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HomeMy WebLinkAbout21-26910=11 no ffo-m:rm R Hz41Le1p= 9 Name: PHILLIP MICHAEL INC Address: Po Box 2590 ZEPHYRHILLS, FL 33539-2590 Phone: (813) 780-6101 Building Permit Fee City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 BGC-002691-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/20/2021 6951 6949 6945 6943 6947 6953 Gall Blvd 03 26 21 0010 00100 0011 Permit Type: Building General (Commercial) Contractor: PRO LINK ROOFING Class of Work: Reroof SYSTEMS INC Total Valuation: $73,500.00 1 Total Fees: $447-50 Amount Paid: $447.50 Date Paid: 8/20/2021 10:39:08AM $447.50 111111MRyMaRnWerel a Wmaye TOund in the PUDIIC reCO!"CIS Or MIS Coun , an r I j fe alallional Aerma reAllreCl "Frornik-UP-77.FFM 0-1, entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. /7 A/- -CONTRACTOR SIGNATURE PE 6FfICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOK CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 7 Date Received phone qc�.ntauctjor Permitting al-11144014 'laws* WW%*WWW4WAM1C Owner's Name Owner Phone Number Owner's Address 9x Z. 5-10 0 Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �q �51 G l6I\-Vb C. WJ0_VKL0' eu 335q*L LOT # SUBDIVISION PARCEL ID# [03 —2,s _14_MIO— 00100— 00%% (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRF7 ADD/ALT = SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK F_mCQJE—a, (711PO BUILDING SIZE SQFOOTAGE = HEIGHT It �L k IL IL =BUILDING swo-�' VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W,R.E,C, =PLUMBING 1$ 1 =MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION =GAS IF4] ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY P9,0-WilioK 900fikli SIGNATURE REGISTERED YIN FEE CURREN Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED L_11_N _J FEE CURREN L N Address License # PLUMBER COMPANY = SIGNATURE REGISTERED Y/N FEE CURREN L_LLN J Address I License # MECHANICAL COMPANY = SIGNATURE REGISTERED Y/N FEE CURREN L_Y / N Address I License# /OTHER COMPANY = SIGNATURE REGISTERED Y/N FEE CURREN I YIN Address License # 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 wl Silt Fence installed, Sanitary Facilities & 1 clumpster; Site Work Permit for subdivisionsfarge 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) Reroofs If shingles Sewers Service Upgrades A/C Fences (P[oUSurvey/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 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 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 —Homeowners 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. CONTRACTORSIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance Wth 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. It'll U06ITT46140 ZL30 FLORIDA JURAT (F.S. 11 7,03L--- ; NER OR CONTRACTOR OWej� * Subs and swom to or affirmed) before me this Subscribed and swoalito (or affirmed) befo? me this by fq,0_PVL0 111C 111VA A 0S Who is/are Personally known to me or has/have produe Who Ward personally known to me or has/have produced as identification. as identification. Notary Public s" L Q_ Notary Public r �1, son 4N.-� 0 Commission No. 0 6 Name of Notary typed, printed or stamped Naffie of Notary typed, Ormted or stamped JENNIFER A PASH Notary Public - State of Florida Commission 4 GG 146050 My Comm, Expires Dec 12, 2021 . . . . I I I I I I . I Notary Public Stale of Florida INN, Jennifer S McCall �,_\f My Commission FIH 005083 of Expires 08/28/2024 INSTR#2021178417OR BK10420 PG3695 Page 1 of 1 08/20/2021 11:24 AM Rcpt: 2342495 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller R'ermitNo. N I OTIfE OF fQNNLENCEMENT Property Identification No. 0.3 -A 46 Z 1 -00 10 C9 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. pp '�C — e z I 1. Description of property (legal ifescrlpfion:) A SSC -�5<CJ I rl 2l(II30J+l(, a) Street Address: q Gok -ei �vd I—e- LIk jr- S 2. General description of improvements 9QQF 9- e C r, v �r C-C(10� 3. Owner Information li N li I I, r c- :3 3S 3 a) Name and address: ArLd f) b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information AA P,(L 3,0 21 0"L T pijk-�- k &J, in (Zat 'U Sfe24,1 a) Name and address: ' e'(- i,- i tj `6 222 b) Telephone No.: 2 9 W 3 - .31) 7- (0 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 713,13(l) (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): WARNING 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 IPROVEMENTS 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. OF Owner or Print Name The foregoing instrument was acknowledged before me this — day of 20 as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf ofwhom ins ent was executed). Personally Known OR Produced Identification Notary Signature�= -V—/ Type of Identification Produced Name (print) Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I d ve read the fore of the facts stated in it are true to the best of my knowledge and belief. of pe"Ury" I d ve �read the �Iore 0�i the facts stated FORMS/N0C,rvsd2007 me Signature Of Na-W-W Pletson Signing Above JENNIFER A PASH Notary Public - State of FIOH& -ja State 1 0 46 So Commission a GG 146050 OF My Comm. Expires Dec 1Z 2021 IM VI State of Florida, County Of R scO This is to certify that the foregoing is a true and correct. copy of the document on file or of public record in this office, Witness nay hanlaofficiai seal this A day of I Nikki Alva re,, -Sow t ., Clerk & Comptrraller f. ';4o Pasco County, R ld� Deputy Clerk City of Zephyrhills 5335 81h St tewWhills FL 33542 Elff Permit No.:-BC'C' - Doz("CA i - -zaz- `1 1\90'j4n dlicensed under Chapter 468, Florida Statutes as a(n): Contractor_& Engineer — Architect_ Building Inspector License No. CC C I 3-L -7 � �- ?- On or about--n - 3 - -70 2- 1 did personally inspect the: Check: Roof Deck Nailing_ Dry in Flashing and Drip edge_ Check which was used: 30# felt— Peel and Stick— Other (List) T130 At the following address: (rq5"11, 6941j ft q V 7 6",1,5- 9 6"Ii: 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). Signature: �� STATE OF FLORIDA COUNTY OF PASCO R Cody Von Zente Notary Public Sworn d subscribed before this day State of Floridamm# k CoHH043370 BY- 'EA Expires 9/16/2024 Public c Nota Public State of Florida