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Home My WebLink About21-2560City of Ze hyrhills y} 5335 Eighth Street`�� Zephyrhiils, Fl- 33542 GR-002660-2021 Phone: (813) 780-0020 Issue Date: 07/27/2021 Fax: (813) 780-0021 `i �i\..tttTt ¢:, 1, Lx ` o} 1 i '`, l t kt 1\;a .. \}\'•ti }\\\4 "^M1'1.t { p„ \x,., .V "�i. ^.. \ r\cll.\ t \ '.t\�, «2. .C..t .`". ,\, `•r`�,S'i�\{2��;z ;`�'t,. �,^rS\�,.x ...,�,?..,\, st,^t�� ,., c^ .....t �\1iL Stt ,1.i}�. .,„e ��\.11 ,�'1ti..,}�.`�,t�\ �^.��,:z }';}l,i��;,. ti, 14.��s ti '. , \�`t. ,' i>. ,:. �, ,. \\;,i(�}. \1� \; ��`^,\..t.,��c }. 12 26 21 0010 00100 0080 39028 3Rd Avenue O�\1.a*ta \�\Na{ \�. .z^it a,^i}\\�^ Name: ANNA & GILBERT SAMPSON Permit Type: Building General (Residential) Contractor: E STAR ROOFING Class of Work: Reroof (Shingle Only) Address: 39028 3Rd Ave Building Valuation: $7,000.00 ZEPHYRHILLS, FL 33542 Electrical Valuation: Phone: (760) 214-8439 Mechanical Valuation: Plumbing Valuation: Total Valuation: $7,000.00� ^ ,..rr.a. Total Fees: $75.00 Amount Paid: $75.00 Date Paid: 7/27/2021 1:00:30PM .,}l^ 4�,:."` ^\ S\ £ U t :.., l }: } �'. \ \ \: S.\ �\ t :' Z \ '•-r .. 1 l l \U.::4, .:1\ ,. REROOF SHINGLES M� . .n \ �\�-.x\ \\S t, .... Z \ { � \ \ 1 }, `:�) ...\.t t} � � 1\ � . �t'•3.it : � l 1 - 3.'.:i'^ . 2£ 71 k\ \� \ ..,t, Z 1 l \'< tit \ \l � .\\, 4 `� \`.: \ � \..[• \� }�\s;} ..1\j \} t \ C t }`l, .t . u. },?. ,, Z�\\ �}..71:. .\ 41 \\} i \ . l\. Building Permit Fee $75.00 REINSPECTION FEES: (c) With respect to Reinspection fees will complyFlorida localgovernment shall imposeof •ur times the amount of i• • for the initial inspectionor first reinspection, whichever is greater, for each subsequent reinspection. i. .ii i. i - -• _.. �. • Mom:. _:_ ... •'• •• ! M,. .'.• •'"f •..f i-. p entities such as water management, state agencies or federal agencies. accordance with City Codesand Ordinances. NO OCCUPANCY BEFOREC.O. OCCUPANCYNO `'; CONTRACTOR SIGNATURE PI OFFICE ,ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-780-0020 City of ZephyrhillS Permit Application Building Department Fax-813-780-0021 r Date Received ,..�...,�.� �,. �� Rho Contact for ittt 727 442 - 7663 Owner's game Gilbert 7An7naS7amps7�oon7!& Owner Rhone Number 760-214-6439 Owner's Address 39fl2& 3rd Ave Owner Phone Number Fee Simple Titleholder Name _ Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 39025 3rd Ave LOT SUBDIVISION � _v � PARCEL 8 (013TAINE. FROM PRIVERTY TAX N.TIcF) WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH El INSTAL L REPAIR PROBED USE 9FR COMM OTHER TYPE OF CONSTRUCTION BLOCK ED FRAME STEEL DESCRIPTION OF WORK 24sq. shingle re -roof vdith peat � stick under[ayment (FLU 62 9.1, FCC 10124,1) 3t12 ptch BUILDING SIZE 24sq= SO FOOTAGE 2,4tiQ HEIGHT 1 story BUILDING S 7,Ofl0 w VALUATION OF TOTAL CONSTRUCTION ELECTRICAL S M W WWM AMP SERVICE PROGRESS ENERGY W.R.E.G, PLUMBING rZ MECHANICAL L= VALUATION OF MECHANICAL INSTALLATION GAS 6Z ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS _.M FLOOD ZONE AREA =YES NO BUILDER COMPANY E-Star tNEF rvices SIGNATURE E:::== REGISTERED YEE CURREN Y;/N Address 2054 aver Park C?e,Ietary afar FL 33765 License # EG1330 #26.. --- ELECTRICIAN COMPANY �� SIGNATURE REGISTERED Y 1 N � IEE euR�IariY IN Address m License # RUt!M6ER COMPANY SIGNATURE REGISTERED Y / N FEE GURREN Y ! n Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y / N FEE CURRIR Y ( N Address License # OTHER CO '' ANY ;;;;IE..R�REN�� SIGNATUR REGISTERED Address Licene # __ _ It It # t#t l iti l#I ii tilt ttitles ItIfill I title111111111111s 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 v/ Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects COMMERCIAd. 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 onste, Construction Plans, Stormwater Plans wl 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 If over $2500, a Notice of Commencement Is required. (AIC upgrades over $7500) Agent (for the contractor) or Paver 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 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 sited 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—Loensing Section at 727-847- 80090, Furthermore., if the owner has hired a contractor or contractors, fie 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 WatertSevver Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Flo dda Statutes, as amended) If valuation of work is SZ500.00 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 Flonda 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 aws 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 hmftedto: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water ANastewater 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. III am the AGENT FOR THE OVMER: I promise in good faith to inform the owner ofthe permitting conditions set forth o this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, cable, 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, after, 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. me to me or has/have produced Who Waretj�iR%g�o me or has1have produced —as identification. as identification Notary Public Notary Public Commission No._La_kLV I—L— Commission No. `Z1� �Z D* > lir Neim�.N.tar� �typed' printed or stamped Name of otary typed, printed or stamped Notary Public State of I"& "s, Notary Public State of Florida Stephanie Piercme Stephanie Pierce -934279 .3 My Commission GG 934279 my commission GG 934279 Expires 11/24/2023 Expires 11/2412023, J INSTR#2021157452OR BK10401 PG3793 Page 1 of 1 07/27/2021 12:03 PIVI Ropt: 2331432 Rec: 10.00 DS: OM IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller M1 Inmm" Permit No. Property Identification No. 12-26-21-0010-00100-M 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. 1. Description of property (legal descHption:) PINECREST SUB PS 5 PG 55 LOTS BLOCK I OR 7389 PG 1693 a) Street Address: 39028 3RD AVE ZEPHYRHILLS, FL 33642-2114 2. General description of improvements 3. Owner Information a) Name and address: GILBERT C & ANNA M SAMPSON - 39028 3RD AVE ZEPHYRHILLS, FL 33542 b) Name and address of fee simple titleholder (if Other than owner) c) Interest in property OWNER 4. Contractor Information a) Name and address: ®STAR ROOFING SERVICES 2054 WEAVER PAW DR CLEARWATER FL 33766 b) Telephone No.: 727-463-7663 Fax No. (Opt.) 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 713.130) (b), Florida Statutes: a) Name and address: ---- ------ b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARN ING 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 IPROVEMIENTS 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. REMMA. K#1 11gy wau a ya�r_vj The foregoing instrument was acknowledged before me this as Personally Known _ OR Produced Identification Type of Identification Produced I L? WIFE7=4 WIT1115M 4 1 Notary Signa IuiMl ,Name (prin�'+ 1..�.� � �� III t) Verification pursuant to Section 92,525, Florida Statutes. Under penalties of perjury, I decliKe that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC.,.&007 Signemrc ofNaftiral Person Sigomit Above JULIE BROCK =d Notary Public - State of Florida Commission " '60 1 1'� ommission 4 GG 11 /49/ M Ay Comm Expires 021 y Comm. Expires Oct 17,2021 state Of Florida, County Of Pasco This is to certify that the foregoing is true and correct oo1�Y of the document record in this of #oe= .� 'k ceR on file or of pub Wit ss my ha n� end official se th# .> n.a; dyof Es er6c o ptrta le t Nikki Alvarez So {es, t,. Pas ty,lto B City of Zephyrhills 5335 8th St ll—ELL—L —Cou licensed under Chapter 468, Florida Statutes as a(n): Contractor-)L Engineer Architect— Building Inspector License No. Z-�, On or about ?"111 71 1 did personally inspectlhe: Check: Roof Deck Nailing Dry in V11- Flashing and Drip edge Check which was used: 30# felt— Peel and Stick Other (List) At the following address:---L?r-j1-0Q—Z2,-'b JP- -7 P Din ti rh 111 s 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). Sign re - STATE OF FLORIDA COUNTY OF PASCO Savor and subscribed before this day '712, Ci 1z I Notary Pb c State of Florida iMOC K NoixO CMW/49" Wy CoiPr,,