HomeMy WebLinkAbout21-32925335 Eighth Street
Issue Date: 12/02/2021
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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
in& #- *90 a RZT01 J, WATWA I on 1:4 Z
813a90-0020 City of Zephyrhills Permit Application Fax-313-780-0021
Building Department
Date Received
Owner's Name I Earl Von Horn
Owner Phone Number 1 (813)71
Owner's Address 5$4$ DO WO id St Ze hyrhillS FL 33542 I Owner Phone Number 1 (813)713-32QQ�
Fee Simple Titleholder Name I I Owner Phone Number i
Fee Simple Titleholder Address
JOB ADDRESS
5848 Dogwood St Ze h rhills FL 33542
LOT # 122
SUBDIVISION
Colony HI
I PARCEL ID#
12-26-21-0260-01900-1220
(DETAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT 0
SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME
STEEL
Re -roof shingle. 27 squares. Peel and stick underlayment. Replace ridge vents.
DESCRIPTION OF WORK
BUILDING SIZE SOFOOTAGE 2,7Q8
HEIGHT
[=
=BUILDING
$
11,990
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
AMP SERVICE
PROGRESS ENERGY W.R.E.C,
PLUMBINGr
MECHANICAL
$ VALUATION OF MECHANICAL
INSTALLATION ✓7r
p`
GAS FX__1 ROOFING SPECIALTY =
OTHER '
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
=YES NO
BUILDER — COMPANY I
Total Home Roofing
SIGNATURE
REGISTERED
'XI N FEE CURREN Y I N
Address 5971-iavertCt Suite 40 Rockled e FL 32955
License # CCC133Q489
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License #®�4
PLUMBER COMPANY
SIGNATURE REGISTERED Y / NFEE CURREN Y / N
Address License #
MECHANICAL COMPANY �®
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED---�Y ( N FEE CURREN Y / N
Address License #
IIII/1/11/11111/11/1111/IIIII/III/I/IIIIIIIII111/IIII/1//II/IIIIIII
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. (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 AIC 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, after, 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 IMPROV ENTS TO YOUR PROPERTY. IF YOU INTEND TO -OBTAIN FINANCING, CONSULT
WITH YOUR LENDER =yUrTORKEY BEFORE RECORDING YOUR NOT 1GEbF'CQMMfEMCEMENT.
FLORIDA JURAT
OWNER OR AGENT CONTRACTOR
Subscribed and swo before me thw�Subscribed and swo r before me
w
b rt,
J2L=2� Y hp-r nnnvRn 1 2/02202_11—by
Who is/are personally kno n to me or has/have produced Who istare personally Im n to me or has/have produced
as identification, as identification.
Notary Public Notary Public
Commission No. HHH077996 Commission No. HHH077996
Maria Angel Maria Angel
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
INSTR#2021253280OR BK10491 PG3146 Page I of
11 /24/2021 09:55 AM Rcpt: 2382427 Rec: 1000 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
(:=
NOTICE OF COMMENCEMENT
Florida cot"y Of
the insow" Infornutbon is pc� ki this NOW* of Commar"mont,
1, D"a"on o(Propwty, PwvW Wor0floadion No. - .1'4 - C:) V=kc3m - 0
Srvw(Add.� E&AISIt-
2, RE-*OOF
3. Dww War%ation or jLossee bts allqn 9 U-4 Lama wnrw1od W ft kn9mwnvrI:
city I
OWNER
NaM of Foe SIMPW Titleholder N'A
N/A (w dweirard fmm Omw mted above)
StAIV
CWUAGW. -613A TOTA6AOME ROOFING
4Addm* TOTAL HOME PROPERTIES
597 HAtVATY COURT SUITE 40 ROCKLEDGE FIL
Ad**" city Six*
Ci;nU*cW*T,e,be,No,: 321-452-9223
Naffw
Address
Aawwt of Bond: s N/A
Lander. NIA
N/A NIA
Address city staid
I~% Telonficins No-,
Pamws wOm the State of FtoAds da&Weta® by ft a"r upon whm noftes or ottier docAments may be served as pro,140d by
SectionTI11 I a)(7jFkxWsSt&hAisw'
A/x
Nam
NIA N/A
Ad&wu city State
Tafteilearis NWIRW of DesiVisted Person: N/A
in addwn to Ntn"a, ft mww dawginat" N/A Of
- N/A -tofecall" a copy orthe uerves NotigAprovided to Soctlon 713.13(I)(bb Floclda S"tss.
Tolisianone NaTtibw of Person or Entity Designated W Oww
4. Expewt dote of Notice of Commencomwit (to expintaw date may not be bakAv ft eMpil000n of voMhX*w end final Payff"Al b the
oo#%ns=. ow win to one yew fmm me dated mcwd" Wft" a amenwot date 4 spewflao): NIA_ _
rye xz[acrt?rf■
Undw 0einsity Of thist I he" mod Via foregoing not" of snowneni and that the fach stated therein ary Mot to Hw best
of My 4W*ftdgQ='!rIs-
STATF OF FLORIDA
COUNTY OF PASCO
J" WABNE 0
OMowA)k*cw/Pwuw/M&nsgw
C0TVI*w;IiW*HH113tT8
OWNER
E*WAPrV4.2025
4.1.,
Signatoro rift0ofte
'4e Beaded TIn KO"
befort MOVL
OWNER
of *Wwty, sg� oMw, Inadee, stiomey In fwt) V
SELF
on )wW fraw"ant was exv;%04
"dd*boWn&k*oanmwvwrwA-K05X4&
PERNIFFAUTI-10RIZATION
(PLE',-ISE PRIAYA LL LVFOR.11.4 T10,V LEGIBL 1)
QUALIFIER/LICENSE HOLDER: jRDbeftDQnQVaa___
LICENSENO.: CCC1330489
1. -Robed_Don0uando hereby authorize
Daniel Lebron —. to obtain a permit on my behalf
tinder my license for the job at the following address:
38546 9th Ave and 5848 Dogwood St. Zephyrhills FL 33542
x Date: 12/02/21
LICENSE HOLDER SIGNATURE
The foregoing instrument rt as acktioNfledged before me the Qg_ day of
D?,cember 21) 21 .by _RQbart_Doaovan___, 1LbAL_Ls
�soqaflv �kaowu tot e or N-.,ho has produeed
(type of identification) as identification. g qMw% Angel
Notary Public
Sbrte of Florlda
2
K:\uscrdita\SflAREU-,,BuiJding MVaronentIf OMIS & TEi IPLATES'kBuilditigApplications & Web FonusTcrtnit
Authorization,doe
City of Zephyrhills
5335 81h St
Zer)h4rhilli
=LM ,
1, k- ( licensed under Chapter 468, Florida Statutes as a(n):
ContractorZEngineer — Architect —
Building Inspector
—
License No. CC-C ! -SSc0Cf :Eq
On or about did personally inspect the:
—4� Check: Roof Deck Naifling,_ Dry in Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick_ Other (Lim
At the following
address:
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual'(Based on Section 553,844, Florida Statutes),
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
30=
BY:
Notary Public State of Florida
ill
k4arls Angel
Notary Public
State of Fl,��trorida
COMM# HH077996
Expires 1/6/2025