HomeMy WebLinkAbout23-55827-tv V 7t,
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-005582-2023
Issue Date: 01/24/2023
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,
T9-T-Tr9-TMTTT-M*TMM
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNA)URE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
61:$48U_Uuzu City Ot Zephyrh!IIS Permit Application t-ax-81s-ibu-uuzi
Building Department
Date Received
/1111t3 I Phone Contact for Permitting
Owner's Name VDL W Me, Owner Phone Number
Owner's Address 1313qq (Sqk, Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS FA-73
L �-�
BUILDING SIZE
XX*XXW'xxxCxx1Xk
BUILDING '
O AL
=PLUMBING
=MECHANICAL
=GAS
FINISHED FLOOR ELEVATIONS
I 15�LL A-Ve., ZtQ1%1&JhkL& &,13540 LOT#
R
NEW CONSTRF-1
ADD/ALT
INSTALL
REPAIR
SFR
Q
Comm
BLOCK
Q
FRAMIj
SIGN DEMOLISH
OTHER
STEEL
SO FOOTAGE HEIGHT
$
VALUATION OF TOTAL CONSTRUCTION
LOW AMP SERVICE PROGRESS ENERGY W.R.E.C.
1$ i VALUATION OF MECHANICAL INSTALLATION
ROOFING Q SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
4,4"t f @4 044
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED FEE CURREN =1 N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN L_Z1 N_J
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L_I±N_j
Address I License #
OTHER COMPANY *4QW4"VWilL
SIGNATURE REGISTERED N FEE CURREN I Y TN
Address f :5k, A. J License# 1Irf_kC_JS6W
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 & I 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 & I 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 Attomey (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 oyZe pm~ 10-7o*n021
Building Department
NOTICE orDEED RESTRICTIONS: The undersigned understands that this pemnit 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. I
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 property licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES 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 lie 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 "certificat6 of o6cupancy" 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 per mit 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 —Homeowners 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'SIOWNER'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, Wetiand Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
' Southwest Florida Water Management District -Wells, Cypress Bayhwaus. Welland Aeon. Altering
vVutemoumoo.
- Army Corps prEngineem-aeowmnw.Docks, Navigable Waterways.
- Department of Health a R*xamnta\*u Services/Environmental *emm Unit -Wells, vvaotewato, Treatment,
Septic Tanks.
' U8Environmental Protection Agency -Asbestos abatement.
' Federal Aviation Authority- Runways.
/ understand that the following restrictions apply mthe use mfill:
- Use uffill ianot allowed mFlood Zone W"unless expressly permitted.
- If the 8U ma»aoW is to be used in Flood Zone .A^, it is understood that a drainage plan addressing a
^ compensating volume" will hwsubmitted attime of permitting which is pmp*mu by professional engineer
licensed bythe State ufFlorida,
- If the fill material is to be used in Flood Zone "A" in connection with u permitted building using stem wall
construction, | certify that fill will ueused only mfill the area within the stem wall.
- If 8n material is to be used in any area, | 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 uyfill, anengineered drainage plan isrequired.
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. . understand that "separate o,
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 commencedwithin 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
OWNER OR AGENT_
Subscribed and swom to (or affirmed) before me this
Who Were personally knov to me or has/have produced
,as identification.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
CONTRACTOR A
Stscrd.ibed�jy, swom (0469"Mere me this
by—:6
Who is/are personally known t in or has/haveTiroduced
C4 -- . , JJA A- Notary Public
Commission No.
admm`Nmmy'tyT6mvRntummdmpe
ACQUELINE DOGES
isso # 772
xpi ecom 'r 267
Expires December `12,2026
Denver Wade and Beverly Hunt s28516
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last Revision Date: 0918 Page 2 of 3
HOME PERFORMANCE ALLIANCE, INC.
Phone: (800) 472-5449 - Customer Service Hotline 800-472-5896 - Fax (727) 538-4217
1780102nd Avenue, Suite 500, St. Petersburg, FL 33716
M8ffl8Lmyhp rom - Email: Help@myhpa.com
State Certified General Contractor License1 508826 &
CBC1258017 State Certified Roofing Contractor License #
CCC1333840. S28516
Denver Wade 813-461-9732 Date: 11/28/2022
37349 Gill Ave denverwade44@gmaii.com Rep Name: Dylon Faragure
Zephyrhilis FL 33541 Office: (800) 472-5449
General Description of Work: Home Performance Alliance, Inc. (HPA) will furnish & install the HPA
roofing system, which is further described in the Specification Sheet attached hereto as Exhibit "A" &
initialed by the parties. IPA will remove & dispose of all debris from job site. Price below includes
building permits & Inclusive limited Workmanship Warranty.
The above work will be completed in accordance with the terms, conditions, an pecifications h
with payment to be made in accordance with the following payment schedule:
Project Price
Initial Down Payment Amount
Down Payment Form of Payment
Balance Due
Balance Form of Payment
*BALANCE DUE UPON INSTALLATION OF ROOFING SYSTEM, NOT AFTER THE FINAL INSPECTION.
$24,000M
$5,000.00
Credit Card
$19,000.00
Finance
alteration or deviation from the above scope of work involving extra costs will be set forth in a change order agreement
between HPA and you with the exception of the replacement of any damaged or rotted wood.
the following rates1x6 Fascia 6oard @ $25.bO per LFI� 1/2"plywood @ $150.00 per 4x8' sheet. Three sheets of 1/21,
plywood are included In the Project Price.
Buyer's Right to Cancel: This is a home solicitation sale, and if you do not want the goods or services, you may cancel this
agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do
not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign
this agreement, If you cancel this agreement, the seller may not keep all or part of any cash down payment; Note: Telephonic
communications do not constitute valid notice of cancellation under this contract. Saturday is a business day for the
purposes of this contract .
x.
OF THE DATE WRITTEN ABOVE AND I HAVE BEEN ORALLY INFORMED OF MY RIGHT TO
CANCEL THIS TRANSACTION.
Denver Wade Dylan Faragure
11 /2/222 1 /2 /222
Date Date
YOU, THE UY R, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT" OF THE THIRD BUSINESS
DAY AFTER THE DATE OF THIS °TRA A T ON. SEE THE ACCOMPANYING NOTICE AN L,L.AIT ON FORM FOR AN
EXPLANATION OF THIS RIGHT
HOME PERFORMANCE ALLIANCE, INC.
Phone: (800) 472-5449 1 Fax (727) 538-4217
Customer Service Hotline: 800-472-5896
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Customer Information
Denver Wade 813-461-9732 Date: 11/28/2022
37349 Gill Ave denverwade44@gmaii.com HPA Rep: Dylon Faragure
Zephyrhills FL 33541 Office: (800) 472-5449
Windows
[
]3
Number of DuraShield X Impact Windows (Wincore)
t Number of DuraShield X Non -impact Windows (Wincore)
Windows
Durashield V ImpactVindows (CWS)
0
0
3y ass li inI Glass Doors # and Location
Number of Impact Doors 0
Number of Non -impact Doors 0
J0
Number of Impact Doors 0
Number of Non -impact Doors 0
EntMPqqEs_
—
Number of Impact Single Door
0
Number of Impact Double Door
0
Number of Sidelites - Impact
0
Number of Sidelites - Non -Impact
0
Number of NON -impact Single Door
0
Number of NON -impact Double Door
0
NOTE: See Door Order Form for details.
Hurricane Shields
Number of Window Hurricane Shields
0
Number of Door Hurricane Shields
0
*Company is NOT responsible for disconnecting and/or reconnecting burglar systems.
*Pocket Sliding Doors DO NOT come with screens."
Page 25 of 27
*Single Hung windows, top is fixed & bottom opens. Tilt In N/A.
*Company is NOT responsible for painting or staining.
-hite,
Double stun
30 X 59
W indow #
l,g,a
Location
Quantity
3
2 master bedroom and 1 in guest bedroom
Window Style
Double Hung
Window Brand Durashield X Non -impact Window
Exterior/interior Color
White/White
Size 84-100 U I
0
Denver Wade
11/28/2022
Date