HomeMy WebLinkAbout20-1145 m
i
City of Zephyrhills `PERMIT NUMBERy
- 5335 Eighth Street Y 3j
Zephyrhills, FL 33542 BGR-001145-2020
Phone: (813)780-0020
f. Fax: (813)780-0021 Issue Date: 12/01/2020
Permit Type: Building General (Residential)
'Property.Number -StreetAddress
02 26 21 002A 00000 0080 6021 14Th Street
`OwneraIn ation Permit Information Contractor Information
Name: MONROE LAWRENCE Permit Type:Building General(Residential) Contractor: QUALITY ROOFING
Class of Work:Reroof(Shingle Only)
Address: 6021 14Th St Building Valuation:$6,175.00
ZEPHYRHILLS,FL 33542-2632 Electrical Valuation:
Phone: (813)788-7967 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$6,175.00 (�
Total Fees:$70.88 Lp"
Amount Paid $70.88
Date Paid:12/1/2020 3:37:40PM
Project Description
REROOF SHINGLE
Application.F.ees.
Building Permit Fee $70.88
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.
R SIGNATURE PE IT OFFICE
I XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 � ///Fax-813-780-0021
91
City of Zephyrhills Permit Application
Building,Department , t
Date Received01.
Phone.Contact,for.Permitttng
Owners,Naine:': Owner"P.,hone.Number,
Owner's"Address ® 'JOwr�r�hone-Number.- '
Fee Simple,Titleholder Name Owner Phone:Numtieri
Fee Simple.Titleholder Aiid�ess /
JOB ADDRESS
SUBDIVISION PARCEL.ID#
(OBTAINED;FROM-PROPERTY:IT NOTICE),..„
INSTALL
SIGN
WORK�PROPOSED "NEW �;ADD/ALT. Q' 0= •°:..: . �Q• ' -DEMOLISH
NSTALL'>;: REPAIR
PROPOSEDMSE:, Q 'SFR"`:-` Q' COMM-.:, ,.. _;:.- ,`.OTHER: ::
TYPE OF'CONSTRUCTION 0 `, B_LOCK, 0. FRAME'. - .0: "STEEL
DES:CRIPTION,OF WORK C>` �O I�°?' imA
BUILDING;SIZE. „SQ,FOO,TAOE HEIGHT.` vY�
BUILDING
0 ... _ - - Mn
VALUATION`OF`.T,OTAL'.CONSTRUCTION:
'=EL'ECTRICAL $ AMRSERVIC& 0_-'r. -'PROORESS ENERGY- ;Q:. ,W:R.E:C::e "
=POWNG $'
MECHANICAL $; VALUATION'OF MECHANICALLL
=GAS = ROOFING' Q °=:-SPECIALTY!'=. :,.OTHER'.
FINISHED'FLOOR ELEVATIONS FLOOD`ZONE AREA =YES NO'
BUILDER COMPANY'' ./ !x k(!
SIGNATURE REGISTEREb% Y''/ FEE CURRE�G; :Y'/=N``'` •. �y//�
i
Address
® �!@ License
ELECTRICIAN COMPANY
SIGNATURE ''REGISTERED Y.'/.''N z'; ; ..`IF,EE'CURRE�_:;_ r'
:Address License.itt
PLUMBER COMPANY
SIGNATURE 'REGISTERED' YJ/ N FEE:cuRREn.': L:cY'l,N:+'<<-
Address:, License-
MECHANICAL',
r COMPANY-
SIGNATURE; REGISTERED. Y:% N. FEEGURRE� Y/N,
Address License.#r
OTHER
SIGNATURE `REGISTERED `,W `W _`FEE CURREh' Y'/
Address ` =License#_
' •>': a, ..1 �, �,s..J'•:;•�;...,,.. .:",�:,::n;r,.
RESIDENTIAL Attach'<2 'Plof Plans''2' sets JbI Buildin` 'Plans;r.i.sef df'`Ene' Forms;R=0-1N°P.ermitfor•rtew consfruc6on:°•
Minimum.ten(10)working days after submittal:dete..Required orisite,.Construction Plans,Stormwater Plana`w/'Silt-Fence'installed;
- Sanitary Fact hies&1 dumpster;Site Work Permit•for subdtvislonsAarge projects
COMMERCIAL Attach:(2)complete sets;of.Buildirig!Plans plus°a.Life Safety�Page;(1)�set'of Energy Forms.,R=O-W-Permit-for,new. nstruction:"
Minimum ten(10)"'working days:after submittal date Required onsite,Construction.Plans;'Stomiwater Flan's'w%'Silt Fence;:installed = '
Sanit;3ry;FaaiiiNes&,;1,,dumpster.;Site:Work Peri ii#.for all new-projects.All commercial_requirements_must meet-compliance:
SIGN:PERMIT Attach:(2)sets,:of Engir eered Plans. .
****PROPERTY SURVEY'r6tl6Ired'for aif NEW construction.
'I)lrectlona:
Fill Ouvapplication completely..
Owner&Contractor sign.back of application,notarized
If over$250ka•Notice'of Commencement-is required.AA/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 contiact"required) •' .� . ' •. "
Reroofs if shingles Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over.Counter if�or public:rgadways need`s ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that_this permit-may be subject to"deed"reptrictions"
which maybe more'restrictive than County-regulations. The undersigned assumes-'responsibilityfor-compliance with zany
applicable deed,reotrictions:,
:.
'UNLICENSED""CONTRACTORS°'AND"`CONTRACTOR"RESPONSIBILITIES:-�If�the-:owner .has--H!!red a-.contractor or
contractors to undertake work, theymaysbe:required=to be;licensed in-accordance.with state and local-regulat!ons,,-,;�lf=the.
contractor-is'notticensed�as,required by law;,both the owner and-contractor-may-be-cited-for.:A-misdemeanor violation
under state law. If the owner or intended{contr=actor are-uncertain as to what,licensing requirements may,,applyifor-.,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:,-hlred: a contractor or contractors, he is advised to have,the.=contractor:(s):;sign.::.
portions.of the"contractor Block"of this.application-for which they w 1(be responsible. If you, as the.owner sign as the
contractor, that may bean 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 hew..buildings, change of'
use in existing._.buildings, or,6xpansion,of exlstin§4bUlldings, as'.spec�ed,in Pasco'"County-Ordinance number 89-07 and
90407,.as amended. .The.-.undersigned..also understands,,:,that:,such fees,.as may._beAue,,will be-identified,at the-:tintel�of,,..
permitting. It is further°un`derstacid'that,Transpartation-linpact Fees and Resource Recovery Fees must be•paid•prior to
receiving aiucertiflcate of occupancy"::ar,fnal.power release. If'therprojeet,doesmot;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;fty,m.UMbe.paid prior to permitaissuancelnaccordance:with`appllcable,PascoCountyordinances::
C'ONST kUCTION-L1EN-�LAW.(Chapter',713; Florida Statutes; s._aamended):: If valuation of work is$2,500.00'or-more,rl
certify-r#hat=_1;::.the"applicant;--have,_been---provided. with:a-.copy..ofi`:the._"Florida.,Construe.fion,Lien ILaw--Homeowndes
Protection!Gulde"prepared by.thetFlorida Department.of Agriculture:and Consumer:Affairs. . If the applicant.is someone -
other than,the'"owner";i_certify that 1-have�obtained�-a-copy-af the,'above-described docurne0and'promise"in good'faith to
deliver.it•to the".owner°.prior�W commencem.ent..a
CQNTRAGTOWSIOWNER'S AF iIDAVIT: ''fcertify,that all he information'artfhis'application,is,accurate,.and�.thaf alhwork-
_., -.i L.
will be`aone�l6 compliance with-all apptlaable`taws r'egulating construction; zariln "Md:.laud""deueropmen .,Applicatidwis
hereby made to. obtain a permit to dol-workrand�sinstallation)as.-indicated. 1 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;�xzoning..regulations,-and'-_land,development regulations in:the jurlsdlction,�.,:,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:!must:take.to.be in compliance. Such agencies-include:but are not;iimitediJo:-
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and.Environmentally Sensitive
Lands,Water)Wastewater Treatment. a
Southwest Florida. Water`"Management District�Wells; 'Cypress Bayheads, Wetland 'Areas, `Altering
Watercourses.
Army Corps of Engineers�Seawalls;:'D.ocks,Navigable Waterways.;
Department of Health &<,ehabilitative S.ervlces/Environmental-.Health-Unit=Wells, Wastewater.Treatment,.
Septic Tanks. '
-.. :.-US�Environmentalk-Protectip.n.A pn.,y—TAsbestos:abatement.,, ,
:-...
- -Federal AViatlonAuthority�Ruriways: . _ .. . .
:understandahat the-foilowing restrictions applytothe-use,of.;fll;.
- Use,oflfill is'rtot allouired irnflood,Zone"v"'unless:expresslypermitted. -
!f-the fill XmaterlalAs.to:be.used•in Flood-Zone:"A",.it is=understood-that a drainage-plan addressing a
_.
."compensatingr'voluMe".,will=,be�.submitted.at time of permitting which-is_prepared by a professional:engineer
licensed`by'thW tare-of FloFida-
If the fill material is`to be used,inFlood:Zone:"A",.in:rconnection with a permitted building. using stem,,wall; ..;_
construction;I certify=thaffift-". ill'be;used;onty to=:fill-thesareajWithinAhe stem:Wall.
If till-material is--to'-be used in:.any:area, i-certify that-,use-of such-till-will:-:not-~adversely affect adjacent
.properties., if.use.of filfAs4ound4o,adversely affect;:adjacent.,properties,:the:owner maybe.cited?for violating
the cohditlons:of"the buitdi iig-permitttssu.etl.uhder:tlie-attached permit-application;for lots-less-than one (1)
acne which..are.,eleyated:.byfPll;an.engineered drainagie%plan`is-required.
If I am.theAGENT 0111HEMNER, tpromise-:in-.good aithito•iriform.:the,.owner.of.the.permitting:conditions-setforth�in
this-affidavit prior to commencing construction. I understand=thdt'.4-separate"permit.may be required:for electrical work,
plumbing;-slgns;-we Is -air',conditioning,.gas, or.other.installations-not-specifically_included.in,.the:.;application:'`•,A
permit issued shall be-construed to be a license to.0rQceed:with-the work-and not as authority to..violate,.cancel,.after, or
set�asideanyprovisions-of the-technical-codes,-,,nor.shall.issuahbe of:a,permit prevent the Building-410ifficial from:thereafter,
requiring„a.correction of errors'in plans, construction-orviolations':of any codes:-Every-permit.issued-shallmbdeome=`lnvalid-.- ;
unless the work authorized by such permit-is:commenced within'six months of:permit issuance, or if workauthorized by
the',-per-mit-.is suspended-or-.abandoned:fora.-period-of.six(6),months,aftecthe:tlme-the:work is,-commenced;�.An.extenslon.
may be requested, in writing, from the Building Officlal fora,period not.to exceed ninety(90)days and will..demonstrate -
justifiable cause for the extension: If:workteeases-forwninety.,(gol bcinsecutive daysAhe job is considered abandoned.-
WARNING TO.:OWNER: YOUR FAILURE TO:•RECORD;A NOTICE-OF-CE'OMMENCEMENT,MAY RESULT`IN.,:YOUR
PAYIN.G-TVIIICEtEG1iR=1N1P.-,RQ1fiEMENTSJAYQUR RROPERT_,"IF:YO',Ur INTEND TO,:OBTAIN,FINAN010N 4;'
WITH•'YOU .,LEN.DER<O,R:AN�ATTORNEY}BEt=ORE,RECORDIN.0 IYOURrNOTfiC ME CEMEN
,.
--
r_ I' — —'--
OWNER,OR;AGEN,,_ CONTRACTOR J
Subsi rgo,ed:aindswom,to,(or.,affirmed)before me this``- SubsCrlbed.andsw ,"td`(or' J'f fo e, is_.
by. :. e
Who is/are personallyknown to me 6e s%have'produced Who'is/are p'ers6naily`known-to`-.e. r •as/hav.produced
as identification. as identification:
Notary Public Notary.Public..
Commission No. Commission::No.-.,
�( v V1C_G%tIJ
Name of Notary typed,printed or stamped Name of NotaryEtyped;.printed,or stamped
;atte� CARLOS MALDONADO
Commission#GC 346275
, Po`Expires June 18,2023 ,
of .•• Bonded Thru Troy Fain Insumoce$004 0-1019
D
-
- City of Zephyrhills
5335 8"St
Zephyrhills FL 33542
(813)780-0020
/ OOFING INSPECTION AFFIDAVIT
Permit No.•
licensed under Chapter 468, Florida Statutes as a(n):
Contractor ' Engineer_Architect_Building Inspector_
License No.
On or about - ® did personally inspect the:
Check: Roof Deck Nailing Y/Dry in Flashing and Drip ed e
Check which was used: 30#felt_Peel and Stick_Other(List)
At the following
address: f
-eei-
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida 5 tes).
Signature: ,
STATE OF FLORIDA
COUNTY OF PASCO
S rn to and subscrib efore this day �� t' a I�-D
BY
Notary Public to of Florida
VIRGINIA A DORR
Bep State of Florida-Notary Public
Commission q GG 176650
a; My Commission Expires
j�OF ROQ�
�pFp` February 06. 2022 -
INST14#2020205813 OR B'1511 22. P,G 61.1, Paoe 1 of1
12to4&620 0,4:16 PM Rcpf 433981 Roo:1.0.W M-A00, IT:0:00
Nlkki:Aivarez-Sowles;E4,_Pascp County Clerk&Comptroller
Permit'Nutntter ( "':p()./l -a?1?a C►
Parcel ID Number ( •:�.�.- )Q -��0000—0040
State of Florida
-
County of... M_
THE:UNDERSIt3NED,hereby.gives-notice that improvements will be made to;certaln reai.ptbperty,and in accordance rir)lh•Section 713.13 of,the
Florida Statutes,thefollowing information is provided:in this NOTICE:OFCOMf6ENCEMENT 1.Description of property(►egaidescriptibn).:..i �p' 1=a =Q KO
a)StreetUob)Addresc.,_Lo, .uld—J,
2:0erieref description of improveinants:
3,Owner#nforitrationor.Cesseeinfarmatioriiftftel.evssei�:contractedfotthetmprovr e�n»t:L�- _ _.._..�...___. _.�_r��.w_.....�...._.__.__._..._
a)Name:and address: tr: �c'?_ ► i tr"tot Z_� .?Si�::.
0)Name and address of-fee_stnlple tillehoider,(Il diiferen(.than{)varier listed above}
c}Interest in proparly_.•p t nsz
44antractorinformatton .-.___ ._..,_,.�,_... _-..,.�..-Y.,..-....._.---... . _.._ _.. . _._._...�.�_.
a)N.ame.and address-. � l�v �>�. �l ��y_@6 i-?K _ ._��
. w - - w Fax No.:(optional b}Telephona'No.:--__���tA�. _... . __._....___._ _.... ...
5.Surety'(if.eppiicable,a.copy'of.the.paymentbond is attached)
b)Telephone No,:-------...
c)Amount-ofBond:
6.Lender
a)Name and address..
b)Telephone No.:
f — - -
.Persons within the State.of Florida designated by'&ner upon wticlariotices or otherdoc0ents:may be served as provided bySeelion
713.13(1)(a)7.,Florida Statutes;
--
byTelephone Fax No (optional).__
8.'a)!n-additton_tohimself.orherself,Ownerdes#griates____ w,..__�. _� _, _;�_of _-•�_____v ,_ .. _ ____._._._ i
to receive a copyOf.the:i ienor's-Notice asprovided,In Section 713.13-(1)(b),Florida Statutes.
b}Phone:Number of Person or;entity designated byOwnec __._...._ � ._ .__ _._..._ __�__:_. . �-�----.__._
9.Expiration date.of notice of commencement(the expiratlon date may not be before the compietion of const<trciion and final payment to fire
ntractar;but wilt be 1.yeatfrom the.date of,rgcardIng unless a dtiferent data is
WARNING TO:OWNER.,:ANY,PAYMENTS:MADE BY THE OWNER AFTER THE EItP!RATION OF'THE NOTICE-OF COMMENCENtENT
CONSIDERED IMPROPER PAYMENTS UNDER•CHAPTER 713;PART I,SECTION 713:13i FLORIDA STATUTES,AND CAN RESUt_T IN YOUR.
PAYING TWICE FOR IMPRBVEM.ENTS TO.YOUR'PROPERTY.:A NOTIC' OF COMMENCEMENT 1friUST be'RECORDED AND P08TEQ"ON
THE JOB SITE 8EFQ THE FIRST'1NSPECTiON. tP YOti INTEND TO OBTAIN'FINANCING,.CONSULT WITH: YOUR LENDER;911 AN i
ATTORNEY BEFOEtE COMMENCll C3 UNQftIC OR,REGOI2DlNCi YO!!Ft'NOTICE OF COMMENCEMENT._..
�tliider penalty of tdectare fhat'1;hav ead.the foregoing notice of commencement and that the facts stated therein are trueto the bestof-
knowledge . .- . .
( fu a a.. aror drCltmer r pffioerlDheatorlPartrierMlanager) Print Name end ProvideSignatorysTiUelOflice
T aing Ins ment was acknowledged'tiefore4hi by means:of physical presence or
on41he notarization,,this _ _ day
ofby .:�..:.<:. :r _. _as.. �._.,:�. w___-_ _.__(type of authority.:e:g:ofticeri'trustee,attorney in fact)
for
(Name oloemon) (typ#Oauthority,.e g.oflicer,Me%altamay tnfacl
fOf (na eofparlyonbehalfafa omlretiumentwaseaecuted).
Personally Known Produced tt)
TypeaflD' �1 }� �Ll,t,.�. — NotagSignaturs .1 ";_._ . �� , : y1R.GiNiA A
DORR
PrintrianieState of Fiorda-Ngt-arY Pu61ic
My Lot}mi`Ssitin Fxprr@9
�!Nagpw - F.ebruary,oe.ebN