HomeMy WebLinkAbout15-16489 CITY OF ZEPHYRHILLS
5335-8TH STREEC
, �. ' {i13}780-042d 1�4$�
BUILDING PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 16489 Address: 38350 SOUTH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RQOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPL(CABLE Lot(sj: Block: Sec#ion:
Square Feet: Subdivision: MOORES F1RST ADDITION
Est. Value: Parcel Number: 14-26-2'f-00'10-01000-0150
Mmprav. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 81Q412015 Name: ANTC}NY FAM1�Y TRUSTANTC}NY JOEIVI N
Total Fees: 45.Op Address: 15 ROCKVILLE AVE
Amaunt Paid: 45.OQ STATEN ISLAND NY 1Q3143719
Date Paid: 8/04/2015 Phone:
Wark Desc: REROOF SHINGLE �
Ct�NTRACTGIR S ! APPLICATtON FEES
EO ER R OOF RE ID NTIA 45.00
/ ��„^'
I
- I
�
Ins ections Re uired
DRYINR FIN P
TAPE JQINT OOF 1 SP_�
FINAL --
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 653.80 (2)(c) when e�ctra inspection
trips are necessary due to any one of the following reasons; a)wrang address b) condemned work resutting
from faulty construcfiion c) repairs or corrections not made when inspections calted d} work not ready for
ins ection when called e �
p ) permit nafi 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 additianal restrictions applicable to this properly that
may be found in the public records of this county, and�there may be additiona[ permits required from ather gavernmental
entities such as water management, state agencies or federal agencies.
"Warning to ownerc Your faiture ta record a notice af corrimencement may result in your paying twice for
impravements to your property. If you intend to obtain financing,consult with your lender or an attorney
hefare recording your notice of commencement."
Comptete Plans,Specifications Must Accompany�Application. All work shalt be pertarmed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
�
CONTRAC OR SIGNAT RE � PERMIT OFFI R
PERMIT EXPIRES IN 5 MONTHS 1NITHUUT APPRt3VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRLITECT CARD FROM V1IEATHER `
� - ��
�
I
�
� _ ��
,-
i
t
e�saso-oo2o City of Zephyrhills Permit Application ----_., Fax-813-780-0021
Bullding Department
; ;� . - � ,
Date Recelved Pbone Contact far Permttttn - J �'
Owne�'s tdame ,.�6 C� � �1 ` Gwner Phane Number
Owner's Address Ipwner Phone Number � - �
Fee Slmple Tltlehalder.Name � � Owner Rhone Number � �
I
Fee Simple Titleholder Address
E
JOB ADDRESS � O � S�� ,�(JG� ` �! �� LOT# �,�
SUBDIVISION �— � PARCEL ID#
(OB7AINED FROM PR4PERTY TAX NOTICE) �
WORK RROPOSED- NEW CONSTR ADD/AI.T � S1GN' Q Q DEMOLISH
e INSTALL REPAI �
PRt}POSED,USE Q SFR, [� COMM [� OTHEF2
TYPE OF GONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �, � � � /.�� Q r
BUILDING SI2E � � SQ FOOTAGE � HEIGHT C� �
i�Q��G $� ° �/ p� / � VAI.UATIQN OF TdTAL CONSTRUCTION j f r��-�
�—� � ��� ,A�.� -
EIECTRiCAI $ AMP SERt/ICE Q PRO RESS ENERGY Q W.R.E.C.
QPLUMBING ��
U.. �_
QMEGHANIGAk. $ VA�UATltl OF MECHANICAI IPISTALt.AT10N � F
p` �� 1 .
� ���
�GAS Q ROOFING Q SPEGIA�'fY � QTHER !
�. - ��
FINISHED FLOOR ELEVATIONS ° FLOOD ZONE AREA �YES NO �
. � � p
SUILDER C4MPANY ����L..f�
SICaNATURE �- REGISTERED Y/ N FEE CURRE� Y/N
I
Address � L:icense# �— ��
E�ECTRICIAN Ct�MPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � •I.icense# � �
I
PI.i1MSER , COMPANY
31GNATURE ,R�GISTERED Y/ N FEE CURREA Y/N
Address � . License# � �
� I
MECHANICAL COMP/WY
SIGNATURE REGISTERED Y! N F��cuw��n Y/N
I
Address � l.icense# � I
� �
O'fHER COMPANY
SIGNATURE ' RE�isreREO Y/ N , Fe�CuRr�n Y/N
i
Addreas � 4icense# � �
�
RESIQEN'iIAL' Attaah{2}Ptot Rlarts;(2}sets-of Buil'ding Ptans;{1}set af Errergy�Farms;R O-W Permlt far new canstruction, .
� Mlnimum,ten(.1.0)working"days aftec submittal date. Required onslte,Construction Plans;Stortnwater Plans w!Slit Fence instailed,
� Sanitrary FaclltUes_&�1 dumpster,Site°Work�Permit forjsubdiVislonspatge projects '
GOMMERCIAL Attach(3}�comptete set`s af Buildirig"P4ans ptus a Ltfe Safety Page;(1)set of Energy Forms.R-U W Pertnit for new cansfnsctian,
, Minimum ten(10)working days after submittal date. Required onsike,Construcdon Plans,Stormwater Plans.w!Silt Fence installed,
Sanitaty Facltitles&�1 dumpster.Site V1(ork Pertnit far�afl new proJects.All cammerctal requiremeMs must meet compUance
SIGN PERMIT Attach'(2}sets ofEiigineered Plans:,,,° �
'•••PROPEFtTY BURVEY required for all NEW constructlon.
Dlrectlons: � �
FIII out application completely.
Owner&Contractor slgn back of appitca�on,notadzed
If,over S250q,a Nottce of Commencement is required. (A/C upgrades over a7500)
'" Agent{for Hte contracto�)'or Power of Attorney{for khe owner)would be sameone with notarized letter from owner authorizing same
aVER THE COUNTER PERMITIING (Fron#of Applica8an Only)
Reroofs if shingles Sewers Service,Upgrades:A/C "'`���Fences{FIoUSurvey/Footage)
..:,-;, . , ;;,:;�:: , ��, ,- �
- �r:..�-;.�.
Driveways-Not over Counter if on pubiic raadways;.needs'ROW �� -
,^., ` ..� . .._.,.: �-�' ' � ,
} -_� r. - -
I
' ,l
NO'T10E OF D@ED R@S'�ReGTIONS: The undersigned under.stands that this.permif may be.subJect to,"deed" restrictions"
which may be�moce r.estrictive-than County regulatlons. �The undersigned�ssumes respmnsibility for compliance with any
applicable deed restrictions. I
UtdLIC�NS@D CONTRACTOitS At�D COIdTR/ACTOR RESPONSIBILITIES: If the o�n►ner ha� hired a contractor or
contractors to undertake work, they may be required..to be.Ilcensed In.accordance.writh state.and•local regulations. If the 'I
contractor fs not Iicensed as requlred�by law, both the owner and contractor-may be clted for a-misdemeanor violation
under state law. If the owner or intended contractor are uncertaln as to what 1(censing.requlrements�may appiy�for#he
intended work, they are advised to contact the Pasco County Bulldtng Inspectlon Divislon—LBcensing $ection at 727-847-
8009. Furthermore, If the owner has hired a contractor vr contractors, he Is advised to have the contractor(s) sign
portions of the "contractor Block" of this applfcation for which they will be responsible. If you, as.the owrier sfgn�as the
cont�actor, that may be an indication that he is not properly flcensed and ls not entftled to permftting privileges fn Pasco
County.
TRANSPORTATION IMPi4CT/UTILITIES IMPAC7 APID R@SOURCE RFCOVERY FEE3: T�e undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply to Qhe con�truction of new buildings,.change of
use in existing bui0dings, or,expansion of�ezistiri�g'�buildings, as speclfled.in Pasco County Ordlnance number 89-07 and
90-07, as amend�d. The undersigned also understands, that such fees,:as�may�be.due, wlil.be identified at the time of �
permitting. It is further understood that Transportation Impact Fees and Resource Recov.ety Fees must be pafd prior to
receiving a "certificate of occupancy" or flnal power release. :If the proj�ct does not Involve a certiflcate of occupancy.or
final power release, the fees must be patd pr(or to permit Issuance. Furthermore;�if Pasco County�Water/Sewer-Impact
fees are due, they�must be.paid prior to permit-issuance-In accordance with appllcable Pasca County ordinances.
COIVSTRUCTION LIEfV LAW(Chapter 713� �lorlda Statut�s, as amended): !f valuatlon of work is$2,500.00 or more, I
certify that I, #he app8cant, have been provided with a copy of the "Florida Constructlon L(en L"aw—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant fs 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 ft to the°owne�"prior to•commencement.
CONTR�ICTOR'SIOWNEtt'� AFFIDAVIT: I certify that all the InforrnaHon imthis appl(cation is accurate and that all virark
�� will�be done in compliance with all appl(cable laws regulating construction, zoning and land d�velopment. Appiication is
'i hereby made to obtaln .a permit Co do work and Installation as indlcafed. I certify that no work or tnstallatton has I
I commenced prior to issuance of a permit and that all work will be performed to meet standards of ali laws regulating� �
�I construction, County and City codes, zoning regulations, and land development regulations-(n the jurisd(ction. ( also
I certify that I uaderstand 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�ln:.compliance. S.uch agencles inciude but-are.not Iimited to:
- Department of Ehvironmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands, VVaterNVaste�rater Treatmenfi.
- Southwr�st Florid� VI/ater Management District-iNells, Cypress. Bayheads, Vlletland Areas, Altering
Watercourses. - - - - — - _
- Army Corps of Enginee�s-Seawalls, Docks, Navigable Waterways. - -
- Department of Health'& Rehabilitative Servlces/Enyironmental Health Unit-glVells, 1Nastewater Treatment,
' Septic Tanks. ,
- US Environmental ProtectEon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �
I understand that the follow►ing,restrlctions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil m�terial fs to be used. in Flood Zone. "A", IQ. is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting vuhich is prepared by a professional engineer
Iicensed by 4he State qf�Florida.
- If the fill material is to be used in Flood Zone "A" ins connectfon wDth � permitt�d buiiding using stem wall
� construction, I certify thaE fill�wlll:be used only.to.flll the area within the stem•wail.
- If ffll material is to be used In any aree, I certify that use of such fill vuill not adversely affect ad)acent
properties. If use of�ill Is found to adversely �ffect ad)aeent properties,.the owrner may be cited for viofating
the conditions of the building:permit issued under the attached permit applicatfon, for lots less than one (1)
acre which are elevated by flil, an engineered drainage plan is requlred.
If I am the AGENT FOR THE OWNER, I,�promise In good faith to Inform 4he owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a.separate permit may be requtred 9or electrical work,
plumbing, signs, wells, pools; air coraditioning, .gas, or other installations not.speclflcally included�in.the application. .A
permit Issued shall be construed to be a license to proceed vvfth the work and not as authority to,violat�,cancel, alter, or
set aside any provisions of the technlcal cod�s; nor shall issuance�of a perrr�it prevent the �ulldfrig Official from thereafter
requiring�correction af errors in.plans, construction or violations of any codes. Every permlt issued shall become invalid
unless the work authorized by such permit�Is.commenced�within six months of permit issu�nce, or if woork authorized by
the permit is suspended or abandoned for a:period of§ix(6) months.after the tOPne the�work ts commenced. An extension
may b� requested, tn writing, from the Building,O�icial for a period�not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension. If work ceases for ninety(90)consecutive day.s,.the Job�is considered aba�doned.
WARNING TO OIRINER: YOUR.FAILURE�TO.,REC.ORD A.NOTIC�.OF�COfVIMENCEM�MT NfAY RESULT tN YOUIt
�G:7�m�'Td!lE��-FO!�!!S!�►�I�R��l�IVIEN.7'S�TO YOLIR_PR�OPEI�7Y. IF YOU•INTEND�°TO�OBTAIIV•FIId�ANCENG��CONSULT
WITH Y U NDE O AN�►TTORNEY� FORE�RECO �D G�1(OiiR �C�'OF- � °�� E' �T� -
FLORIDA JURAT(F.S.1.17. �'
OWNER OR AGENT - CONTRACTOR -
Subscribed and swam�o(or af�me�be� me thi� Subscribed and'swom to(or a ed)�before e fhis
by �DS�aJ i ���Y�iJ� .by .
Who Islare personally known lo.me or haslhave produced Who Is/are personally knoum�M me or hasR�eve produced
as Identlflcatlon, as IdenBRcaUon.
�
Notery Public . / �� Notary Public
Commisslon No. Comm s n No.
Name of Notary typed,printed or stamped Name f , �pa
�` �`�- Cbmmission#
, ���;
��� � �xpires December 12,2018 .
i+ �� ,�y� @ond0d T�tu TmY F�n Insurance 80Q385-1Q"
�