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HomeMy WebLinkAbout21-1568 gnu City of Zephyrhilis PERMIT NUMBER 2, 5335 Eighth Street Zephyrhills, FL 33542 BGR-001568-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/23/2021 Permit Type: Building General (Residential) Property Number Street Address 15 26 21 017A 01600 OODO 37722 Alissa Drive Owner Information Permit Information Contractor Information Name: STEVEN HARBISON Permit Type:Building General(Residential) Contractor: CODE ENGINEERED Class of Work:Reroof(Shingle Only) SYSTEMS INC Address: 37722 Alissa Dr Building Valuation: ZEPHYRHiLLS,FL 33542 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation:$0.00 7A Total Fees: Amount Paid: Date Paid: jProject Description REROOF SHINGLE 2 OF 4 jApplication FADQ REINSPECTION FEES: (c)With respect to Reinspection fees will comply with F orida 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 r inspection. 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 "J PE IT OFFICEC) I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ID City of Zephyrhills 5335 81'St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: BGR-001568-2021 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 9:30 AM did personally inspect the: Check: Roof Deck Nailing V Dry in ✓ Flashing and Drip edge ✓ Check which was used: 30#felt Peel and Sticker Other(List) At the following address: 37722 Alissa Dr, Zephyrhills, FL 33542 Based upon that examination, I have determined the installation was done acco ding to the Hurricane Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes). Signature: STATE OF FLORIDA COUNTY OF PASCO n Sworn to and subscribed before this day BY: Notary P II State of Florida t�P'rai JACOUELINEAWORKMAN MY COM'AISSION#GG.197298 '* EXPIRES:June 30,2022 9�FOF F°'' Bond-ad Thru NO Public Underwriters r 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received /L Z 3 (At Phone Contact for Permitting Owner's Name eA / e SD A Owner Phone Number Owner's Address le� i22 r 0/1 Owner Phone Number Fee Simple Titleholder Name F Owner Phone Number Fee Simple Titleholder Address `"JOB ADDRESS 1 1l's S A ( LOT# SUBDIVISION F PARCEL ID# / -'16-Zi• -7 R- O O— mo Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM ©/ OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK ir ^ BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ ?pa VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'J f s =GAS �' ROOFING SPECIALTY = OTHER ` FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . ._ . .I. BUILDER COMPANY 1 :1 SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License ELECTRICIAN COMPANY SIGNATURE` REGISTERED Y/ N FEE i URREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREK Address License MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# r OTHER COMPANY S .. SIGNATURE REGISTERED N REtCURRE Y N Address License C G M2 WS, 111111111111111111111111111 1111111111111111111111�11111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-C w 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)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. (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 Sewers 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. Furthennore,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 and swom to(or affirned)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#2021 03G025 OR BK 10285 PG 421 Page 1 of 1 02/23/2021 12:29 PM Rcpt:2264402 Rec:10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller PerotNm Pw IDNo 15-26-21-017A-01600-DODO NOTICE OF COMMENCEMENT shred Florida Pasco THE UNDERSIGNED twnby ttne rbetlee the i npown w,will be mods to mtdn rani pop",aM inin aeoa�dpraN MEapwfthpC�lrppW713,FFWA@ SWutK 11.. Dalwo an of Propergr. ft tdrdAkow No. t OUNIT D 6L�8 C OWN' ELENTS O R 9379 PG 1870 31 SbidAddrew 37722 ALISSA DRIVE ZEPHYRHILLS FL 33542 2. Gerwd Derafpfion or bnpovmrwnt Remof 3. Owner bdeenetim or Lees Mmmbm If Ills Lessee wnbxeed for Uw hpomi mnb HARBISON, STEVEN R 37722 ALISSbRIVE ZEPHYRHILLS FL Addroee CW Sra� mtmaetIn Piamly Name of Fee Shoe TflN~. (ff Meant ftn owrw kWd above) 4. Co c CODE ENGINEERED SYSTEMS CRYstye 8267 CMEWAY BLVD,STE E TAMPA FL Adasq Ctfy Sbte ConowWft TefpTaw No.: S. t3ueeyr. Name Addmw Clfy I Stab Amoraldf w:$ Te Imleffo•' 6. Lenin Nw. Ad&m Clly Stole Landeh Teaphow No. 7. ft= w"fhe SM of Florida r' Vi aMd w fhs cow upon wta. rbotkae or cow docranmbb mty to suvad se provided by SeOw 713.13(1 xaXn FIWft Stdube 11 Name Addieea CRY slate Tebplwne Nw6wofOebtgrrbd Poem: S. In addltbn fo hbrbasU,the owner ds Ig - I of b rooetvs a wW d uw Lbmes wU, b provldad h Ssrikn 1313(1xb)FlarMla SlabRw. TeWww Number of Panora or Entity Dedgneted by Owrw: S. Eq*dm data of Naha of Co m eI anwrt Ow s q:I 11,b dab may not be befas the wmpleM d owsbualllion&W fid peymeM to the oartrsemr,fntvru ba arw year ttom uw data d reaoea♦bq urbbee a ddfeentdea Y spaddedk WARNING To OWNER: ANY PAYMENTS S MADE BY TIE OWNER AFTER TM EXPMTION OF TM NOTICE OF COMNiENCEM W ARE CONSIDERED IMPROPER PAYMENTS UNDER CtiAPTEt 713 PART SECTION 713.133, RLORIOA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR fMPRCNEMENTS TO YOUR A NOTICE OF ooMMENCE7�fl'MUST BE RECORDED AND POSTED ON THE JOB SITE f THE FIRST INBPECI7 IF YOU NTENO TO OBTAIN FIMMI NG CONSULT VM YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR JI CORDING YOUR NOTICE OF COMMENT. U a PKV*ofwrlbay. lodes fiat I has read ttw fongdng moths Of Cann 1 smsnt srM the the fine stand bask o bm tc ute beet STATE OF FLORIDA �nndd bbaNlMMff OOIJNRY OF PASCO alasss.or orLeeeretsA sited iffy TONIOMM The I goYp WWwwd wee before me Y dsy of; �b 202 by e n Nil b 5 V' (P S 1.d t Rype daffiorhy.s p,dncet.ti xbK afney In fact)far (name'ofpwty gn bewlf of whom wee"Cad). P«eabaay Known❑'?a Produced i+dry s►f:•aa• M. Typ.dldsrbtMraYonProdrrood7fWti*rs � .en�J?;Nr,w.(adm) � rr�y COmAm NH02Y 57 '''•; 1. K l 21,2024 TI*UBMW -onNOWY State Of Florida,County Of Pasco � This is to certify that the foregoing is a rue and correct copy of the document n file or of public record in this office. 00, c ess my hand d official seal this 1 GoQ-We Trust ^e day of 2L o f ikki Alvarez-Sowles,Esq.,CQrk&Comptroller asco County, orida < 287 By. , Deputy Clerk