HomeMy WebLinkAbout15-16219 � CITY OF ZEPHYRHILLS
' ' ''�'"5335-8TH STREET
(sis)�so-oo20 16 19
BUILDING PERMIT '�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16219 Address: 38624 5TH AVE �
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17000-0080
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 4/29/2015 Name: TILLMAN LANCE & MARLENE
Total Fees: 75.00 Address: 38624 5TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/29/2015 Phone: (813)713-0220
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
PA D SCHAPER RO FIN I C REROOF RE IDENTIAL 75.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL S� -(Y-�S�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� _ , • 81�-�s�o2o City of Zephyrhills Permit Application Fax-813-78D-0021
Building Department
Date Received .21• I Phane Contact for Permittin �\� � �Z — � `��
Owner's Name � � �� Owner Phone Number C�� '7� ' a'�
Owner's Address 3$�D2�'{ S�Ave, ti h� � Owner Phone Number
;
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tttleholder Address
JOBADDRESS ��V • LOT� �
SUBDIVISION �� PARCEL ID# +�"2-�Q"Z(' ��' �O
(OBTAINED FROM PROPERTY TAX NOTICEJ
WORK PROPOSED NEW CONSfR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �/ � a a �
BUILDING SIZE p�� SQ FOOTAGE HEIGHT �
Q BUILDING S���Oa VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ n,/ �
!/l �
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �'
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISriEDFLOORELEVATIONS � FLOODZONEAREA QYES NO
BUILDER � I COMPANY � �
SIONATURE REGISTERED N FEE CURRE N
Address �Q�� �� 11 I.�� License# �
ELECTRICIAN COMPANY
SIGNATURE REClsr�xeo Y/ N �cuaaen Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTF�2m Y/ N �cuwtEr. Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGi5rErtEO Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N �cuwtEn Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities 8 1 dumpster,Site Work Petmit tor subdivlslons/large projects
COMMERCIAL Attach(3)complete sets of Buitding Plans plus a Life Safety Page;(1)set of�Energy Fortns.R-0-W Pertnit for new construction.
Minimum ten(10)worlting days after submittal date. Requi�ed ansite,Construction Plans,Stortnwater Plarrs w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'•'PROPERTY SURVEY required for all NEW constiuction.
DlrecUons:• �
Fill out application completety.
Owner&Contrador sign back of application,notarized
If over b2500,a NoGce of Commencement is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the awner)woWd be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Frord of Application Onty)
Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
Driveways-NOt over Counter if on public roadways..needs ROW
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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 Biock°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 properiy licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION.IMPACTNTILITIES IMPACTAND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,change of
use in existing buildings, or expansion of existing buildings, as specfied 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 WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco CouMy ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
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 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"owne�'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 developmen� 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 woric will be pertortned 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 govemment agencies may apply to the intended work,and that it is
my responsibiliry 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,WatedWastewater 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"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
"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 violaGng
the conditions of the building permit issued under the attached permit application,for tots 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 worlc,
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
I requiring a carrection 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 FINANCIPIG,CONSULT
WIT YOUR LE DER AN ATTORNEY BEFORE RECORDING YOUR N OF COMMEPICEMENT.
FLORIDA JURAT(F.S.117. 3) '
OWNER OR AGENT CONTRACTOR
S�bswom to(o affi )gefo , me this Su ed b om to(or a i )be re me t is `
Y � Y
' Who Is/are personally known or haslha �eadaeetl Who Islare pers nally known to me or ha ve prodused
' ntification.
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;'y :Q; �Y omm. P E 131770 = � :•_ �y Comm. XP EE 131770
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BUILDING PLAN REVIEW COMMENTS
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment •eet s �11 be kept with the permit and/or plans.
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Kalvin witze — ans Examiner Date Contractor and/or Homeowner
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�Applicatian Type All Product Manufacturer Mule-Hide Products Co.,Inc.
Category _ Roofing5ubcategory Single Ply Roof Systems ,
;Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract ExpiredAlL
Product Model,Number or NameALL ProducE Description ALL
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FL1C703-r�4 Editorial Change Mule-Hide Products Co.,Inc. John W.Knezevich,PE pproved
H�storv Category:Roofing (954)772-6224
— Subcategory:Sing[e Pfy Roof Systems
FL3277Z-,1 Revision Mufe-Hide ProducFs Co.,Fnc. John W.Krtezevich,PE pproved
Histo;e- Cate4ory:Roofing (954)772-5224
u Subeate o .Singfe Ply Roof Sysfems
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Conmc[Us::1940 North tAomne Street.Taltahassee FL 32399 phone:850-487-iH24
The State of Florida Is an AA/EEO employer.Cowriaht 2007-2010 Smte of Fbrfda.::Privacv S�tcment::Accessibilitv S�eement::Refurtd Statement
Under Rorida law,emaD addresses are pubGc r�rds.If you do not vant yaw e-mal[addc�s released In response to a pu6lic-records cequest,do not
serd electronic mai�tu this entRy,I�d,oonbct Hre o�ce by phorre or 6y tradfUonaf ma?.ff you have any quesaons,pfease aontatt 850.487.5395.
'Pursuant[o SecHon 455.2�5(lj,Rorida S(atutes,efEecHae Oc6o6er i,2012,ficensees t7cerse3 under Utap�r 455,FS.must provide ffre Deparhnen[
with an email address d theY fmve oqe.Tfse emaifs prwfd�maY he�sed Por official cnmrtsumeatm�wit}r tfie Iicensee_How�eves e�siail addresses are Dubiic
record.If you do aot wTsh tr�supply a personal address,piease provide the Oepartrrtent with an ema➢address whkh can be made available m the public.
To deoertnlne Hyou are a Itcereee under Chapter 455,FS_,please cTlck here.
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Applicatian Status AEL Compliance Method ALL
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