HomeMy WebLinkAbout15-16263 CITY OF ZEPHYRHILLS
; , ', 5335-8TH STREET
(si3)�so-oo20 1 6 3
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16263 Address: 6300 BRENTWOOD DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0930
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 5/11/2015 Name: DENSLOW, RICHARD
Total Fees: 50.00 Address: 2950 NEWMARKET PL
Amount Paid: 50.00 BELLINGHAM WA 98226-3872
Date Paid: 5/11/2015 Phone: (678)642-2327
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
A N ROOFIN RERO F RESIDENT AL 50.00
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Ins ections Re uired�
DRY N ROOF INSP
TAPE JOINTS OF�NSP_
FINAL -Ji
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 fl 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o,�-,oU-v��u t;ity o�Zephyrhills Permit Applicatian Fax-813-780-0021 .
Buitding Department
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Date tteceived Phone Contact for Permitting -
Owner's Name tG�' t�-L� G H-/` Owner Phone Number ,.__
Owner's Address ��� f'�������� ���� Owner Phone Numb�r _,_,
Fse Slmple T}tlehold�r Name � ��� 0+�+►ner Phone Number _,
Fae Simpla Tltlehotder Address
JOB ADDRESS ��� �� J���� I.OT# �
SUBDIViS10N �ILtIG-��- _���., � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSE!? e NEW CON5TR 8 ADD/AlT C� 81GN Q [� DEMOLISFt
INSTAI� REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE QF CONSTRUCTION Q BLOCK [� FRAME � STEEL Q
DESCRIPTION OF WORK ����� � r��'od�- 4�� � �igJ� Str��i��-�"--S 3� ,�
BUILQING SIZE �� � SQ FOOTAGE C„_�� HEIGHT �_,,_„�
�BUILDING $ Q "'^� VALUATION OF TOTAL CONSTRUC710N
[�ELECTRICAL $ AMP SERIJICE Q PROGRESS ENERGY Q W.F2.E.C.
QPLUMBING �$�� •
(`_�,.__,. .
QMECHANICA� $ VAI.UATION QF MECHANICAL INSTALLATION � ( (��I �
� t 411
QC�AS ROOFING Q SPEC�AL7Y � OTHER
FINISHEQ FLOOR Et�EVATiONS ��� FLOOD ZONE AREA QYES NO
BUILDElt Ct?MPANY
SlGNATURE REGISTEREd Y J N FEE CURRER Y/N
Address �� License# �� �
ELECTRIClAN COMPANY
SIGMATURE _,_,_,,_ RE�iST�RHD Y! N FEE GURREM1 Y/N
Address � License# �— � ' �
I PLUMBER � � GQMPANY
� SIGNATURE ( � REGtSTEREO Y I RI FEE CURRER Y/N
�
I Address License# �
MECHIWICAI. COMPANY
SIGNATURE REGlSTERE4 Y! N FEE GURRER Y J N
� Address License# �— '�
i
OfiHER A � _ COMPANY U�r�liW 2��/�'�
SIGNATURE �""�� REGI3TERED Y/ N PEE CURRE� Y 1 N
Address 8 � 13�� � �l'� /�G~- Ucense# ��Y����`—�
RESiDENTiAR. Attach(2}Piot Pians;(2}sets of Buitding Plans;(1)set of Energy Farms;R-O-W Permik for new construcUan,
Minimum ten(10}worlcing days after sutimlttal date. Requlred onslte,ConstrucBon Plans,Stormwater Plans w!Silt Fence instaNed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects
COMMERCIAL Attach(3}compiete sets of Building Plans plus a Ltfe 5afety Page;(1)set of Energy FoRns.R-O-W Pertnit for new constru�tioa.
Minimum#en(10)wartcing days after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Sflt Fence instatled,
Santtary Facilities&1 dumpster.Site Work Permlt for all new proJects.All commercial res}uirements must mest compifance
StGN PERMIT Attach(2}sets of Englneered Plans.
""PRQPERTY SURVEY required for all NEW construction.
Directions:
Fitt out application completety.
Owner 8�Contractor sign back of application,notadzed
�f over 52500,a Notice of Commencement Is required. (A!C upgrades over ET500)
" Agent{far tt�e contractor}or Power of Attomey(far the owner}wouid 6e someone with notarized letter from owner autharizing same
DVER THE COUNTEFt PERMITTING (Front of Application Only) '
Reroofs if shingles Sewers Service Upgrades A!C Fences{PfoUSuroey/Faotage}
Driveways-Not over Counter if on pub8c roadways..needs ROW
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�OTICE OF DEED RESTRICTIONS: The u�dersigned undetstands°that this�petm(t.may be_subject to°deed"restrlctions°
vhich may be:more.restrlctive.than County regulations. �The underslgned assumes responsibility for compliance with any
ipplicable deed restrictions. -
JNLICENSED CONTRACTORS AND COtdTRACTOR RESPONSiBILITIES: If the owner has hired a contractor or
:ontractors to undertake work, they may be required.to be:licensed in accordance.with state.and•local regutations. If the
;ontractor is not licensed as required-by law, both the owner and contractor may be ctted for a misdemeanor violatlon
inder state law. If the owner or tntended�contractor are uncertaln as to what Iicenstng.requlrements may apply�or the
ntended work, they are advised to contact the.Pasco County Building Inspection Divlsion—Ltcensing Section at 727-847-
1009. Furthermore, if the owner has hired a contractor or contractors, he is advtsed to have the contractor(s) sign
�ortfons of the "contractor Block° of thls application for which they will ba responsible. If you, as.the owner sign as the
:ontractor, that may be an indicatfon that he is not.properly licensed and is not entftied to permitting privileges in Pasco
�ounty.
�RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
hat Transportatio� Impact Fees and Recourse Recove.ry.Fees may apply to the construction of new buildings, change of
ise in existing buildings, or expansion of exfstiri�g':6uildings, as specifled in PascQ Count�r Ordinance number 89-07 and
�0-07, as amended. The undersigned also understands, that such fees, as;may�be�due„wiil�be identified at the time of
�ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
•eceiving a "certificate of occupancy" or flnal power release. :If the project does not involve a certificate of occupancy or
�inal power release, the fees must be paid prlor to permit Issuance. Furthermore, if Pasco County WaterlSewer.Impact
`ees are due, they must be.pald prior-to permit�issuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTI�N LIEN LAW(Chapter 773� Florida Statutes,as amended): If valuatfon of work is$2,500.00 or more; I
�ertify that I, the applicant, have been provtded .with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depactmenf of Agricuiture and Consumer Affairs. If the applicant is someone
�ther than the"owner", I certify that I have obtaine,d a copy,of the above.described document�and promise in:good faith.to
delive�it to the°owne�"prior to�commencement:
CONTRACTOR'S/OWNER'S AFFID�VIT: I.certify that all the Information in thls applicatlon is accurate and that ail work
�rill be done in compliance with all applicable laws �egulating 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
�ommenced prior to issuance of a permit and that.all work wfll be perFormed to meet standards of all� laws regulating
construction, County and City codes, zoning regulations, and land development regulations-in the jurisdtction. I also
certify that I u�de�stand 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.corrlpliance: S.uch agencles include but are nnt limited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Wate� Management- .District-Welis, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses. ,
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health 8 ReMabilitative,Services/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authority-Runways.
I understand that the following.restrictions apply to the use of flll:�
- 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. ts understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permltting which is prepared by a professional engineer
Iicensed 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
� const�uction, I certify that fill�wlll�be used only to fill the area within.the�stem wail. �
- If fll material is to be used in any area, I certify that use. of such fill will not adversely affect adjacent
propertfes. If use of flll is found to adversely:affect adJacent properties,.the owner may be cited for vfolat(ng
the conditions of the building.permit issued under the attaciied permit application, for lots less than one (1)
acre which are elevated�by flll, an engineered drainage.plan is requtred.
If I am the AGENT FOR THE OWNER, I;promise in good faith to fnform the owner of�the permitting conditions set forth (n
this affidavtt prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, weils, pools, air cond(tioning, .gas, or other installations not spec�flcally included-in the application. A
permit issued shail be construed to be a Ucense to proceed with the work and not as.;authority to,violate, cancel, alter, or .
set aside any provisions of the techn(cal codes; nor shali issuance of a permit.prevent the Buildirig Official from thereafter
requiring a correction Qf errors in.plans, constructlon or vlolatlons of any codes. Every perm(t 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 pe�mit is suspended or abandoned for a period of six E6)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,.th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE.TO,RECORD A NOTIGE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMEN.TS TO YOUR PROPERTY. IF YO.U�INTEND'TO�OBTAIN•FIPtANCING,'CONSULT
+,�A�y_ Qu�_���un� __�p RI A,�T'ORNEY B FORE�RECOR�DINGYOUR�NOTICE°.OF.COMMENCEMENT: L _
FLORIDA JURAT(F.S.117.03)
r _ c.yC�- -
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or aiflrmed)before me fhis Subscribed and swom to(or affirmed)�before me this
by ,by ,.
Who Islare personally known to.me or has/haye produced_ Who Is/are personally knovm to me or has/t�ave produced •
as Identlflcatlon. as IdentlflcaUon.
Notary Publlc Notary Public -
Commisslon No. Commission No.
Name oI Notary typed,printed or stamped Name of Nolary typed,printed or stamped
�Y II�II�tt I Page No. of Pages
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PROPOSA SI�BMITTED TO PHONE DATE
� ��/�0 �I�.�s�o rJ 3 r'
STREET JOB NAME
�.S o D ��iv�G(/pp� �/�
CITY,STATE and ZIP CODE JOB LOCATION
��9r� �� ,�v
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for•
s����y �� �u�.� `o ���� o�� ,�,�� ;2��ov�- �°��= ,�� �t�1��
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S'i���/G-�� �c�-t N/�Ti�GS, G��J�D �r�L,�1�' ,��s /� l�'-� �����<C� .�'f� -
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��N��/LS /��-S �G G' Co"��/���` '�- ,
�P �P0�10�P hereby to furnish material and labor—complete in accordance with above specifications, for the sum of:
l��G/✓� ��G� u/v'✓�1� �� dollars($ �� f
)•
Payment to be de as follows:
�0 �T�D•✓ � ��J.o
All material is guaranteed to be as specified. All work to be completed in a workmanlike /' �
manner according to standard practices.Any alteration or deviation from above specifications Autho�iz0d �t�
involving extra costs will be executed only upon wririen orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be
Our workers are fully covered by Workman's Compensation Insurance. wlthdfaWn by US If not aCCepted Within dBYS.
z�trP�tttnrP of �ro�usttl —The abo�e pr��e5,specifications �
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature _