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Home My WebLink About21-3182.1 4 , AffAIAOXWELUTFA Name: RUBY & WENDELL NIEUWENDAM I Permit Type: Building General (Residential) Class of Work: Reroof (Shingle Only) Address: 2780 E Fowler Ave UNIT 161 TAMPA, FL 33612 Phone: REROOF SHINGLE 45 OF 28 Building Valuation: Electrical Valuation: Mechanical Valuation: Plumbing Valuation: Total Valuation: $0.00 Total Fees: Amount Paid: Date Paid: Contractor: 617#7777AMM ROOFING INC *3 entities such as water rri�anagement, st e agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for ts to Vol -f, rr-r, i . 11iii I iii, . I j . ,omplete 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. -------------- 0011TRACTOR SIGNATURE PE401T OFFICE A a 0 & W111111 It 0 --- douu� I 10 1 0 0 IL CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Faxe813e780m0021 v wilding Department Date Received Phone Contact for Pormittin �- Cwneres Name. Owner 'Fhone,Nue c ^. OwneftAddress. w _ Ci Owner PhoneNumber Fee Simple Titleholder Nerve Owner Phone,'Number Fee Simple Titleholdde A dress JOB ADDRESS � 61 SUBDIVISION PARCEL 1 ` b- t C,� • rw? (DETAINED OaoM PkdOERTY TAX NOTICE) C?RIf PROPOSED « EW,CONSiR AL?C)/ALT Sib �' DEMOLISH El INSTALL E3 REPAIR PROPOSED 415E SFR COMM OTHER TYPE CF'CCNSTRUCTI N BLOCK. ,tFRAME STEEL DESCRIPTION OF WORKit C- Cx 9"`�Ca � t i � BUILDING SIZE $0 FOOTAGE HEIGHT t F3tJlL Ihl VALUATION OF TOTAL CONSTRUCTION ! ELECTRICAL AMP'SERVIOE PROGRESS ENERGY W.A.E.C. PLUMBING $ MEQHANICAL $ VALUATION OF MECHANICAL INSTALLATION CAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS" FLOOD ZON AREA `P NO a CO P Y�, SIGNATURE REGISTERED Y / N FEE CURREN . Y / N Address License ELECTRICI COMPANY SIGNATURE REGIS_EREP Y /" N FEE CURREP , ,Y /,N Address License PLUMBER COMPANY SIGNATURE REGISTERED ;Y/�;W FEE Ci1RREP Address License MECHANICAL, COMPANY ' SIGNATURE<REGISTERED *l� N; FEr�cuRREP Address License OTHER COMPANY SIGNATURE REGISTERED � / N FEE Gt9FtREP � / -------------------------------------------------------------- Address License 11,!°t,1t,1 RESIDENTIAL Atta�i ��2)�T'h�t.Rla�s,t��) skis �f wild€Rg �la,��, (1 },�S�t ofkEnsrgy Falrrr►s, R � Permit for new, sires ion. Minimum ten (10)'workrno clays ift4 subn�IttaT dsto, FQ01r d'od t 'CdrlstiUc ioii"Flsn ;Sin a u t r'I Id€�s ail hilt F €ico:irastsll d, Sanitary Facilities S 1 durnpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach,(2),, . mptete sets of Building Plane plus a Llfe�afe,t v,P e; (1) set of Energy Forms. R-O»yV Permit for new construction. Minimum ten Construct€on� PlanO,a, to wAtet,; Plahs �y/:Sli) Fehr nsts'lled,: Sanitary.Fac€lities:& 1.dumpster. Site Work Perrnitfor all new projects. All commercial r6quiroments most meat cohtplianue M SIGN PERMIT Attach (2)sdt§"of Engineered Polaris: ****PRCFERTY StJ ' EYrrequired for all NEW, construction. Directions, Pill out ,a application completely. Owner ntradtbr back,of application, notarized If over $ 500, a Notice of Commencement is required. (A/C upgrades over $7500) ** Agent (for thecontractor) or Dower of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER, PERMITTING (copyaof contract required) Reroofs if shingles Sew Service iJPOra� ,68 A/(C 1� es (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"restriction gs which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with.any applicable deed restrictions, UNLICENSED CONTRACTORS IAND CONTRACTORRESPONSIBILITIES: if the owner has hired a contractor or contractors to undertake.work, they may'be§required to be licensed in accordance with.state,,and ulocal.regulations If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation understate Iaw. If the owner or intended kcontroctor are uncertain as to what licensing requirements m .. ppiy'fdrr the, intended work, they are advised to contact the Pasco County Building Inspection ivisionLicensing Section at 727847- 800 Furthermore, if the owner has;hired,a contractor or contractors,, he is,advised.to:have.,the>gcohtractor{s) sign portions of the"contractor lock" of this application for which they will_ 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 Pas,co County TRANSPORTATION,,IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands, that Transportation Impact Fees and Redpurse Recovery Fens may applyt,.,theµconstructipn pf'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,alspvunderstands, 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 a cordance"with applicable Pasco County ordinances " oce4 I CONSTRUCTION LIEN LAW(Chapter=713, Fl da Statutes,as amended): If valuation of work" 2, 00.00oorm 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 omaone other than the"owner", I certify that,t have obtained a copy of the above,described document ed=,promise,in=good faith to deliver it to the"owner"prior to commencementCONTRAC . T t l E °S AFFi A I ."' l certify hat allthe information=in..ithis,application.,is ccurateeand Ihatri all"work, will be done in compliance with all applicable laws regulating construction, zoning and land'developrnent. Application is hereby made to obtain a permit to do work,,and 1nstallatlon 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 moot standards of all laws regulating construction, County and Clty 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. SuchArea, and.ncies includó but n a e not n of li ited Sensitive t ve Department of Environmental Protection-Cypress Bayheads, Wetland Lands,WaterMastewater.Treatments a heads, Wetland Areas, Altering - Southwest Florida Water Management Districts ells, Cypress Watercourses. - Army Corps of Engineers-SeaWalls,Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental;Health Unit-WellsellS Wastewater..Treatment,, Septic Tanks. - US=Environmental Protection Aency�Asbestosabaternen s - Federal Aviation Authority�Runways. I understand that the following:restrictions apply to the use of fill: Use of fill is not allowed tin Flood Zone"V"unless expressly permitted.. If the fill material is to_be used in Flood Zone "A", it is understood that'a drainage.plan.addressing a w.. "compensating volume"'will be submitted at time of permitting which is..prepared.by_auprofessional engineer licensed by the State of Florida. If the,fill.;material_is,.,,to_,be_used-in,Flood Zone "A"Arrconnection 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 affeioi adjacent ® properties. If use of fill is found to adversely affect adjacent properties "theowner,may be cited for violating' the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre-whichtiare4 elevated'by filly an engineered drainage plan is required. If I am the AGENT FOR THE , i promise ins good faith to inform-the-owner of-the'permitting o dition 'set forth in this affidavit prior to commencing construction. l understand other installations s r at� ec permit ificall includedcl� ed required 'in the�application. r plumbing,"signs, wells,-,pools, air conditioning, gas, oto permit a issued shall sibo construed of the technica l codes nor shall issuance.of a permit prevent the hBuildin vOfficiial from thereafter iolate, cancel, alter, or set aside any provisions of requiring a correction of errors in'plans, construction or violations any codes. of ermit iissuaince uordif work a thorrii ed y shall become invalid unless the.work..authorized by such permit is commenced within six months the permit is suspended or abandoned for a period of six(6)months after.the time,the xwdrkmis ddmrnencedr Are extension may be requested, in:writing, fromtitha,Building Official for aa period`not to exceed ninety (90) days and will demonstrate"z_.. justifiable cause.for"tho.ektension. If-work ceases for ninety{90},consecutive_days,the lob is considered abandoned. WARNING TO ER,. ,YOUR FAILURE TO RECORD R RA N IF YOU',INTEN T` OBTAIN FiN CIN NSUL,u ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR`t R v =� o R I . 'FT � �. 1�8�' OR ci314G ' OWNER sibs nb d'.and tars ' for i this subscrib d sworn 10(arc ' ed}°bar-`me`this� I t f t b by VYPto isJ r �t►�iiy krt� 8aa m�, r era lhave, Ws/areorally known to mss idenp a raad� d , as,id tiff don, s Notary Public Notary Public commission No. Commission No. Name�f Notary tyRad,printed car�tamp�d Na of Notary typed,prince HAEL REVELL R d=�u a C0M tSSi0N#001#4920 ' Y S.FebruecY 12 2022 v Expt6�E 'ors Fioity Pubkc find