nailing l/ Dry in �� . Flashing and Drip edge v
Check which was used: 30#felt_Peel and Stick/Other(List)
At the following
address:
Based upon that examination, 1.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 efore is day
`
BY: �— Gw
Notary Public State of Florida
JACQUEU-NE BOGES-- — --..
,� Commission#GG 276457- - -
p.F. ,oP Expires December JZ 2022
Bonded Thru TroyFain Insurance 8
00'3857019
INSTR#202102190SORBK1027OPG3565 Page I of I
02/02/2021 02:45 PM Rcpt:2256058 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
4
Permit No Parcel IDN. -0010-OX90ID-00,50
NOTICE OF COMMENCEM!p'6t
Statoof.... Ceti-, a-y-ir-o
THE UNDERSIGNED hereby gives notion that Improvement will be made to ceftln raw properly,and In accordance with Chapter 713,Florida Statutes,
the following Iriftimakift Is Provided In this Notice of Commencement
1. Oescripikin of prop":Parcel Identification No,_. IL-2(0. :�_( -
�o 4; ID OQ
-
Street Address: 3L2 q7TInS-r -z AR
V el
2. General Description of Improvement—e fed&gpe S A 9-&r '113�
U
3, Owner Information or Lessee Information If the Lessee contracted for the Improvement
/Ia:�o Aa�
V L/N me
'Address CRY U tl Slow
Interest In Properly: GLAA �
GJ
Name of Fee Simple Titleholder (if different from Owner listed above) 8 MS T-� E,
10 =3
Address CRY state 4t:E 0
4. Contractor. U IL r- - C11 ffi X
6 0'
Name
)IP-7 it-A 1Wj e,% or ro
Address City 95r CSI— -W '0 C.)
—a-31 4, —
Contrector's Telephone No.: -71t�- 7 IS 4t cn
0 0 o LLJ
S. Surety.
Name ro 0 co
Address City C 8 0 t: LL
:3 M
CL L
Amountol'Sorid.S Telephone No,: CU
0 D
8. Lender. 0
0
Name cu (n
a) W 0
"Z7
Address city state C3.0) a) 0
Lendeea Telephone No.; >;
7. Persons within the State of Florida designated by the owner upon whom natices or other documents may be served as provided by
Section 713.13(1XaX7),Flelda Statutes:
Name
Address city state
Telephone Number of Designated Pawn.
-8. In addition to himself,the owner designates Of ILL.
to receive a copy of the Liewes Notice as provided In Section 713.13(1Xb),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiration dite of Notice of Commencement(the"Irstion date may not be before the completion of construction and final payment to the
oiintrectot,but will be one year from the date of recording unless a differairt data Is specified): 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 lb
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 COMIMENCEMENT.
Under penalty of pe4ury,I declare that I have read Ors foregoing notion of ocirim oicenunjd and that the facts stated therein are true to the bad
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO jil P!!�6 SHERRYMNER
CommiWon086162740 Signaltire of owner or Lessee.or Owner's or Lessees Authorized
WOftermirectoripartnermanager
, t
": Elp"Dminbari'mi
The foregoing Instrument was acknowledged a a this ��.dayf;;IJI- &('201&by e'Ct -D
as A Itorney In fact)for
of ent*M--led).
Personally Known 0 OR Produced IdentificationE3 Notary Signs
Type Of Identification Produced F J-- b Nam.(Print)
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