HomeMy WebLinkAbout21-3033BGR-003033-2021
Issue Date: 10/15/2021
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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GNATURE PE IT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
005 11 FLI DA il i ki L
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
Owner's Name TOPAZ REALTY PROPERTY MANAGEMENT
o Number
Owner's Address 6615 SHELDON RD., TAMPA, FL 33615
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5722 8TH STREET, ZEPHYRH ILLS, FL 33542
LOT #
SUBDIVISION PARCEL to#
11 -26-21-0010-03400-0130
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT
SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK RE -ROOF; Remove current roof system and
replace with synthetic underlayment and architectural shingles.
BUILDING SIZE I I SO FOOTAGE HEIGHT F I
1
__ _-E CGx C'" irw :,w V'X x V,x W T x
�x V�rIB1EBUILDING I $ ic JE�'J 2-0 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONSFLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Ly N FEE CURREN
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L_11 N_J
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License #
MECHANICAL COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN L_.y / N
Address I License # F
OTHER COMPANY SYBO, LLC.
SIGNATURE Y/N FEE CURREN
Address 1313 W. Carissa Co I urt I Tampa, F - L 33604 , - License# I --CCC1332634
tillistill'ititilittaflitillfaillfitsliw*lgltillittlatiltillfaiital'Tt'Vii
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 clumpster. 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 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 now 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN CING, CONSULT
r, Ve-11 1P Me-IT111-9:
FL to JURA (F.S. 11T03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to rn
(or oi 4
by k2: it - Y. �b _ (or Who is/are mono m 0
Who is/are personally known to me or has/have produced �alknownorm. rhA/haveprod L(qW
as identification. j -ryas identification
Notary Public f 'A Al L"t-11t.�_A_�L__ -Notary Public
Commission No. Commission No. 6 1
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
INSTR#2021206843OR BK10448 PG1 745 P-g- 1 c)f 1
09/29/2021 07:13 AM Rcpt: 2357734 Rec: 10.00 IDS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parvell 10 No 11-0-21-001"3400-013D
NOTICE OF COMMENCEMENT
stalsof Florida County of Pasco
the k4owmU Information Is KWdWd In We NotIce of Commencament
1. Oncr%)UonofPropwt)r.PamWidendkatlonNo. 11-MI-001W),tit 130
Street Addruc 5722 0 Street. Zap"Ills. FL 33542
z General Descripticm, of Improvement RE -ROOF
3. Owner Information or Losses Wommillon If the Losses contraded for *0 IMMMIMIft
Topaz Realty Prop" Management LLC
ZapirrythIlls FL
My Stpa
Name of Fee SIMIA9 Titleholder.
Of dftmnt Owner llstod-abaft)
Address CRY S"
4. Contractolt. SYBO LLC
nnj3zc8d§sa-QQM� --- 1AM211
Address Ci EY state
Conllrmoto�aTalopWwNoz
Name
Address Chy Stads
Amount of Bond: 5-- Tatephone No.*
(L Lander.
Name
Address
Landar's Telephone No.:,
T. Parsons withm the State at Flodds deeVneled by the owner um whemn n0ces, or o0vir documents may be served as pairldled by
Secoon 7m13(1xa)V)' Florl" Salutes:
Name
Address City State
Telephone Number of Designated Person:
8. in addition to himself, the QVRW designWAS of -
to moth" a copy of dw UwWs Notice to provided In SeWon 713.13(tXb), Fbrk% Statules.
TaImplaw Number of Person or Entity DaslVadad by OwW,
91 E*ilrsdiin date of NoUce of CommiKcament (the orquirallon date mays be Were the oomplation or conedrudw OW &W payseard to ON
contraolm hWwff be cam year from the doic a( re=dkV w*u a diftermint date Is spedllmdk
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City of Zephyrhills
5335 81h St
ME .10 #
Q Y- licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer — Architect Building Inspector —
License No. Ccc " 3 3'.- b 3�
On or about (!) 2Z, I ZO L I did personally inspect the:
Check: Roof Deck Nailing---z Dry in --1Z, — Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick?7Other (List)__
At the following
-
address:
pit
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based Section 553.844, Florida Statutes),
"c"u""vidfluditt5ase0o bectlon!)!)3'
Signature:
STATE OF FLORIDA
lm��ff
Sworn to and subscribed efo' hi day
BY:
Notary
1c
otary Public Stat o Flori