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Home My WebLink About21-260713 26 21 0120 00000 0420 I Name: RICHARD KAEBERLEIN Address: 39022 Canary Ave ZEPHYRHILLS, FL 33542 Phone: (813) 766-4446 BGR-002607-2021 Issue Date: 08/04/2021 39022 Canary Avenue Permit Type: Building General (Residential) Contractor: RHINO GENERAL Class of Work: Reroof CONTRACTING INC Total Valuation: $10,000.00 1 Total Fees: $90.00 Amount Paid: $90.00 Date Paid: 8/4/2021 4:19:04PM 1611411 may be found in the public records of this county, and there may be additional permit required from other government. entities such as water management, state agencies or federal agencies. 1' 11 11 alf! 11K 101HAWID 14 0 - I - I accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PEfAIT OFFICE() PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name ISQJIJIW�' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEWCONSTR[] /ADD/ALT M SIGN DEMOLISH El INSTALL I,, R�,EPAI _,--) BUILDING SIZE I SQ FOOTAGE HEIGHT fV_xxxxkJ[9_x =BUILDING rut 0007 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1 $ 1 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 COMPANY REGISTERED N =1N FEE CURREN Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED L_11 N _J FEE CURREN I Y/N Address License # PLUMBER COMPANY SIGNATURE REGISTERED [_Z/ N FEE CURREN L_YLN_j Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# [_ OTHER COMPANY Al fieIr'4/ C/1-0071 C' A SIGNATURE REGISTERED L_y LN_J FEE CURREN I Y/N 3 Address laot to License # Ireca.3wo Its is salts still# Itstlitts 1#1 llistlit 111S 1#111911 III1111*1111*911t still, 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 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/ Silt Fence installed, Sanitary Facilities & I 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 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 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 contractors) 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 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'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, Water/Wastewater 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 W" 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 will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. 4LIN16 0 via.01U. Niglio A FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO Subscribed and sworn to (or affirmed) before me this Subscribed and swain to (or affirmed) beforeme Who is/are personally known to me or has/have produced as identification. Public Commission Name of Notary typed, printed or stamped b " Who is/arfrrrally 1VT to me or has/have produced as identification. Notary Public Commission No. Name of Notary typed, printed or stamped CARLOS WILDMAN n # GG 346275 Extijt)s June 18, 2023 800-385-7019 Jed Thru Troy Fain Insurance I N.- T R BK O$PG 2801 # 2021164962 104 �r 08/04/2021 03:2S)pitt Page I of I Rcpt: 2335217 Rec: 10.00 US: 0.00 IT: 0.00 Nikki Alvarem—Scpw3es, Esq. Pate'Q'a C(;unty �%erk & Comptroller Pennit No, 11�26-21,0120-00000-0420 ... . .... ......... . ... ... .... ........ NOTICE OF COIGIVIENCE'NiENT State of Honda 04 pasoo ............... THE UNDERSIGNED hereby laves notice, that inlplav"noro will be niodo to CoO','i loul probelty, and vi accradance with Chaptef-713, Florida Statutes, the following infoanation is provided in this Notice of Commencement 1 Description ofProf.,edy: Parcel ldenclinat,on Nr easy acres first add pb 11 pg 103 lot 42 or 8224 PQ 1758 Street Address, 39022 Canany Ave Zephyrhifis, F L, 33542 2 RO-Roof with 26 gauge nre,P,nl p-w-,els and heat resistant peel -and -stick designed for metal Richard lharry OR VVen"N Anne Nallo. Ka(lbonAn, Richard Harry OR Wendy Anne FL City state interest inProperty . 101,1,1N,ER Nerve of Fee Simple utlehoWOr: (if ..,iforw)i from O�,no' n';'odabov'. ) ;ud-r,; IT, --- ' - - ---- -- - - - - ' ('"'Ji-ly -- -- - - -- -- — -- ' ' -""— State 4, Conlrvctor: Narne 6� 1 1 i R U <u PLANT CITY FL ,AI-di7es-S-- State 813-719-2,082 5, Sulety . . . ............ Dome t a —te Amount o'Bond: I olephone No,: 6. Lender; Rome TZd-re—ss— CitY —State Lender", Telephone Nlo- 7. Poison's wilbin the 'Stato of I kbidc by thc „ncr ur'(o "i'wn or o0er Oocurnonts may be served as provided by Section HoOda �qMlzuf-<� State Telephone Numh,�i of Desqtnoied P�;icon 8. In andiron to hirriself, the Owner desirvii�"s Of — to � we a copy rol tlze L;unoNotice wi provicmd in Section 713.13(1)(b), Florida Statutes. Telephone Number of Person mr try v"Z""!� . .. .. . ................ _ ........ . . 9, Expiration note of Notice of C.nm ,<.`Tia'1 (Ik'oxp'raiwas rn"n not bv tcforo Ou crqilelmi of confoniclion and final payment tothe 4 contractor, but will be om,� year frorn Vim M�o of IecoUdib unlpss a uwnt dato is kPeclfimi) WARNING TO CONNER: ANY PAYr,,AENN`A,)E, BY I Iq OWNIR Af JER THE EXPIRAI TOR OF fHF NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMMNITS 'UNDER CHAP' i fl, , 3, PART 1, SEC 1 [ON 713. 13� FLORIDA STATUTES, AND CAN RESULT IN YOUk PAYING FOR lNfi?ROVT-J'A1-NT,; 1-i-) YU6R PROPEFTlY, A NOfICF,- OF COMMENCEMENT MUST BE RECORDEDANOPOSTED ON Tr XO`SITE,' BEFORE THE HIRS1 1N1,SPL(,l10N, IF YOU IN FEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANAT-1,6RNI-Y DFfOFE CG'Ni',MFNCIN(-,1 OR t3iCORD)NG YCRXNOTICE OF COMMENCEMENT. Unulei penalty Of pedury, i dedwe Wj"', h"W", Man Ine Tc"rego alg i•soll(A coniaolrbo7y,cnt and [hot the facts stated thereto are trite to the best of nay knovkdqeane belief, --S I STATE OF FLORWA 'z/ azl� COUNTY OF PASCO 6Z, Z ........ . . IK The forego ln�Mmrnerit via ...... .. . . .. ityp, -!ofouihoriry e,g- offiv c, trustee, attorney In fact) for ...... . . . ..... . . 0i Polly 011t.ball Of WnDrO ioStrUrnOnt Was aXaWted), Q� Personally Kno,,,,n [j Proded ucii nmwe A� Type of IderdificatrOced n Produ Orloe' :,&ISHANEEZA SHARULLAH 0 Notary Public, 4� Stag o Honda Notary Public, St I f F pc,0531048 Commission# GG 921198 M t," v corrim, expires Nov. 15, 2023 KAe b e, rl e- %I A City of Zephyrhills 5335 8th St I UNJI" fi�—. 1, —1 licensed under Chapter 468, Florida Statutes as a(n): Contractor t"/-Engineer Architect— Building Inspector_ License No, On or about--� did personally inspect the: Check: Roof Deck Nailing--L::�' Dry in Check which was used UUMMMUM, TMA. Signature 30# felt— Peel and Stick i-�Other (List) Sworn to and subscribed before this day BY: Y\,--