HomeMy WebLinkAbout21-2782City of Zephyrhills
5335 Eighth Street 'KIN
--- "717mil
mm" I
Zephyrhills, FL 33542 BGR-002782-2021
Phone: (813) 780-0020 Issue Date: 09/02/2021
Fax: (813) 780-0021
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional per required from other governmental
entities such as water management, state agencies or federal agencies.
accordance with City Codes a d Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONr 1¢nOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS
Eff-Al V 112 - 0
813-780-0020
Date Received
_r
Owner's Name Robert Leech
City of Zephyrhills Permit Application
Building Department
Phone Contact for
Owner Phone Number
Fax-813-780-0021
Al
lain-01MRIM,
Owner's Address 5903 Yorkshire Owner Phone Number
Fee Simple Titleholder Name I� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 903 Yorkshire Dr LOT#
SUBDIVISION r--�® PARCEL ID# 10-26-21-0120-00000-0400
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK eroof shingle 25 squares, peel & stick underlayment. Ridge vents.
BUILDING SIZE I I SO FOOTAGE I F-2-5-0-07
HEIGHT
=BUILDING $ 12,451.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
PLUMBING 1$�
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS F77 ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ,� � COMPANY a •i"-,
SIGNATURE �°�""� REGISTERED / N FEE CURREN I Y / N
Address License #
ELECTRICIAN COMPANY
SIGNATURE f REGISTERED Y/ N I FEE CURREN I Y/ N
Address License #-�
PLUMBER COMPANY
SIGNATURE REGISTERED Y / N__J FEE CURREN
Address License #
MECHANICAL COMPANY
SIGNATURE �^"�� REGISTERED Y / N FEE CURREN L Y / N
Address License #
OTHER COMPANY Total Home Roofing ^�
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address 1336 Oakfield Dr. License# CC1330489
III/IIIIIIIAI/IIIIIIIIA//11111111111//1/IIIA/1111/11111/1111111//IA
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/ Silt Fence installed,
Sanitary Facilities & 1 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, 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. (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 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 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 —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 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.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification,
Public
Commission
Name of Notary typed, printed or stamped
CONTRACTOR 'L) C% '_1 0-IJ
Subscribed and sworn to (or,Jrmed) before me this
by _S
W to me or has/have produced
as identification.
------- —Notary Public
Cc 1""icn No.
y
IX�-1 A
Rame of-Notary'typed, printed or stamped
YESENIA LEON
Notary Public - State of Florida
itr 4'a Commission ;: GG 317536
My Comm. Expires mar 78, 2023
3ovcoec through Nat)onal Notary Assn.
1111MRIV-11MUZZ M#L !4 #1 r4
0,1111r�-------- pot.1 10 Ile
NOTICE OF COMMENCEMENT
Honda
--I- -=1.1-------
1:—Pv gi«s '-t�o Uraj I OFV ""JYjj Us ",do to corta,n laai "'qb Ch"ple" 713 Sw! . ... ..
.1 bi — ad I IN.Noficof corelanco"Ont P'J
C'Is�';:J'b.�.Ip"T'�'tl:
S'1,11 Add—,
2 RE -ROOF
3 Ch"t' orLossee Inieletiol- If the Lolloe wbl.a,,d to, the iirpovaleft
br,zo'sst all Nobenr� OWN E R
NyIM of Fee Svnole Mobotler. NIA
N/A
T TAL HOME PROPERTIES DBA TOTACH70ME ROOFING 6
_�17 HA�FM� TY COURT SUITE 40 ROCKLEDGE FL
321452-9223
Nam N/A
NCdy
!A
Tolophsao No
Le-c, NIA
N/A
X-Id—' L..$trs Tei.ph-.b No,
I poll., ,aAHb, 91. SW. of F:'oraa by the — upon — bolJoes or Otlos' daGidne1as lay be screed as p—Ced by
Sa,".— 71 3' 13' tpXD, FIO&J. Staw.,
N/A NIA
N/A C,ly
8 t. edit -' ra 5maofr. 01. -- d."Vest.. N/A of
NIATol,pt—. Ntar,, to, of Posse. a,,- El -jay DoMpattat by Ovina
9 E'W eats of Yana of Canmuacemorn Vale 0*ralov oats my not be hof— she oolpl.Lob of oobsInxt- and fir.al PRY —PI W the
t.1 xi:; ho as y— b— the date of recorSing amass a diffale,at debt s spolnfiod): NIA
WARNING TO WMEk MY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TtfE NOTICE OF COMMENCEMENT
ARE CON StOCRED IMPROPER PAYMENTS UNDER GO-APTEER 713, PART 1, SCCTION 71313, FLORIDA STATUTES. ANO CAN
RESLLT 114 'O;'AY NO TWICE FOR IMPROVEMCNTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE
RECGIADED AND POSED ON THE CB SITE BEFORE Tht FIRST INSPECT M. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
"" fTH YO, R LENDER OR AN ATTORNEY BE;ORE COMMENCING WORK OR RECORDING YOUR NOT.CE OF CONINIENCliMENT
Ul'd0r of 1 d.CUIP) that I halo IM1 tlI!CrwA1v, PCfCo OfCofallePCO—N am, that the (ads stated U-IlittIrt A. I— to the best
'J ray abfl ",at
S fATL F=CRJCA
CO-NTY'CFPA5CC
SBawl.ae of O—f o, Lass", cr Q—o,', or Lessees Ao—,,w
OWNER
Pa,� tvz5,'4-Tj h,s day ^.j At2q—, zo U,.y
as OWNER !typo of s.t1w,-y, Is g,, olk., ta,iwo, attorney vl fact) to,
behalf aI hem Ines • e I I
Remwf,y Kl`+ Q-R PMOXMI (Ionttkatla Notary Sg'a"P,
I'To at tjo'tf'o_ ' -radaa Nam (of "I
use Notary Public State of FW4a
M C
PdrawM Capatba=
MY
C
Y orlIftasion HH 129630
Exreres o51i3f2o25
City of Zephyrhills
5335 811 St
r,> licensed under Chapter 468, Florida Statutes as a(n)-,
Contractor_ Engineer_ Architect, Building Inspector
License No.
On or about 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)
At the following
address:
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manua Based on Section 553,844, Florida Statutes).
Signature: 7
14VA,
Sworn to and subscribed before this day
BY:
Lary Public State of Florida
YESENIA LEAN
Notary Public -State of F�Qrida
Commission , GG 317536
My Comm, Expires Mar 7a, 2023
Bonded throkigh National Notary Assn.