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Home My WebLink About15-16169 . CITY OF ZEPHYRHILLS 5335-8TH STREET � _ � (si3)�so-oo20 161 9 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16169 Address: 39201 6TH 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: 12-26-21-002A-00500-0020 Improv. Cost: 800.00 OWNER INFORMATION Date Issued: 4/13/2015 Name: SEAL LEMUEL B & LINDA E Total Fees: 40.00 Address: 39201 6TH AVE Amount Paid: 40.00 ZEPHYRHILLS FL 33542-4563 Date Paid: 4/13/2015 Phone: 813-838-5945 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES HOMEOWNER REROOF RE DENTIAL 40.00 � , � � ^ �2 � � � �L� Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL C - 2 � - � �_ ii , REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection I trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting i from faulty construction c) repairs or corrections not made when inspections called d) work not ready for I inspection when called e) permit not posted on job site� plans not at job site g) work not accessible. ii NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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, Specificati s Must Accompany Application.All work shall be pertormed in accordance with i 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,�-�au-��LU City of Zephyrhifis Permit Appiication Fax-813-780-0021 Bullding Department Date Rec�Ivad- Phone Contact for Permitting — Owner's Name ��I+��" ��'�—�'' Owner Phone Number C "�.�� Owner's Address U�• "' '�� Owner Phone Number Fe�Simple Tittehotd8r Name � � Owner Phone Nambar Fae 3irnple TittehoSder Address JOB ADDRESS / �� "� �l i.OT# �_____� SUBDIVISION �^ �� PARCEL ID# (QBTAINED FRQM PROPERiY TAX NQ71GE) WORiC PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISN 1NSTALL REPAIR PROPOSED USE �] SFR Q GlJMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRlPTION OF WQltK BUILDiNG SIZE � � SQ FOOTAGE�_,� HEIGNT C_�� OBU��' $ �� VALUATION OF TOTAL CONSTRUCTION a QELECTRtGRL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING � � ,._._,.._�_ `,, QMECHANICAL $ VALUATIQN OF futECHANIGAL INSTALtATiQN a[,�tp\*' �t [�GAS [� ROOFWG � SPECIALTY � OTHER =tNtSHED FLQOR EIEVATIONS �`r� FL.00D ZONE AREA QYES NO 3Ul�DER COMPAtdY - - alGPlATUR� REGiSTERED Y/ N FEE CURRB� Y!N Address License# �— � 'sl.ECTRICtAN �� CQMPAWY itGNATURE REGISTEREO Y/ N FEE CURREt� Y/N Address License# � `�� LUMBER � � COMPANY ►1GNATURE REGtS7EF2ED Y/ N FEE CURRE� Y I N Addrass License# �—` ' � �ECHANICAL � COMRANY iIGNATURE ,� REGISTERED Y I N FEE CURRE� Y 1 N Addr�ss `�_�`�� Lice�se# � '�� )THEt2 CClMPANY �tGNATURE REGIS7ERED Y t N FEE CURRE� Y/N Address License# �i '�� ;ESiDENTtAL Attacfi(2)plot P�ans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permtt for�ew consttuction, Minimum ten(10)worlcing days after submittal date. Requtred onsite,Construction Plans,Stotmwatet Pians w/Sift Fence instalted, Sanitary FacillUes&1 dumpster,Site Work Permit for subdlvisiansAarge projects OMMERCIAL Attach(3j complete sets of Building Plans plus a I.ife Safety Page;{1)set af Enetgy Forms:R-d-W Permif far new canstructian. - � - � Minimum ten(1Q)working days after submlkta!date. Required onsite,Consttuc#ion Plans,$tormwater Pians wl Sitt Fence installed, SaNtary Faciltties&1 dumpster.Site Work Permlt for aH new pro)ects.At1 cammerciei requirements must meet compilance IGN PERMIT Attach(2)sets af Engineered Plans. """PROPERTY SURVEY required far aH NEW canstruction. irections: Ffll out application completely. Owner&Gontractor stgn baok of appi(cation,notarized !f over a2500>a Notice of Commencement is required. (AIC apgrades ov�r 57500) Agent{for the contractor}or Power of Attomey(for the owner)would be someone with natarized letter from owner authorizing same.�.._- .�--��•-� _:�°-.� ' " � VER THE COUNTER PERMl7TIN� (Front of Application Onty} � „ . eroofs if shtngles Sewer3 Senrica Upgrades AtC Fences(PioUSurveylFootage} ' ' _ - Driveways-Not over Go�nter tf on puhtic roadways..needs RdW , �., . .- - �•�•- NOTICE OF DEED RESTRICTIONS: The undersigned under,�tands that this,p�cmit.may.be subJect to"deed"restricttons" ' �' which may be<more restrictive:than County regulatlons. �The undersigned assumes responsibility for compliance with any applicable deed re§trictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required.to be:licensed in ac�cordance.with state.and•local regulations. If the contractor is not Iicensed as required-by law, both the owner and contractor may be cited for a misdemeanor violatton under state law. If the owner or (ntended contraetor are uncertaln as to what Iicensing requirements may apply�for the � intended work, they are advised to contact the.Pasco County Bullding Inspect(on Division—Licensing Sectton 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 appllcation 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 Iicensed and is not entitled to permitting privileges fn Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recove.ry Fees may apply to.the construction of new buildings, change of use in existing buildings, or.expansion�of exi"stin,g'buildings, as specifled in Pascv County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may�be�.due,:wlll be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prior to receEVing 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. Ft�rthermore, if Pasco County Water/Sewer Impact fees are due, they must be-pald prior to permit fssuance-tn accordance writh applicable Pascv County ordinances. CONSTRUCTIO(d L.IEN LAW(Chapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the appNcant, have-been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the app8cant is someone other than the"owne�", I certify that I have obtained a copy.of the above.described=docurr�ent and promise in:good faith to deliver it to the"owne�"•prior-to�commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the Information in th(s appltcation_is accurate and that all work will�be done in complfance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain .a permit to do work.and installatlon as indlcated. .I certify that no work or installation has commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking- construction, County and City codes, zoning regulations, and land development regulattons�in the jurisdiction. I also certify that I u�derstand 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.corrlpilance. Such agencles Include but are.not limlted to: - Department of Environmentai Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management .District-Weils, Cypress. Bay.heads; Wetland Areas, Altering Watercourses. - Army Corps of Engineers�Seawalls, Docks, Navigable Waterways. - Department of Health� 8 ReMabilitative Serv(ces/Environmenfal Health Unit Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - rederal AviaQion Au4horiQy-Runvrrays. 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. is understood that a drainage plan addressing a °compensating volume" will be submitted at time of permitting which (s prepared by a professional engfneer 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 materlal 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 violating the conditions of the building.permit issued�under the attached permit application, for lots less than one (1) acre whtch are elevated by flll, an engineered drainage plan is required. , If I am the AGENT FOR THE OWNER, I,:promise in good faith to fnform the owner of the permitting condittons set forth in this affidavtt�prior to commencing construction. I understand that a-separate permit may be required for elecMcal work, plumb(ng, signs, wells, pools; afr condttioning, .gas, or other installations not speciflcaliy 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 provis(ons of the technical codes; nor shall (ssuance of a permit.prevent the Bulidirig Official from thereafter � requiring a correction nf errors in plans, construction or violatlons of any codes. Every permlt issued shall become invalid unless the work authorizad.by such permit.�Is.commenced with(n six months of permit issuance, or if work authorized by the pe�mit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extensfon may be requested, In writing, from the Building,Offlcial for a perlod not to exceed ntnety (90) days a�d�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�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 Y UR LENDE OR AN ATTOR B RE�RECO �I G YOU D � C `O O E E ENT -FL-OFi{DA�!llR�`.T(F.S.9 '. j— --- - ---- _-- ---- - ._ -- - - - - OWNER OR AGEN CONTRACTOR Subscribed and swom b or aflirmed) efor me is Subscrlbed and'swom to(or aflirmed)�before me fhts by � �by VYho Is/are personally knovm to.me or has/have produced Who Is/are personally known to me or has/heve produced as identlflcatlon. as Idendficatlon. � Notary Public _ Notary Publlc Co _ ss��{�Q�,,,, JOE Commission No. _.: :._ Commission#FF 137073 � _�`• �a: Ex ires of� �ty�d@�MhA�d�r�sta�tAsao�s Name of Nolary typed,printed or stamped ,- , . " DISCLOSIIRE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BIIILDING DBPARTNlEN'P I, �� ,�, ��+'¢'� have read and fully uaderstand and agree to the provisions of this iastrumeat. The undersigned states and affirms that he or she is desirous of constructiag, reaovatiag, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for reat, lease or sale. That he or she ahall comply with the following coaditions: � 1. That the owner and he or she alone shall act as the builder for all phases of constructioa. 2. That the owner will comply with all provisions of the City of Zephyrhills ordiaaaces and codes pertinent to the building. ' 3. That ia the event various phases of coastructioa are subcontracted, he will eagage oaly properly licensed subcoatractors aad will personally supervise such work. 4. That in the event the Building Iaspector shall require corrections to be made, the owaer will assume full responsibility to iasure they are made, aad upon completioa will call for a reiaspectioa before proceediag with the building. 5. That the owner shall assume full responsibility for the coastruction and will aot expect supervision of his work from the City of Zephyrhills Building Departmeat. 6. That prior to fiaal inspectioa any additioaal fees, iacluding reiaspection fees, must be paid in full. A writtea request from this office shall coastitute aa official aotice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be doae by licensed contractors. You have applied for a permit under an exemption to that law. The exemptioa allows you, as the owaer of your property, to act as your owa contractor with certaia restrictions even though you do aot have a license. You must provide direct onsite supervisioa of the coastructioa yourself. You may build or improve a one-family or two-family resideace or a farm outbuilding. You may also build or improve a commercial buildiag, provided your costs do aot exceed $75,000. The buildiag or residence must be for your own use or occupancy. It may aot be built or substantially improved for sale or lease. If you sell or lease a buildiag you have built or substaatially improved yourself withia 1 year after the construction is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violation of this exemption. You may not hire an unliceased persoa to act as your contractor or to supervise people working oa your building. It is your respoasibility to make sure that people employed by you have licenses required by state law and by couaty or municipal licensiag ordiaaaces. You may not delegate the responsibility for supervisiag work to a licensed contractor who is aot licensed to perform the work being doae. Any person working on your building who is aot licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. aad withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinances, building codes, and zoaing re a i OWNER�S SIGNATURE DATE � � ADDRESS � i PHONE � WITNESS PERMIT # l 6 ( G 9 -