HomeMy WebLinkAbout21-1581 r of►�uti City Of Zephyrhilis PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 ! BGR-001681-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/24/2021
Permit Type: Building General (Residential)
Property Number Street Address
1126 21 0010 12400 0180 5316 4Th Street
Owner Information Permit Information Contractor Information
Name: PAMELA CREIGHTON Permit Type:Building General(Residential) Contractor: RIDGE TOP EXTERIORS INI
Class of Work:Reroof(Shingle Only)
Address: 5316 4Th St Building Valuation:$12,198.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)404-9404 Mechanical Valuation:
Plumbing Valuation:
i
Total Valuation:$12,198.00 /
Total Fees:$100.99
Amount Paid:$100.99 /
Date Paid:2/24/2021 11:39:OOAM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $100.99
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent re inspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with;your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
zt,6 E/Z��
C TRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application 01'4�Jy,, J Fax-813-780-0021
Building Department g1v V, 71Y
Date Received
............ ...........
Phone Contact for Permitting F(
Owner's Name Owner Phone Number
�Zyv iz—
Ownees Addressl I,. 6 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--1 ADDIALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK . .....41vtkv /9
BUILDING SIZE SO FOOTAGE F/?" I HEIGHT
=BUILDING 1 1 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING 1$
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
HHHHHi ........
................
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y N
Address License
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LUN J
Address I License
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN LYIN_j
Address License#
OTHER COMPANY
SIGNATURE RE ISTERED / N I I FEE CURREN Y N
Map W" License# _ -344
Address Y, FMI lo,. -HiNHE ...I....HHHHHHHHHHH! H HHHHHH
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for ne W, construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto7' water Plans w/Silt Fence Installed,
Sanitary Facilities&I 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,Sto7water Plans wt Silt Fence Installed,
Sanitary Facilities&I dumpqter.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.
I i i I i i I i 11 i 11 i!11 1 a a a a 1 a 5 1 1 1 a I I;I Ww4l I a I I I I I I I I I I i 11111 11 114=''IT
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
one with notarized letter from owner authorizing Same
OVER THE COUNTER PERMITTING- (copyol"contract reqUir0d)
Reroofs if shingles aowers,,, Service Upgrades A/C'--* Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public,ro W:pyp..6e6ds ROW
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 tothe 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'uriderstands,'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"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 found 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 foe 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 NOTI COMMENCEMENT.
--- FLORIDA JURAT(F.& 117.0 - — — --— - - --- - _ _
OWNER OR AGENT CONTRACTOR
�Su s ribed nd sworn r ed)b e me this u c'b a om or affi ecy�pa me pis
b -ems by ([ypLL!!
W o islare er Wally known toitne r has/have produced Who If/are perso I as/have produced
s identification. as Identification.
Notary Public ` Notary Public
Commission No. Commission No.
N Name of Notary er d(Ar lilc State of Florida
Notary Public state of Florida Lori S Duvall
WLori S Duvall My Commission GG 301995 Expires 05/28/2023
My Commission GG 301995 °�
Expires05/28/2023
INSTR#2021036437 OR BK 10285 PG 2278 Page 1 of 1
02/24/2021 09:01 AM Rcpt 2264674 Rec:10.00. DS:0.00 IT:0.00
Nikki AlvarezSowles, Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel to No I C)
- NOTICE OF costtnENcEM��'A�C�_
State of �L jj2sCounty of
THE UNDERSIGNED hereby gives notice that Improvement vriil be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following tefoimation is provided in 10 Notico of 66mr6enc&n6nl:
1. DoWoIlDn of Properly Parcel IdenHlicallon No, r1. P L aT i �
!.
Simbt Address:
2, General Dasedplion of Imprbvemehl
3. Qwapr Informallo or Lesson i fpmialion If the Lessee contracted for Iho'Imp"roviment•
Address / City I Slate
interest In Propstty
Name of Fee Simple Tlilehoider.
(If diHoront from Owner listed soave)
Address" CRY State
a. Contractor: Ridge Tog EXle.ddrs
Name 10610 US Hwy 19 N Clearwafer FL
Address City State
Contractor's Telephone No.: 813-34"001
6. Surety:
Naive
Aditss' City' Stale'
Amount of Bond;$ Telephone No.:
6. Lower:
Name
Address. City ; State
Lender's Telephone No.:
T. PeMpns whhle the Slate of Florda dosignaled by the owner upon wham nodces'or'otner documents may be served as proided by
SectionT13.13(t)(a)(7),Florida S(atulos:
i
Namb
Address city I Stale
Telephone Number of Designated Parapn:
a. to addition to himself,the owner designates -Ot-
to receive a copy of the LleWs Notice as provided in Section 713113(1Xb),Florida Statutes,
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may net be before the completion of oonstructioA and final payment to the
contractor,but will be one year from thg dale of recording unless a different.date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER.CHAPTER'713, PART 1.SECTION 713.13.FLORIDA,STATUTES,AND CAN
RESULT IN YOUR.PAYING,TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE.OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR.LENDER OR AN ATTORNEY BEFORE COMMENCING WORN OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pat(ury.I declare that I have read the foregoing notice of commencement and that the facts stated therein are tree to the best "
of my knowtadge and boUef.
STATE OF FLORIDA
COUNTY OF PASCO
SgnaturrygfOwneror sloe sarLessees ed
omcermiractor/F'ertiial ins
Stgru! s Th e101Rco
iI�
The foregoing Instrument was acknowledged eforo ma this t0 dry of 2QL by?,a tr e-1 o, J��] (1y�' 1
as (type of authority.e.g.,cr ,icar,bailee,a l ;qy in fact)for
(name of party on ba all of whom I stru ni 9is executed).
Personally Known❑OR Produced Idenliricalio Notary Signature .
Typo of idonGticalion Prafu "lit U" (��> Name(Print) Ifft in
AMB'A IGj + ER FINNEY
46, Fi.
Notary Public-State of Florida
Commis
?or nrfiQ My Comm.sExpires Apr 1,2024
wpdatamcsrnaicacommencomenLpco5304e Ionded through National Notary Assn.
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'20:20.-2021 HILLSBOROUGH:COUNTY.BUSINESS TAX RECEIPT' E•XP.tRES' SEPTEMSER:3Q,202.1 42683'
F OCC:,CODE`
RENEWAL
' 090.031000 ROOFING.CONTRACTOR 60 Eiiioloyeev Receipt F.ee 90A.
Hazardous NJaste Surcharge: dO:Db
Law Library,Fee
. CCC13310.48
GEBHART LARRY CHARLES
BUSINESS .
t DBA RIDGE TOP EXTERIORS LLC:
t 4706,N•THATC.HER AVE
c TAMPA,'FL 33614. 202lu
imu .
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LARRY GESHART
NAME 4620 DOVETAILDRIVE
MAIUNG, MADISON,WI 53.7.04.
ADDRESS -Pold 19'=630-' 06224
:07/.2-2I2020 130.00
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