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Home My WebLink About21-2664Permit Type: Buildi Name: DENNIS WILLIAMS Address: 5108 17Th 11 26 21 0010 20200 0120 St Phone: FL 33542 9 •I . *1 1111157K * #,# REPAIRS INC City of Zephyrhills I g"" Y11 5335 Eighth Street Mon. Zephyrhills, FL 33542 BGR-002664-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/17/2021 Permit Type: Building General (Residential) Class of Work: Reroof (Shingle Only) Building Valuation: $8,500.00 Electrical Valuation: Mechanical Valuation: Plumbing Valuation: Total Valuation: $8,500.00 Total Fees: $82.50 Amount Paid: $82.50 Date Paid: 8/17/2021 12:27:10PM III :, 11i i - 11611 LVAL 1 0 0 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRA R 5fdNATUR-E PErIT OFFICE[) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Phone Contact for Permittin 1( 7/v V Owner's Name f)fflmls �Nl I M A VM Ow nor Phone Number 3 Owner's Address �JCA 1-101'stIzarha Owner Phone Number Fee Simple Titleholder Name [� I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS I F", 7_li 77, P) LOT # SUBDIVISION C i fiq 0 L Lf [Q) h tj Ili PARCEL I D# I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDiALT 11 INSTALL REPAIR PROPOSED USE SFR Comm TYPE OF CONSTRUCTION BLOCK FRAME DESCRIPTION OF WORK Ae A3� �r�&J SIGN = DEMOLISH OTHER F_ STEEL BUILDING SIZE [ .......... So FOOTAGE[= HEIGHT 'xx'Wx'WW 'T'WW'x =BUILDING tf DIX) VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL =PLUMBING =MECHANICAL $ =GAS ROOFING FINISHED FLOOR ELEVATIONS AMP SERVICE 0 PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FLOOD ZONE AREA =YES NO =' W.R.E.C. BUILDER v PANY SIGNATURE REGISTERED FEE CURRE YIN Address rss License ff �3" ELECTRICIAN COMPANY FEE A EC_U_RRE_N ------ SIGNATURE REGISTERED Address License PLUMBER COMPANY SIGNATURE REGISTERED _FEE_171R_R_E_N Y t N�� Address License # MECHANICAL COMPANY L_U_j� FEE �GIIRIIER�� SIGNATURE REGISTERED Address License# OTHER COMPANY SIGNATURE REGISTERED Address License 9 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for now construction, Minimum ten (10) working days after submittal date. Required onafte, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I clumpster; Site Work Permit for subdivisionsi'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. (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) 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 Zephyrhilis Permit Application Fax-813-780-0021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "dead" 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 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 IMPACTIUTILITIES 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 net 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 (I) 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. I Vaal FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRALTO _b S V6,71 Who is/are personally known to me or has/have produced "_n�5: � nil. Tr Subscribed and sworn to (or affirmed) before me this yt as identification.as idefltnc�tton. Notary Public ecl ,me kr y Pp Commission No. Coorr �s`.n N Name of Notary typed, printed or stamped N of N1 ofa Crystal L. Gardner Notary Public State of Florida Comm# GG985622 Expires 7/1/2024 INSTR#2021174581 OR BK10417PG2989 Page I of 1 08/17/2021 11:39 AM Ropt: 2340761 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller This space for use by Clerk of the Circuit Court only. Permit Num Tax Folio N-IL=ZEEME��a 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 COMMENCENtENT, 1. Legal Desviption ofproperty-(street address required)Lt:ZL-1 — i �-Iu- --;;' 2, General description of improvements: R E R O O F 3a. Owner Name: Ain j k Aii I ji a M Owner Address: 11 ( I rnnq rainc ti a W Owner's interest in site: 3c. Fee Simple Title holder (of other than owner) Address: 4, Contractor Name; Suggy§ &ghag 4 Repair's Inc. Address: 12933 Th2l3QtM$§9 89jig Dover Florida 33527 Phone: 813-982-0218 5, Surety Name: pla Amount of bond: Address: Phone: 6. Lender Name: n1a Contact: Address: Phone: 7, Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 7! 3.13(1)(a)7, Florida Statutes. Name: n/a Address: Phone Number 9, In addition to himself, Owner designates the following person to receive a copy of the Lienor's Ndticc as provided in Section 713.13(i)(b), Florida Statutes, Name: Dig Address: Phone Number: 9. Expiration date of Notice ofCommencement(expiration date is one (1) year from date of recording unless a different date is specified). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE RNPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 113, PART 1, SECTION 713.13. FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S 1*0 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND "TED ON THE JOB SITE BEFORE THE FIRSTINI-SPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI_DLXOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR YCORDI, 7V4*'R'NOTICE OF COMAIENCLWT. of "fic Si of Owner or Lessee, or Owner's or Lessee's Authorized OfficeriDirector/PaTtner/Manager Signatory's Title/Office STATE OF FLORIDA COUNTY OF HILLSBOROUGH . . . I The regoing instrument was acknowledge before inc this and day of V Vit 20_ ur"CUM)a� AMRby As Personally Known OR Produced Identification Type of Identification Produced Signs: ?e> uIR( be, f fin my o Undervenaldef �5, I declare tboI4 have read The forego' u and that the facts slated in it are true(w edffp belief e of Florida Comm# GG98p'a�qNov2on ;Z. Si;bove W�4pa,W.m fNaXPrso. �Si;;� ARbv. CEXOPM�Iires 7/1/2024 State Of Florida, County Of Pasco �This is to certify that the foregoing is a �s ,Ik true and correct copy of the document on file or of public record in this office. Witn ss my ban nd official seal this dayof s ; Nikki Alvarez -Cowles, Clerk & Comptroller Pasco Coun .Florida I3y Deputy Clerk Hof Affidavit Roofing Inspection Affidavit City of Zephyrhills 5335 8th Street, Zephyrhills, FL 33542 i Name i i �c) [—I am licensed under Chapter 468, Florida Statutes as a(n)n t k I Architect Building inspector _ontractor r,�� Engineer m i License Number C—C.0 (3-3og-72— Personal Inspection Date I personally inspected the: rnrnlddlyyyy �` � -r, in L' shing and Drip % , l"oof Deck Mailing 1 1 Edge K Cheek which was used. 30 Pound Felt Feel and Stick Other If rather, please explain: I Address of Roof Inspection Manual (Based on Section 553.844, Florida Statutes). Signature Sworn to & Subscribed Before This Day mm/dd I /yy I yy 7 /Z 2, 12, -0- Notary Public State of Florida U zle— i