HomeMy WebLinkAbout21-1569 City of Zephyrhilis i� RMITNUM
5335 Eighth Street
Zephyrhills, FL 33542
BGR-001669-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/23/2021
Permit Type: Building General (Residential)
'Property Number Wept Alddrdgis
15 26 21 017A 01600 OOAO 37720 Alissa Drive
Permit Information
Owner-Information Contractor lnformatiori
Name: BRANSON FAMILY TRUST Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
BRANSON D G&BRANSON T E Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: �f Poplar Ln Building Valuation:
PISGAH FOREST,NC 28768-8882 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:
Amount Paid: C5
CJ
I I Date Paid:
Project Description,
REROOF SHINGLE 3 OF 4
jApplication Fees
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 resI ult 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.
.,r2
U
CONTRACTOR SIGNATURE - 7 111T OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
D
City of Zephyrhills
5335 8ch St
_ Zephyrhills FL 33542
(813)780-0020
rF
ROOFING INSPECTION AFFIDAVIT
Permit No.: BGR-001569-2021
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 10:00 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: 37720 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 +t
Sw rn to and subs ribed before this day
BY:
Notary b'c Stat of Florida
JACQUELINEAWORKMAN
MY COM?AISSION#GG 197211
EXPIRES:June 30,2022
Fof F;°Q` Bonded Thru Notary Public Underwriters
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 123K1 Phone Contact for Permitting �/3 333 -
rrL
Owner's Name d, 9 Al Owner Phone Number
Owner's Address /- [ 0 /Ti 554 or, Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address 11
JOB ADDRESS 2 t� I{SS (�(: Z eek If 111 LOT#
SUBDIVISION PARCEL ID# --2 6-21' 6/7 A- D/L0- Q 6 4 p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q Comm OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK f /�
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING
_
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 `
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . •
.I
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE` REGISTERED Y/ N FEE CURREN Y/N
Address License)#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I Licensee#
OTHER COMPANY ¢ A g 1 ere Ss4
SIGNATURE // REGISTERED CY.P N Ftt CURREN Y/N
Address 0 L u tS4,&Vxd R& LIcensJ# _L 5
11111111111111111111111 1111111111111111111111111111111111111111111
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 subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.iR-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.
a
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES*If the owner has hired 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 contractorare-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 County 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.
CONTRACTOWSIOWNEWS AFFIDAVIT:I ceitlfy 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 fbilowing restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone 1r 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 W 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 sworn to(or affirmed)before me this
by b
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.
are of Notary typed;printed or stamped
-Name of Notary typed,_printed or stamped
INSTR#2021036022 OR BK 10285 PG 41 8 Page 1 of 1
02/23/2021 12:29 PM Rcpt:2264402 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Pam*No. Prat ID No 15-26-21-017A-01600-OOAO
NOTICE OF COMMENCEMENT
shr,d Florida Co,"yof Pasco
THE UNDERSIGNED heraby pM-s noflos tint bnproven-nt wl0 be
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te1°°°wh° � � 01"eQ P�¢�m
-
1. @Wpftnof ► Parcel Ideelkaim N NWN NQ�, SG7
aadAdd,on: 37720 ALISSA DRIVE,ZEPHYRHILLS.FL 33542
2. General Desalpdon Of bnpovenwd Reroof
3. Ow wtMonnafbnorLeveebft., b d the Lam, forthetnpowemo
BRANSON FAMILY TRUST
ZEPHYRHILLS FL
Address Coy State
trtereei in Properly:
Nat-d Fos SbrtpM 7Mwbtdr: I
(If d ften thtm Ownr 1Wd above)
4. A4dtaaContaalor.• CODE ENGINEERED SYSTEMS C
8267 CftEWAY BLVD,STE E TAMPA FL
Address CRY ewe
Catbactofs Taleprom Nm:
tI. Sleety.
Name
Address CHY Stu
Anoint of Bond:3 TNeph -Nw
!! Lender.
Nan-
Address city Stoto
Lortdefa Tebphor-No.:
7. Perean MW dr Swo of Florida design-sect by tl-a w Wm whom notlow or alter doeurwb i he ssrvad as provided by
SeeW 71a13(1xoXn Florida MUM
Nenr
Address am r
Tebpltar NuntberdOatpts9e�d Persat:
S. In addHort to htrlsslf,tM omw dalpntat of_
lo win a copy dthe Ibrwrb Nabs es provided In Ssctbn 7I13.13(1)&L Flodds Sbstates.
Telepha-Norther d Person«Entity DedgriUed by Owner �
D. E)pNetlon date d Notla ofCorivr noertlent(ft a o0w date may not be 19 1, Or complMbn dattuc oal on and tt-t paynwd to ft
cont actor,MdwC r lboayartaattrditQ(VQ*wftunlawattar- rtssp rttdIsad 14
WARNING TO OWNEW ANY PAYMENTS MADE BY THE OWNER AFTER THE DVIRATION OF THE NOTICE OF COMMENIMIENT
ARE OONSIDERED IMPROPER PAYMENTS UNDER OHAPT8t7. 19LPART 1 SECTION 713.13, FLORIDA STATUTES AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEM�RS TO Yam NOTICE OF&M&RKiRt MUST BE
RECORDED AND POSTED ON TM JOB SITE BEFORE THE FIRST IF YOU MEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO RFzboRbm YOUR NOT1cE OF 6dai NCE dNT.
Under oerlury, dsdsra
STATE OF FLOP" and &d 1 hwa read the(anepabp of en�trw:t sad that the facto staid ttwoYt re We tortes best
beMef I `
COUNTY OF PASCO
d Ossw a Lawso,or ow aft or Lsaoars A vatted
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The ror.poktg hrtunerd was bsrona ma era day d F�b 1 by '�fir_r7 >`RA/b i,5
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p l2 S(?- en+ (typs of eu nw.e,M,dlloat,tawEoo.errors-y In feet)for
(roast an ofwhom wit
Powatly Known O 4B Prc&=d Idwitk lion Notary
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Type d Idardicatbn Ptoduosd.Dr',VP a Nome(Piths)
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State Of Florida,County Of Pasco
This is to certify that the foregoing Is a
true and correct copy of the document
�T on file or of public record in this office.
m . - Witness my hand and official seal this
17t Go -We trust a # �� day o��_�' LL.2
Nikki Alvarez-Sowlees,Esq.,Ferk&Comptroller
��• ��`
Pasco County, orida
;; Jr By— Deputy Clerk