HomeMy WebLinkAbout21-1567 m
Cityof Ze h rhills
t10NIt1N 1
• �a p Y .PERMIT:NUMBER'
5335 Eighth Street I a.
Zephyrhills, FL 33542 BGR-001567-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/23/2021
• ;v
Permit Type: Building General (Residential)
'Property Number Sheet Address`
15 26 21 017A 01600 OOBO 37724 Alissa Drive
Owner Information Permit Information - I Contractor'Information
Name: CARMEN CANCEL Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: 3717 Juneberry Dr Building Valuation:$15,300.00
WESLEY CHAPEL,FL 33543 Electrical Valuation: I�
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$15,300.00 � ��
Total Fees:$116.50
Amount Paid.$116.50
Date Paid:2/23/2021 1:37:25PM
Project Description j
REROOF SHINGLE 1 OF 4
Application Fees
Building Permit Fee $116.50
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 restriction',s 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 i 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.
4PE
CONTRACTORSIGNATURE OFFICE
UP
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
5335 8"St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: BGR-001567-2021
I,_Russell Dodson licensed under Chapter 468, Florida Statutes as a(n):
Contractor✓ Engineer_Architect_Building Inspector
License No. CCC1327305
On or about 2/24/21 at 9:00 AM did personally inspect the:
Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge ./
Check which was used: 30#felt_Peel and Sticker Other(List)
At the following
address: 37724 Alissa Dr, Zephyrhills, FL 33542
Based upon that examination, I have determined the installation was done accohding to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sw to and subscribed before this day .1'
BY: a
Notary P is State of Florida
ME]
ORKMAN#GG 197294e 30,2022 ,? ublic Underwriters
r.
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received _ �S C7
Phone Contact for Permitting Q
Owner's Name a r,140A &lXe I Owner Phone Numbel
Owner's Address 3-7-72 4/ S l'. Owner Phone Numbel
Fee Simple Titleholder Name Owner Phone Numbe
Fee Simple Titleholder Address F_
JOB ADDRESS 37i�1 j,53 r, ;J1JFt LOT#
SUBDIVISION PARCEL ID# all 4 619 oo — bone
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL e REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK
= FRAME = STEEL =
DESCRIPTION OF WORK •1 ile(DoC
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ . 1r7
�R
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
■ ■
. I.
- - - - - - - - - - - -
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN LY/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE` REGISTERED Y/ N FEE URREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE IURREN Y/N
Address License
OTHER COMPANY ,12ehl &1 �tt'Aeervj
SIGNATURE REGISTERED JtV N FEE CURREN Y
Address a-&SG Ce if License#1 6 C -7 !JS
1111111111111111111111111 111111111111111111111111111111111111111111
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.RI 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. (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 Sewers . Service Upgrades A/C Fences(PlottSurvey/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 Divislon—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 Co6rity ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,I certify that 1,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 informatioh'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, Welland 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"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 f9und 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 sworn to(or affirmed)before me this Subscribed and swam to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as identification. as identification.
Notary Public
—Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2021036023 OR BK 10285 PG 419 Page 1 of 1
02/23/2021 12:29 PM Rcpt:2264402 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
� �• PmceIIDNd 15-26-21-017A-01600-OOBO
NOTICE OF COMMENCEMENT
sbt.d Florida Pasco
I
THE UNDERSIGNED hereby QhU notloe d at Mgroverns d will be made to carbYr reel plops*,erd In wwrdance wflh Chapter 713,FIaWa Statutes,
the Infamatiort le prwWed In OftNotkoe d Comttrertoemterit pgA(�GE g!_pggOM gANC N CppQ,SASE 1 PB 21 PGS 3436
1. DewrIption d Pmpergr. PeraN laentllkena+No. U(VIT B BLDG 16 8�COMMO ELt^�ary i
sbwmdrew: 37724 ALISSA DRIVE ZEPHYRHILLS,FL 33542
2. General Desa"M d tmpr mVernerd Reroof ._
3. Owner trrfortnetlort or Lessee tnforntetldrt Hthe Lasea cofduedad forihe knprovanete:
CANCEL,CARMEN A
37724 ALISS RIVE ZEPHYRHILLS FL
Ad&m my Sift
Werset in PmpW.
None of Fee Wt*Tb"der.
(If dtifaant flan Owner bled above)
City
4. ° CODE ENGINEERED SYSTEMSContract ebb
8267 CAMEWAY BLVD,STE E TAMPA FL
Addnm CKY State
contrecivea Ta somw No.:
6. Suety.
Name
Addrese MY Stow
Mwunt of Bond:$ Talepone No.-
E. tender. I
Nw w
Ad&m se
Landees Telephone No.:
7. Persons waft the State of RaW designated by fhe Donor upon wham notiose or outer doaanenb may be served as provided by
Section 713.13(1xaX7),Ffafda StabrteK
Noma
Address CRY Stab
Teisowrb NumberdDealpbbd Pueon:
B. In addition td htmaelt the owner dew of-•—
b tecwhee a copy of the Uvnars Natim as pwtded In Sect err 713.13(1)(b),FIaWe Sbh*m.
Telepi m Number of Peraom or Enft Designated by Owner.
9. EspMon deb of Notioe of commatcemerd(the au phtion date may not be bOm the c mpletbn of MWAMO n and three peymant tD the
oordtsclor,butvM be one yea *=the dated e�tdt q unsm a dttteerstttddo b ap ex9Aed)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE BVIRATION OF THE NOTICE OF COMMENCEMENT
RESULT INIINNI YOUR PAYING ICEE PAYMENTS
ORM�MENT TO YD PART 1 SECTION AN 713.1 OF STATUTES. �T OR
RECORDED AND POSTED ON THE JCB SITE BEFORE THE FIRST INSPEECTi IF YOU MfTEND TO.OBTAW FINANCING CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK O CciRDfNO YOUR NOTICE OF COMAFJVCFJYIENi.
Under pendty of ply I declare that t have mad 0wein ate true to the best
d my kww dps ad belief
STATE OF FLORIDA
COUNTY OF PASCO
Or
. ., •• •,. tX lessee.vOwnete ar Li seeds Aulhertred
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. sgreetoy.TMlelOfloa LL �A
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wDd PCDB3048 �mxtnq�� orrllddeedd tfxu Karon Notary
unt Of Pasco
State Of Florida,Co Y
This Is to certify that the of the docng ument
mIS 8
true and correct copy
0 r+� ecol
GV•f-We r,•Us: , .;r on file or of public rnd official In this
th s
11 e Witness my han 2�
C rk&comptroller
ar; ..<•='2" Nikki Alvarez-SOwles.Esq.,
Pasco County,F ida
Deputy Clerk