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' mot► y City of Zephyrhills i PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-001020-2020 �k .r Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 11/04/2020 `� f1 Permit Type: Building General (Residential) PA,opertyNu_mlier� Str�eetPA}ddress 02 26 21 0080 00200 0100 16134 11 Th Street ,:; Ownerrinformatiorr; h =,, ,_:.;Permit�lnformation : _ Contr,eactor Information Name: HEINZ BRASCHOS Permit Type:Building General(Residential) Contractor: QUALITY ROOFING Class of Work:Reroof(Shingle Only) Address: 6134 11Th St Building Valuation:$10,200.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)782-0254 Mechanical Valuation: Plumbing Valuation: Total Valuation:$10,200.00 2� Total Fees:$91.00 Amount Paid:$91.00 Date Paid:11/4/2020 11:13:11AM REROOF SHINGLE fA Ilication Fees:Y ..;. . _. Building Permit Fee $91.00 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. TRA RE PE IT OFFICE RMIT 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 bate Roe(ved o� Phone Contact for Permitting / = o Owner's Name Owner Phone Number d Owner's Address J r —44L Phone Number Fee Simple Titleholder Name [7-7Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS f/ F F LOT# SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR H ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = .OTHER I DO 7 TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK lz(roo BUILDING SIZE SQ FOOTAGE (O HEIGHT D =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ [/ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ �� �Z � =MECHANICAL $ VALUATION OF MECHANICAL IN ALLA ION l =GAS ,= ROOFING 0 SPECIALTY = OTHER ® d FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE /REGISTERED Y/ FEE CURREN , Y/N Address �� 2 dl+� L �� License# © v ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# 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 subdivisionsAarge 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.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 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 maybe 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 properly licensed and is not entitled to permitting privileges in Pasco County. i. 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—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 16ke 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 W"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 16ersely'affect adjacent properties, the owner may be cited for violating the conditions of the building permi(issue6 urider the attached_permit application, for lots less than one (1) acre which are elevated by fill, an erigineeredArainage.plan,is,required. If I am the AGENT.FOR THE OWNER, I promise In good.faith to iriform: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 TOOWNER: 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,-CON ULT WITH LENDER<OR AN ATTORNEY BEFORE RECORDING YOUR,NOT MEN- NT. FLORIDA JURAT(F.S. 117.03) — _ OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swo to d f r #►i < by byIF Kf Who is/are personally known to me or has/have produced Who islare personally known To me or has/hav,6 produced as identification. as Identification. Notary Public Notary Public Commission No. Commission No. f Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped I � I I }:-i �,a%` �. +' '_'_" - •--•:_.......,c.�.,...m..�.-�.«.,...-...-•+..-,...yes,.. ' - - :,` `-,�i e,a :.1�>: , s F t A4 � +, 14t+i�.lJt� )�fitT ;i 516fit'(f.lC y sr?, .'.r�., •-eir..:;�� YF�* •�f;_r+tihs pip FlOrit% 13542. �:....JF .,,.'• .., ��f" ur'.5�'�'�'�''sf _ 1113-163-45a4 lia #t3-713-th51 ir►w.+o«4-,.,..........__...... +ii�wr.r,ry.r.car�. - '.d�'�;'+"^�'�•:�',`'�� C h`il7t':. 7?rru brae v/iv;is�hw`!u�r ova u a,rte+lww!of i,.Yrw,teltN+�lrnr!'txrtf �1,1bL1ttatt'�1llt/!13�.9d8y A1/srplrsltuC aNt►Rt M!Y l�Abll����ry.,%'y<'.�.. �'�,�, pr?tlwrtYtaR!ut,►wr8,iardMrl�lorlr . !>wrttM.r tn�/c1/ „t pvrfx .rutdratr+r - ,:• l,lJu, rttrr,rY�f a,r +Rat trrll,tdt91 ue nttr `�: ►D.Nttysr Nh'IN1. t)IiAtit11U9,up tar L•.Mter R Oil N, D SM T11. 111.an unntaried nlan.irid ItF.BE(VA all 104V4 Vkit RFRFa�'o1lrt,'3fi111 REBECCA M MACALLSO.in uninariecl mimsn 6134 I I TI S'! _. i; Pm Z.l_P11YRIM-1.�. NABCOCrtuilt4, 31v iju 33542 �' Section 03, Vok- ►0sip 26.RanAu 21,Lol ICI.Illoc%2. -%'SUN S1.ftH VISIAN,Rwtk 1.Pop 100,PASCO (•roomy,,14 r►i_1a 1-1.Scttlrment Agent. Sanslige t r1�.+1�rttt}. Inc _ Place QfS--nJonent 5516 tthl Se.Zefhyrttills. -fortis 11542 PAWA-)f'nuno 1,still Cnent Date l).tolxr 29 20 1 J. St mmuw•f if3t,w'%-f ransa�Lion 'K. Snramsrp+f'+elkr"x Ttnnitaedtan -10f1 crncr Aenrutnf line From Rafe! JW.C:rusxAn►ltwise ilttwTn'Relbn lttl ('tntnwt 7,),L1jA1 ri)r 401, 0 wreet.'Cale3 Price t+)t �,eltlertt tee.t h.trg:_Cn Etuy'c 11i,� 1.11'W 3..651! '103. 10i. 4djcstments ror Item_r Para by Seller in Advance Adjusltneats for h.ms Paid by Selkerir.Atftraaete: trtl. (-ify - Tnwr fat;r�. _ t JI1f+. C'•t�,� Ca.Ntt��.t_ts - -- - ----- -�_ _-- -.____.._... - Ir;r Gouni% 'Paris,t lxkcs -107. Cownlv.,Tarish races 1r:N. h:��Str.,_nu •Ili$, .R_^..@c!:1-uRl:. _ __ _ S 1k!'`t, RLIGt.Crerdl for lEnvle. t'o•,I _'f,7111I ,11J9 liu*c'rt'L•tli! itrl osingCoil 120. _G-um Amount Due front Bupt<r: "'t'r127:5U;4:1). Grass Amount Uue to Seler: 200 Amounts Poid 6�•urin R#hwF of 11u.t^ SILO Rarlurtionn in Amount Line to"Ur_ 201. 1,>rPcl,r F�nr>y Mtxt,� I.lu:lslli4l y Sltl I`�cc„Ih"1,n•:1{six ivs- cdomo 4t?2- t'rlricipal tU-aultt of lww 111410 , '1(b�, twu L 1 kn('I U,wc,It,`YtIC10 iut 1 4ti I)" t{r,$S1 32 ?{l3 t cr,Sinc,l.clr�ntst 5%13. I.�islr:t�,1.ti,;t1115'I 204 k1t C'u.�p.r 24.ti1.ts4 711i _ il15 1tiil*ttll r t seconii Mvwtdj�c - ��,_ Burl 9'I,rclr::,s tritHtp•� rltxt fdgC Adjrstiwafs fvr(Brio tnfrrtW V Stllert td�uytmrret.y fur Items t opaid try Sslltrs: 2R. L'kN % Iown Inxc, ill} t'llb; 1'vrttt r;t\c, �ount} Vansh I axes Pan 1 202-1 thl u+lit-1K. � u wkv Isar sh'I a Nkc%lu t 1, ?t}'il►thin k c 2d, 211 ,1�6 I,�vH,K(9; ii I 2lt2o 3i Assntcntt i 1 _.... ..- ' S13 2t4 tiff _ . _ .... .fool MaW by r ror Boxer: ,1;19K ISu 420, 7'rtill Red llrtioltx in Amount E1ftt dtar. 5fi2?14.�t 3DB. Ufa nt settetmtltt fmm,to Buyer: 16lhll, i'uslt s,teruw+1 dot Eton!3u}ar Ytir4 I:r/? 7n,1 x!10 I'll tl rrrr�c P.mctlRt{dtt hr��ilr-(ttli��«U1 --7�,�b7..OQ 3f l.oanc,"Affil Ptrici h fuf 1 er Ww 220) 1 - -._.. .. . !9 1 3,74K-y() Fr112 I.c»Itttlucl ons.4nwint due tither i line S7ti) 5ti.ildll M3. C-ft"Fraari Huyer. 473j 4,7Q E,bul C'nsb To Soler. i .....�, City of Zephyrhiils a 5335 811 St Zephyrhills FL 33542 I (813)780-0020 ROOFING INSPECTION � '''AFFIDAVIT �1/ Permit No.: i S� [1t O,, .2Q;�� I, BrJ/4 licensed under Chapter 468, Florida Statutes as a(n): Contractor y' Engine°er`Architect_Building Inspector License No. On or about o0.,20 did personally inspect the: Check: Roof Deck Nailing ?!� Dry in V' Flashing and Drip edge ✓~ Check which was used: 30#felt Peel and Sticks Other(List) tin aehz- At the following address: JK0J Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes), Signature: STATE OF FL COUNTY OF PASCO Sworn to and subscribed before this day 11!r'(—'ZO- (� BY: Notary . blic State of Florida 4�r P S MY COMM ISION GG.981406' • ..... i, EXPIREESMay 12,2024- --' — - - --- Bonded ThN'oyta°7 Pubk Undo - INSTR#2Q20190138 .OR BK 10213.PG 63, Page I of 1 11109/2620 03:09 PM R90:222507.4 Rew,10.00 DSc 0.00 M-0.00 Nikki`Alvarez'Sowies,F.Sgj:Paspo County.Clerk&Comptroller .. ..rry:-c• -w=r'< �,}S;kn.,i+Gv.—d'`< hih•tZw•=:f" - ..�:.a^.'?h:....: �.»,. ',•'r'>,ut.+'.i fir% Y :.,`C�`>•r"�'s '•!.. _J•:.�•:.:.•..,;.�ir:,Y,:t.. ,.jK .�•��Y�' r `fit +.fi.4Gs Y` ''•Y',>. '�1�.: :• S'"xf` ;4w •. ':T' w .•.�',4'1y`.i'<��`s tr:�,;, �tiY•.�Yliw<, .t..�; Y:$''C•'rr' >n.•[J AC 4.` 3 Qt vtz•r 4T.? •:a : ::rY. :^'li !a•;'3iV" - -=•.'g`i#^�t'{.'�.`,�:. :.Ii h:a.'!i"'r 'rt'•.•. ^,`r`- ;-:r,w ,, `Ts•`},i-:.,;. •r "yw.;.`�e`. 3'vk.i• h%i :,,€xkbx`. •*sc?-.•.. ..::r'�,",ra. F•. Perirlt'Nutnbe :�a •;..G�y'`••Sk'�3':r.;,v.�';yf': t?t:a.'4ii ,7:;::' 4`...• ,�'"".�i"•'iYL,rr•o-:4.,y;1 '•y��-rj �,' 1 rS•:•.. rY.a. �V'rC,q..•k.;Q`' Paixel lO Number `•v .M PS:'[v,< •�.`�.,n•:x•J.:.L.>"�'''+'.i`: ,.. �i�r y.,.x,�"r�.`�-'�'�'+>Y��.✓r �iSu'w_`.+, �'x'4n; ;'�5'•.`•�at�'� NOT6CE ®0 COMMENCEMENT �• ,�f ��f:<r �= v�,4•,y.h'-)mays�• r,l�'.ti,-,�• ���:>;� ;, ,k�7a�°<,7rt?„✓;':i r.l�,fhM it�+:si •,,"":xr Y• i �"y.4 .<;•..,,!•..;,,�yZ+Y _r� ,$y';,y:°�#y. .F.`sC4 S .i�`: !, '�:,Y F.:r":✓'' .x v!..:.•'i-.e';:.: '- State of Elorlda r � •K� :,;;' �? rr s`s rw a, t`sw:ii'w-iti.2'�i •v • , :' 2: tc'-` 1".5Y•€,7: "'? `.'t--.':•...,...•z%•y^},,v... r,..,`a:nt county of,_.l A S� ?� ,. i£;z,;.>:,. } .:�•r x: rt�.:.,K, THE UNDERSIGNED hereby gives notice that improvements'will be,made to certain reai.pmperty.and la'accordance vMh Section 713.13 of the Florida$Wutes,ttie following infomdon is.provtded in his NOTICE OFCOMMli ICEMENT: 1.Description of properly(/egaldesalpbon: C?- _ , a a).Street Qbb}Address: 2:(eneral.descrlptloh of imptovemen N - 3.0wner Information or Less..'information Ifthe Less _ contracted forthe;im roveme a)Name erid.address Z L .. 2 b)Name and address of fee simpleN�if drffereht.than"Owner listed above) c)Interest:inproperty:- �lh/ >1.Goatradoi.lrrformation e)Name,and addfo - LL b}Telephone No.; "_A(67— Fax No.:{opihuutal . 5.8drety(R applicable,a copy of the payment bond is'attached) a)Name.and address: b)Telephone-No.: c)Amount of Bond:S a)Name and address:. b)Telephone No.:, Ti Persons within the.Sta a of Florida designated by Owner upon whom notion or.other documents may be.'served as provided by Sedon 718.113(1)(A)7.,.Florida Stehrtes:, a)Name and address: b)Telephone No:: FbkNo::(opttonat): a)In addition to himself or herseif,.Oxmerdesfgnates. of to receive a copy of the Uenoes Notice as'provided in Section 71313(1)0),Florida Statutes. b)Phone 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 const►uclion and fh#payment to the -contractor,but vAll be i yearfrom the data of recording unless-a different date Is specified)- 20 WARNING TO OWNER:.ANY PAYMENTS MADE BY THE OWNER.AFTER THE;EXPIRATION OF THE,NOTICE DF COMMENCEMENT ARECONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART I,SECTION.713.13.,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS'70 YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST'BE RECORDED AND POSTED ON THE JOB SITE 6E0ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING;CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCIN0WORK OR RECORDING YOUR NOTICE OF CO11111 IENCEMENt. Under penalty of Perjury,I adore that a read the fc ng notice of commencement and that the facet stated thereto are true fo the bad of.my knowledge and tfellef: _ 7� r ._ • 1�rtt��.U Y�a.�sc:Ut.os•-.aw���z. (Sf nalum of Cwwoe or, - s or Lessee's(A*orlmd Offf dDiretd Vadma ei) rant Name and pn�vlde Rr tDrysTWe/Ofiioe) The foregoing inshmentwas adcnowtedged before me by me of L� PnysIbal-presence or U on-line notactjlon,this . go day of _ 6 o G er.- `2t) 3o by He,4&. 601S CAA rrr (toe y ) as�. ew a of authority,e.g.officer,trustee,attorney tnfact for ;—=- as V (Naadpow) {type of auftft eg.offfairi Mow,aitomeymfacc� for Sr.-odlf, ^llc+ goof�oj% LLe di4 Roof =ofpaAyonbehaltoiwharn,lntrtrmrrtwasexiptedt. Petsonally Known ❑ Produced ID Type Of ID �ler�`da 0rTvvs .Lecek-Notary Signature_ 610. Print naive l l a-t d c Ca MIL z� JUJ@ACArGG.t#YCCMMISSIONN.GG34i143, s' � 'EtiPIRES:-Sepfambw M23 ' :@ondealhn,NatQrrR�icundrt+hit�,.