HomeMy WebLinkAbout20-996 I �
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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
' Zephyrhills, FL 33542 BGR-000996-2020
Phone: (813)780-0020 Issue Date: 10/30/2020
d/r Fax: (813)780-0021
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Permit Type: Building General (Residential)
PropeFrty Nu i, 1111111111111Street Address
1126 21 0010 19200 0130 138525 2Nd Avenue
mileIn Permit Information Contractor Information
Name: CECILIA RIPLEY Permit Type:Building General(Residential) Contractor: PROTEK PROPERTY
Class of Work:Reroof(Shingle Only) SOLUTIONS INC
Address: 38525 2Nd Ave Building Valuation:$9,350.00
ZEPHYRHILLS,FL 33542 Electrical Valuation: T
Phone: (352)467-5784 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$9,350.00 'Y1
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Total Fees:$86.75
Amount Paid:$86.75 Q i
Date Paid:10/30/2020 9:36:08AM I
Project Description
REROOF SHINGLE
Ap lication Fees
Building Permit Fee $86.75
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.
CONTRACTORS NATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78D-0020 City of Zephyrhills Permit Application Fax-8`13-780-0021
r. Building Department
'T/VV 1760
Date Received 1Phone Contact for Permitting
Owner's Name vo pju Owner Phone Number
ad Ngi
Owners Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (AVP, ibd(mb I I i S A LOT
I 'SUBDIVISION PARCEL ID#11J-2- ZJ— a a t JtJI
(OBTAINED FROM PROPERTY TAX NO'hCE)
WORK PROPOSED NEW CONSTR F--1 ADDIALT SIGN DEMOLISH
R INSTALL F-1 REPAIR
PROPOSED USE = SFR 0 COMM tJ OTHER I PT-MIT
TYPE OF CONSTRUCTION Q BLOCK E:] FRAME Q STEEL = I
DESCRIPTION OF WORK
BUILDING SIZE I I SO FOOTAGE, F-1�37— HEIGHT
IUX-X-IEV1l[-X-W-V
=BUILDING I$9.225D I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C.
=PLUMBING 1$ -1
=MECHANICAL 1$ —1 VALUATION OF MECHANICAL INSTALLATION
=GAS EB' ROOFING F--1 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN LYIN J
Address F License#
ELECTRICIAN COMPANY =
SIGNATURE F REGISTERED YIN FEE CURREN L_Y/N
Address License#
PLUMBER COMPANY =
SIGNATURE REGISTERED I Y/N I FEE CURREN
Address ILicense#
MECHANICAL COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN
Address I License
OTHER COMPANY ij qmirfN''T)
SIGNATURE REGISTERED [(YIN I FJEE CUR51HN I YIN
-/I wl PTUM License# I C(11 W L P. I
Address F
loollsolss Ingslaillasis 32-12211111183 121NER1121115 1141112111 Ell 112111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ton(10)working days after submittal date.Required onsite,Construction Plans,Stormwater 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.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.AN commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Fill out application completely.
Owner&Contractor sign back of application,notarized
Of over$2500,a Notice of Commencement Is required.(AfC 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)
Remofs If shingles Sewers Service Upgrades A/C Fences(PlatfSurvey/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
i 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 contractors)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 property 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 I,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,WaterMastewater 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 fig:
- 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 Budding 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 c o .TO Rik, `
Subscribed and sworn to(or affirmed)before me this Subscribed and o a f e
by by
Who Is/are personally known to me or has/have produced Who is/are sonally kn to me or has/have produced
as identification. as Identification.
A/mmi/
Notary Public Notary Public
Commission No. fission No. I'�1 P
Name of Notary typed,printed or stamped �� I U I� ��Name of Notary typed,pnnte or s amp
�,/►r Notary Public State of Florida
Heather Ann Bledsoe
OF VMy Commission HH 017368
Expires 07/01/2024
This space for use by Clerk of the Circuit Court only.
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NOTICE OF COMMENCEMENT
Permit Number: _ 7
Tax Folio No.
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Sccdon 713.13 of the
Florida Stalutes,the following infonnution is provided in the NOTICE OF COMMENCEttEN'1'.
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1. Legal Description of property(street address required):�:i 1 ��l��U
2. General description ofimprovements: }V I�� � � ���1� �111 � U Lit
3a. Owner\Jame: 11�2>���y1
N Owner Address:_j L�� � f
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P< 3b. Owner's interest in site:
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C� 30. Fee Simple Titic holder(of other than owt:cr)
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�'. Address:
isl .3 4. Contractor Name-
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N o<1 Address: 1 t'1 i `1 ( j(^ t• ),�} Piton :
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3. Surety Name: Amount of bond:
Address: Phone:
(�to s p` 6. Lcudcr Name: Contact:
Address: Phone:
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N N > n 7. Person within the Statc of Florida designaled by owner upon whom notices or other docurnents may be served as provided by
=L�N NC_' Section 713.13(l)(a)7,Florida Statutes.
Name: Address:
q ') Phone Number:
aL
8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes.
Name: Address:
Phone Number:
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is
specified).
WARNING TO OWNER: ANY PAYMENTS MADE,BY THE OWNER AFTER THE:EXPIRATION OF YI•E NOTICE OF COMMENCEMENT ARE,
CONSIDERED IMPROPER PAYMENTS UNDER CIIAPTER 71X PART 1,SECTION 713.13,FLORIDA STATUTES.AND CAN RESULT IN YOUR
PAYING TWICE:FOR IMPROVEMENTS TO YOUR PROPERTY,A NO'ITCF OF COMMENC AIENT NIU.ST•RE RECORDED AND POSTED ON THE
JOB SITE REFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT wiTti YOUR I.ENDE:R OR AN ATTORNEY
REFORE CONN./IE.NCING WORK ORRFCC)RDINC YOLtlt No'rt(:E OF COMME:\CE\1&\'rr..
Signature of Owner or Lessee,or Owner's or Le:sec's Au ori7ed Oilicerinirector;Partner•'Niana_cr
Signatory's Title Office
STATE OF FLORIDA
COUNTY OF HILT SHOROUGH
'file foregoing fnstmmrnt e;acknowledge ix fom me this��day of R I .20
by as for
Personally Known Oil P oduccd Identification _
/
Type of Identification Produced U� C —1/1 vdIM
JhnStgnamm-No«ry blic
Under povilties of perjury,)declare that I have read the fiwcgoing and that the facts stated in it are true to the lust of my knowledge and belief.
�V "k NotaryState of Florida
Sitnautre orNatural Per;un Signine.l ovc Heather
• attherr Ann Bledsoe
•
tAtnprol'anrlxmd mvu lx•anncched mlhe lime rthit fafiie ol'C<m+mnurmenn My Commission HH 017368
w n Expires 07101/2024
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City of Zephyrhills
5335 8t'$t
Zephyrhills FL 33542
(9 3)790-0020
ROOFING INSPECTI DAVIT
Permit N
1, licensed under Chapter 468,:Florida Statutes as a(n):
Contractor �!Engineer_Architect Building Inspector...
License No. T L 9)2U1
On or.about. I .~ m did personally inspect the;
Check;. Roof.Deck Waillng Dry in � Flashing,and Drip edge -
Check-which was used:. 30#felt Peel and Stick�!Other(List)
At the following rr
address: JqM
Based.upon that examination.] hay..e,determined the installation was done according to the Hurricane
Mitigation it Manual(Based on Section 553.844, Florida Statutes).
Signature.
STATE OF FLORIDA
COUNTY OF-PASCO
Sworn and subscribed before this day
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B :
Notary Public State of Florida
�r�rwvvvv�ev
Notary Public State of Honda
Heather Ann Bledsoe
, .My Commission.Hli 017368
gya�0110' Expires 07/0112024