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Home My WebLink About21-2642City of Zephyrhills i,,v �1'0 5335 Eighth Street ZephyJ FL 33542 BGR-002642-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/16/2021 IIIII! I•1 11111 1 111 Jill I KoTi-iTi—iT"4-iTg*4-#-iT^4-ilgi-iT.VA-C*l�MI a I=. = ^ !r 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. pa"S CONTRACTOR SIGNATURE PlEfIT OFFICIE[) ITHOUT APPROVED INSPECTION 0011- 813-780-0020 City of Zelohymills Permit Application Fax-813-780-0021 Building Department JAMES CROWELL Fee Shrive Titleholder Address I JOB ADDRESS 4746 16TH STREET, ZEPHYRHILLS, FL 33542 LOT # 12,13 SUBDIVISION IPARCELID# 14-26-21-0010-02800-0120 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRE] ADDIAL T SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK REROOF, OC SHINGLE FL1 0685, APOC FL26482 BUILDING SIZE SR FOOTAGE 1 g HEIGHT " L Ic' =BUILDING 1'$13,1oo.00 I VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W. R, E. C. =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION I . ......... =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY I SOLAR BEAR LLC SIGNATURE REGISTERED L_LLN _J FEEGURREN ^ Y/N Address 4091 AMTC CENTER DR (&PPARWATER FL 33764 License# ELECTRICIAN COMPANY SIGNATURE�_w....dww� REGISTERED L== IFECURREN Address License # PLUMBER COMPANY E SIGNATURE REGISTERED ;;;;; Address License # MECHANICAL COMPANY F SIGNATURE REGISTERED YIN FEE CURREN Y/N Address License# OTHER COMPANY E SIGNATURE REGISTERED ;;N; �FrE..MRENI N� Address License# RESIDENTIAL Attach (2) Plot Plans, (2) set of Building Plans, (1) set of Energy Forms, R O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required cnsite, Construction Plans, Stonmvater Plans wl Silt Fence installed, Sanitary Facilities & I dumpster, Site Work Permit for subdivisions(lage projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permitfor new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormmter 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. Omer & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AJC upgrades over $7500) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone notarized letter from Owner authorizing Sam -- 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 pubic roadways needs ROW 813-780-0020 City of Zephymills 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. Ifthe 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 popery licensed and is not entitled to Dernuffing 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 number89-07 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 further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pilot to receiving a "certificate of occupancy" orfinal power release. It 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 [, 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 'omer', 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 wil 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 limitedio. Department of Environmental Protection -Cypress Bayheads, Welland 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 ofthe 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, 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 (9D) days and wil demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. [il 10 Lem 1101171 L*1:9 �41;41J ej 1:1 Z01TV4 I!J I q k, 111&• 0 OWNER OR AGENT CONTRACTOR k Subscribed and sworn to (or affirmed) before me this ffi —by _�tZ�J r!�bv,'o Who is/are personally known to me or has/have produced Who *!Tpersonally _krlgwIi.to me or as identification t --Notary Public Notary Public Commission No. Commission No._IA VAV Name of Notary typed, printed orstamped - Name of Notary typed, 5hirted or stamped WD MIMI vial UNNIM" LAMiRm Mic law"Woll it WAMU-1 1ijRr=1*"111Lu1 �vj "w- NOTICE OF COMMENCEMENT THE UNIUR5,4NED gpi-*l I" ne {v, xwovrci� w th selb-on OTICE, OFCOMMEKOMENT 10" 33�S4't . . ............. . -15, 4 Contraclo,, Informat= art N, 5, Su ref app,�We, a cagy of to DzyreA I tor d 's c� Arno-o'10 act"d — ------ - -- - --------- -------- i. Pamons wtthin th* Staft of Ftwide dWg"ed by Ownw upon whom noWvs or z0or d=,,Wts -Tay be ss-M a pM*:kA tly Stom 'eckt acYess . . ....... ..... . ... iopNv*, of copy of ft 6wor's Not as PMIA&d M SKtOv, )'13 13 (1) tip) Ft Stata�, 4) Phan h4umwt of Persm (x antty des1vj*0 by O*tw' ------ -- ...... DocuSign Envelope ID: 5D406567-7D36-48B7-AAE8-4C5138CI6649 Date. 8/6/2021 We will also perform the following services when the box Is marked, Remove/discard one layer of shingles & underlayment (additional layers extra) Remove satellite equipment from roof (not responsible for reinstallation) Prepare/re-nail deck to meet Florida Building Code (see Item 7 on back) Shingle color: Amber Dnp�edgecolor, white Remove existing off -ridge vents/turbines and deck over holes El Replace .. Rework chimney flashing (3) plywood included. Each sheet thereafter is $135 Provide & Install new factory painted eaves drip L1 Provide &, Install new new pipe boots and kitchen vents with WE WILL PERFORM THIS SCOPE OF WORK Remove all job related debris and clean job site PER LOCAL CODES & MFG SPECIFICATIONS I. Dispose of gutters X: Reset gutters to replace eave drip FOR THE BASE PRICE OF: Pay merTt Terms: Initial Deposit $ 0 .1 Balance due upon substalAW completion, LI$ Goodl-eap ADDITIONAL OPTIONS [9 UPGRADE to LIFETIME WORKMANSHIP WARRANTY .......... ............ add $ S599.00 UPGRADE to OC Weatherlock Mat self -adhered underlayment ......... add $ OPTION add $ [IOPTION add $ Games Crowell Print Name: Property Owner/Contracter/Prop. Mg. Aaron Puckett Print Name: Company Representative $ GoodLeap .... . .. . ... . ...... . ........ . ... . ....... TOTAL WITH ADDITIONAL OPTIONS Date: Aug /L— / 2021 Property (Nvner/Ct)ntracto,,7Prop,,Vgr.Signature--0 ... sia-ea br #Arm, Pv&tff Dale: Aug / 6 OL- Gompanv Representative Signature NOTICE 0FRIGHT TO CANCEL.THISIS A IFGAL BINI)IN(,A(.,REE,,IEN'i,,td) N OU ','ZAY ONILY CANCEL THIS AGREEMENT PRIOR TO MIDNICHT OF THE TFIRD BUSINFSSDAY AFTER THE DATE YOU SIGN THIS AGREEMEN77, TO CANCEL THIS AGREEMENT. PLEASESEE THE ATTACHED "OTICE OF CANCLUATION FORM FOR AN EXPLANATION OF THIS RlG'FT