HomeMy WebLinkAbout15-16384 CITY OF ZEPHYRHILLS
x` 5335-8TH STREET
, (sis)�$o-0020 16384
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16384 Address: 5912 12TH ST
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: 11-26-21-0010-02100-0130
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 6/22/2015 Name: MUNIZ JOSE
Total Fees: 40.00 Address: 12139 LEANNE DR
Amount Paid: 40.00 DADE CITY FL 33525-5929
Date Paid: 6/22/2015 Phone: 352-437-0313
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 40.00
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Ins ections Re uired
DRY IN RO F INSP
TAPE JOINTS OOF INSP
FINAL i --
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 f) 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 properly. 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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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-780-0420 City of Zephyrhills Permit Application Fax 813-780-0021
Buiiding Qepattment
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Date Recelved �Phone-Contact for Parmittin -
Oyrner's Name p ( ti!ni r G, Owner Phone Number � �J2 �3�('� �
Owner's Address � I r Z (2�' S-�r�e � 2�. Owner Phone Number � °: �
Fee 5lmple 7ltleholder Name �— � Owner Phane Number �
Fee Slmple 7ltleholder Addre�s -
JOB ADDRESS LOT# �
SUBDIVISION �— � PARCEt,iD#
(OBTAINED FR4M PROPERTYTAX NOTICE)
WORK PRflPOSED NEW CONSTR AODlA�T � SiGM1! [� Q DEMfl�ISN
� INSTAL4. REPAIR
PROP4SED USE � SFR � GOMiVI Q OTHER
TYPE OF CQNSTRUGTION Q BLOCK FRAME C� STEEI. Q
DESGRIPTIdN OF WORK �I f �i '
BUiLDltVG S1ZE �� � 8Q FOOTAGE " HEiGHT ��
���=�'d�NC`' $ , ZS(� „��� VALUATION OF TOTAL COiVSTRUCTION
Q � � AMP SERVICE Q PROGRESS ENERGY Q W.t2.E.C.
EI.ECTRICA� $
OP�UMSING �;6�
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QMEGHANtCAL $ VAl.UAT14N OF IVIECHANICAL It�1STALlAT10N
QGAS � FtOQFiNG Q SPECIAI.TY Q OTHER
FINISHED F1.00R ELEVATIONS �� FLOOD ZONE AREA QYES NO
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BUt1.DER \ � � J CQMPA�IY �f%tJ���-
SIGNATURE �..,�t�� .J"l CrR;/ ( REGISTERED Y/ N FEE CURRE� Y/N
Address Gcense# � �
ELECTRICIAN CBMPAiVY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# { �
PLUiV1BER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s license# �� �
MECFfAtrtlCAE. COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# � �
OTNElt COMPANY
SIGNATURE � REGISrEREp Y/ N FEE CURRE� Y/N
Address � license# �� �
RESlDEFlTIAL Attach{2}Plot Plans,{2}sets.of Butlding`Plans;{1}set of Eriergy}Forms;R O-Vit Permlt for new construation,
Minimum.ten(1Q)worlcing,days after."submlttal date. Requlred onsite,ConsUucdon Plans;Stormwater Pians w/Silt Fence instailed,
� Sanitary Facilides.8.1�dumpste,r,Site�Worlc:Permit for subdiVisiq�sAange projects �
GONiiVtERG1Al. A#tacb{3)complete sets of Bu11ii1ng Pians plus a Ll#e Safety Page;{1}set of Energy Forins.R-O-W Perm9t for new canstruc#ion.
Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, _
Sanitary Faciii8es 81 dumpster.Site Work Permit for all new pro)ects.All commeccial requlrements must meet compliance
SIGN PERMiT AttacFi{2}sets af Eiiglneered Pla�s.�, .
•""'PROPERTY SURVEY requlred for all NEW c:onstnact(on.
Dlraatlons: '
FIII out applicatian completely.
Owner 8�Contractar sign back of applicatton,notarized
If over 52500,a Notice of Commencement is required. (AtC upgrades over 57540) _- _ _ � . , _ . . _ _
" Agent(for tlie cnntractor)or Power of Attomey(for tlie qwner)would be someane with nota�ized letter from owner authorizing same � , ..
OVER Tf�tE COtlNTER PERMTiTING `� �`'(Fronfof Appiicaticn Only} �
Reroofs lf shingles Sewers Seroice Upgrades AIC Fences<(Plot/Survey/Footage) . ..
Driveways-Not over Counter.if on pubiic roadways..naeds ROW T :.
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N0710E QF DEED REST.RICTIONS: The undersigned understands�=.th2�t ihl�:permlt.may.be;subJect to,"deed"restrlctions" �
which may be.�more°tesUlctive�tba�n"Countyc��egulatlons. �The undersigned�assumes;responsibiiity for compltance`with an"y � `
applicable daed restrlations. ,. � - �
UNl.tGENSED CONTRACTQRS AND CONTRACTt?R RESPONSlBi�iTlES: -!f the awner has fi3rec! a contractor ar
conkraotors to under#ake work, they may.be;r.equl.r:ed-.ta-.be3Hcensed ln.accordance.with sta#e.and•loca!regulattons: !f the. -
contractor ts not Ucensed as requlred"by law, botfi the awner and'contraato��may be-cited for�a�misdemeanor vtalatlon
under state �aw. If the owner ar tntended°contrac,tor•�are;uncertaln as to what Ilcens�ng.requlrements may�apply--�'or the � -
intended work, they are advised to contact the Pasco County Buliding'Inspection Division--i�icensing Section at 727-847-
8009. Furthermore, If the owner has h3recl a contractor ot coritractors, he is advise+d to have the con�rac#or(s} stgn
portlons af�the "contractor @lock° of thls appllcatlon tor whlah they wlll.be �esponslble. !f you, as-.#he owner'"sigh�as`tk'�e
contraotorR tfiat may be an Indication that he Is nat properly licensed and is not entitled to permitttng privileges in Pasco
County. � ' �
TRANSPORTATiON IMPACTIUTiC:iTiES�MRAC'fi'ANb-itESOURCE RECi�VERY REES:�The�undersigned undersfands
that Tcansportation Impact�ees and.Recourse Recave.ry.Fees may_>apply�to°the constructian of new buildings,tchange of �
use !n existing bulldings, a�expansio�-of exlstiiig'�6uitdlogs; as speci�ied In Pascct County t}rdinance number 89-47 and
90-07, as amended. The undetsigned also.uaderstands, tha�t s�ch fees�:as�may�6e�due�;wlll.�be identlt�ed at the=time of � '
permiNing. It Is further understood that T�anspo�tatton Impacf Fees and Resou�ce Recorrery'Fees must be paid prior to
receiving a °certlflcate of occupanay" or final-pawer=release. :Ifithe project.does not Involve-a certif(cate of occupancy or
finai power release, the fees mu�t be paid prior ta permit issuance. Farthermore��ff Pasco County tNaterlSewer Impact
fees are due,they must be paid prior to permit-t�suarice-In accordance with appiicabte Pasaa�County o�dinances.
CONSTRUCTlC?N l.fEN l.AW�Chapter 713� Fior�da 3tatute��as amended): If valuation of work is$2,500.00:ar more, 1 �
certify that I� the appllcant, hava been provl.ded with. a copy� of-#he "Florlda Constrt�ction� Llen_lau�---Harneawner's
Protectlon Guide" prepared by the Florida Departinenf of Agric.ultnre and Consumer AfFairs. !f the appllcant is someone ,_
ather than the"awner", i certify that I�have.obtained�a copy,of the.above..described docurr�ent°and.promise in,good falth to
delivet 1#to the°ownec"priar ta-commencemerit: ,
CONTRACTOR'S/OWNER'S APFIDAVIT: 1 ce�tify#hat�ail_the,lnf.ormatlon in this appl€catEon is accurafe and thaE ati work
will'be done in compltance with al! appilcable laws �egulating construc#lon, zontng and�land�devetapment. Applfcatlan is
hereby made to obtaln .a permit to do_ wo�`k<<and installatlon as tnd[cafed;� I ceKify that no work"or lnst�ltatton has
Jcommenced prior #a issuance af a permit and that.all work will be performed to meet standards af all laws regula�ing�
construction, County atrd Cify aodes, zoning regulatlons, and iand development tegulattons�in the jurisd(ction. ( al'so
certity tha# ! unders#and that the ragulations af other government agancies may�appiy�ta fhe intended work, and that i# is
my responsibility to ldentlfy�wha#.acilans f must Eake#o beftn.cott�pllance. 5uch agenates inctude but are.not iimited#o:
- Department of E�vironmental�Protection-Cypress'Bajrtiead�, Vltetiend Areas ar�d Environmentaily Sensitive
Lands,Water/Wastewa#er Treatment.
- Southwest Florida Wa.ter Management :C�istNct-Welis, Cypress. Bayheads; Wetland Areas� Altering
Watercaurses.
- Army Corps af Englneers-Seawalls, Docics,Navigatite Waterways.
- Depa�tment of Heaith� 8 Ret�abllftafive ServEcesiEnvironmentat Nealth UniRWells, Wastevuater Treatment,
Sep#Ic Tanlis. .
- US Envi�onmental P�otection Agency-Asbestos�batement.
- Federat Avlatton Authoriiy-Rur�ways.
!understand tha#the fallowing.r�strictlons appty to#he use of fl(i:•
- Use of fili is no#aflowed in Fiood Zone"V"unleas expressiy permitted.
- If the fi!! material !s to be used. !n-�Flood Zane "A", 4t- is un�l+�r�stood that a dralnage plan ad@ressing a
°compensating valume" wlll be submitted at#ime of permitting v�r6ich 1s prepared by a professfona! engfneer
ticensed by#he State of Florlda:
- if the fill materiai is to be used in Fioad Zone °A" in�connectian�wlth.a �ermitted building using stem waU
� construction, i cetfify that fiil:wili:b.e used only.to fiti the area within the stem:wail.
- if fil! materfal is ta be used in any area, F.certify that .use. af such fitl witl not adversety affect adjacent
praperties, !f use of fl!I is found ta advers��y.�ifect ad}a�ent�propertfes�_the owner may be cited for viol�ting
the condttions of the building:permit lssued�under the.attachied�erml!applfcatlon� for lots less than one (1}
acre whlch ere elevated by flll,an engineered drainage plan is required. .
tf I am#he AGENT FOR THE OWNER, i,-�promise in good fat#h to lnform the�wner of-the permitttng condit(ans set forth tn
this a�davit��pr(or to commencing constructian. i understand that a-s+�para#e permit rrtiay be required far electricai work,
plumbing* signs, wells, pO01sy alr conditioning, .gas, or other Enstall�tlons not.speai�calty inaluded in the application. .A
permit issued snall be aonstrued to be a�Itasnse to proceed wlth tt�e work an�d not as�authorlty to,viota#e,cancei, after, ar
set aslde any provlsions of the technical.c�odes;�nor shall Issuance�of a.permlt.prevent the Bullditig Ot�Icla!from Ehereafter
requiring a cor�ection Qf errors in.pla�s; constructlon or vloiations of any codes. Every pemtit issued shali become invalid
I, unless the work authorized by such permit_�fis.commenced•within sUc m.onths of permit issuance, or if work authorized by
� 1he permlt Is suspended or.abandoned for a:perlad of six(�)mont�s.after the#me the�wot'k is commenced. An e�ctension
may be �equested� In wrlting, from the Suilding,t?fficfa) far a perlod not to exceed ninety(90)days a�td will demonsfra#e
justifiable cause for.the extension. If work ceases.for ninety(90j consecutive days,..t�ie job is.constde�ed aba�doned.
WARNING TQ OWNER: YOUR.FAiLURE�TO,REC.CIRD. .A.;(�OTIGE O��COMMBNCEMEMT MAY=RESULT IN�YOUR
PAYiNG TWICE�'OR�IMPROVEMENTS Tt3.YO,UR�PROPERTY. .IF�YO.U�iI�'fE�iD�'TQ�OBTAiN��FIPFAN�ING;'CONSULT
W!T Yt?U D U AN 'tTClRNEY-B F�RE�= COR�i �:�Y~U ' � �C 'OF' ��' E CE � N � __._ _'.
� FLORIDAJURA�•(F.S.117.03) �"�
QWNER OR AC3ENT - "'� �-C�~aSG� I �L/�..�' C!?NTRACTi�R� �0 5.. . � �1'��r<V t'� -
Subsc�ibed and�swom to kr afflrm�d)befor me this Subscribed and'bwo�bo(ar a„�ed�befare me'Rtil�
�t. . y_ � �,.�_
� Wha Isfate pe 4nally kno �to.m or haslhave produced Wha tsl�re p. onai kno}�m to me or hasfiave praduced
_,�i[, /Z,�l�s ��s Identlflcatlon. �L-� �'l,�r-�c Gs' � as tdentlflcatlon.
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Name . �+pe�f,,��lr�ted;e�+���e5�7 Name of Notary e�F
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