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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001570-2021
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 OOCO 37726 Alissa Drive
Owner Information Permit Information Contractor Information
Name: CHRISTOPHER J TRUST MAURO Permit Type:Building General(Residential) Contractor: CODE ENGINEERED
JANET M MOE Class of Work:Reroof(Shingle Only) SYSTEMS INC
Address: 6350 Dalebrook Dr Building Valuation:
NORTH CHESTERFIELD,VA Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation: ~
Total Valuation:$0.00
Total Fees:
Amount Paid:
Date Paid:
Project Description
REROOF SHINGLE 4 OF 4
Application 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 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
City of Zephyrhills
5335 8t'St
Zephyrhills FL 33542
(813)780-0020
k1
ROOFING INSPECTION AFFIDAVIT '.
Permit No.: BGR-001570-2021
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 10:30AM did personally inspect the:
Check: Roof Deck Nailing ✓ Dry in ✓ Flashing and Drip edge ✓
Check which was used: 30#felt_Peel and Stick,V Other(List)
At the following
address: 37726 Alissa Dr, Zephyrhills, FL 33542
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual.(Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day p►• a �o
BY:
Notary blic State of Florida
.S JACQUELINEAWORKMAN
G
° °* MY COMMISSION#GG 197298
" EXPIRES:June 30.2022
Q:
rF 4 K ' Thru Notary Public Underwriters
OyOFF Bonded
C
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
2 �2��� Phone Contact for Permitting
Owner's Name o rµ Owner Phone Number
Owner's Address -3-7-71 A11,55 Owner Phone Number)
Fee Simple Titleholder Name Owner Phone Numbe
Fee Simple Titleholder Address
JOB ADDRESS 26 A i 5 a I LOT#
SUBDIVISION PARCEL ID# —-*1' b— I --I 621 7 O1 b00— co
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = i
= DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK e a( &W 111
I
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 ( r !70
=GAS ROOFING Q SPECIALTY = OTHER t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y IS NO
- - - - - - - - - - - -
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N JI FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER �{1� COMPANYiu
E SIGNATUR ,Q 1V FEE CURREN IaIN
Address I 9tu 11 �f! t I License# -CCe C 2'7
liiiiiiiiiiiiiiiiiillllllll 111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Piermit 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 i
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. I
****PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
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(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 maybe subject to"deed"restrictions"which maybe 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 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—Homeowners 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 sworn to(or affin-ned)before me this Subscribed and swam 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.
Name-of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2021036024 OR BK 1&85 PG 420 Page 1 of 1
02/23/2021 12:29 PM Rcpt:2264402 Re6:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
POMANo. Pamato o 15-26-21-017A-01600-0OCO
NOTICE OF COMMENCEMENT
wed Florida comyd Pasco
THE UNDERSIGNED twraby om rtmum vw Ynpova wt wIU be nude towtolingmall wpppml(yy..wW iin{�aoca�dpr��oapWp (p.�vpW 7�13,,Florida
pSftgw,
the tdbwMp inbrmatbn b pmvid®d In 1Na Notloe d Commencement Malmo i8 2 COMMOHN ELEMENTS dR 9096 PG 201934-36
1. Oeea"M ofPmpergr. Parod I woksion No.
sbeaAdmew 37726 ALISSA DRIVE,ZEPHYRHILLS,FL 33542
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3. Qwwr W=wfim or lases b► ..wfbn M the Leu =*uded 1br the hiprovement
MAURO CHRISTOPHER J TRUST,JANET M MOE
3T726 ALISb RIVE ZEPHYRHILLS FL
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tecdre a aW dfhe Uerrady Nod=a provldod In eact n 713.13(1)(b),Fl kb.%duW.
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WARNING TO OWNER ANY PAYMENTS MICE BY THE OWNER 91PIRATION OF THE NOTICE OF WNMIIENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS LOAM CHAPTM 71 1 SECTION 713.1 FLORIDA MID CAN
REStAT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y A N OF.COMMENCEMENT MLIST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST iNi E NN. IF You Knw TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING VW C R RE()ORDM YOUR NOTICE OF ODMMEN�
Undo pm ty of I de I that I two f red tho fataydn n �+a.nt th.r the lade Iitatad tftetaln anbus to iw beet
d my latowbdge end biiat.
STATE OF FLORIDA
COUNTY OF PASCO
swatirto omw or Loom%or Ownees cr LoweWsAuRratred
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