HomeMy WebLinkAbout20-912 F ate► 4 City of Ze h rhillS PERMIT NUMBER`t. +
• 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000912-2020
Phone: (813) 780-0020
t\ Fax: (813)780-0021 Issue Date: lot t2o2o
�k
Permit Type: Building General (Residential)
Property Number Street AddreAs r r...
1126 21 0010 09100 0090 38149 9Th Ave hue
`' Qwner Information . Permit information Contactor informatoor'.
Name: JENNIFER SCOGGINS Permit Type:Building General(Residential) Contractor: BALDWIN ROOFING
Class of Work:Reroof(Shingle Only) COMPANY
Address: 38149 9Th Ave Building Valuation:$8,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (863)430-1619 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,000.00 -1
Total Fees: 80.0. ! � /�/l/•//
Amount Paid:$8000 �
Date Paid:10/16/2020 1:12:50PM (,
Project Description
REROOF SHINGLE
Application Fees "r
Building Permit Fee $80.00
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
' Date Received Phone Contact for Permitting ' > 10
;am Et[allwa .. .. o
Owner's Name J_& AI o" SC fl t Owner Phone Number D 7o
Owner's Address 1�` ZQ 4 Owner Phone Number
3sYz
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addr�ess [1
JOB ADDRESS 3 91/ St( Av,L Z�Q y����l� 1` y 7 3 S LOT#
SUBDIVISION PARCEL ID# _Z Z 1 0 0 1 0,1100—0_rq0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER p
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK 14 SSe V,A It Roof3 IZ ?iW, FL lo10Y aJ rt5f, 0 2 7
BUILDING SIZE SQ FOOTAGE ��0Q HEIGHT
=BUILDING $ 40
lC)o VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ ` 1
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY ✓� I win
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N r�
Address License#
31.2tii"i'Yi[.3i a5.i.111132 ro111,11i a 21IN4 141 an NA llama a82,122.2at
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 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 onsile,Construction Plans,Storwater 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.(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
813-78a0828 City Of ZeplryritillS Permit Application Fax-813-780.0821:
BulunG[SaparbneM
NOTICE OF DEED RESTRICTIONS:The uotaralgned undemisnds that thIs petrol may bebublect to-does'ractriottonv which may ba more restrtaive
018n County tegutalions.7ire undaraigmhadassumes rospanribiiilyfor cosnp!ianta wKttairy appi{cabtadeed reswollons.
!lFithM.
coribelctor or cormaIXore to undertake work,they
"adas required by law,both aloe owner and
ayare uncertain as to wbatIfoansing taqufromartts
rthensing section at727-847•SM.
it the owner has h red a sxmtractor or Conbardors,ha is advised to have the coniractor(s)sign portions o€the-bommclorBwr o€this
tion forwhirat they w38'be respenslbla.!f yxm,as the owner sigdas the mxinbaClbf,that mhay ba an in�oaeon that'ha Is not property licensed am.Is
trot erfitred td permit6hipf prrol�ges in Pasco County.
TRANSPORTATION iMIPACT/UTILITIES IMPACT AN RESOURCE RECOVERY FETES:The undersigned itrrderstands
that Transportation impact fees and Rene Recovery Peas may apply to the construction Of new butidings,change of use in wdsllng bt4angs,ar
eVansion of wdsting bulidirsgs,as specified In Pasco County ortrinanou riumbeir89-o7 and oov,as amended.The undersigned also understands,that
such fees,as may be due,will,be identified at the ttma of permitting.It Is further undsrslood that Transportation Impact saes and Resource Recovery
Fees must be pail pdar te receiving a'cerOiNate of bccupan W or Gnat power Marie.it the pmjed does not involve a Carrdkate of occupancy or final
pb,hw release,the is"must be paid prior to permit issuance.Funhcrmore,It Pasco County Water/Sawer Impact fees are due,they must be Paid Prior
to permit issuance in accordance v.tth applicable Posm County ordinances,
CONSTRUCTION LIEN LAW(chapter 713,Florida Statutsa,an ammondodj If valuation of wank Is S2,500.01)of more,I certify that 1.the applicant.
have been providorl with a copy of the`h'lorida Construction Lien late—tiomeo»mels Protection Gulde"prepared by the Frodda Departnent of
Agricutalre end Consumer Affairs.If the applicant Is someone other tires the=rn+mer.I certify that I Pave obbtained a copy of floc above described
document and promise In good Win to deliver it to the-awareP prior to commencement.
CONTRACTORWOWNER'S AFROAVrr:I wTffy that all the Inrorme*m In this application to soctesta and that all weds will be dome in compliance with
cif applicable taws regulating construction,zoning and land development.Apptilaiton Is hereby mode to obtain a permit to dowork and Installation as
Indicated I ccrttfy that no walk or Installatim has commenced prior to issuance of a pem*and that all wok will be performed to meat standards of all
lane regulating omstmotton,County and City codes.zoning regtitations,and land devetpment teaulat ons in the,Jurtsd dlon.t also caft that I
understand that the requiallots of other govammant agencies may apply to the Wwrhded work,wW Dar It is my responsibility to idantify what actions I
must take to be in compliance.Such agendesinclude but are not limited to:
- Department of Environmental Protecliort-Cypress Bayheads.Weiland Areas and Environmentally Setftlitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlaftd Areas, Altering,
Watercourses.
- Army Corps of Engfneers-Seawains,Docks.Navigable-Waterways.
Department of Health &Rehabilitative Services/Environmerdal health unit-Welts, WasieWater Treatment,
Septic Tanks.
US Environmental Protection;Agency-Asbestos abatement,
- Federal Aviation Authortty-Runways.
I undemisrmd thsdthe Imlow ng 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 wail
construetion,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 ill will not adversely affect adjacent
properties.If use of fill is found to adversely affect"Jacent properties,the owner may be cited for violating
the conditions.of the building permit issued under floe attached penrift application,for lots less than one(1)
acre which are elevated,by fill,an engineered drainage lot an Is required.
It i am the ACHM FOR THE OWNER,t promise in good faith to inform the awrw of the pannittingramdtions set forth in ads ailldavit prior to
oormmramcimgeonstruGion I understand that a separate permit maybe required for elect"work,plumbing,signs,wells,pools,air commdi0oriing,gas,or
other insulations not specirdroaityiridaded in the application.A permit i8suad shah be ConvIrlmd to be a license to proceed m'3h the worts and not as
andhwrW to violate,cancel,alter,or set aside any provisions of the technical codes,nor shell issuance of is permit prevent the ftftng ofridw from
thereafter raqutdng a iaorection aterrors to plans,constnicuon at vkrta0ons of arty codes.Every pamuit issued shaft 6acane Invard unless the wore
su0rorized b'9 such.pemmttit b commermped within six months of pemrh tssuatmCa,o d words aumomlzad by time permit is suspended or elmandruied tar a
parted of six(8)trhort0t�after the dma the work is commerscad.An oxtatmsion may be regirastad,in writirrg,fnxmt the SuHdBtg tali#dat fora parted txmt is
ozcaed nlnary(go)days stud well damohsirata Jtnstitiaae Cause fo 0ma extansian,It work ceases for ninety(gp)consecutive days,the lob fm;constderad
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
�fT�t YO IlijWQER OR A EFOR19 la 98011 O.YQUE it;_UE 1XIMM N. Ml'ICI*
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Cornarilssfauh No.� tsaton NO.
t .pienaearstamp +ytYim orstamped
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*: MY COMMISSION#GG M69
MY COMMISSION#GG 946469 - EXPIRES:January 12.2024
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o EXPIRES:January 12,2024 Bonded Thru NotaryPubifcUnde s
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LDWIN ROOR G CO.
www.BaldwinRoofing.com
Licensed-Insured-Bonded Llcense#CCC1331963
Authorization Letter
I is the license holder for Baldwin
Roofi g Company. I give the following individuals the authorization to
pull permits in Zephyrhills under Baldwin Roofing Company:
- Adam Duty
Dawn Fingers
Sign:
Print: J
Date: l
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INSTR#2020170954 OR BK 10195 PG 1972 Page 1 of 1
10/13/2020 08:57 AM Rcpt:2214534 Rec:10.00 IDS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
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City of Zephyrhills
5335 8t"St
Zephyrhills FL 33542
n� (813)780-0020
Or • , ,
ROOFING INSPECTION(jAFFI IT
Permit No.• D/v� ` 0r00 I Z
SPP� cPI` T3� ��
I, `-�n licensed un er Chapter 468 rida Statutes as a(n):
Contractor✓Engineer 2_Architect_Building Inspector_
License No.
oZ�
On or about �C �� Z did personally inspect the:
Check: Roof Deck Nailing � Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick ,"'Other(List)
At the following �/ /�
address: -I I �� �/ v� 2� 11 75 L
Based upon that examination, I-havedetermined the installation was done according to theHurricane
Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes).
Signatur
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this da
BY:
Notary Public State of Florida
6...... ; DAWN FINGERS
;* MY COMMISSION#GG 946469
o off' EXPIRES:January 12,2024
oFF', Bonded Thru Notary Public Underwriters