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Home My WebLink About20-1254 s _ City of Zep y h rhills :t:: NUMBE k PERMITT ry 5335 Eighth Street Zephyrhills, FL 33542 BGR-001254-2020 Phone: (813)780-0020 :1~ Fax: (813)780-0021 Issue Date: 12/18/2020 -- Permit Type: Building General (Residential) ._ �.'Property-Number . Streef Address : ; 11 26 21 0010 17500 0015 38942 5Th Avenue a` Owner Information Permit Information ontractor?Information`-:,.,';"., Name: WOLFE DONALD R LIVING TRUST Permit Type:Building General(Residential) Contractor: CB ROOFING WOLFE DONALD R TRUSTEE Class of Work:Reroof(Shingle Only) CONSTRUCTION INC Address: 38942 5Th Ave Building Valuation:$8,000.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)943-4679 Mechanical Valuation: / Plumbing Valuation: Total Valuation:$8,000.00 J Total Fees:$80.00 / Amount Paid:$80.00 I` Date Paid:12/18/2020 11:30:07AM Project'De'ription _ :_, z y _a REROOF SHINGLE Application;Fees fi< 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. ,1,el, 11 �� - /' . 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 ve#I z S 7 Date Received �/ Building Department r,V,V A 3 � " Phone Contact for Permitting - Owner's Name Don r Wo Owner Phone Number Owner's Address f I V'C I 1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 9 V2_ ID CM X LOT# SUBDIVISION PARCEL ID# . (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT L.J SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK 10FOWIF YRffiNaE PLIQUILf 2-H-1 NO PL I T BUILDING SIZE I SQ FOOTAGE I 1 00 HEIGHT BUILDING $Q V O^lJ^ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO BUILDER, COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN L11N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I YIN FEE CURREN Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N I FEE CURREN Address License MECHANICAL SIGNATURE TREGISTERED I Y/N FEE CURREN Ly/N Address License# OTHER COMPANY C.a �t aj C Oh j) SIGNATURE - REGISTERED I YIN FES4VJRREN Y/N Address U 4)1 C1 F1 nectec+YJ License# Q -867 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,Stornwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Bullding Plans plus a Life Safety Page;(1)sat of Energy Forms.R-0 W Permit for now construction. Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans vd 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 ali NEW construction. ---- - ---------- -- ---- ------- Directions:S'S % % . Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required.(A/C upgrades over$7600) •' 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 thatthis 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 furthe intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-8009. Furthermore,tithe owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the'contractor Block'of this application forwhich 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'SIOWNER'S AFFIDAVIT:1 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.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,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,WaterNVastewater 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"V'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.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 wlll'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 RESUL"-,N!-,),IOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT FLORIDAJURAT(F.S.117,03) OWNER OR AGENT CONTRACTOR Subscribed and bYwgr to or ed) fore�e�this Su Id and bsworrJt (o a r bef rA mg thjs Who is/are personalall`y known to me or haYs//htaavle produced Who Is/are personally known to me or has/have produced as identification. --� as identification. Notary Public /� �y Notary Public Commission No_17CT�/mil Yt Commission No. 2_940 f ' Bl'Gld l-eU c�trot erA &-mu-L4 Llu=mrl Name of Notary type 1,printed or mped Name of Notary tZEE blic State of Florida Jergensenission GG 224041'� /03/2022eOy� Notary Public State of Florida Bradley Jergensen c` My Commission GG 224041 '?or�e Expires 06/0312022 INSTRff 20201 924HT OR BK 10215 PG 734 Page 1 of 1 i 11/16/2020 09:03 AM Rcpt:2226450 Roc:10.00 DS:0.00 IT:0.00 _ NiktdAlvarez1gydw,-E.;q_P_asco County Clerk&Comptroller Permit Number Parcel ID Number 1L'r�6... 1 Ito.7�Svo.-r�olS NOTICE OF COMMENCEMENT Slate of Florida `c County of PASCO THE UNDERSIGNED hereby gives notice that improvements Will be made to certain real property,and in accordance with Section?13.13 of G-s Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT 1.Desctiption of property(Jegat description). 10wn Or ze Ph k rh'As YB i f>-3 S Y Se-1 o)street(job)Address: 3t?9y�;_.- t'^ 1�uC .zePh X/Iron ,t 5 �- 33 2.General d0sc(ipWtn of improvements: JCf1'bo E' 3.Owner Information or Lessee information If the Lessee contracted for the improvement. a)Name and address: D60 G,(,r(e 3J91/2 Sv_1. Ave _7e^ Yrt,t7Js Ft y2 b)Name and address of fee simple titleholder(if different than Owner tided above) c)Interest in property: Olrner 4.Contractor Information a)Name and address; CS Roofing Construction 3433 Lilhia Pinectest lld-Suite 2.02.Wrim.FI. 33596 b)Telephone No: 813-569-6930 Fa)fin (oplitxq 615-534-8740 5.Surety(if applicable,a copy of the payment bond is attached) a)Name and address b)Telephone No.. c)Amount of Bond. $ 6.Lender a)Name and address b)Telephone No: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Sec"_, 713.13(1)(a)7.,Florida Statutes a)Name and address: b)Telephone No.: Fax No.:(optional) 8.a.in addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. b)Phone Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and firtal payrr ent to ttw, contractor,but will be 1 year from the dale of recording unless a different date is spec3ffed) 20 WARNING TO OWNER:ANY PAYMENTS MADE t Y THE OWNER AFTER THE EXPIIIATION bf THE NOTICE Of CbkMENCEMEHf 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 COMMENCEMENT 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 penalty of poryury,t declare that I have read the foregoing notice do ommt�loe-ment end oral the facts stated Therein ere flue to the best of my knowledge and belief. _(S..__.._.w�._-. Adn WD_l�'�e rgnsiweollAnrorLtazee,a er's m"slAuCrortedt)f!!a:f.)irr.:N,r.F:utru:rA.•,ulancr) jf'nntlkmN±�ixfPraxl:tS, r?rysT�c,0.?'�x) The foregoing instrument was acknowledged before me this /U r_k day of N6v�b Pf 20,21 by _ .-fJAA. ,po a3 O Wft!'r (Aiw of autharti:e.g oflua:r,trtmoe,a�rrv,c b4 for )NanN,of Person) (twv of aurnonty,...e g u'f1m,Mislee,Wirrnev in fad) for (name of party on hehafl Whommstrum nt was executed) Personally Known [] Produced ID r f Type 011D W 110-Iq6_-.-53.44.,0 Notay Signature Print dame R04 (JptaryPSts)e ofFkxr UJustin Meadomnusnon HH 021002 E■prros0,121r2024