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Home My WebLink About21-3135City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BGR-003135-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/03/2021 Permit Type: Building General (Residential) 14 26 210010 00200 0020 al Class of Work: Reroof (Shingle nly) Address: 4949 197h St Building Valuation: $6,480.00 ZEPHYRHILLS, FL 33542 Electrical Valuation: 11111111IRWW�2 Mechanical Valuation: Plumbing Valuation: Total Valuation: $6,480.00 Total Fees: $72.40 Amount Paid: $72.40 Date Paid: 11/3/2021 11:55:17AM 11111IL1410iQ111 Witil -- =am:R OE . v 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. '-'--'--c6NTRACTOR SIGNATURE PE IT OFFICE[) .k,ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received (.-� ) ka� - 766 1 Phone Contact for Permitting Owner's Name t gg Owner Phone Number Owner's Address q u� 8 s4— Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 6 t JOB ADDRESS 8 ° Ep t d� - LOT # SUBDIVISION �� PARCEL[ D#! t �' )- .. 2 � _ 6010 _f 4 00 - 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR F__1 COMM OTHER I TYPE OF CONSTRUCTION a FRAME STEEL DESCRIPTION OF WORK �a� 6� ??IQ BBLOCK C P S 1, I'n'ZIP (� A 0c," ' BUILDING SIZE SO FOOTAGE [- HEIGHT [:= Xc BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL L AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING 1 -� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO BUILDER ��@@ COMPANY C)2d�PGJr� 1'40JN1tn.'.0 SIGNATURE f� REGISTERED FEE CURREN Y1N Address P `l �;` I a e, § License # C 5� ELECTRICIAN COMPANY SIGNATURE I REGISTERED LY! N FEE CURREN Y l N Address License #—� PLUMBER COMPANY SIGNATURE REGISTERED Y / N—TEE CURREN Address License # f MECHANICAL COMPANY SIGNATURE REGISTERED L Y / N^% FEE CURREN Y N Address License # OTHER COMPANY SIGNATUREREGISTERED Y / N FEE CURREN Y / N Address License # flI I a I I a I I a I t I I a a I A I € € III. IE 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 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 contractors) 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 form 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. lZrilli MINTITILMAV11*4110T1121.0"T I I , �i 1 r! I JIJ4-,J WM I Mri[OlIM 10111-;4 0 1 OB 1I!Ii U111112 10 r1ill FLORIDA JURAT (F.S. 117.0 OWNER OR AGENT Im Subscribed and sworn to (or �ffirnn'Jd) befonir this ,Y"ALNIO)rd —ALL-14 Who is)Veirsonally known to me 6r has/h produced =tion. A Notary Public Commission BRITTANY LYS , n-ii,,tir .�tate of Florida C0 MIS I H 17730, 25 Comm. Expire Sep 7. "Sanded through National Notary Asso, Subscribed and sworA to (or affirmed) before me this �Ioy_ C0,1 )20,naW,� Who is/are personally known to me or has/have produced identification, �Z, :LNotary Public Commission No. BRITTANY LYNNE LARABEE Na ed,0t#TJy(Ptmftm4We of C.orqmjssion # HIA 173026 my Comm. Expires Sep 7, 2025 Assn, 3orded through National Notary Assn, INSTR#2021235212OR BK10474 PG Page 1 of 1 11/02/2021 08:12 AM Rcpt: 2372723 Rec: 10,00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Permit Number Parcel ID Number 14-2e-210010-oo2av-oo2o NOTICET State of Florida County of Pinellas 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 this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): MOORE'S FIRST ADDITION TO CITY OF ZEPHYRHILLS PB 1 PG 57 a) Street {job) Address: 4949 19th Street Zephyrhills, FL 33542 2.General description of improvements: TEAR OFF AND REPLACE ROOF 3.Owner Information or Lessee information if the Lessee contracted for the improvement a) Name and address_ Buddy Allman 4949 19th Street Zephyrhills, FL 33542 b) Name and address of fee simple titleholder (if different than Owner listed above) c) Interest in property: OWNER 4.Contractor Information a) Name and address: BRAD MCDONALD ROOFING 7143 STATE ROAD 54 #197 NEW PORT RICHEY FI- 34653 b) Telephone No. (727) 856-7663 Fax No.: (optional) 727-856-7954 _ 5.Surety (if applicable, a copy of the payment bond is attached) a) Name and address: b) Telephone No.: c) Amount of Bond: $ 6. Lender a) Name and address: b) Telephone No.: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: a) Name and address: b) Telephone No.: Fax No.: (optional) 3.a.ln addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. b)Phone Number of Person or entity designated by Owner: 9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified): 20 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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I ded re that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belie Buddy Allman (Signature of Own or Lessee, or wne s or Lessee's (Authorized Officer/Director/Partner/Manager) (Print Name and Provide Signatory's Titlet0ffice) The foregoing instrument was acknowledged before me this 2 day of 5rp 20 by Buddy Allman as owner (type of authority, e-g. officer, trustee, attorney in fact) for _ _ _ as _ _ _ (Name of Person) (type of authority, . e_cu- officer, trustee, attorney in fact) for (name of p 'whom in, as executed). Personally Kn R1111 B LA B Type of ID 7x°�a`: notary Public State of Florida otary Signature Cdinni )or. „�HH 17102b �— — - j'• cPrint name My Comm, Expires Sep 1, 2025 Bonded through National Notary Assn, 5335 8" St 1, C r 6 a mcpopeild — licensed under Chapter 468, Florida Statutes as a(n): Contractor t--'Engineer Architect— Building inspector License No. 3 1 Sj On or about 3 � '- I , did personally inspect the: Check: Roof Deck hailing--z Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Sticker Other (List) At the following address: q AAVAWI Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). Signature: Wxfflh&x*-j2� Sworn to subscribed before is day BY: