The URL can be used to link to this page

Home My WebLink About21-275003 26 21 0010 05400 0000 Address: 37336 Neighbors Path ZEPHYRHILLS, FL 33542 Phone: (813) 415-4728 MUMMMOMEM SG�R-027W--2-0-M211 Issue Date: 08/27/2021 Permit Type: Building General (Residential) Contractor: A FIRST CHOICE ROOFING Class of Work: Reroof Total Valuation: $22,945.00 Total Fees: $154.72 Amount Paid: $154.72 Date Paid: 8/27/2021 2:02:04PM $154,72 MON FFTM ............ entities such as water anagernent, st e agencies or deral agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for UMMATM1111pan accordllinceywvdixth"Zity Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE f IT OFFICE • 6,11111110WEM, MID 813-780-0020 City of Zephyrhi(is Permit Application Fax-813-780-0021 Building Department Fee Simple Titleholder Name L v) I A Owner Phone Number I 1- 0010-054400 WORK PROPOSEDp e _ roof NEW CONsTR F-1 ADDIALT = SIGN DEMOLISH INSTALL E] REPAIR PROPOSED USE E:a SFR E3 COMM = OTHER TYPE OF CONSTRUCTION E=] BLOCK EJ- FRAME = STEEL DESCRIPTION OF WORK I P-te'-ro" 3,q s-9 - s h)*n-q le. ,5 /17- p0ch • CNA F-- Fl- 10laq i- BUILDING SIZE I I SO FOOHEIGHT' - HEIGHFl— 2 10-1 (0 4 Lo ( VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W,R.E.C. VY� PLUMBING 1$ =MECHANICAL1VALUATION OF MECHANICAL INSTALLATION =GAS V=ROOFING:]o SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY E SIGNATURE REGIST RI-D ;;;;; �.EC.RRE�N�� Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED E�Y/N �FEECURREN YIN Address License #E==== PLUMBER COMPANY [ SIGNATURE REGISTERED LY IN —711 I.RRIN Address License # MECHANICAL COMPANY E;;;; SIGNATURE REGISTERED �H� Address License h -�- - no OTHER COMPANY Sp i i C e SIGNATURE RI1GISrLRED N FEE CURREN Y/N J Address License P 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/ Sift Fence installed, Sanitary Facilities & I dumpster- Site Work Permit for 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, Stortravater 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 $250D, a Notice of Commencement is required (AIC 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 Sewer's Service Upgrades AIC Fences (ictiSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW st 3-780-0020 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 RESPONSIBILI11ES: 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 property 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 WaterlSower 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): ff 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 Lion 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, 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 Ifiriftedto: Department of Environmental Protection -Cypress Bayheads, Wetland 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 at fill: - Use of fill is not allowed in Flood Zone "Wunless 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 parmit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR IQ Subscribed and sworn to (or affirmed) before me this Suti and sworn ( r be or e by by M=swoun Who is/are personally known to me or has/have produced Who is are s/have produced as identification. as identification. CommissionNo, —Notary Public Uix a )e-,f-e,(q o n Name _61f —Notary typed, printed or stamped Name of Notary typed, printed or stamped �MQIMIWM AN 03-26-210010-05400-0000 Florida Vasco ITfT. b +8.9$lti .:gt8 R T#,owis t &eptw 01 W by CY 4 s fl *ia+ttNwu.. 40 MV&- sac»~ � �:ar3srR�+piaceaetn 0.� ��h _ rEstcies �hin .. . _ . __. 94W of r**& ar 1* —s w q.,n Wwm " w QVW okq.WO mm 4,. aee�W w Mwcbd by 6 di.: }�'xfi2cut � PA�9kae•• to t" i� �y � 4n5 tep9uete tpmsy>Sm� pd aru'#can oaf fia�gd i+�v�¢ted+d AR its tw yw Aam 0a+ftwa 1 W j0 ,ig AW PAVtA NTA _ : BY T -Id AP'C R P& F..mAdtum or yw- wr f#� a om i$daw NT p NMWVR FAYM NTN t R MA" ti 913. FART 5 sF IK)N 713 13 Et. 1A S`TA �S Chid W,*,SLP'r W Y #'R i TYdK1 Rtn, KRR+€` -Mth "I YCX t IMMPI-RY A W)T �WY_ *M$ 'k D Ai M"(.14 tR AM) W)"t tI ON tt# AW} ,II tit h(941 TtA Fat INW4,t: TAlti N` Y(7811Pj'Fi, t$)IOODZANd�i GI 4bli bJiTii Yd3iJR U-WICH OR ♦AN A T ItJilW V M PORE COR NC WOW Oft MCG Y M NOTICt at` .rock .�� E.TrxA ^gmr Ye pC+ ", IdwAm 4 rabmvmv "Oft# CA m0awCfAN¢tle�saabe esr 6eaw aaU t TY CN PASW,.a...,x,.w:._.�. COMM owner N -pie C R pp 4 fi .?_ '!. � 1id!¢3tb1 Rt :e �l ("ll(v'ih4lz 4ta� Il6aC3 '+7.i'L{1,'� CWt�3xl1ixv8dnt�eyt rs�t+r lktt#e±raAlaun 'A6-First Choice Roofing 1, 3122 David Baker Road Riverview, FL 33579 JLA " -Starner # Z Be<t phone-, Cell phone: Qn Work. phone: A -First Choice Roofing Installation Conti -act (888) 871-9626 License # CCC1328591 6105 Memorial Hwy, Suite E Tampa, FL 33615 Insured Name: kz; Y--)L Job Address: D k City. Email. Main Building # of Squares: De ached Building Reattach or, else SttSl�,!e Shed Reattach or Dispose Antenna see notes) olo C-A Reattach or Dispose Solar Panels cr� utters Reattach or Dispose 2ther Drin Idee Color: t5v C-_, C_- tFColor: Upgrades (Not covered by insurance daim and are accepted finanaial re5ponsibilitieslof1homeowner.) __7" Initial: C Cost 2t rcrst, Insurance Estimate defines total scope of work, unless noted in the Upgrade or Notes Section, Materials and services may include, but are not limited to: V, 2-;yF o4 ariufacturer Shingle Warranty v,`N0 LEAK" Workmanship Warranty New Piumbing Vent Pipe Boots, Collars _jel_lce and Water in valleys (Peel and Stick) ,Iwzit Flashing and counter flashing per Insurance Claim *UPGRADE* New Ridge Vent Roof Ventilation System _Z*UPGRADE* Re -nail of Decking as needed Upgraded Underlayent _tzm ove all job related debris —interior work per Insurance Claim 9� I Install and Payment —, initial: Replacement Cost Value $ Payment Today: *Replacement Value (RCV) does NOT include supplemental checks requested for shortages from insurance company, *lnctali date is contingent upon material availability from our suppliers, and prevaiting weather conditions. This date is for the roof only, any other work will Se scheduled after completion All rights and obligations of the parties shall be subject to and governed by the General Specifications, Additional Terms/Notes (if applicable), and any subsequent modifications, which must be in writing and attached as Exhibit(s) duly accepted and signed by both parties. All work will be completed and billed in accordance with the Insurance Estimate and this Installation Contract. Ilwe authorize direct payment of any benefits or proceeds to AFCR for work performed by AFCR hereunder, and direct my/our insurance carrier to release any and all information requested by AFCR, its Representatives, or its Attorney, I /we authorize AFCR to deposit insurance checks as payment for services rendered or to be rendered. In any event, if hereby agree to pay AFCR for the total replacement cost value and any supplemental funds approved by the insurance company. cusm na fDate Date customer signature