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Home My WebLink About20-1034 S Q _ �"�► City of ZephyrhillsERnniT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-001034-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 11/06/2020 Permit Type: Building General (Residential) .sue tc n'+ „�„a,,.,, °' # Property;Numbers" 03 26 21 0010 04400 0010 37427 Neighbors Path ,Own F, :', ;Permit Information °' '¢ Contractor Info�mato - Name: MICHAEL DENMARK Permit Type:Building General(Residential) Contractor:A-FIRST CHOICE ROOFING Class of Work:Reroof(Shingle Only) Address: 37427 Neighbors Path Building Valuation:$19,239.30 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)638-6867 Mechanical Valuation: PCPlumbing Valuation: t Total Valuation:$19,239.30 n G?y`' Total Fees:$136.20 (� Amount Paid:$136.20 Date Paid: 11/6/2020 12:33:18PM \ Pro ect`Descrip#gn .� r >.: ; 7 _ ..�. . ? _��a,l� y s Fx.. x.. "e x? air•.. � 'sxr� REROOF SHINGLES »tea, t .�.;r�z- - Appl�cationFeesM. `° `� f t-_- " w ^� _. . Building Permit Fee $136.20 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 L 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. JL/4_�� UD CONTRACT R SI ARME 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 t Phone Contact for Permitting Owner's Name i ChOL* Owner Phone Number CJ 13 -�J V IJL Owner's Address 3} a &CAIb6rs Pat Owner Phone Number Fee Simple Titleholder Name n 16 Owner Phone Number Fee Simple Titleholder Address /IGa JOB ADDRESS 34ya� 11C.I /1 �f Routh I I LOT# SUBDIVISION h h l {Is CDloN PARCEL ID# 03-ato-al- DO)D• OL4 U D0 •001.0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH R2-roof INSTALL REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUCTION �f BLOCK = FRAME = STEEL = DESCRIPTION OF WORK k-rood' 143 s .S i I-le, . e !a Pilch BUILDING SIZE SQ FOOTAGE HEIGHT 'E{'E`3: ILDI VALUATION OF TOTAL CONSTRUCTION �n9 =E CTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'D =GAS ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO"//d / BUILDER COMPANY 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 License OTHER COMPANY ynl SIGNATURE REGISTERED Y/Nq FEE CURREN Y/N CDin4re� � Address I3laa VIA P�rVI eWl„'License# CCC Bab 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 wl 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 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 ovmer 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 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 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 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. - 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 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.1 understand that a separate permit may be required for electrical work,plumbing,signs,wells,pods,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,after,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 FLORIDA JURAT(F.S. 1 .03) OWNER OR AGE CONTRACTOR O��U&I, 'S:gcpr�b d s t i ed hi 'i ii d sbwo q(or affi befor Imjt h' 11 l ooCC by t y l .0 Who Isla re finally known to or haslhave oroduced� W o Is/are personally known to me or has/have pr duced t.� as identification, as identification. T— ary ublic P6 11 Notary Public Commission No. aa0 � c5m; o. ��4� Lisa Pe-��r5ror1 LITa D,°� Name of Notary typed,printed or stamped ` Name of Notary typed,printed or stamped LISA ANNE PETERSON LISA ANNE PETERSON' a°� -B��;State of Florida-Notary Public Commission#GG 220717 'r° fir'-State of Florida-Notary Public i�®�-` ®�= Commission # G 220717 •,��rrnr°�P; My Commission Expires z y September 15, 2022 �� o.' M Commission Expires °'�°�1 0" September 15, 2022 vsn#2020153019 OR BK10177 PG2512 P-g-iofi 09116/2020 08:56 AM Rcpt:2204412 Rec:10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller SWAT Vol 4" ... . .................... -3 Z ............. 71�...... ff Li W? won .. ........ ................. 4 nu;- 'Woo A—"n Wow c. woo NW 1 2 ....... ............. my- ....... ............... _24 pilot"................ ON. RowR*;� ........... _n 0L .... ....... ... .......................................................................... IF .4 ............. ............................................4 Whys ............ Asks, W71 E M' PAWN., mom shallot ........... wax" " gfw _S, :... YRI Oily M j AR MINIMUM A eggs, ;il<st ��a ae�>� Contract A4irst Choice Roofing � iGss (888)871-9626 License#CCC1328591 13122 David Baker Road 6105 Memorial,Hwy,Suite E Riverview;FL 33579 Tampa,FL 33615 Date: 5 / Customer# A 5�� insured flame: "� t� �phone: t — tyy�— `J Job Address: � � d1 Nell phone: �•J�"' �"� � City: -� f,AN u iE`�11�1, State: 1' � Zip: Work phone: Email: t n�_ �VIAQ 4_7 Qsqn�— _Co-� Other Main Building #of Squares: -��„t D ached Building Reattach or spose tellite r Thed Roof Type: Reattach or Dispose Antenna Other(see notes)color: Reattach or Dispose Solar Panels utters Reattach or Dispose Other(see notes) Drip Edge Color: \Color: Upgrades(Not covered by insurance claim and are accepted financial responsibilities of homeowner.) Initial: i.La, �r�tdY k14 _ Cost$ 2. �� ai Cost$ insurance Estimate defines total scope of work,,unless noted in the Upgrade or Notes Section. ✓ e'" Materials and services may include,but are not limited to: Syr or&reaterkianufacturer Shingle Warranty PGRADE*New Ridge Vent Roof Ventilation System 3iNew yr"NO LEAK"Workmanship Warranty PGRADE*Re-nail of Decking as needed Plumbing.Vent Pipe Boots/Collars Vpr graded Underlayment' and Water in valleys(Peel and Stick) Remove all job related debris Wall Flashing and counter flashing per Insurance Claim Interior work per Insurance Claim Ad itional Terms/Notes ,.� Initial: Install and Payment Initial: r Replacement Cost Value$, c;2 c� Payment Today:$ *Replacement value(RCV)does NOT include " — supplemental checks requested for shortages from insurance company. " *Install date is contingent upon material availability from our suppliers,and prevailing weather conditions. This date is for the roof only,any other work will be scheduled after completion All rights.and obligations of the parties shall be subject to and governed,by the General.Specifications,Additional Terms/Notes (if applicable), and any subsequent modifications,which must be in writing and attached as Exhibit(s)duly accepted and signed by both parties. All work will be completed and billed.in accordance with the Insurance Estimate and this Installation Contract. l/we authorize direct payment of any benefits or proceeds,to AFCR for work performed by AFCR hereunder,and direct my/our insurance carrier to release any and all information requested by AFCR,its Representatives,or its Attorney.I/we authorize AFCR to deposit insurance checks'as payment for servlces rendered or to be rendered.In any event,I/we hereby agree to pay AFCR for the total replacement cost val and any supplemental funds approved by the insurance company. Authorize AgerrtPrint } ✓ CustomerSignature Date i "'I.a- / (7 Ck /?X) Authorized Agent signature pate CustomerSignature Date 9 P.O.Box 3057 Riverview,FL 33568 Ph 813.415.2109 Fax 813.415.2109 Contractor Authorization Form jx* (ent Cawley . `A=First Choice Roofing Of (Print IECense hoMer name) (Print name of uskess as hated on license) do hereby designate the following individuals as having the anthoaity to agn and submit avpheaiions and related doemnents for the propose of o'bbinin building peanuts. DFMGNFr _SIGNERS;(P 1RTNT)_................_:. ._ _. .. _.. �. 'Jessica Peterso 2. Aiyssa Salyer, 3. 4. Designated signers may be required to provide identificatiomm at the request ofthe perni t office- ,,.. ....,_;.:...�... ......_._..... ..,.__... ..__.., . ._ Ie ,'CaWley License Holder Name—Print Licewe'Holder 5ignatme STATE OF FLORIDA COUNTY OF H RDEE Before rue,the undersigned,appeared C-�I-e.h On this the 7 day a N U\)�b—ei 1 (900 0 Who armed that he/she read and undeastood the foregoing and uh9tsig aed the same freely and voluntarily and who is pemoonally 1--mvm to me( V )or who prod as identification- ofNot ry hhr SEAL a� ��;;s,,� LISA ANNE PETERSON �ga;State of Florida-rotary Public • •= Commission #GG 220717 %;$ ,� My Commission Expires Sept6mber 15, 2022 www.ofirstchoiceroofing.com