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HomeMy WebLinkAbout20-1284 I City Of ZephyrhiliS PERMIT NUMBER h'UHIUU 5335 Eighth Street Zephyrhills, FL 33542 BGR-001284-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 12/28/2020 Permit Type: Building General (Residential) Property Number Street Address 11 26 21 0010 13500 0190 5350 8Th Street Owner Information Permit Information Contractor Information Name: SUSAN ELIZONDO Permit Type:Building General(Residential) Contractor: RESTORSURANCE Class of Work:Reroof(Shingle Only) SERVICES LLC Address: 5350 8Th St Building Valuation:$15,887.89 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (505)692-3311 Mechanical Valuation: Plumbing Valuation: Total Valuation:$15,887.89 � I Total Fees:$119.44 I/ r Amount Paid:$119.44 1 S Il Date Paid:12/28/2020 1:13:14PM l Project Description - REROOF SHINGLE Application Fees. Building Permit Fee $119.44 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. CONMACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ppv,/,?-ey 843-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 .7Ni✓�,/ 2 J?3g Building Department '?7' Date Received Phone Contact for Permitting 95 119t!9tat tttit ' Owner's Name Susan Elizondo owner Phone Number 505-692-3311 Owners Addre.15350 8th St Owner Phone Number Fee Simple Titleholder Name I Simple Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5350 8TH St. Ze h hills FL 33542 1 LOT# 19 & 20 SUBDIVISION PARCEL ID# 11-26-21-0010-13500-0190 (OBTAINED FROM PROPERTY TAIL NOTICE) WORK PROPOSED NEW CONSTR ADDIALT = SIGN = = DEMOLISH e INSTALL e REPAIR PROPOSED USE ® SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK Roof Replacement BUILDING SIZE SQ FOOTAGE 2118 HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION $15,887.89 =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS © ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE F REGISTERED Y/N FEE CURREN I Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# OTHER COMPANY Restorsurance Services SIGNATURE REGISTERED I Lyy N FEECURREN ME [— Address 630 N Hart Blvd Orlando FL 32818 License# CCC1329220 i1111i1!l777l71l711171717i'17171711Y117i77i377i177iii•71ii1111119!!1!1 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 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/Sift 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 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 authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Remais if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) Driveways-NDt 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 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.tithe 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 property 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'orfinal 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 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,WaterWastewater 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 arty 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 ATTORNEY BEFORE RECORDING YOUR COMMENCEMENT, FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swoTtt (or affirmed b fQre me this by IZ� 2,I7nr by �-�s-a-�nQ 110mrn Who islare personally known to me or has/have produced Who isfare personally known to me or hasfhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No._HH l)IO 22 Name of Notary typed,printed or stamped Name of e ry typed,printed or stamped �0 ARC Meghan Nicole Pemberton Notary Public -'StateofFlorida W L r Comm#HH018322 E s$ Expires 7/7/2024 iNSTR#2020215663 OR BK 10239 PG 3632 Page 1 of 1 12/17/2020 11:48 AM Rcpt:2239042 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit No. Property Identification No. 11-2(o - THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section .713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. I. Description of property(legal description.) 11-26-21-0010-13500-0190Assessed In Section 11,Township 26 South,Range 21 Eastof Pasco County,Florida a) Street Address: 5350 8tn street 2. General description of improvements Roof replacement 3. Owner Information a) Name and address: Susan Efimndo 5350 8th Street Zephyrhills FL 33542 b) Name and address of fee simple titleholder(if other than owner) 5nM E c) Interest in property Nm 1p 4. Contractor Information a) Name and address: Resiorsurance Services LLC 630 N Had BLVD Orlando FL 32818 b) Telephone No.: 407-901-9599 Fax No.(Opt.) hi A 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b),Florida Statutes: a) Name and address: b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Cotmnencement(the expiration date is one year from the date of recording unless a different date is specified): 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 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signature OF Owner or Owner's Authorized Officer/Director/Partner/Manager tint Namc The foregoing instrument was acknowledged before me this t�day of D2 ee m b e V ,20 2U,by 4JUS_OCI C i LDr1_,._d-0 as r Awn P V (type of authority,e.g.officer,trustee,attorney in fact)for (name of party on behalf of whom mstrumeiq4vas executed). Personally Known_OR Produced Identification N Notary Signaturep Type of Identification Produced blfLV d'S I tDY1Sk Name(print) _p4 poo _I m n Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. C� FORMS/N0C.n5d2007 Meghan Nicole Pemberton �01AftY Signature o aural Person Signing Above Gv� o Notary Public g ` z ,c State of Florida W Z fnmmtt HHn1Am'),7 POWER OF ATTORNEY Date: 12/28/2020 1 hereby name and appoint: Brett Baynes To be my lawful attorney in fact to sign/pick-up my documents pertaining to permits for City of Zephyrhills Building Department (Check and complete the following) /Tosign for and or pick-up all documents: g P P OR ❑ To this specific job for work to be performed at: Location: Parcel ID# Company Name: Restorsurance Services License Number: CCC1329220 Name of Contractor: Michael Hamm Signature of Contractor: State of Florida County of Orange The foregoing instrument was acknowledged before me this 28 day of December 20 20, by Michael Hamm who, is/are personally known to me or who has provided as identification,and who did not take an oath. Signature-Notary Public Meghan Nicole Pemberton Meehan Pemberton Notary Public Printed Name-Notary Public a ostate of Florida .� Comm#HH018322 sib E m Expires 7/7/2024 i City of Zephyrhills 5335 81h St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit Nov- L �" M�C�naQ I �-I a rnm I, licensed under Chapter 468,Florida Statutes as a(n): Contractor—Engineer Architect Building Inspector License No. On or about 2 did personally inspect the: Check: Roof Deck Nailing ! /Dry in Flashing and Drip edge Check which was used: 30#felt V Peel and Stick_Other(List) At the following address: 53nCl i 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 COUNTY OF PASCO w: Sworn to and s bscribed before this da f Y IZI2q � 20 ' By: s Notary Public State of Florida ;l 3 . laghan Nicole Pemberton ya c� iotary Public ' o -L date of Florida y Comm#HH018322 �►CF,IV Expires 7/7/2024 x r,