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City of Zephyrhills
_ _ PERMIT:NUMB'ER 3= :
5335 Eighth Street ' <� _
Zephyrhills, FL 33542 BGR-000974-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/28/2020
Permit Type: Building General (Residential)
- Property,_Number` -Street Address`•,
12 26 210280 00000 0540 5248 King Street
'Ownerinforination , :. Permit-In'fo�ination Con'tractor'Information,.,
Name: CCAROMA INVESTMENTS LLC Permit Type:Building General(Residential) Contractor:WESTFALL ROOFING
Class of Work:Reroof(Shingle Only)
Address: 7106 Flounder Dr Building Valuation:$14,000.00
TAMPA,FL 33617-8411 Electrical Valuation:
Phone: (813)988-8828 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$14,000.00
Total Fees:$110.00 /�(J
Amount Paid:$110.00 (/
Date Paid:10/28/2020 1:23:51PM g
Picoject.Desc�iptioii' °` i' '� � � �: -� :s �F w ; •. ; •-
REROOF SHINGLE
Applicati_' `Fees
Building Permit Fee $110.00
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 ( ) -
€ € € € €€ € €
Owner's Name i t , ,Q OwP one Number
Owner's Address '� ��\!1 5t V Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address pp
JOB ADDRESS �Z 4 LOT#
SUBDIVISION L-,AtAA (,` PARCEL ID# �'� _' 02_�D — OI) -c>40
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM ER� OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL =
DESCRIPTION OF WORK Rtg (44 F-L1 V
BUILDING SIZE SQ FOOTAGE 6 e HEIGHT
BUILDING $ tt VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( O
=GAS ROOFING Q SPECIALTY = OTHER g
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER '�( . / / COMPANY
SIGNATURE REGISTERED y Y/N FEE CURREN N
Address ♦3 �• S i A cn+t � t/ S 1 License# C C_C.0 3 J2
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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17CCIr RKIT1A1 Aff—H 191 DIM 131. c /71 eefe of R'dHinn Plene•!11 eef of Gnernv Gnrme•R_(L\A/Permit fhr Heal rnne4n ir4inn
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'1.
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 i i
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 pri6h,
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. I
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 ,r
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. pp:
- 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 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 LENUER OR AN ATTORNEY BEFORE REC!2Rl2INQ YOU COMMENCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this S bscri ed nd or t r aff a re a this
by la v
Who is/are personally mrAwn to s a roduced o is/ rep rsonally known t me or has/have produced
a as identification.
lws,i
., AMENDA* W COMMISSION#GG 93]2006M�L
o ,,• EXPIRES:March 14,20
XIL Notary Public
r:nmmiccinn No r:nmmiccinn No
EST"FAL.
numgyy 0'.0,40perated Sirice.1989:
October 28, 2020
To Whom It May Concern,
We are authoring supervisor Ricardo Vera to sign and pick up permits in the.City of Zephyrhills.
Please contact our main office for assistance if needed at (813) 264-5690.
Submi ed y,
Kirk Westfall
Owner and Licensed Contractor
Sworn to and subscribed before me on this 26-V-Nday of OcAiln� , 20 20
by who i Cperson]a11:yjo:w>nme or has produced
as.identification.
Notary Public Signature:
Print Name: 1!:>eCA-W V ��AleW
My Commission Expires:
��µr pty' Notary Public state of Florida
Becky Woodall
My Commission GG 196217
�+?o��o� Expires03/14/2022
5413 W. Sligh Ave.Tampa, FL 33634 CBC040784
WestfaliRoofing.com 813-264-5690 CCC056392
10/19/2020 02:30 PM Rcpt:2216752 Rec: 10.00 DS: 0.00 IT:0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller
Permit No. Parcel ID No 12-26-21-0280-00000-0540
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement
1. Description of Property: Parcel identification No. 12-26-21-0280-00000-0540
Street Address: 5248 KING ST ZEPHYRHILLS,FL 33542
2. General Description of Improvement Roof Replacement
3. Owner Information or Lessee information if the Lessee contracted for the Improvement-
C CAROMA INVESTMENTS LLC
7706 FLOUNDER DR Name TAMPA FL
Address City State
Interest in Property:
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address t Lt /�� 1 � ty _ �s-' fa e� _ r1 Y� State
4. Contractor. s� ( ciR U.Je
Tampa FL
Address city State
Contractors Telephone No.: 813-264-5690
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Address City State
Lenders Telephone No.:
7. Persons 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 Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration 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 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perlury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO rh:trRe r,a s��it<c ra.man�s•a eon
Signature of Owner or Lessee,or Owners or Lessee's Authorized
Officer/Dlrector/Partner/Monager
& M-av/'
`` Signatorys Tnle/Olfice
The foregoing instrument was acknowledged before me this1day of t 20y�y�� V�Q- SLR
as A. \"Y /+ (type of authority,e.g.,officer,trustee,attorney in fact)for
i/ �'Y1C`i l� I c k 'r (name of party alf of whom instrument st�ec 1). _ n
Personally Known❑OR Produced Ide 'cation Notary Signature LZ
Type of Identification Produced Name(Print)
FRAP�T%N- Notary Public State of Florida
Becky WoodallMy Commission GG 196217 FumrcerLt',/1.n99
Ci dY-__ p Y of Ze h rh'ills
5335.8, St,
ZePhAlii:FL 33541
4 ' (O1, 3)"l80M- 20
f
ROOFING.INSPECTION AFFIDAVIT
I,. ?:_-/�- T'F licensed;uhder;Clia ter,468,Flotida Statutes as a n :
Contractor_,Engineer=Architect Building,lnspecfor..-. _
License No. ' 3. Z
Ono rabout-jv
3 : 4' did,personally inspect the_
Check; Roof Deck yailng Dry in _. Flash.ingand Drip edge
,Checkwhich was used: 30#felt::- Peel and Sti&I, het.(List) .
At the following pp
- , . a
Based upon that eicaniinat on,I,:have,detemiined the installat" was'done according to the Hurricane
Mitigation Retrofit'Manual,(Based on Section;553.844.FIor Ida'Statutes)r
Signature:.
STATE._ F FLORIDA
CO TY OF PASCO
Sw r a bscri.._d'b fore this d
BY::
Notary Public State of Florida
`GAIIUNAMEkbA'_
MYCOMMISSiQH,#.GC9320Q6
EXPIRES mamh.14,W4
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