HomeMy WebLinkAbout15-16503 ' i
CITY OF ZEPHYRHILLS
5335-8TH�STREET
y ,,.. (sis��soi o020 16503
BUILDINGI PERMIT
i
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16503 I Address: 5905 18TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE I Lot(s): Block: Section:
Square Feet: j Subdivision: CHARLESTON OAKS
Est. Value: ; Parcel Number: 11-26-21-0010-04800-0010
Improv. Cost: 400.00 OWNER INFORMATION
Date Issued: 8/10/2015 I Name: EADS DUSTIN & BRITTNEY
Total Fees: 40.00 Address: 5905 18TH ST
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-3871
Date Paid: 8/10/2015 Phone: 813-377-6981
Work Desc: REROOF SHINGLE ;
CONTRACTOR S � APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL i 40.00
�
�
� �
I
i
I
Ins ections Re uired �
DRY IN RO F INSP
TAPE JOIN ROOF INSP�
FINAL ��'l�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 joti 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.
l
��>��--� ���' �
i CONTRACTOR SIGNATURE ' PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-
�
�
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
-.n 1 B�ifding Department
.:• �:� ..
Qate Recelved.� �
� .�`" Phone-Cantact far Parmittln
, . ,� � ; . _ .� .,.. �: : - ��.�$13� 3�7��t81
Owner's Name'.• ��J.S 1 , �Owner Ptione Nur�ibe� ��
Owner'�Address ��D,� �,�}� I "'':'""'.�"Owner Phone Nurinber-=�� �
,,
Fee Simple Titleholder Name � I � Owne�Phone Number �� �
I l
1
Fee Simple Titleholder Address I,
� JOB ADDRESS �-i �� i��� � 1 LOT# [�
� _.
SUBDIVISION �� � PARCEI!tD#
WORK PROPOSEQ , NEW CON5'iR ADDtAL I [� c�l�(���p FR�OM PROPERTY T��cel p�MO1.ISH
eINSTALL 8 REPAIR
PROP05ED,U8E Q SFR Q GOMM � QTtiER
TYPE OF CONSTRUC710N Q BI.00K [� FRAME � STEEL Q
DESGRiPT10N OF WORI{ �� `f ��� � '�`r �
BU1LDlNG S12E � � SQ FOdTAGE C._� HEEGNT ���
i
QBUl�DING � ' /^1,..1 VALUATlON OF TOTA�GQNSTRUCTiON
<JV
QELECTRICAI. $ AMP SERVIG I Q PROGRESS ENEf2GY Q W.R.E.C.
� QPLUMBlNC� ($ �
�_
QMECNANICAL � . � VALUATtON QF MECHANtCAL INSTALLATION �
[�GAS Q ROOFING [� SPECIAL I [� OTHER � ���
� C �
FINISHED FLOOR ELEVATIONS FLOOD Z�NE AREA QYES NO
BUILDER [�}�� � COMPANY {� G) ��
StGN1ATURE 4 n REGIST�ERED Y/ N FEE CURRE� Y/N,
I Address � License# � �
ELECTRICIAN CQMP�
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
I
I
Address E. Llcense# ��
PLUMBER COMFAI NY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address 1 Licensa# � �
MECHANIGAi. COMP�
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
�t��6SS I LIC8tiS9� � �
07HER COMPAt�lY
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
I
Address 1 License# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of�BuildingPlans;(1)set af Energy•Forms;R O-W Rennttfor new consUuct3on,
Minimum ten(10)working�days,after,submitta!date. Requtred onsite,Construction Pians,Stortnwater Plans wJ Siit Fence instaNed,
Sanitary FaciliUes.&1.dumpster$ite•Work Rermit for subdivisionsflarge pro)ects
-- COM�;'lERCIO;L Attach{3)c�omplete sets of Buittlitig'Pians pius a Ufe Safety Page;(1}set of Energy Farms.R O-W Petrttit for new consttuctlon. -
, Minimum ten(1d}waricing days after submittal date. Required onslte,Constructian Plans,Stormwater Pians w/Silt Fence instalied,
Sanitary FaclliUes&7 dumpster.Site Work Permit for all new� rojects.All t;ommercial requirements must meet compliance
SlGM PERMIT Attach(2}sets af Englneered Pfans. �
"*"PROPERTY SURVEY required for all NEW constructian.
pireotions:
Fili aut appiica�on completeiy.
Owner 8 Gontractor sign back of applicatlon,notarized
if over�2500,a Notiee af CommencemeM is reqai�ed. (A/C upgrades aver$7500}
'" Agent(for the contractor)or Power of Attomey(far the owner)wauld be someone with notarized letter from owner authorizing same
p1lER THE COUNTER PERMITfiNG {Front of Appllcation Only}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on publEc madways..needs F20W
NOTICE OF DEED RESTRICTIONS: The und�rsigned under.stands�th�t this,ppcmlt.may be.subject to"deed"restrictions"
which may be:more.r.estNctive than County regulatlons. �The undersigned assurries responsfbility for compilance wlth any
applicable deed rest�lct(ons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be requlred..to be:licensed In accordance.with state.and•local regulatlons. If the
contractor is not Iicensed as requlred by law, both the owner and contractor may be clted for a misdemeanor vtolatton
under state law. If the owner or intended�contractor are uncertain as to what Ilcensing.requlrements may appiy•for the
intended work, they are adv(sed to contact the Pasco County Bullding Inspection Dhrision—Licensing Section at 72T-847-
8009. Fu�thermore, If the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
portfons of the "contractor Block° of this appllcation 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 flcensed and Is not entitled to permittfng privileges In Pasco
County.
TRANSPORTA710N.IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY�FEES: The undersigned understands
—�ih�►i�ar��po��Qion-irmpacrFees-an�-Recours�Recove.ry.-Fees may�apply tv:th�construciion of new bull�ings;change of
use in existing buildings, o�-expansion�of�existin�'�6uildings, 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
permittfng. It is further understood that Transportation Impact Fees and Resou�ce Reco�ery Fees must be pafd prior to
rece�ving a "certificate of occupancy" or flnal power. release. :If the project does not Involve,a certificate of occupancy or
final power release, the.fees enust be paid prior to permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they�must be-pald prlor to permit-issuance-in accordance with applicable Pasco�County ordinances.
CONSTRUCTION LIEtd LAW(Chapter 773� Florlda Statutes�aa amended): If valuatlon of work is$2,500.00 or more, I
certify that I, the. applicant, have-been provided with a copy of the "Florida Construction Llen Lav�—Homeowner's
Protection Guide° prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the applicant Is someone
other than the"owne�", I certffy that I have.obtained a copy.of the above..described document�and p.r.omise in,good faith to
delive�it to the°owne�"p�ior•to>commencement. �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the Informatlon Imthis appllcatlon is accurate and that all work
will�be done in compifance with all applicable laws regulating construction, zontng and•land development. Applicatton is
he�eby made to obtain .a permit.to do work and 'installatlon as Indlcafed. `I certifjr that no work or Installatton has
commenced prior to issuance of a permit and that.all work will be perFormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatlons, and land development regulations�In the jurisdtction. I also
certify that 1 u�derstand that the regulations of other government agenc(es may�apply�to the intended work, and that it is
my resPonsibility to identify.what,actions I must take.to berin:.corrlpllance. Such agencies include but are.not Ilmited�o:
- Department of Ertv(ronmental Protection-Cypress. Bayheads, Wetland Areas and Envlronmentally Sensittve
, Lands, WatedWastewater Treatment.
- Southwest Florida Wate� Management :District-Welis, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engfneers-Seawalls, Docks� Navigable Waterinrays.
- Department of Health 8 RehabiUtative Servlces/Environmental Health Unit-Wells, Wastewater=Treatment,
Septic Tanks. � .
- US Environmental Protection Agency-Asbestos abatement. �
, - Fede�al Aviatton Authority-Runways.
I understand that the following.restrictlons 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 tim� of permitting which Is prepared by a professional engineer
iicensed by the State of Florida.
- tf the fill material is to be used in Flood Zone °A° in�connec�ion�with.a pecmitted buflding using stem waii
construction, I certiry that fill•:wlll::be used only.to.fill the area wlthin the�stem•wall.
- If fill material Is to be used in any area, I certify that .use of such�flll will not adversely affect adjacent
properties. If use of flll is found to adversely:�ffect adJacent�properties,.the owner may be clted for violating
the condFtions of the buflding:permit issued under the'attached permit application, for-lots less than one (1)
acre which are elevated�by fill, aR engineered drainage plan Is required. .
If I am the AGENT FOR THE OWNER, I,�promise In good faith to inform the owner of the permitting condittons set.forth In
this affidav(t�prior to commencing construction. I understand thata separate permlt may be requtred for electrical work,
plumbing, signs, wells, pools;, afr conditioning,.gas, or other installattons not.spec�ically included�Pn.the applicaQion. A
permit issued shail be constcued to be a�I(cense to p�oceed with the work and not as:authority to,violate, cancel. alter, or
set aside any provislons of the technical.codes; nor shall Issuance�of a.permit.prevent the Bulldirig Officlal from thereafter �
requiring a correction af errors in plans, construction or vlolaQ(ons of any codes. Eve.ry.permit.issued shall become invalid
unless the work authorized:by such perm(t.�ts-commenced�w(thfn sfx months of permit issuance, or if work authorized by
the permtf is suspended or.abandoned foc a:period of§ix(8)montF�s:after the time the work�s commenced. An extension
may be requested� tn writing; from the Building,Official for a perlod not to exceed ninety�(90) days and�will demonstrate
justifiable cause for.the extension. If work ceases.for ninety(90)cons.ecutive:day.s...the)ob�is.considered aba�doned.
WARNING TO OWNER: YOUit.FAILURE.TQ.,REC:ORD A.,N�TIGE OF.•COMMENCEMENT.IVfAY RESULT 1I��YOUR
PAYING TWICE:FOR IMPROVEMENTS TO YO,UR•<P13C�PERTY.,IF YO.U�INTEND�'TO'OBTAIN��FIPtANC1NG;�CONSULT
WITH YOUR LENDER OR AN•ATTORNEY,B�FORE�=RECOR��ING'YOUR'NOTICE'OF�CaMMENC�ENlENT�
FLORIDA JURA'�(F.S.1.17.03)
OWNER OR AOENT �� �P� CONTRACTOR L��. Cp�lJl"
�bs ed d s to o aflirmed efore me this S scribed and'swo �to(or Hirmed)�b" - ' e is
�-�r � t � -�- - �
Wtio Isla personally i own to.me or has/haye produced Who is/are pe ona own•to me.or has/have produced •
�I as Identlflcatlon. - as Idendflcatlon.
/ � Notery Public . ��G 1 Notary Public
�1,Y'�YB"°., JACQUELINE B S
Com ssl N Co m sron 0�" •:��: 22
""' JACQUELINE BOGES '"� ' °
��Q�:.:y,��: 0422 ��r Q; Expires December 12,2018 •,
"•F••�•o,•` Tr Feinlnsuranea000385•76�:' ;
Name ot N ' 'p�g��d2,2018 Name of Nole1 """
.;, •o�
P♦
�•�PF�°.� Bonded Tlw TroY Fein Ineurance 800385-7019
i
I