HomeMy WebLinkAbout15-16651 t� ., CITY OF ZEPHYRHILLS
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BUILDING PERMIT �
PERMIT INF.ORMATION � ' LOCATION INFORMATION �
Permit Number: 16651 Address: 5636 5640 5TH 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: 11-26-21-0010-03100-0230
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 10/05/2015 Name: BAKER CYNTHIA
Total Fees: 60.00 Address: 7242 HIGHLAND LOOP
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-4261
Date Paid: 10/05/2015 Phone: (813)310-1982 �
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES -
TOSCA RO FIN RER OF RESIDENTIAL 60.00
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,2 �- 3 �- 1 �
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� � Ins ections Re uired � �
DRY IN ROOF INSP
TAPE JOINTS f�00F INSP
FINAL � Y S �C C'�
REINSPECTION FEES: (c)With respect to Reinspection fees 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 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,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.
TRACTOR 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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D.H Tosca Roofing Esti m ate
3502 Top View Ln.
, , Plant City,FL 33565 Date
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. ,�,�, , 10/1/2015
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Name/Address
Dan Edwards
5636 Sth St.
Zephyrhills,FL 33542
Description � � Total
Remove existing roofrng and dispose of all debris 0.00
Install new eave meta126 gauge 0.00
Install new valley flashinSs 0.00
Replace all plumbing and GRV vents 0.00
Install new synthetic Rhino underlayment 0.00
Insmll GAF Timberline/Owens Coming 30yr Architecdual fungus guard shingle 0.00
Replace damaged wood decldng @$45.00 per sheet.3 sheets included 0.00
Any aciditional wood replacement will be on a time and maferial cost basis 0.0(l
Install proper roof ventilation 0.00
All worl�tanship guaranteed for 5 yeazs 5,000_00
Estima�based on 1 layer of roofing material.
Nail roof deck per code 201.2 p�� � 3 O�,/n
Permit fee /
Notice of commencement fee �I a(,� ��y�
� �
Me]ook forward to your �,,��
business Sign �nn 51[ ���.�� �7-z
Thankyou,DanielTosca Total $5,000.0�
_ :;��-�aaoo2o City of Zephyrhills Permit Application Fax 813-7so-oo2�
��� ` Buitding department .
Date Received Phane Contact for PermlttEn —
Owner'�Name y� �Q Owner Phone Numbar ���"� G.�"
Owner's Address Owner Phone Number � �
Fee Simple TlNeholder Name �� � Owner Phane Number �— � '
Fee Slmple Titleholder Address
JOB AbDRESB co ' �i� �� r�/7 i �t 3 3 5'y;z �oT# ��
SUBDIVISION �� � PARCEL ID#
, (OBTAINBD FROM PROPERTY TAX NdTICE) �
WORK PROPOSED NEW CON5TR ADDIAIT' �" 51GN Q Q DEMOLlSH
e INSTALL e REPAIR
PROPOSED-USE Q 3FR � C4MM � � tf !
TYPE OF CONSTRUC710N Q BLOCK � Q FRAME � STEEL Q
DESCRIPTION OF WbRK E �� ;+�»G� lr►cv y� �
BU1lDING S12E � � SQ FOOTAGE�_� HEIGHT ���
�����"���� $ ��t ��� a"� VALUATION OF TOTAi�CONSTRUCTION
QEIEC'TRiCAl. � �� AMP BERVICE Q PRQGRESS ENERGY Q W.R:E.C.
OPLUMBING $ r,�j�
��,.._ � �l(�v�
OMECHANlCAI. $ VALUATION OF MECNANICAG lNSTAI.IATIQN
' [�GAS Q ROOFING Q SPECIALTY C� (?THER;
' FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA [�YES NO
1.�� .
BUI�DEF2 COMPANIP �
31GNATURE REGISTERED Y/ N FEE CURREP Y/N
Addra�s License# �� �
E�EC7RICIAN COMPANY
SIGNATURE ' RE�iS'rEReo Y/ N FEE CURRE� Y/N
I
Address , License# �� �
PLUMBER COMRANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �^ �
MECH�lNICAL COMPANIt
SIGNATURE REGISTERED Y,/ N FEE cu�tEn Y/N
Address � License# �- � •
OTHER COMPI�WY
SIGNATURE Re��STERE� Y/ N , FEE CURRE� Y/N.
j Addre�s License# �� � �
RfSEDENTIAL Attach{2)Ptof Rlans;(2}seis�.of=Buitding'Plans;{1}se#af�Energy=�orm`s;R-O-W Pemiit for i�euy constrvetion,
Minlmum�ten.(1.0)woricing?days after,subrtiittal date, Required onstte,Construction Plans;�Stortnwater Plans w/Silt Fenoe installed,
Sanifary FaciliUes&.1„dumpster Site;Work Rermit forsubdidisionsAarge:proJects ' �
CflMMERCIAl. Attach{3)comptete"sets af Bullding Plans plus a l.ife Safety Page;{1)set of Energy Fo�ns.R=Ct�W-Pemiit far�new canstruction.
Minimum ten(10)woricing days after.su�mittal date. Required onsite,Canstructlon Plans,Stortnwater Plans w/SUt Fenc�ainstalled,
, ��,.,,..,_ �--
� Sanitary Facilitles&1 d�mpster.:Site Work��'ermtt for.all new proje6ts..All cammercial requirements rriust ineefcompliance—%
StGPI PERMIT At#ac�{2}sets of Engineered:Rla�s:, �. 4 __.
••"PROPERTY SURVEY requlred for all NEW constructlon.
Dlrections: �
Ffll aut application complekely. . � ,
:- -.
Owner 8 Co�tractor sign back of appficatlan,notarized; '/ `• � r� �� �
If aver S25Q0,a Nctice af Commencement�`i��equlreFl. �AtC upgrades over 57500} _ _ _ j�'" ' " s"�� ` •
.. � ._; •.�' .� .. ?:l. - ;,;_-.. .°.. ,i�.�.°;y.�_, ,, ..�:�',�,:`;. �,;:
Agent(for the contractor)or Power of Attomey(fo�tFie owner)iniould be someone with natarized letter from owner autho�izing same .. '
. .--� , `°...', i{ � '�'-rrF" t
DYER THE GGIUNTER.PERMi1'TING -{Front:of-Appllcafibn Onlyr),'":`., : ` .�';, .� '',
Reroofs if shingles Sewers ; Service�Upgrades�,NC� '>Fen;ce"s�(PIaUSurvey/Footage) � , , '�"°' � %
Drlveways-Not aver Gaunter if on public madways::needs ROVit��� „.;. � M1. `- . , ; „ ,. .��'.
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NQTICE OP DEED REST.RiCTIQNS: The undersigsaed under�tands��tfi��t,#his:p�rmit rrrayybe,sub�ecfi ta.°deed"restrlctlons"� ,
which may be�more'restciative=than��Gounty:�i�agulatlons:`The underslgned�assurries`responsitilitty.for�ompliance;with any
, . � : . .. . . . t,,�,,.., , .;
app#fcable de.ed�estrlctfon.s:�: �<'; t�;�. . . - '�.-'-:� .��;. . ' , ,: .
UNLIGENSED Ct1NTRACtORS AND CONTRACTOR itESPONSIBIL1TtES:-� If ttte owner-has fiired a can#ractar or
contractors to undertake work, they may be:requlred,.to�be;Ilcensed In,accardance.with.�tate.and;local_regulatians. If the
contractor is nat Ilaensed as�roqulred'by law, botfi� the ovvner and contractar��may be�cited-for-a=misdemeanar violation
under state law. If the awner or Intended��contra,ctor�.are uncertain es to what Ilcensing.requlremen#s�may apply�:�for�tiie
intanded wark,they are advfsed ta coritaat ttie Pasao County Buildfng inspection C)Ivlslorr-Licensing Sectfon at 727-847-
8009. Fu�ttrermore, ff the vwner has tii�eia a canhactoT"or iconfractors� he is adv{secl to have the canfractor{s} sign
portions of the "contracto� Block" of this appl(catian for which.they wilt.be responstble.. If.yauR as.the owner stgn`as the
con#ractor, thattnay be an Ind�catlon #hat=he�is not�groperiy llcensed�and�ls,_no#•ent�tlsdato'qet�il#tingfp,�iyllieg$s In Pasco
,s ,,� �.» �. .. .`.",;, �C�)`'Mr,j�•_��,Era.,R•� ..� . . .i.. • '�'., w ��' � ..
COUnty. •'• �, , -'.
�'RANSPORTATION�IMPACTtUTIl.4TIES=IMPAC`C-ANL?�RESQi�RCE RECnVERY FEE�;The unde�slgned understands
that Transpartation IQnpact Fees and.Reco.urse Recove.ry.Fees may��apply�#a�tfie construction af new buildings,�change of
use In existing bufldings, ar';expansi�n>,of•.existing�buildings; as speclfled.in Pasco�County Ordinance number 89-07 and
90-07� as amended. The undetsigned also understancfs� �hat such fees;�:as�may�be:due,:-will,be ideritified at the�time af
permitting. It is further understaod that Transportation Impact Fees and Resource Recovery"Fees.must be pald priar to
, ...
recetving a°certiflcate of o�upan�";ror f�a1�E,power release. :!f the project does.no�involve-a:aattifit�te of occupancy or
final power release; the fees'rnu�t be paid prlor#o permlt Issuance. Ft��thermore;if Fasco�County�Water/Sewer lmpact
fees are due,.they�must be-paid prior to permlf�lssuance�in accordance wittt appflcable Pasco County-or�linances.
CONSTRUCTtON CIEN I.AW iChapter 713� Elorl�ia st�tutes�,a�amend+�+ttj: if.,v�tuat�,on af-r�vork.is:_$2,5q0.00.ar more, i
certify that I, the applicyant, have-been provided inrifFi'a at�py'-"of t�heti`"Florida Constructton' Lierr.Law:Homeowner's
Protectivn Guide" prepared by the Fio�tda Depa�tmenf of Agr#cutture and GonsumerAffatrs. {f#he applicattt ts sameane
ather than the"owner", I certify that I h�ve,obtained'a copy.of.#he:above..des.crlbed�docurt�ent°and.p�romise in,good falth to
deliver It to.the°owne�'pdor.�to}commer�cement, ' � , .�
CONTRACTClR'S/OWNER'S AF�IDAViT: i certify ttiat.aii the��,inf.ormation ln•this apptica�to,n is`accurate and that all work
wlll�be done in complianae with all appllcable laws regulating constructlon, zoning and�land�development. AppliGatlan is
hereby made to obtaln .a perm�# to do. work:and -tnstatla#ion as 1ndEcafed.�; `I cert#jr tfia# no work':or installation has
cammenced p�ior ta Issuance af a permit and that.all-work will be performed ta meet standards af all laws regula�ing�
aonstructfon, Caunty and.Gity codes, zonfng �egula#ions� and land devetoprnent regalatians�tn the jurisdtc#lon. ! a4'so
certlfy #hat I u�ders#and th�f the regulatlons of other govemment agencles may apply�to the lntended work, and that it is
my responsibllity to identify�what:act[ons 1 must take:to be,ln:.corr�pllance. S,u�h agencles.lnclude but-are nat ltm(kec!!o:
- Depa�tment of Er�vironmental Protection=Cypress.Bayheads; 1NeHand Areas and Envtronmeritafiiy Sensitive
L.ands,WatedWastewater Treatment. 4,
- Southwest Ftor�da Vttater Management .C?istrict iNeNs� Cypress. Bsy.heads; WetEand Areas, Altering
Watercourses.
- Army Corps of Englneersweawa!!s�Docks,tdavtgable Waterways. .
- Department of Health� $ Rehabititathre Services/Ertivironmentai Health Unit Weli.s, Wastewater�Treatment,
Septic Tank§. , �..;., �.._ i. _:�1__ , ... , . _ ' ,
- US Environmental Protec#tori-Agency;,Asbestos:aba#ement. . ' �
- Federal Avtattvn Authorlty-Runway's. -- - ��Y• -� ���� ���-�- _" '�
!c►nderstand that the fotlouv�ng�restrlctions apply to the use�f flll:• �
- Use of filt is not aliawed in Flood Zone`�/"uMess expressiy permitted.
- If the 1�11 material�Is to be used. In.:Flood Zone. �A", It. Is understaod that a dralnage plan address[ng a
acomper�sa#Ing v�lume"wilt be submltted a#time af permItttng wl�tch is prepared by a professianal engineer
Ilaensed by#he Sta#e of Florlda:
- If the #iN mate�ial_Es to be used En Ftood Zone °A" In�conneclion�w1#h.a�{�ermi�ted buit�ing as�ng stem walt
� construction, i certify that fill•.will:lae used only.to.flll#he are.a withln the�stem�wall.
. - If fill materla! Is ta be used ln any area, I +certlfy that use. af such �ill wlll nat adversely affect ad}acent
. properties. if use of fill is fonnd to adversely:�ffect adja�ent��properties,.the awner may be cited for vioiating-
the condltions of the building:permtt I�sued�under the attached permlt applicatlan, for lots less#han one (1)
acr$which are elevated by fllt��n engineer�ed dralnags piat�#s required. .
If I am the AGENT FOR THE OWNER, I;�promise In good fatth#�Inform the owner of�the permltting conditians set forth tn
this affidavlt'prior to commeracing constcuctlon. f understand th8t a-separate permlt may be requlred for etect�ical work.
plumbing, signs, wells, poots; air canditianing, .ga�s, or athec instalta#lons not•spec�icatly included in the application. .A
permlt Issued shall be constcued to be a Ilcense to proceed wlth tNe work and nat as:authority to.-vPolate,cancel, alter, or .
set aside any provisians o#tlie t�chntc�l codeis,�nor shalt 3ssuance�af a.petmlt.pcevent fhe Bulldirig O#tEclal from Eherea#ter
requiring a carrection af errors In.plans, cons#ructlan or vlolations of any codes. Every p�erml#Issued shall become invalid
unless the work authorized_by stach permEt:�is.carnmenced�wlthln st�c months of pet�mit Issuance, or if work.authorized by
the permit is suspended or.abandoned for a period af si�c�6)montfis.after the time the�work�is commenced. An extension
may be requested, In wrlting� from the Bullding,Offlclal for a perlod.not to exceed nlnety_(90) days and wlll demonstrate
'—�ust�ia6���eause-for:tt�e exte�tsiori:�lf�work cease�i`or ninety{90)cons.+acutive:day.s;..tFie�ab is constdered abacrdoned.
WARNING TCJ► OWNfR; YOUR.FAIL,URE TO,REC.QE2D.A NQTIGE QF CQMM�NCENIEI+tT�MAY�RESUlT IN Y�UR
PAYING'iWICE,FOR IMPROVEMENTS Ttt YOUIi�PROPERTY. .1F�YO.U�IN�EWiD'T�OBTAIN�FINFANCING;'C.I�NSUL.T
WIT OU D � AN ATTO NEY 8 FORE��RECOt�U G.�' °U � O -� 'O �� '•' �E E �
PI.QRIDA JURAfi{F. 't.17.03) _ .. . .
OWIdER OR AOEN ! ��---' CC)NTltACTO
Subscrlbed and swom to{or afllrmed)beiore me fhls Substxtbed and' ar afllrmed��befare me ttils
by •by
Who Is/are persanally knawn to.me or haslhave produced Who.lsJare personellylci�own tty me or has/have•produced •
as Idendflca8on. as Edenti�cattan.
- t/' bllc _ otary Publlc
,,,�,�,,,,
CommisstanN .-'��'YP��'� .;7� Camntlsslon�No. .� `Y"•.
;�� �yr •'•�3 � _ �+- Commission#FF 137073
' Name otNotaty ctx' � _ Name of Natary e . ,„,� �• eintnswanca8R7365�78f9
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