HomeMy WebLinkAbout15-16591 : CITY OF ZEPHYRHILLS
5335-8TH STREET
' (si3)�s I-oozo 1659
BUILDINa PERMIT
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PERMIT INFORMATION I LOCATION INFORMATION
Permit Number: 16591 Address: 5434 1 ST STREET
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: 11-26-21-0010-06200-10A0
Improv. Cost: 2,200.00 I OWNER INFORMATION
Date Issued: 9/21/2015 Name: ROLDAN, JOSE & ESTHER
Total Fees: 75.00 Address: 40030 LYNBROOK DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33540
Date Paid: 9/21/2015 Phone:
Work Desc: REROOF METAL �
CONTRACTOR S APPLICATION FEES
SUNSTATE ALUMI M INC RER F RESIDENTIAL 75.00
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Ins ections IRe uired
DRY IN R F INSP
TAPE JO TS ROOF INSP
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REINSPECTION FEES: (c)With respect to Reinspectionlfees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater;for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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=01rt-T'R�CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received phone Contact for Permitting ��7 � - ��
Trl-I-fTr� I I 1 �
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Owner's Name D �� IruS ' O�Se Vr Owner Phone Number
Owner's Address
y��3� � ��alc. Dr• Zh�'.��SS OwnerPhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
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JOBADDRESS sy 3 � �S'F, �L° �i��S rl. 33Sy� LOT# L!�—�
SUBDIVISION PARCEL ID# l I-��-a 1 - ot� �— 6��6a - 1 d�d
I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT ID SIGN � 0 DEMOLISH
B INSTALL e REPAIR I
PROPOSED USE Q SFR Q COMM I� OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 1�-��O V e (" �'e �i. 1 � �ll��'-'{'G,�
BUILDING SIZE ����� SQ FOOTAGE� HEIGHT
'TT'TT��TrTTi�Tt�OTT�T�TI"7TrITTIT�T�Ti�T1�ITT�TT�TI�TT�P
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
'QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ \
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �``p��
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
-1-1-1--f-E-t-E-d-F-1-i-i-E-a-�H-i-1--f-1--1--4-F-1--1-I--FI--f--�-F-f-1-f-�--H--F-I--1--1-1--1-1--i--4-F-f--1-1-1--1-t--F-f-1-i-H+F-�-t�-f-1-1-
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BUILDER f�OMPANY L{Gt ct, /I WL
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address CY�5 L c�6'�' �� '2�i us � 3 � ��� License# CI"`- O S c� Sl 7
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address � License�
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PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
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MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N
Address I License�
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OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
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RESIDENTIAL Attach(2)Plot 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 subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SafetylPage;(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 constructioni
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Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrade i over$7500)
•" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE�F QEED RESTRICTtONS: The undersigned understands that this permit may be subject to°deed"restrictions"
which may be morE restrictive than County regulatians. The undersigned assumes responsibifity for compliance with any
applicable deed restrictions.
UNLICENSED COiV7RACTORS AiVD CONTRACTOR RESPONSIBIL[TIES: lf the owner has hired.a con#ractar ar
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If#he
con#ractar is nat licensed as required by Iaw, both the awner and contractor rnay be cited for a misdemeanor vioiation
under state law. If the awner or intended cantractar are uncerkain as to what (icensing requiremenfs may apply for#he
inte�tded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. F�arthermare, if fhe owner has hired a cantracfar ar contractars, he is advised ta have fhe contractor(s} sign
portions of the "cantractor Block" of this application for which they will be responsible. If you, as the awner sign as the
contracfor, that may be an indication that he is not properly iicensed and is not entitled to permitting privifeges in Pasco
County.
TRAlVSPOR7ATlON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recourse Recovery Fees may appiy to the construction af neuv buildings, change of
use in exis#ing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-OT, as amended. The undersigned also understands, that such fees, as may be dus, wi!! be identifted at the time of
permifting. It is further understood tliat Transportation )mpact Fees and Resource Recovery Fees must be paid prior fa
receiving a °certificate of occupancy° ar final power release. If the project does not involue a certificate of occupancy or
_ _. __. , fnal pawer release, the fees must be paid prror to permit issuance. Furthermare, if Pasco Caunty Wa#er/Sewer lmpact
fees are due,they must be paid�prior to permifissuance in accordance with applicable Pasco County ordinances:- - - -- --
CQNSTRUCTlON LIEN LAW{Chapter 713,Florida Statutes,as amended): !f valuation of work is$2,500.00 or mare, I
certify fhat l, the applicant, have been provided wifh a copy af the "Florida Canstruction Lien Law—Hameowner's
Protection Guide" prepared by the Florida Department oF Agriculture and Consumer Affairs. If the applicant is someone
other than the"awner", S certify that I have obtained a copy ofi the above described document and promise in gaod faith to
deliver it ta the"awner"prior to commencement.
COlV7'RACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this applicatian is accurate and that all work
will be done in complianca with all applicable (aws 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 ar installation has
commenced p�ior ta issuance of a permit and that ali work wi!! be perfarmed to meet s#andards of a!! (aws regulating
construction, County and City codes, zoning reguiations, and land deve(opment regulafiions in the jurisdiction. 1 also
certify that ! understand that the regulations.of other government agencies may apply to the intended wark, and that it is
my responsibility to identify what actions 1 must#ake to be in campIiance. Such agencies inciude but are nat limited ta:
- Department af Environmental Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlVllastewa#er Treatment.
- Southwest Florida Water Management District-We(1s, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Carps of Enginesrs-Seawalls, Docks, Navigable Waterways.
- Deparkrnent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. '
- US Environmental Protection Agency-Asbestas abatement.
- Federal Aviation Authority-Runways.
l understand that fihe following restrictions apply#o the use of fill: ,
- Use of fill is not allowed in Flood�Zone"V" unless expressly permi##ed.
- If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
°compensating voiume" will be submitted at time af permifiting which is prepared by a professional engineer
licensed by the State of Florida.
- 1f the fill material is to be used in Flood Zone "A" in connectian with a permitted bui3ding using stem wal!
cons#ruction, I certify that fill will be used on�y to fill the area wifhin,the stem wall.
- lf fil! materia! is to be used in any area, I certify that use ofi such fill will not .adversely aff�ct adjacent
properties. if use of fili is faund to adversely affect adjacent properEies, the awner'may be cited for violating
the conditions of#he building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage pEan is reguired.
If I am the AGENT FOR THE OWNER, I promise in good faitii to inform the oirvner af the permitting conditions set forth in
this a�davit prior to commencing construction. 1 understand that a separate permit may be required far electrical work,
plumbing, signs, weils, poaIs, air conditioning, gas, or other instal3ations not specifically included 'm fihe applicatiort. A
permit issued shall be construed to be a license ta proceed with the work and not as authority ta violate, cancel, alter, or
set aside any provisians of the technicaE cades, nor shali issuance of a permifi prevent the Building Official from thereafter
' requiring a correction of errors in plans, construction or violafions of any codes. Every permit issued shal!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 ar abandaned far a period af six{6} manths after fhe time the work is commenced. An e�ension
may be requested, in writing, from the Building Otficial far a period nat to exceed ninety (90) days and will demonstrate
jusfifiabie cause for the e�ension. [f wark ceases for ninety{90)consecutive days,the job is considered abandoned.
WARNWG TO OWNER: YOUR FAILURE TO RECORD A NfJTICE OF COMMENCEMENT MAY RESULT IN YOUR
FAYlNG TW[CE FOR IMPROVEMENTS TO YQtSR PRCYPERTY. IF YtaU INTEND 70'OBTAIN FINANC[NG,GONSULT .
WITM YOUR LENDER 4R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLdRlDA JUF2AT(F.S.197.03) .�""'�,�� ��
OWNER OR AGENT ,,,.��"'"„ '�'� CON
Subscribed and sw n e me this
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Who is/ a y known to me or has/have produced Who is/are personally known to me or has/have produced .
as identificatian. as identification.
Notasy Pubiic Notary Public
Commission No. Commission No.
Name of Notaty typed,printed or stamped Name of Notary typed,pririted or stamped
�^����r� Page No. of Pages
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SUN STATE ALUIVIINUM, INC.
6154 Fort King Rd. .
ZEPHYRHILL'S, FL 33542
(813) 78�8-7308
SUBMIlTED T PHONE
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STREET UOB NAME
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CfTY,STATE and CODE � �� UOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specif(cations and estimates for:
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�E r t hereb furr�sh m q a o �mplete in accordance with above specifications, for the sum of:
�'"�' � dollars($ ).
Payment o be made as tollows: "
All unpaid balances subject to 1.5%monthly interest fee.
All material is guaranteed to be as specified.All work to be completed in a workmanlike
manner according to standard practices.Any akeration or deviaGon from above specifications Authofize
involving extra costs will be executed only upon written orders,and will become an extra S� e II
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays treyond our control.Owner to carry fire,tomado and other necessary insurance. • is proposa m8y be '
Our workers are fulty covered by Workman's Compensation Insurance. d�awn by us if not aCCepted within days.
�ICCP�1tIIYCC Of �GLDI�LrtICi—The above prices,specification I � ��C%E�" "�vl�
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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. i
Date ofAcceptance: � Signature
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