HomeMy WebLinkAbout21-2731City of a
phyrhills
5335 Eighth
_r
Phone:i 11 !
780-0021
BGR-002731-2021
Issue Date: 08/25/2021
777 `{1`+r t, `,.� at?.. c5 5... r.., zP'^- a.., •��s, `tii "\ l s A\ \S.. r"; \,;,., { t y t ~zi -o" Y 3. .1 y��':.� 1; z r J ,,,.'� r 3a} `•` �l\ t`�r'r \{'tt, t;;z
..zt 4
vt
6052 12Th Street 02 26 21 0020 00500 0022
1.re"t {Ft r'`a 'n`ny,'t,D 4, ..3 �a,:, z ,n ��Er`{4l\`\C.A`i �?}� t .., \ti, �>. § � � `l; \� ,,w ,.{fi `�. "-�i �+ �s 4�.,":� i .'z }t�� �Z .. z', 1. z l�' ��{+� )� ss`� nz; 7 `..n 3
\is.it
s:i, a..- .��, .,, , , i°\`t s *^ ,Yvhr`�� t =�y°.szt \�{,i5i
Name: TIMOTHY R & DENISE J REMMERS Permit Type: Building General (Residential) Contractor: A DEAL ROOFING INC
Class of Work: Reroof
Address: 6052 12Th St Total Valuation: $11,270.00'�'
ZEPHYRHILLS, FL 33542 Total Fees: $96.35
Phone: (813) 788-6842 Amount Paid: $96.35
Date Paid: 8/25/2021 12:24:45PM
->Z. Aszr., �r L ssc� rvs r.t t
r� , ;�� �)v� � tirtt"��t' ti z4 s zt. ,...
..r s{ ,.. 2.
. aRca., t1h113{{.{,s h?'�t ,.,t �,,.>., A
ti.
:E ;a`'izni'�?<r..,,`.hts\�'�.ct...-��JIaat;"n.;{...�.'k.`"A3�.t i,,,:
METALREROOF
,...:-. .. '. ,� ?1 r
z... �' ';r�..a7t�3... t ,. l y. ..} `•\ t 'u . t2 �t•,� . i `�. ac zlt
'•�'� t 1\ �, t t.:\ 3 C p \{ \ r\'r `.. a s�1 `t`'z \ �'itJ . t. �s'1 `�:\ \�,
`� i, t \,,....> >�{ (i ��' �7 .\ > r \,✓n�\t`t s}:-f°,'v\s{.Z``..��?�} ^l ..1- �.a\ 1, k� �r T tk`tl ;t \ .*��•,
tit
`.4v... ma. az-...{, aifli9. .. ..Aa3, ,>•• s, ��:. >t,tr s 3 �.�,: <`l .x t� �� �� ,b� ,� , 4 �S.n a,� '�
Building Permit Fee $96.35
respectREINSPECTION FEES: (c) With f Reinspection fees will complyFlorida Statute :t
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,greater,•. each • .l,, •r
•.... * . i.. i f i i : •',. • • •. '... is f • '".. • •. : :.. f .
• • ! ' •:. ! •:1 1,• • . ! : •I is ♦ • • •: • •: •
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE c.6.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR
rRE
r...
PERMIT 6 MONTHS WITHOUT APPROVED
j
813-780-0020
City Of Zephymills Permit pplicatiO Fax"813,730R0021
Building Department e e
Date Received
Phone Contact for Perrralttln
-
Ow ner®s Name
c Owner Phone.Nrrrra r
Owner's Address
Owner Phone Number
Fee Simple Titleholder, Name
Owner Phone Numr
Fee Simple Titleholder Address
JOB ADDRESS
Y
1 1 LOT
SUBDIVISION
PARCEL IDO
$pBTAINEC FROM RPERTY TA,X NOTICE)
WORK PROPOSED
NEW CONSTR ADD/AL'T, SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR , COMM OTHER
PE OF'"CONSTRUCTION
BLOCK FRAME STEEL
DESCRIPTION OF WORK
,s ` w . A
BUILDING SIZE
S(� FO®TALE
FiE1GkiT ",
BUILDING
VALUATION OF TOTAL CONSTRUCTION`
ELECTRICAL
AMP SERVICE PROGRESS ENERGY W.R E.C.
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
GAS
tz
ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA =YES- NO
BUILDER
SIGNATURE'
COMPANY
REGISTERED / N FEE C1I MM 'Y l N.
Address
. i License #
ELECTRICIAN,
COMPANY
;;YY �FEEURRER �-Y
SIGNATURE
REGISTERED N . N
Address,
License #
PLUMBER
COMPANY
;YVN �FEE,CURREN
SIGNATURE
�EOt�TERED ' � Y! N' '
Address
License # - _.
MECHANICAL
COMPANY'
�FCERREh
SIGNATURE � �
REGISTERED
Address
License
i
J'COMPANY
, REGISTERED LM
ill
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach (2),00mpjeto sets of Sullding Plans plus a Life Safety.Page;.(:1) set of Energy Forms, R-O-W Permit for new construction,
Minimum ten (10) working days`aftersubmi0al�date. ,Requir _, =onsite, Construction Pians,:Stgrt water PI'arge,wf SIWFen` -installed,=
Sanitary_ Facilities.& 1 dumpster,.Slte Work Permitfor all new projects. All commercial requirements must merit compliance
SIGN PERMITAttach (2) eiiS§,6fEngirlte0r Plods. ,
PROPER SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner &'Contractbirsign back -of application, notarized.
If over $25 0, a Notice of Commencement Is required. (AIC upgrades over 7 00)
Agent (for thecontractor) or Power of Attorney (for the owner) Would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERt G (copy of _ntract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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 restrictionL
UNLICENSED "CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake.work,they may required to be licensed in accordance with.state and local.regulationsa°'=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,.a plyyf r°the, x
intended work, they are'advised'to contact the Pasco County Building Inspection ivIsio `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"contractorBlock"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 t PAACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands,
that Transportation Impact Fees and Recourse'Recovery Fees may apply.to,,.th icon .tructi0n~'ofiie ,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 undersign ,,also understands, that°'such-fees, as may be due, will be,identitied at the time of
permitting It isfurther 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,ndtlnvblve a certificate of occupancy or
final power release, the.fees must be paid prior to permit issuance. Furthermore, if'Pasco County ater/Sewer Impact
fees are-due,;they must.be paid,prior.to permit Issuance In accordance'wth applicable Pasco County ordinances
CONSTRUCTION LIEN'LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500,00 orwt ore, i.
certify that I, 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 ccertify that,l have obtained a copy of`the above described`document w nd,,promise,in good faith to
deliver it to the"owner"prior to commencement.
CONT , CTC 'SLOW NE. 'S A I A I '...,I;certify hat all,the in,forrnatmonFin.this,application:inaccurate and that uall,work,
will be done in compliance with all applicable laws regulating construction, zoningand land development. Application is
hereby made to obtain a permit to do work,and Installation as indicated It 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 thelntendod work, and that it is
my responsibility to identify actions agencieslimited
mental Protection-Cypress ayheads Wetland Areas and. nvironmentally Sensitive
Department of Environmental
Lands,Water/Wastewater.Treatment,
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-SeaWallS, Docks, Navigable Waterways
ays Wastewater Treatment,
- Department of Health `Rehabilitative Services/Environmental,Health Unit, ells,
Septic Tanks.
- US°Ehviron entalProteetion°Aencysestos abatements
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"Vr unless expressly permitted.,
If the fill material is to be used in Flood Zones "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,.ina Flood.Zone "A" in connection with a permitted building using stern wall'
construction; 1,certify that fill will be:dsed only to fill th°e,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° y°fill;an engineered drainage plan is required
If i am.the-- T FOR,THEOWNER, 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 themapplicatiOn, 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 tof,,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 codes Evorypermit issuedShaII become invalid
unless the work authorizedby 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 afterthe time'the' orkisw commenced; An extension
may be requested, in writing, from.1the Building,official for a period not to exceed ninety (90) days and will demonstrate;
justifiable cause for the;extension. If work ceases_for°ninety( 0)consecutive days,the job is considered abandoned,
WARNING,TO O NER.,, ,YO R FAILURE TO RECORD A NOTICE OFs>COMMENCEMENT MAY".,RESULT IN YOUR,,
PAYING TWICE FOR IMPROVEMENTS TO YOUR R Rt E IF'YOU INTEN , G OB'PAN FINANCING,CONSULT
EEx}`RECGIN YCt3NTI 'F ENCE' E
FLORIDA JUR 'r(F, .117.03
OWNER OR :BV IsN& - coN TORS: -
5ubscribed`and sworn t affirmed)abefor me
Subscribed and rra,to(or '>affirmed)before me this_ Eby,
_ by Who is/ar rso known to�t�. r ha ave,,P dusedt
Vvho isles personally known to ma or as/have produced t� s id rrtl bin.
as identification.
Notary Public Not ry Public
Commission No. Commission No.
ed, nnted or stamped dame of Nota ped,printed'dr.stamped
Name of rotary t}tp p
o-�Yt -.. CARL0SMALD0NAD0 k .......�A. Commission 4 GG 346275
' Expires June 18,2023
Bonded Thru Troy Fain insurance 800-M5.7019
INSTR#2021181524OR BK10423 PG2913 Page 1 of 1
08/25/2021 11:24 AM Rept: 2343993 Rec: 10,00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Thin space far an by Clark of *a CIrcub Court Oftly.
QW!` ! ZMA1406MINI
Permit Numbw
Tax Folio No. -
The undersigned hereby gives saam that improveratots " be made to certgn nil properq, aari in *cculdauce with SeefiDn 713.13 of the
FI*Ms Sfttuk$, the "oolog jujibraration Is pravlkled In the NOTICE OF COMMENCEMENT.
L&O Description ofpropeny (savet address rectuired): thills. FL 33542
D2--26--214020=00500=0 RB 2 M6
2- CrmeraidmoriPtk)nOfft"PfOvcu-nts: ft-Md
3& OwnerNatne: Timothy or
Owner Address:
3b. Owner's interest in site: —Owner
At Fee Stmoe Title bolder (of other dm 00AW) 0/0
Address:
4, Contractor Nam: 8-D"I Rootirxi Inc
Address: 4W phone:
5, Surety Nam: n/0 Amount of bond:
Address: Phone:
6, Leader Nam: n/G 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 713,13(l)(a)7, Florida Statutes
None: No Address::
Phone Number
8, In addition to hinmit owner designates the fallowmg person to receive a copy of the Lionar's Notice as provided in S-tion
713.13(l)ft Florida SWAn.
Name: n/4 Address: —
Phone Number:
9, Expiration daft of'Nofice OfCbrnmorwarxat (expiration date is one (1) year firorn daft ofrecording unless a different dolt is
specified).
WARNING TO OWNM- ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TEIR NOME OF
COMMENCEMENT ARE CONSIDERED 1WROpER PAYMENTS UNDER CHAPTER M, PART 1, SECTION 71113,
FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMMOvEVONM To YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION- IF YOU
IN TO OBTAIN FINANCING, CONSULT WrM YOUR LENDER OR AN ATTORNEY BEFORE M"WKING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT. , //1' A01
s,�sn�- awre of
STATE OF FLORIDA 7�u04's
COUNTY OF MLLSBOROUGH
me this day of
The ftt@Dtag rawwww was Kjawwledr before --l—
by as
Type of Ideadfication
Commission#GG207d60
-j Expires July 12,2022 blic
Under pwattics Of ry, I ded— dw_!>m read the foregoing and that the ftca sWed is it are true taffie-bestofuryIm-lodge and Wier
State Of FloridaCounty f Fusco
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.
W' s� nay hand nd official eel this
Nikki Alvarez -So }les, q•, Clerk & Comptroller
a
Pasco County, ida
4 By Deputy Clerk
A r1%
A -Deal Roofing, Inc. Tim Fultz, owner
4507 Sleepy Hollow Lane Lic# CCC1326874
Plant City, FL 33565
(813)655-5560 Fax (813)659-9069
Web site: www.adealroofing.com
City of Zephyrhills- Building Department
5335 8th Street
Zephyrhills, FL 33542
Tim Fultz,
President
(813)363-7090
State of Florida
-U -•# * •
PANTL A KOE11i L IER
W"' fi OM'ts�;On # GG 201,46'�
Expires July 12,2'22
%
City of Zephyrhills
53358 1h St
licensed under Chapter 468, Florida Statutes as a(n):
Contractor -%- Engineer— Architect— Building Inspector_
License No.
On or about —4did personally inspect the:
Check: Roof Deck Nailing V
Dry in Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick— Other (List)
'S V
,sv At the following
address:
lased upon that examinatio I h V V
Signature:
COUNTY OF PASCO
Sworn to and subscribed before this day Agy PAMELA KOEHLER
BY: Commission #GG 207460
Expires July 12,2022
Bonded Thu Budget Nolwy Serilo.'s
Notary Public State of Florida