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Home My WebLink About21-2625City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BGR-002625-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/12/2021 INTMIR179MMIN U4 = W=MM 11 26 21 0010 03000 0050 5625 5-rh Street LILL Name: JOSEPH REAL ESTATE Permit Type: Building General (Residential) Contractor: R.L BUILDING INVESTMENTS INC Class of Work: Reroof (Shingle Only) CONTRACTORS INC Address: 30404 Lynne Dr Building Valuation: $5,100.00 WESLEY CHAPEL, FL 33543 Electrical Valuation: Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation: $5, 1 00.00 Total Fees: $65.50 Amount Paid: $65.50 Date Paid: 8/16/2021 9:43:19AM Building Permit Fee $65.50 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. entities such as water management, state agencies or federal agencies. :111 ! V R 1011 !1111 11 111 111 1 I 21,17717MMMIA, accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE c.6. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PEfIT OFFICEC) 0 is & 0 N A, ff. 00fififfii 0 MI %1@64-Sm 813-780.0020 City at Zephyrhills Permit Application Fax-813-780-0021 Building Department ,.. Race' Phone Contact for Permitting Fee Simple Titleholder Address JOB ADDRESS �— s SUBDIVISION PARCEL iD# WORK PROPOSED NEW CONSTR 8 ADD/ALT INSTALL REPAIR PROPOSED USE SFR Q Comm TYPE OF CONSTRUCTION BLOCK a FRAME 0 LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 DEMOLISH OTHER STEEL 0 BUILDING SIZE SQ'FOOTAGE i- L HEIGHT C� >1CxIt x'"IE�ux Fxx€x:%-£'L A. E. X: -x-t iI£V8"x W.x Wx x it€€`L- `T x A.'K'x X'xR. A'R.BAIr V x:€WV V x lit k W€'J: C T Ir: xx xr =BUILDING VALUATION OF TOTAL CONSTRUCTION p.^ MELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATION r FLOOD ZONE AREA =YES NO BUILDER 1, COMPANY ' SIGNATURE REGISTERED I Y / N FEE CURRE Y / N Address fjdP€ E 41License#- /31:1?7 ELECTRICIAN COMPANY REGISTEREDsIGNATURE N FEE CURREN Y / N Address License # --- PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y I N Address License # MECHANICAL �1I1) COMPANY SIGNATURE k REGISTERED Y LN FEE CURREN Y/ N Address License # OTHER COMPANY �� I�'� SIGNATURE REGISTERED Y /'V FEE CURREN Y I N Address License # E� �sse�s�tl�It�ess��ttitse�eelt�ts�ires�es��Itlt�ttelrtt€t€tt�e;, 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 far 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 & 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) Remofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) '0 Driveways -Not over Counter if on public madways..needs ROW _,,-.'_._---.--,.--_. _--___~=.-_'__-~---.-._...,~_~..~~~.~..~-__.-.,.~~,_----- -_-_ County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees mly tothe construction ufnew buildings, change ofuse inexisting buildings, m expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-V7.asamended, The undersigned also understands, that such fees, aamay bedue, will beidentified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to receiving "certificate nfoccupancy" o,final power release, If the project does not involve ecertificate ofoccupancy n,final power release, the fees must bepaid prior tupermit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior mpermit issuance inaccordance with applicable Pa County rdi 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. VVater88astevvaterTroatnnent. - Southwest Florida VVatm/ KAonaOennen1 DiaNct-VVe||s, Cypress Beybeads, Wetland Anyes, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. ' Department of Health & Rehabilitative Services/Environmental Health UnK-We||m, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Fndena|AviatinnAuthority-Runvveys. | understand that the following restrictions apply tnthe use qffill: - Use offill isnot allowed inFlood 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 bye professional engineer licensed bythe State ofFlorida. - If the fill nnotnrie| is to be used in Flood Zone ''A^ in connection with a permitted building using stem wall construction, | 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, | 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, |f|amthe 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, |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. Apennit issued shall be construed to be a license to proceed with the work and no, as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit preventthe Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes.Every permitissued shall become invalid unless the work authorized by h permiti mmeno dwithinaixmumhsofpe,mkiusuanoe.o,ifwm,kemhorizmdhythepennitissuapended orabandoned for a period ofsix y5) months after the time the work iacommenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (9O) days and will demonstrate justifiable cause for the extension. |fwork ceases for ninety (9O)consecutive days, the job isconsidered abandoned. OWNER OR AGENT CO Subscribed and sworn to (or affirmed) before me this Who is/are personally known to me or has/have produced h,, as identification. i Notary Pubic nown to me or haslha��e produced as identification. Name of Notary typed, printed or stamped Name of Not4ry type , printed or y P Notary PublIC State of Honda , I = My Commission GG 145760 0811012021 04:2-1 PM Rcpt_ 2337611 Rec_ 18,50 G'S: 0.00 iT:: 0,00 Nikki Alvarez ovules, Esq., Pasco County Clerk & Comptroller Permit Nb,� N _ ItE OF Ye of _ MEN Cttc�tty o� PAS � 'HE ef606WIn0 t NEDiriati gives noticethat art anent wo be made to in real fr>lksxsrlrt trt%rrr tIcxt a .Pr OVided in thrs No&,e of Gomafencsmant P ty. and in coida � Gitapter 713. Florida 5t�tuies; i7rscrlptiort of Fro rty-: Parcel lder�iticaffon N1- 21111 PB ! PIQ 54 LOTS t,7 F3 'StreetAddres h STREET, ZEPHYRNILM FL 3 . General Descri " not impioNwriert REROOFING 3•; In ^ : rs orLetsee information if the Lesser eo J€�S a 1br° the a ra $ s INC ,Qsid sWESLEY CHAPEL FL lnteresHn € roperty OWNERC} Sty Name of Fee hroe Titleholder. �tf dFitrr$r$ tr(Yir3 {�Rir�'r llS si l'�SL�"� Address RS 4701 At:r Address TAMPA L 61!'Ors Tern r Teo- (0145164489 ' s.. Surety: As Avnciuntbf Soria: It st T41ciphorie No: City State ,Persons witfib Of Florida d signaled b t 4 is P^OtldLr� ( �Tk�it�r- Tetephopq.Numberof Des mated Person: LiF] . In additlonfbhimself, theawrerdesigrates of to receive itzoW of the,.Lien6es Notice as pjoMed in S trom 713.13 1 )(#al, Fioricla Mutes Tel ne..?4urnber of Pemon or Ent3iy Designated by Owr r> 9. ExOrOthn' date Of NOtke Of 00=10nmment (the expiration date may riot ber belbre the and final payment-lo ft ^Wntmctor, 1W_ one : different .� r` y a • • a .. * - rrR-nW r *�. •.r a -a r r .atM • rr_ f • r • rH • ► Sri' M "` rt ^ a s a r! € • - - _ ^ :� iR ♦ :1f, . FLORIDAUnder *631W-Of Pe4Ury, I.declare that I have read ft tweWn of'rrv-kr�aa'm wet. g rofire of commerrement and that the facts stated therein am true to the best STATE OF w a + re Fi iPa r tria'ri &U. Z.., OR BK10412 PG221U Gage 2of2 *W M TAW"W Ww. LW il (type of al n Personaffy Known ga Podumd Idettifibation Notaty signottoo Type of IdeWcation Pmd um4 7AhowdTo� - - - - - - - - - - - - � CT P'L07INDOiI 00UNTY OF, A Cflfly 0- FHE", 1,0 10E PI 011 Creel I ALVA L - �1_ I BY- 1ULL Fit) I Y C L L K d`, F1 0i t, 3 4 E, A�,,e, a 8 9 X _rtI,UIjj)I'I hereby grant authorization to (Contractor) (Authorized Agent) to act in my behalf with the City of Zephyrhills Building Division while conducting activities related to obtaining permits. These activities specifically include signing all documents requiring signature of "contra for". , '-XIQ'I 'jj?_0 is to be considered an agent of my business and therefore, the signature of said agent (Authorized Agent) is binding and causes me to assume all responsibilities connected to or associated with the signature as they may relate to my contracting business. 4iWve the City of Zephyrhills Building Division and agree to hold City of Zephyrhills (Contractor) harmless from, any and all responsibility, claims or other actions arising from or related to the Division's acceptance of the above agent's signature for permit -related activities. I further understand that it is my sole responsibility to grant and terminate any such authorization and to ensure that the Division receives timely notice of any such grant or termination. 'I-- , A SiAture ofContractor State Certification or Registration Number County Certification Number (if applicable) I Notary for Agent's Signatu A-) State oit&C LCk--- &e mefh—is i oU. The for I woinq wawknowlc UZEMM= IN � W, I M--� N Pub5c Signature- be emni)4 -ik4`11 Print, Type, or Stamp Name of Notary 0? 21 Jaqwao saaidx3 uoisslwwo IWWO , 966891 !D!D# UOISSIWWO, 83113901 NONONS d 0 'ne tnis t by idly known to me, o yp SHA Iii 'LEDBETTER COM M issiOn #GG 168996 MY Com fission Expires cea,aa3 18 2021 |, CbntractorL-En8inee r Lice nseN Onorabo [heck: Roof Deck NaUin Check which was used: Atthe following address: City of Zephyrhills el, L,��Xfj licensed under Chapter 468, Florida Statutes as a(n): Architect Building Inspector Lj did persona�y4nspect the: Dry in Flashing and Drip edge 30# felt Peel and Stick Other (List) �V'36-f Based upon that examination, | have determined the installation was done according tothe Hurricane Mitigation Retrofit Manual (Based onSection S53.844 Florida Statutes). Signature: STATE DFFLORIDA / COUNTY OFPAS[O Sworn to and subscribed before this day Notary Public State ofFlo