HomeMy WebLinkAbout21-1550 ,.,. �. Cityof Ze h
1101t1' K p Yrhills
PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001550-2021
Phone: (813)780-0020
y:
Fax: (813)780-0021 Issue Date: 02/18/2021
Permit Type: Building General (Residential)
Property Number -Street Address
13 26 210070 09100 0010 Greenmeadow 39301,39303,39305,39307,39309,39311 Dr
Owner Information Permit Information Contractor Information
Name: DREW PARK 4420 W SOUTH AVE Permit Type:Building General(Residential) Contractor: EJ CONS & ROOFING
LAND TRUST Class of Work:Reroof(Shingle Only)
Address: 39301 Greenmeadow Dr Building Valuation:$5,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)695-4558 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$5,000.00
Total Fees:$65.00
Amount Paid:$65.00 Vdl/
Date Paid:2/18/2021 11:53:22AM 11
Project Description
REROOF SHINGLE
Application Fees -
Building Permit Fee $65.00
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.
ECONCTOR SIGNATURE PE IT OFFICE
RM,TETRXAP,RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department �V4?
Date Received Phone Contact for Permitting
Owner's Name /J' G] ^ Owner Phone Num, b,e,r ,r:T/3) e n, ���
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I' N /'�P� t LOT#
SUBDIVISION PARCEL ID# 3 u v 3 el S 3 5 30 �07 3 e d 3 9?)�
(OBT NED FROM PR PERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK O ,— I h c 4 5 y/7
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS ^ FLOOD ZONE AREA =YES NO
■ . . ._.
BUILDER COMPANY O�� Y� UG( ! A L L
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE` REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ NJ FEE CURREN LY/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# F
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/Slit 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.
r�irU,muvgntgn.(10�working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities,&1'dumps,>er'_81$ ;Wbrk'Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets'of Engineer6d`Plans -
"x"'PROPERTY;SUR' V` ""'b -for!all NEW construction.
Directions:. . . . . •.,_.,....■`■`....r__ ., ...
Fill out application completely. �,r
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 Sealers 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 ImpacfFees 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 msy 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
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed an m to(or rmed)before me this
by
Who is/are personally known to me or has/have produced Who il a, ally known to me or has/have produced
as identification. — as identification.
Notary Public Notary Public
Commission No. Commission No.
-- - - - -- -- l lam) -
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
, �"••.. CARL05 MAIDONA00
Commleslbn#GG 346275
EXOMS Juno t6;20Z3
ofgt°�' 6oMadThruTrayFa1nlmw(A8QQ4"H
I
INSTR#202'10.3320.3 OR BK 1 0282 PG 2173 Page 1 of 1
02/18/2021 12:41 PM Rcpt:2262908 Rec: 10.00 DS:0.00 IT:0.00
• Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
1 QTK ,OF'"CUM IIt'; t'_NT
Permit No.1�"�r���
To Folio No
11 I1:VNIVItSIGNI:D hcrvhy gilcs nutiev that inllir.+tiemcnts will be made it,certain real psoperty.and in aLctader"with S"fivn
713.13 ofthe Florida Statutes.the followintt information is provided in this NOTICE OF COMMENC'F:MENT.
I.Description of property Ikgol cscrip iarr): �T G} Co_(��1?8 0�'� �(��j1 ko
a)titreet(jrrA)Address 3_ u� t�S �(.1 37 5tsL� 34-3(t_G�f CY�ts2�1 ! fir+ d
_.General description of iniprolenients: 520
.+.1?ll'ner lnformNtion a)Name and addreys: b G 44 a4
b)Name and address of fee simple titleholder(if other than o%tner) a9
c)Interest in property W-(LeY
4.Contractor*Information ,
a)Name and address: E.T�'�_ ntLa !_ LLc_ ?iU6_ 4I0q 3,0U -cfP�aFL--'
b)Telephone No.: �;2 /_"�� 1t' • Fax No.(Opt.) .10
5.Surety Information
a)Name and address:
b)Amount of Band:
0 Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address: IJ! A
bl Telephone No.: Fax,No.IOpt.)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's notice as provided in Section
713.13(i)(b).Florida Statutes: {�
a)Name and address:.I„
b)Telephone No.: __ .. ,.. ._..»—Fax No.(Opt.)
9.Expiration dal1,of Notice of Commencement;fhe c 1 '•-:::..::*:s ..,tv+e.var from the date of recording unless a dif*rent date
is specified):V, Y t I?r .42... ._._ _ .._._. .
WARNINC TO OWNER: AN1'PAYMENTS- 1,', .#W 6 1 '111L Ott NER AFTER THE EXPIRATION OF THE NOTICE OF'
COM•.NENC'EMEN'f ARE CONSIDERED UNDER CHAPTER 713,PART 1,SECTION 713.13.
FLORIDA STA't"U ES.AND C-AN RESULT 1% 1'01 It P.kYING'JA ICE FOR UMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMtIF:NCE.%TEN'f.NTtlS1'BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTIO%. IF YOU INTEND TO oB-FAIN FINANCING.CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
t:01t11ENt'TNG WORK OR RECORDING YOUR NOTICE OF EN(VillENT.
STATE or F1.UNIua
cot Srl of NCO t0
Si�trttare++tth�nrtu �hcncr's:lutluxtreJtliticr:'thr4vlur'Psrtnrt timagrr
�fi tClc_ � Al I'i1 -
i Pont Name ('
The foregoing instrument was acknowledged before me this day of t"e 0"00.9 201L_.by 13 f'KIC o
as 6A ti Fri t (type of authority,e.g.officer,trustee,
attorney in fact)for Qa,r1�44dU t7a4C1 CLr2�tu)c�Tttttltntime of party( �behalf of who It was executtO
Personally KnownProduced Identification_ Notary Signature � � .t�
Type of identification Produced 'ti'amt {Print} V�AND t�
-�: --
Verification pursuant to Section 92.525.Florida Statutes.Under penalties of Jury.I de0are that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief,
FORMA!�Ul'n.E:,,t
signalute ul'!4a1 rut signing 4+n line a Iol liE1�Y111
- -WOOMMISSIMfeu
'�' t3atdsr6fl>ttl t�4lEfetlflllefrtlbts
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 reccvd in this office.
7 7 han my my hancy5rn4official seal this in
1 1--
Y of femlf/-I r-,112
rez-SowljS,'Esq.,,'
—.e!71 Wk&Comptroll
Pasco Co
ra 1887
By utv Clerk
OF