HomeMy WebLinkAbout21-1687 ter. m
Q
r onu�r City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001687-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/12/2021
Permit Type: Building General (Residential)
Property Number Street Address
34 25 21 0100 00000 0370 37600 Laurel Hammock Dr
Owner Information Permit Information Contractor Information
Name: JOAN HORNAMAN Permit Type:Building General(Residential) Contractor:A. BARTLETT ROOFING &
Class of Work:Reroof(Shingle Only) CONSTRUCTION SERVICE
Address: Po Box 2723 Building Valuation:$8,959.00
ZEPHYRHILLS,FL 33539-2723 Electrical Valuation:
Phone: (813)788-2464 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,959.00
Total Fees:
Amount Paid::$84.$84.80
Date Paid:3/12/2021 12:11:47PM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $84.80
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
f e13-78o-a020 City ofZephyrhills Permit Application Fax-813-760-0021
Building Department rf-'•
Date Received Phone Contact for Permitting
aaaaaIa■ a a a a a
Owners Name Joan Hornaman Owner Phone Number 813-788-2464
Owner's Address 37600 Laurel Hammock Dr Zephyrhills, L 33§Qer Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (O,00 u'� #
ata-�3R
SUBDIVISION PARCEL ID# 34-25-21-0100-00000-0370
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW C.ONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM �.J OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q
DESCRIPTION OF WORK New Shingle Roof wlTearOff. - Shingle-10124-1
BUILDING SIZE I SCI FOOTAGE HEIGHT
=BUILDING $ 8959.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ® ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE I Y/N FEE CURREN Y/N
Address License# F�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
OTHER v COMPANY A Bartlett Roofing&Construction Services,LLC
SIGNATURE ^ REGISTERED I Y/N FEE CURREN I Y/N
Address 38408 d Ave Ze h rhills FL 33542 ucense# I CCC 1331965
eeeeeeteee �eeeeeeeeeeeee.eeeeeeeeeeeeeeeeeeeeeeeee �eeeeeeaear<ee �e.eeel
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fork;R-O-W Permit for new ConsWction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonmwater Plans w/Sift 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 Constriction.
Minimum ten(10)working days after submttal date.Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AN 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$7600)
Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorzing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PloVSurvey/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.
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 pemutling.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 WateNSewer 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,1 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 1
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,WaterMlastewater 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,after,or set aside any provisions of the technical codes,nor shall issuance of a pemtit 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 CO ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU I E D TO OBT FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swum to(or )before me this
by by Cor v Hannev
Who is/are personalty known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as Identification.
Notary Public _( V �-+�� • r Notary Public
Commission No. Commission No. GG211065
Tina M Prater
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
Notary Public State of Florida
Tina M Prater
G ; My Commission GG 211065
$OF Expires 04/25/2022
INSTR#2021050587 OR BK 10299 PG 3915 Page 1 of 1
03/12/2021 10:52 AM Rcpt:2272661 Rec: 10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No 3T• a� �•CODC5D' 03-M
NOTICE OF COMMENCEMENT
State Of
Florida Countyof Pasco
THE UNDERSIGNED hereby gives notice that ImproverneM will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
Me following Information Is provided In this Notice of Comma
1. Description of Property: Parcel Identmcation,`
No. - S �,l•O10D•ODOO�•03`��
Street Address: ri Ill G
2. General Description of Improvement
k e uJ l-e T=P . Lo l-e ar
3. Owner Information of Lessee Inform.4 if the Lessee eomrs cted for the Improvement:
3ri(000 erne �Pk l j rh t I Is
Address city I state
Interest In Property: Home Owner
Name of Fee Simple Ttlleholdw.
(If dNferenl from Owner iletad above)
4. Viress
a; A Bartlett Roofing & Construct o6% Services, LLC s,me
Name 38408 3rd Ave Zephvrhills F_
Address city
State
Contractors Telephone No: 813-782-5585 33542
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
a. Lender.
Name
Address City State
Lender's Telephone No.:
7. Persona within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates —of—
to receive a copy of the Uenora Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
g. Expiration date of Notice of Commencement(the eohallon date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date 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 CHAPTER713, PART1, SECTION713.13, 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the forego[ of commencement and that the fads slated therein are true to the best
of my knowledge and belief. Cam/
1
STATE OF FLORIDA [
COUNTY OF PASCO
Sjdnatdo of owner or Lessee,or Owners or Lessee's Authorized
•/Director/Part nor/Manager
f.
--Home Owner
SignaatootyaTiIWOf.F5ce�
The foregoing Inetr inert was ecknwMedged before me thls�day eA 8ad 2da 1 by
as Home Owner. (type of a Moorrlity,,,e..1g.,officer,trustee,patiomey In fad)for
•:, , ; .. ., (norm of P@rtY on _ v v 1 .J�'�.,ewted).
ehalf or who"trum
Personally Known❑DR Produced IdemtJfienflon® Notary SlgnaWre
TV—
Type of Idend ieation Produced .. Name(Print) r
06
&WANotary Public State of Florida
Tina M Prater
My Commission GG 211065
Expires 04/25/2022
wpdatalhce/n dcecommra�entj)C053W8
9�Vic C
State Of Florida,County Of Pasco
�- This is to certify that the foregoing is a
o ue and correct copy of the document
?1 ''• ' file or of public record in this office.
it e s my han n official seal this
•~s � day of- 2
'a
ikki Alvarez-Sowles,Esq.,Clerk&Comptroller
asco County F orida
By ,Deputy Clerk
City of Zephyrhills
r,� 5335 8t'St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:BGR-001687-2021
I Corey Hanney licensed under Chapter 468, Florida Statutes as a(n):
ContractorX Engineer_Architect_Building Inspector
License No. CCC1331965
On or about March 22, 2021 did personally inspect the:
Check: Roof Deck Nailing X Dry in X Flashing and Drip edge X
Check which was used: 30#felt X Peel and Stick X Other(List)
At the following
address: 37600 Laurel Hammock Dr
Zephyrhills, FL 33541
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit M ual(Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY: �
Notary Public State of Florida
�p v po Notary Public state of Florida
:° �; Tina M Prater
�4
a My Commission GG 211065
'ayrO}�°�° Expires 0412512022