HomeMy WebLinkAbout15-16350 CITY OF ZEPHYRHILLS
� 5335-8TH STREET /�
'� (sis)�8o-oozo 1635,0'r
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION '�
Permit Number: 16350 Address: 38133 8TH 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: 11-26-21-0010-09700-0070
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 6/09/2015 Name: MYERS CONARD L & LAURA
Total Fees: 50.00 Address: 38133 8TH AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-3949
Date Paid: 6/09/2015 Phone: 301-448-0470
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RE IDENTIAL 50.00
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Ins ections Re uired
DRY IN R OF IN P
TAPE JOINTS ROOF INSP
FINAL�?�� 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIG ATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSIIRE ST�TEMENT FOR OWNER
CITY OF ZEPHYRIiILLS BIIILDING DSPARTI�N'P
2, �qv�/� �uQ r�� have read and fully understaad and
agree to the provisioas of this instrumeat.
The undersigned states and affirms that he or she is desirous of constructing,
reaovatiag, addiag to or reroofiag his or her owa domicile, that he or �he
actually occupies, or will occupy by said domicile, and same is not for
reat, lease or sale. That he or she shall comply with the followiag coaditioas:
1. That the owner aad he or she aloae shall aet as the builder for all phases of
coastruction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinaaces and codes pertineat to the buildiag.
3. That ia the eveat various phases of coastruction are subcoatracted, he will
engage only properly licensed subcontractors aad will persoaally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owaer will assume full respoasibility to iasure they are made, aud upon
completioa will call for a reiaspection before proceeding with the building.
i 5. That the owner shall assume full responsibility for the constructioa and will
aot ect su ervision of his work from the Cit of Ze h rhills Buildia
�P P Y P Y �
Departmeat.
6. That prior to fiaal inspection aay additional fees, iucluding reinspectioa
fees, must be paid in full. A written requeSt from this office shall
constitute an ogficial aotice to pay additional fees.
7. That the owner shall comply with all City, State aad Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owuer shall comply with all the safety codes issued by the Florida
Industrial Commissioa.
9. State law requires coastructioa to be doae by licensed contractors. You have
applied for a permit uader an exemption to that law. The exemptioa allows
you, as the owaer of your property, to act as your own contractor with certain
restrictions evea though you do not have a licease. You must provide direct
onsite supervision of the coastructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial buildiag, provided your coets do aot exceed $75,000.
The buildiag or resideace must be for your owa use or occupancy. It may not
be built or substaatially improved for sale or lease. If you sell or lease a
'al i rov d our elf within 1 ear after
buildiag you have built or substaati ly mp e y s y
the constructioa is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violatioa of this
exemption. You may not hire aa ualicensed persoa to act as your contractor os
to supervise people workiag oa your buildiag. It is your respoasibility to
make sure that people employed by you have licenses required by state law aad
by county or municipal licensiag ordiaaaces. You may aot delegate the
responsibility for supervisiag work to a licensed coatractor who is aot
licenaed to perform the work being done. Aay person working on your building
who is not liceneed must work under your direct supervisioa aad must be
employed by you, which means that you must deduct F.I.C.A, and withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinaaces, buildiag
codes, and zoaing regul tioas.
OWNER'S SIGNATURE � DATE � ( � ! �S
ADDRBSS I �-ln�l L a-
PHONS s�� -�-39-d��a �
WITNBSS PBRMIT #
a1a-7so-ooza C9ty of Zephyrhills Permit Applicatiort Fax 813-7aaoo��
„ Building Department
Date Recelved -�,y,..�.�.�,:�J'�,,.,., . _ .Phone-Cantact'for Rermtttin���� -µ + L' �j- ` � - � ,
Owner`sName; v� ,�,:t'�,�G��.'r,`b I':r\ 2V"� ;ipwn��.PFione.Number' '���� ����– �� ��
Owner's Address�,°�-�S`�'�3-^" �./�����?h r�u�1$��--�J�Yc�' 1.OwnerSPhone Number ,��� a.� / ���' ���
U u.�_„
Fes Simple Titleholder Name � i� 4wtter Rhone Number �— �
Fee Slmple Titlehalder Address
JOB ADDRESS ����� ��� e L�� '(` 1\l ��-- ����a LOT# �
SUBDiVISION � � PARCEL ID#
(dBTAINED FROM PRdPSRTY TAX NOTICE)
WORK PROPt1SED NEW CONSTR ADDJAtT � SiGN [� Q DEMOLISH
e INSTALL � REPAli2
PRQPOSED USE � SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION � B�OGK Q FRAME � STEEL Q
DES�CRIPTION OF WdRK �"2 ��� � S►"��✓'� "�
BUILDING SIZE �� � SQ FOOTAGE� HEIGHT C_,�
QBUILDING $ �} -y� VALUA710N OF TQTAL CONSTRUCTION
d`�v
QE�ECTFiiGAi. $ i � AMP SERVICE Q PRCIGRESS ENERGY Q W.R.E.C.
QPLUMBlNG � �
MECHANICAL $ VALUATION OF MECHANICRLlNSTAlLATION r;�r�
� ' �
QGAS [[� ROOPING Q SPEClALTY � OTHER
FINlSHED FLOQR ELEVATIONS ��� F�OOD ZONE AREA QYES NO
BU!l.DER ` _–_f jJ/j CqMpANY `i–o E. ts i12�
SIGNATURE %I REGiSTERED Y/ N FEE CURRER Y/1V
Address License# � �
E�ECTRICIAN COMPANY
S{GNATURE REt313TERED Y 1 N FEE Cl1RREt+ Y 1 N
Addres� ���— Ucense# ( �
pL:UMBER COMRANY
SIGNATURE �� R�c�srESEO Y! N F�cu�ES� Y/N
Address i.icense# I �
MECHAN!lGAL COMpANY
SIGNATURE REGIS7ERED Y/ N FEE CURREt+ Y/fU
Address Llcense# ( � ���
OTNER COMPANY
SIGNA7URE REGI57ERED Y/ N� Fee CuRtte►+ Y 1 N
Address � + Ucense# � �
RESlDEMTIAL Attach{2)Plot Plans;(2}sets-of,Building'Plans;{1)set of Eriergy Fartns;R-O-W Pem�4t for new consttuction,
Minimum ten(.10)working`days after,submittal date. Required onsite,Constiuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&=4�dumpster Site Work•Permit for subdivisionsJlan,�e proJects -
COMMERCfAL Attach(3)camptete�sets of Suildfog!'lans plas a Llfe Safety Page;{1}set af Energy Forms.R-O-W Permlt for naw construction.
Minimum ten{10)working days after submittal date. Required onsite,ConsVucBan Plans,Stormwaker Plans w/Silt Fence i�stalled,
Sanitary Faciiities&1 dumpster.Site Work Permit for all neinr projects:Ail commercial requirements must meet campltance
li SIGM PERMIT Attacfi{2}sets of Engineered Pians., . � �
�� ""`PROPERTY SURVEY required for all NEW consUuctian.
Direa#fons:
FIII out application complekely.
Owner&Contractar sign back of applicaUon,notarized
If over�2.''s00,a Notiae of Cammencement ts raguired. jA/C upgrades over�7500)
' " Agent(for the cantcaetor}or Pawer of Attamey(for the owner}would be someone with notarized letter from owner authorizing same
I DVER THE COUNTER PERMI1TiNG (Front of Application Onty)
Reraofs if shingles Sewers Service Upgrades AtC Fences{Plod3urveylfootage}
Driveways-Not over Counter if on pubtic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands#hat this.p�cmit may be,subJect to"deed" restrictions"
wrhich may be:more[estrictive than County regulaQlons. The eandersigned assumes responsibiltty for compliance with any
applicable deed reshictlons. �
UNLICENS�D CONTRACTORS AND CON`PRA�'POR RESPON�I�ILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be:lfcensed In accordance.with state.and•local regulations. If the
contractor is not licensed as requlced by law, both the owrner and cont�actor may be clted for a misdemeanor violatfon
under state law. If the oavner or intended contractor are uncertaln as to what Iicensing.requlrements may apply•for the
inQended work, they are advised to contact the Pa�co County �ullding Inspectlon Dlvislon—Llcensing S�ction at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he i� advfsed to have the contractor(s) sign
portions of the "contractor Block" of this �ppllcation for which they will be responsible. If you, as.fhe owner sign as the
contractor, that may be an indication that he Is not.properly licensed and Is not entitied to permitting privileges In Pasco
County.
YRANSPORTATfON IMPACTIUTILITIES IMPACT-AND RESOURCE RECOVERY FEES: The undersigned understands
that Trensportation Impact Fees and.Recourse Recove.ry.Fees may appiy to.the construction of new buildings, change of
use in existing buildings, or expansion=of ezistirig°buildings, as specffied.in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned also understa�ds, that such fees, as may be due, �wfll be tdentlfied at the time of
p�rmitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or flnal powAr release. .If the project does not Invvlve a certificat� of occupancy or
- final power release,-the fees must-be paid-prior to permlt-Issuance.—Ft�rthermore�if-i�asco Co�anty Wate�/5ewer Impact^ --
fees are due, they�must be-paid prlor to permit-Issuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlala Statut�a,as amended): If valuation of work is$2,500.00 or more, I
certifjr that I, the applicant, h�ve.been providecl uvith a copy of the "Florida Constructlon Lien Law—Homeowne�'s
Protectfon Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtaine� a copy.of the above.described document°and.promise in,good faith to
deliver it to the"owner"prior to.commencement.
CANTR�4CTOtt'SIOVIINER'S AFFIDAVIT: I cenify that all the,lnf.ormation in this appllcation 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 IndlCated. I certffy that no v�rork or Installatlon has
commenced prior to Issuance of a permit and that.all work wrill be performed to meet standards of ali laws regulating-
construction, County and City codes, zoning regulations, and tand development regulat(ons-in the jurisdiction. I also
certify that I underst�nd that the regulations of other government agencies may apply�to the intended work, and that it is
my respon�ibility to identf6y what.actions I must tak�to be,in:.compliance. Such agencles include but�are not limited to:
- Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Wa.ter Management Disfrict-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawralls, Docks, Navigable Waterways.
- Department of Health� & RehabiUtative Servlces/Environmental Fleafth Unit-Wells, Wastewater Treatment,
Septtc Tanks. _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Aviation Authority-Runway�.
I understand that the following.restrictions appiy to the use of flll:�
- Use of fill is not�Ilowed in Flood Zone�V"unless expressly permitted.
- If the fill materfal 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 pecmitt(ng which is prepared by a professional �ngineer
licensed by the State of Florida.
- If the fill material is to be us.ed in Flood Zone °A" in�connection w►ith.a permitted building using stem wall
construction, I certify that fill�.wlll:b.e used only.to.flll the area within the stem�wail.
- If flll material is to be used in any e�rea, I certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll is found to addersely:�ff�ct adJacent�properties, the owner may be cited for violating
the condiiions of the building.permit issued under the.attacfied permit applicatfon, for lots less than one (1)
acre which are elevated�by fill, an englneered drainage plan is required.
If I am the�iGENT FOR THE OWNER, I,�promise in good faith to inform the�owner of the perrnitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be requtred for electrical work,
plumbing, signs, wells, pools; afr conditioning, .ga�, or othec installations not specifically inclu�led in.the application. .A
permit issued shall be construed to be a Iicense to proceed with the work and not as authoNty to,violate,cancel, alter, or
set aside any provis(ons of the techn(cal codes; nor shall issuance�of a permit.prevent th��ullding Oiflclal from thereafter
requiring a correction.af errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit:ls-commenced wtthln s�x months of permit issuance, or if work authorized by
the permit is suspended or.abandon�d.for a period of six(6)montf�s.after the time the work is commenced. An extension
may be requested, in writing, f�om 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�YO.,REC.ORD A.NOTiGE OF�COMIVIENCEMEMT MAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMEN�'�TO YOUR::PR�OPER7Y.�.IF YO.0 INTEND:TO ABTAIN•FINANCIPIG;�CONSULT
WIT Y L!R E DE O AN ATTOR EY FORE��RECOR�t) fs:�YOUR' O �CE`°OF ' � E CE ENT
FLORIDA JU�tAT(F.S.117.0 ),
OWNER OR AOEPJT• CONTRACTO �r ,� "VL'
Subscribed and swom to( a(flrmed)before me s SUbs�tbed and's to( r aflirmed)'bat�re me' Is
(-9_!.�` by • u �.r /a-y-� .by^� ����rc-. ✓vl, r-��-5
Who are,.personally knowm to.me or ha aye produced W o ts/� pe�s�onal knowm to me.or has/h ve•produced
� �3'�LC�Lr�cec�S� as Identlflcatlon. � �/LiW%rSLrc�•r�&� as identlflcation.
,/ � -
� t,+.�l,� �— idote Public � �22 y.� Notary Publlc
Co mi slan N . .�•:�:Y':i%''•., JACQUELINE BOGES Comr�hlsgion.No. .•°R�"�
;,,; ';,;: ommissi = . ES '
;�. :;' Expires December 12,2018 =': �'s:_ Commission
;; - #FF 15042
Name o/Notary ei�;��d�P" ` '" Name of Notary " ,;�,;,dd ga�a m er 12,2018
roY Fain Insurance 800J&5-)OI9 ��
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