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HomeMy WebLinkAbout15-16020 � CITY OF ZEPHYRHILLS • 5335-8TH STREET ` (813)780-0020 16020 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION = Permit Number: 16020 Address: 38614 PIEDMONT 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-0050-00000-0860 Improv. Cost: 2,400.00 OWNER INFORMATION- Date Issued: 2/16/2015 Name: SCAGGS DANNY L &ALMA J Total Fees: 50.00 Address: PO BOX 242 Amount Paid: 50.00 MEXICO NY 13114-0242 Date Paid: 2/16/2015 Phone: Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES - GAVI ROOFIN REROOF RESIDENTIA 50.00 �' - 27 -IS b`�' T^ /J � � 'J V -` � Ins ections Re uired - DR I ROOFINSP TAPE JOINTS ROOF IN P�- FINAL �'-Z�'�L 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 fi) 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�aaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department � Date Received phone Contact for Permitting — Owner's Name � �y�l ,S� =�..� Owner Phone Number Owner's Address 3�. /C/�/��A/�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � ��vI C'�/1�JY1s�/.� LOT# � SUBDIVISION �L�/1�I �.C/a'�-/�-G PARCEL ID# � S eZS"� — OES'D - D�dOl7--fJY��I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL B REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK `�Q�� WG% 3 4 /L �IG��Gfj:S'S ,r,fl/�/!—L� �/f,��� BUILDING SIZE SQ FOOTAGE HEIGHT �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION �1/4�. � QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ O,�'� `b OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, QGAS �/ ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# OTHER _ J, COMPANY Gt-/9"!�/�✓ �Qy�r/i�G SIGNATURE � �1 REGISTERED Y/ N FEE CURRE� Y/N Address JJI�x 3� License# ,�cooy�,� RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects - � -- - COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Dlrections: Fill out application completely. Owner&Contractor sign back of application,notarized � , ' If over a2500,a Notice of Commencement is requir,ed. (A/C upgrades over$7500) � , " Agent(for the contractor)or Power of Attomey'(for the owner)�woulii''be`someone with notarized letter from owner authoriiirig same �- � - OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades-A/C' "` 'Fences(Plot/Survey/Footage) - - '�' �� ' � . Driveways-Not over Counter if on public roadways..needs RO,W.,; ' ` ,, � , � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed° restrictions" i which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND COIVT'RAC70R RESPONSIBILI7IES: 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 (nspection 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 Block" 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 properly licensed and is not entitled to permitting privileges in Pasco County. ND RESOURCE RECOVERY FEES: The undersi ned understands TRIs►NSPORTATION IMPACT/UTILITIES IMPACT A g that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified 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 Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN Ll�llnf(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, t r 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"owner"prior to commencement. COPVTRACTOR'SIOWPlEl2'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 development. 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 work will be performed to meet standards of all laws regulating I 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 government agencies may apply to the intended work, and that it is , my responsibility to identify'wfiat actions I must take to be fn compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 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-Runuvays. 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 violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR 7HE OVIINER, 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 work, 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 requiring a correction 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: YOU1t FAILURE TO RECORD A NOTICE OF COMMENCEMENT AAi�►Y I�ESULT IN YOUI2 � P�4YING_T_WICE FOR INVP.-ROYEMEMT;S-TO:YOUR PR�PER�fl/. !F Y�!!-!l�TEND TO OBTAItd-FIR:ANCING,-C-OY`1�t3L1'- - 1fi11TFl YOUR LENDER OR�►N ATTORNEY�EFORE RECOFtDING YOUR TIOTICE OF COMMENCEiIAENY. FLORIDA JURAT(F.S. 117.0 ) � OWNER OR AGENT � CONTRACTOFt '�� Subscribed and swom to(or affirmed)before me lhis Subscribed and swom to(or affirmed)before me this by bY Who Islare personally known to me or haslhave praduced Who Islare personally known to me or has/have produced as IdenUfication. as identificaBon. � Notary Public Notary Public C missf Comml on No. :�ti'��:�i%'� JOEL E.BACON """' '° •�:r= �, JOEL E.BACON • ��;; -o} •�;a, Name of -, .�d,e ��� � Name of Notary�p •p� xpires un 9,2018 :,., ,'�'�i,Pd�°P�� Bonded Tlw Tray Fain Insuren�e BM-385•7619 '�;�i,j�d�,°.�` Bondad Thru Tmy Fein Insurance BOOJ85•7019 ��II_`��tt 1 Page No. of Pages . �1 1 � 3����-� )- �CSl� -OGG'C�-J��� • �'j�' ��r QiCu�' ��4��'��?��� �'j;�'``-.. �£q��s�,= ���;��:r�;; �'ssace �.��`y �i <P�7�,, � .y' ���F j �i �s`�.C). �J:i I.�ib,'� ,._. -_.9 ;�j;. - ��-�,CsG 1.1��,l. Fi�����t� �f��- iV.�'_.�J".c°'.^�J.�°s''�.'�v.� � / �ii: w`? Utia 11���+��.�� s �E''v:P e.�'„'.'e`lie i�fcierL4�l.J PROPOSAL SUBMITTED TO PHONE DATE D v✓�/ SCI� ��S STREET JOB NAME 3 E�i�I P1G- :�L�l- CITY,STATE and ZIP CODE JOB LOCATION �2.G-6'ff /L- i-GS �%✓ ���Q/�ft 1/1�G�G-c �v t P� ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for• s�LP��y �/t�GQ�'� o,�,c--y; �� �v✓�;��� 2cc�i�lr �T /-��5��� . i cLT��a�� 9/L;�� s� y,�. I�(�}PC-1� l-'!/-}SS S/I��N;GES' T^v /�C- f'vt/�,-N�SCtE-✓� �"y G�'✓%✓�r2- �-S PC/� L��✓✓6iLs'�Frio�` ,�L� T2/�J'h'- TD �� �1�¢y/-� i � I i �P �TQ�1pSP hereby to furnish material and labor— complete in accordance with above specifications, for the sum of: ti/�-� �/ � '/ � �� �/�'°�/��-- /"`�I�i/1-�,� � � dollars($ �7 0� ) � Payment to e made as follows: � '_�'M�' G'<c-✓ �� �D� All material is guaranteed to be as specified. All work to be completed in a workmanlike Authofized /�/ /a manner according to standard practices.Any alteration or deviation from above specifications Si natur2 �"/ �--�` involving extra costs will be executed only upon written orders, and will become an extra g 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. withd�awn by us if not accepted within days. �ZCP��FIIIrP �� �r��I���Il —The above prices,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