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rIlia N. City of Zephyrhills "" PERMIT NUMBER',`
5335 Eighth Street K .
Zephyrhills, Fl-33542 BGR-001032-2020
Phone: (813)780-0020
Issue Date: 11/05/2020
Fax: (813)780-0021
Permit Type: Building General (Residential)
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03 26 210120 00000 1030 6441 Silver Oaks Drive
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Owner Info�mation,;Y . . Pecmit;lnfo,rmation:., �m�,ContractoInfocmation_
Name: RICHARD&KATHERINE FERREBE Permit Type:Building General(Residential) Contractor: BODAN ROOFING INC
Class of Work:Reroof(Shingle Only)
Address: 6441 Silver Oaks Blvd Building Valuation:$13,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation: /►
Phone: (813)355-3716 Mechanical Valuation: l�D Q,
Plumbing Valuation:
Total Valuation:$13,000.00
Total Fees:$105.00
Amount Paid:$105.00
Date Paid:11/5/2020 11:19:55AM
P`rojectDescription" _ , ,': : `�
REROOF SHINGLE
Application_F,ees
Building Permit Fee $105.00
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 SIGN URE 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 ire bcr I Owner Phone Number
Owner's Address W,/O a Owner Phone Number
�S Owner Phone Number
JOB ADDRESS `1( ' txc ap LOT#
SUBDIVISION PARCEL ID# - V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK•PROPOSED NEW CONSTR ADD/ALT = SIGN. _ = DEMOLISH
R INSTALL• B REPAIR
PROPOSED USE Q SFR 0 COMM = OTHER
TYPE OFICONSTRUCTION = BLOCK Q FRAME _ STEEL 0
DESCRIPTION OF-WORK �Q
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ - v 4 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
-Z,
-#,,
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,
=GAS = ROOFING 0... , ,$PECIALTY = OTHER
FINISHED FLOOR.ELEVATIONS FLOODZONE.AREA- =YES NO 111 I
BUILDER COMPANYT�_' W
SIGNATURE REGISTERED Y/ N FEE.CURRE� Y/N
Address' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYIN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LL1LNLJ
Address License#`
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ 'N- FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LLLN
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-insta_lled,
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.(1.0)working days;after:submittal,date-Required.onsite,Construction Plans„Stormwater P.lans.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.
L\ 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
ER THE COUNTER PERMITTING (copy-of contract required)
s if shingles Sewers Service Upgrades' A7C Fences(Plot/Survey/Footage)
ways-Not over Counter if on public roadways..needs ROW
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. I i ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor' or
contractors to undertake work, they maybe required to be licensed inaccordance with state and local regulations. Ifthe
contractor is not licensed as required by law, both the owner and''c6ntractor 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 Pasico 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 thecontractor(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 maybe-due, will be identified at the time of
permitting. It is further understood that Transportal tion 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 Wpermit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Fllorlc a Statutes-as,amended): If valuation of work is$2,5.00.00 or more, I
certify that 1, the applicant, have been-provided with a copy of the "Florida,Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departrient 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'doc'ument and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT:. (;certify that all the information in;.thls application is accurate-and,that all work
will be done-in compliance with all applicable lawi regulating construction, zoning anfland'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,f6.._m' e6t-standards of all laws regulating
construction, County and City co"des,''zoning regulations, and land development regulations in the jurisdiction. I also
6r government-agencies"ma pp!y-to.the intended work, and that:it is
certify-that I understand that the regulations of other y?
my responsibility to identify what actions I must take to be in compliance.- Such agencies 'include:but are not limited-to:
Department of Environmental Protectjon-aCypress Bayheads, Wetland.Areas.and...Environmentally Sensitive
...Lands,Water/Wastewater.Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Altering
Watercourses.
Army Corps,of Engineers-Seawalls, Docks, Navlg6'14:Materways.
Department of Health &'Rehabilitative ServiceslEhvitonme inf6l'-'Health Unit-Wells, -Wastewater, Treatment,
Septic Tanks.
US Envirbntne6tal'Prdt6dtion-,Agenc sbestos:abatement-.
Federal Av
iation Authority-Runways.I understand.,that'the following,mstrictions.apply to the use of fill".
Use of.fill-is not.allowed in Flood Zone"V"-uhlieisg4kpiressly permitted.'
--6 - 'understood If the fill material ;is to, be used in Flood Zone "A", 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 Js,_tobe_used i Fl n. I o, Zone- in connection with a permitted building, using stem'wall
construction,..I.-Ce'ttlfy that fill will be used-only t6 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-f6undto.adversely affect adjacent properties, the owner may-be.cited for violating
the conditions of the build!6g permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,-an engineered:dra naI` ge plan Is required.
If l am-the AGENT FOR THE OWNER, fliromise in'good faith.to inform-the owner of the permitting,conditions set forth in
this affidavit prior to commencing construction. I I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning;.gas, or other ihst6fleitioh67 hdtsoebifically 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,1echrilcal bodes, nor shall issuance,of a permit prevent the Building�Official from thereafter
1 6 * '
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.sJx months of permit issuance, or if work authorized..by
the permit is suspended or abandoned for a period of-six(6)months afier:t�iq*: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:IMPROVEMEN'tS,-TO-,YOIjR---PkOPERTY.''-[F.'YOU--INTEND-TO-IOBTAIN FINANC INGP,-'CONSULT,;�,
WITWYOURLENDER-OR AN ATTOANEY'B'tFoRe-kECOkDING:,Y.OUR,NOTICE OF ZOMMENCEMENT.
FLORIDA-JURAT-(F_S.J17.03)._
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swam to(or affirmed}before me thi
—by by
Who is/are personally known tam me or has/have produced Who is/are personally known to me or,has/have produced
as identification. as identification.
—Notary Public Notary Public
Commission No. Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped.
INSTR#2020187906 OR 13K 1 021 1 PG 799 Page 1 of 1
11/05/2020 10:39 AM Rcpt:2223660 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
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Tax Polio No CJ�~
The undersigned hereby gives notice that improvements riiil be made to certain real property,and.in accordance with Section 713.13 of the
Pkrida Statmet,the fou In information is p �ded Is tAW9Q
1 < o?of tr�eetfleda ess q ir �03 �b�����ST Df-�Dasc
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2. General description of improv cats:
3a.. OWTIW Ntutl (e:
Owner Address:
3b. Owne'r's interest in site • _
3c. Fee Simple Title holder(of other than owner)I
Address:
4, Contraetar Nam
Address Phone: _
S. Sunny N RYA punt of bond:
Address• phone: _
6. Lander Nme: Contact: _
Address: Phone,
7. Pemn within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 7 .13(IXAA Florida Ste es.
Nwel 4 xr=w Address: Mir,
`C
Phone Number:
$, in addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1Xb),Florida Statutes.
Name: 'Address:
Phone Number: _
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date'of recording unless a different date is
specified),
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COIrMMC3iMFM'ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13.FLORIDA
STATUTES,A"CAN RESZIL•T IN YOUR PAYING TWICE FOR I1vi ROYEMENTS TO YOUR PROPERTY, A NOTICE OF
CO1tiAlSNCEMM MOIST BE RECORDED AND POSTED ON THE JOB SITE 33EFoRE Tilt;FIRST INSPECTION. IF YOL'
1M gNp xO 08TAIN FV4AN&NG,CONSULT WTIN YOUR LE R OR AN ATTORNEY BEFORE COMMENCING"►FORK OR
RECORDING YOUR NOTIC$OF COMMENCEMENT. G
Signature of Owner or Owner's Authorized 0�'cer/Director/Panner/Manager
SrATB Oar FLOIUDA
COtWff OF F,LSBOROUGH 8 tsc><aow a before me this j2r`�,day of
L as for ANIELLA L MCGLYNk
Pe»o>aaI1y �_ voed t of eationNotirY Public•State of Fittttde
—/'� Commission d GG 941373
Jan
Type of Identification Produced a'+ My Comm.Expire!No d,1
024�''Banded thtouth National Ntitaty Ann.
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Signature Publi Notary
state of Flodda,County Of Pasco
This is to certify that the foregoing is 11
true and correct COPY of the document
on file or of public record in this office
'lit(3odlft?rust Qess my hand and official seal this
day OfAL&qjr, 2a2_���-O
Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller
Pasc?e�jnty,Florida
1887 By eputy Clerk
City of Zephyrhills
K 5335 811 St
Zephyrhills FL 33542
a -
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
I; licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer—Architect_Building Inspector_
License No. W �
On or about did personally ins ect the: /
Check: Roof Deck Nailing- Dry in Flashin p g and Dri edge ✓
g
Check which was used: 30#felt_Peel and Stick Other(List) .
At the following. 4 • !� On -
address: . C� �
n -
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).
f
Signature: 941X
{,
STATE OF FLORIDA l/ ,ktir" DANIELULMCGLYNN
73
MVP
Notary Public-State of FloridaCOUNTY OF PASCO MyComCommSExpireae 532024
Bonded through National Notary Assn.
Swor to and subs ribed bef re this day
49
WoBY: . .
Notary Public State of Florida