HomeMy WebLinkAbout20-1224 � Q
Fa City of Zephyrhills a Ya
- � � 'PERMI'T NUMBER
5335 Eighth Street Y •1r ar"
Zephyrhills, FL 33542 BGR-001224-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 12/15/2020
Permit Type: Building General (Residential)
1126 210010 13600 0150 5406 9Th Street
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> Ownerinforntation Permit Information z C;ontractorInformatLon�µ _>
Name: HAUS LLC Permit Type:Building General(Residential) Contractor: SMART CHOICE ROOFING
Class of Work:Reroof(Shingle Only) LLC
Address: 1406 N Dale Mabry Hwy Ste 300 Building Valuation:$4,400.00
TAMPA,FL 33607-2506 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$4,400.00 �7
Total Fees:$62.00 /
Amount Paid:$62.00
Date Paid:12/15/2020 2:31:54PM
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REROOF SHINGLE
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d lication Fees V72 .
Building Permit Fee $62.00
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.
tw ,q I Q
CO TTIES
ATURE PE IT OFFICE
PERMIT E 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 V
Date Received Phone Contact for Permitting
Owner's Name 14c111,y, L C—` Owner Phone Number
c� . $00
Owner's Address Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��5 o(. LOT# ��
SUBDIVISION ' PARCEL ID# I Zb— Zl—®OL I 600— 0(Sb
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
r
DESCRIPTION OF WORK Y' O —rb
BUILDING SIZE I SQ FOOTAGE= HEIGHT 101
c=ccr
BUILDING $ V� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ;Z' ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE F REGISTERED YIN FEE CURREN LILN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address ,yLicense#
OTHER I r COMPANY "I— Chnica
SIGNATURE / REGISTERED /N FEE CURREN Y/N I
o-
�r
Address License# I CC
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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 subdivisionsnarge 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
ff over$2500,a Notice of Commencement is required.(AIC 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)
Remote if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..neads ROW
613-780-W20 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 727-847-8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractogs)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,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 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'SIOWNER'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/WastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand 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 91/"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,1 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 YOUR LENDER OR AN ATTOBNEX BEFORE RECORDIN ICE gF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subjj ,ribaf�and rmed)before me this
by ?S- � � by
Who is/are personally known to me or has/have produced 1plbo isshhaaliEn! __re personally kno" Agna or ha-�sihavepreodgtricexd
as identification. as identification.
Notary Public _ Notary Public
Commission No. Commission No
Az
Name of Notarytyped,printed or stamped Name of ��� _
IYP P P Notary typ ,pooled or stamped
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October 8,2023 N
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INSTR#2020213764 OR BK 10238 PG 322 Page 1 of 1
12/15/2020 01:51 PM Rcpt:2238149 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
s
Permit No, Parcel ID No
NOTICE OF COMMENCEM
state of (�/� County of I711
THE UNDERSIGNED hereby gives nonce that Improveawd Vill be made to certain feel property,end In aoeoManos with Chapter 713.Florida Statutes,
the f imft kdmnation Is provided to this l',-', of Comrnanoermerft o
1. Deect"on of Property:Parcel wantiflcation No. O o t O I%00— 4<60
Street Address: 514012 �!Z q (L��^� 3 S _
2. General Description of knprovement j?:a—y'onL`
3. Owner I00madon or Lessee IMotmadon t the Leeeee contracted for the knWavenwrt
Address C41y state
Interest In Property.
Name of Fee Shnple Titleholder.
(if afferent from Owner listed above)
Address city state
4. Conh'ador
Address & sf�e
ot Chtractor's Telephone No.: r�
5. surety:
Name
Address Gty Stale
Amount of Bond:S Telephone No.:
6. Lender.
Name
Address city State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon wiom notlaes or other doe+nerds may be amved as provided by
Section 713.13(lXa)(7),Fkdd2Slahhfas:
Name
Address City slate
Telephone Number of Dealgrmtad Penwn:
a. In addition to hknset,the owner designates of
to receive a copy of the Lienoes Notice as provkled in section 713.13(1)(b),Florida Statrftea
Telephone Number of Person or Entity Destg vd d by Owner
g. E)Vraton date of Notice of Commencem®rd(Ira moraton data may not be barom the oompro+wn of conetr�x�on No&W payment to are
contracW,but will be one year from to date of recording Weae a*Rent date Is spad Wy.a l/ f� O'
WARNING TO OWNER: ANY PAYMENTS MADE 8Y THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1 SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEAWNT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under perteity of perjury.l declare that I have read the kmgokv notice of corner�nent and that the fads stated toreN are true to the best
of my fsrowledr,Xa and
betel.
STATE OF FLORIDA \ �l
COUNTY OF PASCO �-
Srgtahae of Owner or Lasaee,or Ownses or Lessee's Autorlmd
OmoarlD4edodPaitnm/Menager
owA'A
. ., slgretory+e TTlmolnce I� Q -h,
The foregoing Irrefi merd was erJowwfedfged1 beffore�n>a tit y d s ajr '�ur X.0 20 j�by C h t'i.Sfm nQ r J V;%t L 1T
es {s� (type of aulha ft.e.g..corer,trustee:atorney In fad)for
( of p an bM*of whom InafnmeMvm executed).
Personally Known O QH Produced Ideefliee Notary Signet"
Type of Identillcefbn Produced g'L�[r Name�Pttrt)
e..••.,, RAYMER MONCADA
s� NOTARY REM-STATE OF FLORIDA
• COMMISSION/GG935673
My Commisslon Expires 12/01/23
wyda (ycG&M0
State Of Florida,Oounty of paggo
This IS to Certify that the foregoing is a
true and correct COPY Of the document
on file.or of public record In this office,
Wftn SS my hand G.Od Official seal this
In god We Tiwa
day,of—IYCJ&.&C2.0 �
Nikki Alvarez.Sowles,Esq..Clerk&Comptroller
Pasco County,F a
IMW7 B Deputy Clerk
OF
City of Zephyrhills
5335 81'St
'• Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No:;t� 00 ( 2..2ct — Lo Z10
6 licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer_Architect_Building Inspector
License No. CW i S 32 [
On or about 12 1 Z-b 1 2-0 did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick_Other(List)_ STp
At the following
address:—.57411X, 'ZL 6; �C
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).
Signature:
STATE OF FLORIDA ���jNBRF6
COUNTY OF PASCO
p�A?y'9'C�
Q MY Comm Expo c
Sworn to and subscribed before this day 2�� _ 0cWW8,2023 N _
BY: �u, ' C No.GG 920784
Q�
Notary Public State of Florida "7"-4F OF'F`,cps,