HomeMy WebLinkAbout20-1096 f ,
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City of Zephyrhills PERMIT' NUMBER
tom " i 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001096-2020
Phone: (813)780-0020
-� Fax: (813)780-0021 Issue Date: 11/19/2020
Permit Type: Building General (Residential)
' Pro Number Street Address
12 26 21 0310 00000 0990 15624 23Rd Street
Owner Information -,r ��° "
L Per jI:ffi formation Ition
Name: THOMAS VALIYAVEEDAN Permit Type:Building General(Residential) Contractor: SMART CHOICE ROOFING
Class of Work:Reroof(Shingle Only) LLC L
Address: 5624 23Rd St Building Valuation:$8,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)735-3479 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,000.00
Total Fees:$80.00 1
Amount Paid:$80.00 1
Date Paid:11/19/2020 9:14:26AM
Project Descr�ipt�ion
REROOF SHINGLE
Application Fees
Building Permit Fee $80.00
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.
ACE PE IT OFFICE
PERMIT EX ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
r 813-780-0020 City of Zephyrhills Permit Application F.-813-780-0021 ® ,
Building Department Zfi✓V
Date Received Phone Contact for Permitting f�
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Owners Name ari Owner Phone Number
Owners Address 2_9 Prowner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS .� 23 k �Q 1 33 �pyLOT#
SUBDMSION �cJ1 nS �S PARCEL ID# i?--2-k,'-Zi! C 0—
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR a ADDIALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q pp
DESCRIPTION OF WORK ( (� ( /Y� �" •, o ( y1 l Z ��
BUILDING SIZE SQ FOOTAGE HEIGHT ��11
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=BUILDING $ (c, n�!� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ �J CJUI� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE1 REGISTERED Y/N FEE CURRENLLL-NLJ
Address a License#
OTHER VCOMPANY
SIGNATURE REGISTERED Y/N FEE cuRREN I Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans, 1)set of Energy Fortes;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 subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsfte,Construction Plans,Stor mwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al 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 authormng same
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C , Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public madways..needs ROW
813-78D-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
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 727-647-8009.
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 IMPACTIUTILITIES 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,1 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 1
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 W, 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 W in connection with a permitted building using stem wall
construction,1 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 XQUR LE �IM AM ATTORNEy BEFORE gECOgpING YOU ICE OF COMMENCEMENT,
FLORIDA JURAT(F.S.117.03) �
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OWNER OR AGENT CONTRACTOR
S,,��b��s.��cr��ib'ed�,and swo or aifi led) efore m s S bscn,ed and swo ed before�e Js y
ClL LLby f/ iby I(.19' U' r�.Y .'�(�i,
Who fs/are personally kno n tome or hasthave,produced Who rs/are personally k own o me or has/have produced
as identification.
`CN otar identification.
�ublic Vb�Y 'taJ Qt_w� `Cr u%otaryPublic
Commission. `u Commission No. W7 A .
NaofM L ��� MAr r Cm
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Notary typed,pn�r stamped Name of Notary typed,printed or stamped
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4 INSTR#2020196306 OR BK 10218 PG 3062 Page 1 of 1
11/19/2020 08:37 AM Rcpt:2228638 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Pmod 10 No
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NOTICE OF COMMENCE
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THE UMMMMM�eby 9tm�thet kMrovwrwd w®be made to cedaln real property,and in aoeadance wth ChapIar 713.Florida Slehdes,
provided to Qda Notion or
,. Dasafp8m of Property:Pined Wergifleatlm No.
SbeetAddress: it
Z
2 Generate Desarptbn of bnpovemerd
3., Owner hdo heft or I easae Iofotmedon irthe Lessee ccnbacted forthe bnpovernerd:
egim
Address
Interest in Proper:
Name of Fee Sim*Tldeholder:
pf allerard from owner Ifebd above)
Address coy State
hbeddr I. cer
Noma
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Czy SLOB
Cantractorls Telephone No.:
5. Shady:
Name
Address Cfly Stale
Amomt d Bond:S Telephone No.:
8 Lender:
Name
Address Ctty State
Lender's Telephone No.:
7. Persons wNNn the State of Ftarrda designated by the owner upon whom roues or other doaanerds may be served as povided by
Setllon 713.13(1)(a)(7),Rodda Statutow
Nam
Address
Cth state , r,1.'`� K a r l:° V a.
TetephoeNhs dsigr nberDeetadPerson: `p�ra. , " L
& tX-
In sd(Mkn to hinsW,the owner dealghatea
to rocetva a cm of the uenoes Notts as provided In SOCNon 713.13(1)bt Florida Steafts.
Tdephae Nnanbsr of Persah or Enfily Desipeted by Owner. ,
9. Expbatlon date of Natioe d Comtnerhoorerd(The w0re5an date may not be before the aYnplelbn d and final
ao���tl�,�n l�hherd b
oonbacbm but will beans year front the date d eoordbg urdeas a d0brord date lo spell ied): �/ /-Y j Zn 2i
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 I.SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED POSTED ON THE JOB SITE BEFORE THE FTRS7 MSPEC7TON IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTOftiIEY BEFORE COMMENCING WORK OR RECORDING YOUR NO17CE OF COMMENCEMENT.
dUnnderyr aihd declare that I haw read the foregoing novae ofam end that de fads stated drereln are true to de bed O
STATE OF FLORIDA E U
COUNTY OF PASCO to 7N O j
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pM1 COMMISSION#GG 935673 W — 0 3 2 .0
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My Commission Expires 12/01123
ACCOUNT NO. . -
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