The URL can be used to link to this page

Home My WebLink About21-1527 D Q. 1'L'OIlIt1H' City of Zephyrhills PERMIT NUMBER ' 5335 Eighth Street Zephyrhills, FL 33542 BGR-001627-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/16/2021 j�. Permit Type: Building General (Residential) Property Number Street Address 12 26 21 006B 00000 0200 39136 9Th Ave Owner Information Permit Information Contractor Information Name: JIM KELLY Permit Type:Building General(Residential) Contractor: SCOTT BLACKMAN Class of Work:Reroof(Shingle Only) ROOFING INC Address: 39136 9Th Ave Building Valuation:$12,500.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: Mechanical Valuation: C Plumbing Valuation: Total Valuation:$12,500.00 Total Fees:$102.50 / Amount Paid:$102.50 (/ Date Paid:2/17/2021 11:54:20AM Project Description REROOF SHINGLE Application Fees Building Permit Fee $102.50 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 SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2021032020 OR BK 10281 PG 1296 Page 1 of 1 02/17/2021 11:25 AM Rcpt:2262169 Rao:10.00 DS:0.00 IT:0.00 Nikki Alvarez�Sowles,Esq.,Pasco County Clerk&Comptroller NOTICE OF COWRAENCEMENT Permitwo. Property Identification No. i1- 2-6-7-1 -0 0 613—000c)o--OWD TI)E UNDERSi02.1ED hereby give iufiums.yon that the baprovemerd will be made to certain teal property.and in accordance wit $eetion 713.13.of the Florida Statutes;the following infotmidon is provided in this NOTICE_OF C6MI1+lENCEMENT. I mesctiplfon of Property(le8dd 7 Z- 2(p- Z 1 -A 0 6 13 -,Do 0 C.G -D 7- C) a)setAaer�a: 39/3R s Gi �3s 2.0wWa1 daacription of inmrovementw ynn 3.Owner Information 1 i)Nameandod¢ass:Cot 1-hPriAe- Ka.11y 3.913(e Z(ab,, 1,:1/S, 12) b)Name acd addieu of fee ainTli titleholder(ff other than o er) e)Idtaeest in property 's 4.Conttact�Iafoimtiiion �� a)Name apd addiesa S/i 17[5 L� l�c i�I-e �t�e 3 30/0 <IL ��• �c H /=+1* d �9 6 b)Telephone No.: CS--3%--7 G fa 3 f Fax No.(Opt.) 3 S.Surety khru at{on a)Nome and"address: b)Amorgrt of Bond: e)Telephone Nb.: 'Fax No.(Opt.) 6.I.ender a)Name and address: Phone No. 7.Identity of pmon:within the State of Flb"deaWwted by owner upon whom notices or other doanneaft•may be served: a)Name and address: b)Telephone No.: Feallo.(Opt.) M addition to himself owner deai&wfes the following person to receive a copy otthe*Uenor'a Notice as provided hi Section 713.13(1)(b).Florida SiBwm: a)Name and address: b).TelephmwNo, C •FszNo;(Opt.) SIMThadon date of Notice of Commepeemdnt(the expirigion date is one'year from the date of recording metros a diffdent Hatch speeTfiedy. WARNING TO OWNER A1NY'PAYMEN7S MADE BY THE OWNER AF M THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED lltllPROPER PAYME)VTS UNDER CHAPTER 713.PART I,SF.CPION 713.13,. FLORMA STATUTES,AND CAN REMT M YQUtt'PAYING TWYCE FOR IMPROVEMENTS•TO YOUR PROPERTY. A NOTICE OF COMMENNCEMENTMust BE•RECORDED AND POSTED ON THE JOB SITE BEFORE THE FiRsT INSPECTION. IF YOU lNTE1!ID TO OBTAI ,FINANCIIIVb,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 0 'COMMENCEMENT. STMOFFMIUDDA COUMTOFPASM Si�of eOwna y=wdPa ftAmiset MT PrintN�me .� �J The foregoing lnsh=ent was aclmodged wle before me this�rb"."day of 20�by C.�/A�e e r^•e as 6/. I M.-1- (type of wthority,*.g.officer,trustee,att6mey in fact)for (aamegfpa;ty oa behalf of w'Ehoju'' ) Personally Known OR produced Identification Notary Signatra� f� Type of Identification Pigdu«d Name(print) ��4' G 41 Verificatiop pursuant to Section 92 525,Flmrida Statutes.Under pmN of per)ury.I declare that I have read the foregoing and that the facts eteted is it arts true W the best of ray imowiedge bd be . .- .. S4p=nofNzwndFCr$=_1 W3WEAbM , wwasroe�r®sr.. SCOrr C Bl9CIdAAN . Notary Public•State of Florida Commission a GG 230776 +for r�4' My Comm,Expires Jun 10,To22 Bonded through Natlanal Notary Assn, �� ,/• S ��® State Of Florida,County Of Pasco This is to certify that the foregoing is a true and correct copy of the document : on file or of public record in this office. � Witnes my hand an official seal this , ..� � day f 2 Nikki Alvar o les,Esq.,C r &Comptroller �j Pasco t da Deputy Clerk 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 4771011Phone Contact for Permitting — Owner's Name , M L Owner Phone Number Owner's Address 1 311 ?b ` -k A-11C III/A III/A Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address G JOB ADDRESS 3 13 6 Lv c Ze k Vk,ws / ' 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 Q //_ DESCRIPTION OF WORK 9t &JI a �� fk,� 4 f CCv �>1 Ite-°f b4a�-,* BUILDING SIZE SQ FOOTAGE J HEIGHT =BUILDING $ p n O,0p VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ / `J"r AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ l =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C �v =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO r L . . . _. BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE' REGISTERED Y/ N FEE CURREN LY/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LY/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N Address ` License# OTHER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN /N Address Pe O,X F1 335_I I` License# C C C oS—71 S 7 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)woricing'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 SeWvers Service Upgrades A/C Fences(Plot/Survey/Footage) 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'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 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 fqund 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR ��— Subscribed and swom to(or affirmed)before me this Subscribed and16w or affirmed)before me this by Who is/are personally known to me or has/have produced Who is/are Rtnally 1n_Q,1n to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Co sion o. -__-- - _--- — — T.- "'•• JACOUELINE BOGIES Name of Notary typed,printed or stamped Name of Nota . ,e n-.q 1JeWoVrdS&WpWG 276457 Expires December 12,2022 s '' rcrdedThru Troy Fain Insurance 8W385.7019 City of Zephyrhills 5335 8th St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT ..Permit No.: � I, ✓{-" licensed-under Chapter 468, Florida Statutes as a(n):- Contractor-xEngineer Architect`Building Inspector_ License No. 1.�CU J On ar'about?11�12 If did personally inspect the: Check: .Roof.Deck Nailing L.� Dry in l� Flashing-and-Drip edge L.f Check which was used: .. 30#felt Peel and Stick Other(List) At the following address: .311'3 6. O/Lft- A—wC-. . ?-'cog :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 BY: Not Public ate of Florida t""�. JACOUELINESOGES `,• Commission#GG 276457 . Expires December 12,2022: ° p Bonded Thto Troy Fain insurance 8064W101i