HomeMy WebLinkAbout21-1544 tr�f City of Zephyrhills PERMIT NUMBER
% 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001544-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/17/2021
Permit Type: Building General (Residential)
Property.Number Street Address
1126 210010 00600 0070 5930 9Th Street
Owner Information. Permit Information Contractor Information
Name: FREDDIE JR&JUDY HERNDON Permit Type:Building General(Residential) Contractor:A. BARTLETT ROOFING &
Class of Work:Reroof(Shingle Only) CONSTRUCTION SERVICE
Address: 5930 9Th St Building Valuation:$12,586.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)355-3350 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$12,586.00 I
Total Fees:$102.93
Amount Paid:$102.93
Date Paid:2/17/2021 9:25:20AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $102.93
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
e13-78ao020 City of Zephyrhills Permit Application Fax-81378o-0021
Building Department
Date Received Phone Contact for Permitting
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owners Name Freddie Herndon Owner Phone Number 813-355-3350
Owners Address 5930 9th Street Zephyrhills, FL 33542 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5930 9th Street Zephyrhills, FL 33542 LOT#
SUBDIVISION PARCEL ID# 11-26-21-0010-00600-0070
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSEDUSE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0
DESCRIPTION OF WORK New Shingle Roof wlrearOff. - Shingle-10124-1
BUILDING SIZE I I SQ FOOTAGE HEIGHT I
Ti
=BUILDING $ 12,586.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ® ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO l�
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N I FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address License#
OTHER IA�� G-OMP�ANY A Bartlett Roofing&Construction Services,LLC
SIGNATURE X I Y/N FEE CURREN I Y/N
Address 384np 3r Ave Zephyrhills,FL 33542 License* ICCC 13319651331965
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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,Stomml+rater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,She Work Permit for subdivisionsnarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomtwater Plana 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.
Dlreetions:
F01 out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required.(A/C upgrades over$7600)
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
813-780-0020 City of Zephyrhilis 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 Bloch'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 9D-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 cer iricate 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$2,600.00 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,WaterNVastewater 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 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 specificelly 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 C ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU I D TO O AIN FINANCING,CONSULT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and Av6m to(or ed)before me this
by by a Hanna
75
Who is/are personally known to me or has/have produced Who Is/are personally knaKh to me or has fhave produced
as Identification. identification.
Notary Public `�+r tary Public
Commission No. Commission No. GG211065
Tina M Prater
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
��►r�4� Notary Public State of Florida
Tina M Prater
y o� My Commission GG 211065
?p ram Expires 04/25/2022
INSTR#2021031878 OR BK 10281 PG 909 Page 1 of 1
02/17/2021 06:47 AM Rcpt:2262057 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. ParcellDNo 1I.916.-;1•CDKD•OaCoaa•OC'��ia
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice IW improvement will be made to certain real property,and in accordance Will Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Com k/ �1 r1r� r,-v�
1. Description of Property:Paroel Identification No. (I j dL 1•w1 lc) •00(000•,tom,0
Streal Address:Sg3D �-. �lU Yl'1 i`�5� �_St t a
2. General Des li tion of Improvement
t' eLJJ S�:tr>-r:►e c7-F f��Tctr c�
3. Owner Inf nor Lessee I ortnetion If a Lessee contracted for the Improvement:
an
Address (;fly I State
Interest In Property. Home Owner
Name of Fee Simple Titleholder.
(If different from Owner listed above)
ress
4. coar: A Bartlett Roofing &Construct o�I Services LLC state
c„b
Name 38408 3rd Ave Zeg_hyrhills FL
Address cityContractor's Telephone No,: 813-782-5585 33542
5. Surety.,
Name
Address City State
Amount d Bond:S Telephone No.:
8. Lander:
Name
Address. Gry State
Lendees 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:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of_
to receive a copy of the Uenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration data of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but wilt be one year from the date of recording unless a different date Is spedtled):
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 STATURES, 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
NTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts staled therein are true'to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
9ipnalure of Owner or 1.06see,or Owner's or Lessee's Authorized
Ofticerrolrector/Partner/Manager
Home Owner
S'rgnslorys ThWOlfice y1�,,, 1
The foregoing Instr m ant was acknowledged before me this�day of Feb b 20a by v cU i'RC./&4z)n
As Home Own&r t
(type of unrUrorfry,e.g.:offices,trustee,usUamey to tam for
(n of p>3rty on behalf of ins and was executed).
Personally Known 13 DR Produced I an ,9g�on Ia Notary StgnetureY
Type of Identification Produced ' F�� Name(Pit tj 1 Lrt� VW ✓
-00NA Notary Public State of Florida
Tina M Prater_
+a My Commission GG 211OS5
p V Expires 04/25/2022
wpdatalbc3MoUcecanmencement,pc053048
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.
- }�� `�.••. AA Witnes my han"sq
eal2 this
day of
' "c'�, Nikki AlvarezAgoComptroller
e '' Pasco Cc
u lofic4a Deputy Clerk
a �� By