HomeMy WebLinkAbout20-1139 m
fl City of Zephyrhills
PERMIT NUBER
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1 5335 Eighth Street = .< _ ri •i .
Zephyrhills, FL 33542 BGR-001139-2020
Phone: (813)780-0020
r' Fax: 813 780-0021 Issue Date: 11/30/2020
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Permit Type: Building General (Residential)
Property.Number Street�Address� ,
02 26 21 0160 00100 0051 6044-6048 9Th Street
Owner Information Permit Information..-
Name: KHANH LE SUNG YUAN VU DONG Permit Type:Building General(Residential) Contractor: MG EXCELLENT SERVICES
Class of Work:Reroof(Shingle Only) CORP
Address: 18111 Laporte Ln Building Valuation:$2,400.00
SPRING HILL,FL 34610-2321 Electrical Valuation:
Phone: (201)519-8708 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$2,400.00
Total Fees:$52.00
Amount Paid:$52.00 1
Date Paid:11/30/2020 1:40:59PM I
Project Description
REROOF SHINGLE
Application-Fees *„e
Building Permit Fee $52.00
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.
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CONTRACTOR SIGNATURE 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 N 1k) ''" Owner Phone Number
Owner's Address e_/l Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address p? c
JOB ADDRESS ®� -S �� r�L 33 , LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0' COMM = OTHER
TYPE OF CONSTRUCTION El BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK S— d 1Ae S �e t� L�l� rYjo S''
BUILDING SIZE SO FOOTAGE= HEIGHT l
=BUILDING $ G�t% VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ I"
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / l
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS —7FLOOD ZONE AREA =YES NO
BUILDER �l �,at�a COMPANY
SIGNATURE lzal REGISTERED Y/ N_J FEE CURREN
Address 1360 GU,�;V S r G14 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
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 subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Building7 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&I 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. (AIC.upgrades over$7500)
" Agent(for the contractor)or Power.of Attomey,,(for the;gwner.)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING: ": ``(copy'of contract required)
Reroofs if shingles $ewers S,4kbb Upgrades�_kk S Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public road waVs::Hbeds-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.
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 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
certifythat 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 l 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 3
..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 applyto 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, l •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-underthe-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 ihstallations 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 COMME ,CEMENT'MAY RESULT.-IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR'PROPERTY. IF YOU-INTEND O OBTAIN FINANCING,.CONSULT
WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING::YOUR NOTIC OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to( r ed)before me this
by bv
Who is/are personally known to me or has/have produced Who isla rsonall own to me or has/have produced
as identification. as Identification.
0.
Notary Public Notary Public
Commission No. Commi . No.
JACQUELINE BOGES
Name of Notary typed,printed or stamped Name of Notary :.<p 1 n)01"
; Expires December 12,2022
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" ® City of Zephyrhills
5335 8`h St
Zephyrhills FL 33542
(813}780-0020
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ROOFING INSPECTION AFFIDAVIT
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Permit
I, 16 61 ���G« licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer_Architect_Building Inspector
License No. eCC/,fig LV S,2 ,
On or about a—o:3 -,Pl W did personally inspect the:
Check: Roof Deck Nailing—,)—(— Dry in X Flashing and Drip edge
Check which was used: 30#felt Peel and Stick Other(List) s
At the following
address: (o0yt — 60�� @2 7
Based upon that examination,I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based n Section 553.844,Florida Statutes).
Signature: /
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
B
Not' Publ tate of Florida /
JACQUELINEBOGES
Commission#GG 276457
ne ,Po°Expires December 12,2022
•.,oF i�,,.•' Bonded nw Troy Fain Insurance 800.386-7019