HomeMy WebLinkAbout16-17213 � ,: � CITY OF ZEPHYRHILLS
� r ` 5335-8TH STREET ;'
(813)780-0020 172,�3
�__..._. ___: BUILDING PERMIT `!
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PERMIT INFORMATION _ 'LOCATION INFORMATION
Permit Number: 17213 Address: 39305 5TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT , Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00100-0150
Improv. Cost: 1,500.00 OWNER INFORMATION
Date Issued: 4/01/2016 Name: WILLIS, JAMES & MESSINA DANA
Total Fees: 67.50 Address: 39305 5TH AVE
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/01/2016 Phone:
Work Desc: REROOF RUBBER
CONTRACTOR S - APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 67.50
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_ �
- Ins ections Re uired
DR IN ROOF INSP
TAPE JOINT�OF�I � _
- FINAL �' � �
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
s �
CO RACTOR SIGNATURE PERMIT OFFI R i
_ PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021
`� . ��� '� Building depattment
Date Received f phone-Cantsct.for Pefrt�3tttn •._ � -
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� 1
�i„JOwner's Name � t � i t � Owner Phone Number
t � �J��JC�� �`� �
l�rner's Address Owner Phone Number
�
Fee Slmple Tltleholder Name Owner Phone Number �
'��d �_
Fee Simple Titleholder Address °"
3 365�' �" �.e � � Q
JOB ADDRE3S .� S' ��-- LOT#
SUBDIVISION �` � n PARCEL ID#
(OBTAINED FROM'PROPERTY TAX NOTlCE) '
WflRK PROPt}SED �i�EW CONSTR ADDJAtT �,] StGN� Q Q DEMOI.ISH
INSTALL .� REPAIR - '
PROPOSED-USE 8FR �; CQMM� � t?THEF2 ,
TYPE OF CONSTRUCTION `. � BI,OCK ~ Q FRAME � STEEI. Q'
DESCRIPTION"OF WORK N - e � ��
BUILDING SIZE �� � .SQ FOOTpGE��. HEIGHT C,,,_„
QBUI�DiNG � v VALUATION C1F 10TAL COIVSTRUCTION
, .-����
QE�.�CTRICAI. � � AMP SERViCE "Q PROGRESS ENERGY Q W.R.E.C.
QPl:UMBtNG � 11 � ' ��.�� �
�. .- �
QMECHAiVlCAL $ VAi.UATtON OF NIEGHANtCRE.IP#8TALlATtUtU
Oc�s o �a��E�� ..o SPECIAl.TY [� - OTHER.
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
Bt31�DER �Q,,,�.�Q„�,r ,� ' COMPANY , 'G�����
SIGNATUR� REGISTERED Y/ N FEE CURRE� - Y/N
Address License#
ELECTRiCiAN COMFA�tY � - �
SIGNATURE �» REGISTERED Y/ N FEE CUFiRE� Y/N '
Addres� - License#.:� � �
„ „ „..�. „
PLUMBER , GOMPANIf =
SIGNATURE � � .REGI$TERED _ Y I N F,EE.CURRE� Y/N �
Address Ucense#�� � �
MEGHAi�iICAL' � �, , ; COMPAt�tY ..
SIGNATURE; ' REGI3TERED ; ,, YJ.,.N FEBCURREt� .,Y/N ,.
Address� � } � ' Ucense# ( �
O'iHER COMPANY . .
SIGNATURE��� ` � � � ` `REGISTERED � � Y/ N'... FEE.CURRE� Y/N ,
Add�e8s '�� ' . ` , LiC011Se# � �
RESlDENT'IAI:', .. �Attac�{2}:FIot,Plans;.{2}sets�ofsButlding"Plans;'.(1)'set of Energyt�=Forriis;R=0-W Peiiril!for new coostiuo$on,
Minlmum;ten-(1�,0);workfng;;days;aRer submlttal:date:�Requlred.onslte;�ConsUucd'an-Plans;Stormwater Plans w/Silt Fence installed,
..Sanitary Fa�l1�es�&�.1�,�dumpster_Site,Work;Permit�foi suddivisionsllarge_projects �. , :` ' ' � - - �
COMMERCIJU. Attach{3)complete sets`of'Biiltiling�Plans plus a�ife�8afety�Page;{1�)set af Energy Fatms.R-O W Permitior new canstsuctlon.
Minimum ten(10)working days'after submittal date. Required onsite,Constructlon Plans,Stormwater Pians w/Silt Fence instelled,
Sanitary Pacllttles&1 dumpster.Stte Work Permft for aU new;projeats:•All commerciat requfrements must meet compliance
SIGN PERMtT Attacfi{2}`sets of`�nglneered:Fla�is•z,_,r:�:��r;�`°� , -� „ � "
•`"'pROPERTY SURVEY reguired for all NEW_constructian. �
Directtans: , , . . . _ .
FIII out appUcatlon completely.
t?wner&GontracMr sign back of application,natariz�!
i#over�500,a Notice of Commencennent is required. (A!C upgrades over 57500) .
'• qgent(for ttie conf'racto'r'�'or Power'bf Attoriiep`(fiSr ttie ownerj would be someone with notarized letter from owner authorizing same � ��
DVER THE C4UNTER PERMt'TTiNG•� �- -�(Front of�Apptication•Onty)°�
Reroahs if shingles Sewers Service Upgrades AIC Fences(PlodSurvey/Footage)
' Driveways-Not over Counter if an pub0a roadways..need's ROiN �
t I
v .
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NOTiCE OF DEED RESTRICTIONS: The undecsigned,under�tand5;;th�t,this::.p�rm(f��.may.:be,.subject to"deed"restrictto%�s"�_ `_,?,0..`,`�;' +
which may be,more��rasttictive�.tha�n`Cdunly��ifeg�lallons:�Tfie�=underslgned��essumes�zresponsibtiify fo�"compliance witfi any`���` '
applicable'deed restrictions. .:_ _:�- , - - . ,. , _ _,_._ _ , ::•-� -. ,
_- .,,.,,,,.;�.;,- _
UNUCENSED CONTRACTORS �AND:;CON7`RACTOR_RESPONSIBILITIES`.�--�If��he��owner-has��hire�d"a contractor or
contractors to undertake work, they may;be,Re�qi�I�ed:Yto„be.-ltcense.d In.accordance.with.state.and,loc�al regulations:: �if�the ���� � --
�ontractor�is not�iicensed:as�:requlced�'6y law� tiotfrthe.owner and-contracfo��may°tie��clted�for�a��misdemeanor violatlon
under state Iaw. If the owner or.intendedscun�ractor;:are,unce�taln as to what Iicensingr requlre�nents,,;may_.applyG�for�tF:ie �yt.�:�� •�-, =
intended work; they are advised to�contact the Pasco County Bullding'Inspection.:Diylsion--Ltcensing Sectlon at 727-847-
:_ ...___. ... .
3009. Furthermore, If the owner Fias lilred a contractor�o�conti�actors. he is advtsed to have tlie contractor(s)tYsign ,..,,..:, ,
oorticns of the "contractor Block° of thla application for.which they.wilt.be tesp.onsible.�._:if.y.ou,.as�.the owiie��sign as�°the "�` ' � "
;.ontractor, tfiattnay'be an indication�that he�ts`noY.properly�licensed and��is not`enUtled�"to per'rniftf`ng p�iuileges in Pasco
County. :. :;,:,-�� - , - .
TRANSPORTA710N.IMPACTIUTi41TIES-rMPAC7AN6�RE30U�tCE RECOVERY•FEES:��T�he undersigned understands ,
Ihat Transportation Impact Fees:and.Recourse.Recove.ry.�ees may�;apply to�.t�e'constructlon..of new,puildings�±.change�of�r"=r-. .�;:
use in existing buildings,"or�expansianfof�sexisti�i�-�buildings, as specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended,.�.The:undersigned also:wnderstands; thait'�such fees�;as:rmay_be:due;;�wllF:�be tdentified at the`time�of" ; "� "-
- permitting. It is furtfier understood that Tra�sportatlon Impact`Fees and>Resource,_Reco�ery'Fees.must be paid prior to
receEving.a 'certiflcate.of�occupancy"�orflnal-power::release: :If•.the proj�ct;;does:not"involve,a:.certiflcafe,of occupancy�o�=�=��- '" �-
final power release;<,the:fees must-be paid prlo�,to permR Issuance. Fti�tk�ermore;�ff�Pasco;�County�Water/Sewer�lmpact�: T�� - �
Fees are due,they must.be=pafd=prlor to permit�issuance=ln.,accordance.wittr applicatile Pasco�..Gounty�ordinances.
CONSTRUCTION LIEN`L:AW�(Chapte�713� Florltla$tatutes�as amended): tf valuallon of work is$2,500.00�or more, I: - � ..
certify that I, the�applicant,. have-;been._provlded-wtth-�a��-copy of-the="Flo�(da�=Constivctlon=.ilen..Lainr—Fiomeowner's
Protection Gu(de" prepared by tFie Florida Department�of Agric.ulture and ConsumerAffaics. If the appllcant is someone= : ,.
other than the"owne�", I certify.that I.have.obtained�a`�copy.of,the:above.descrli�ed`�locu�ent:and.�promise;tn��good,:faith�to., : ; �._ .
deliver it to the"owner"-.prior>-to�commencemerit:'`-s'' ' • �-- ' ' -` � '� ' �`- ` ' -
CONTRACTOR'S/OYVNER'S AFFIDAVIT: I ce�tlfy;;thak:ail,the.�inf.ormation.In�this applicatlon is accurate.�nd that all work "
wfll be done in compliance wfth all appltcable'laws r'egulating construction� zoning and��land development. Appllcatlon ts
nereby made to'obtain :a .permit,.;to :.do„worl�;.and ,InsCaliatlon as indi�ated:�• yl� certffy-that no work�:or, Installatlon has-
commenced prior to Issuance of`a�perrii(t`and that':all�work will be perFormed�to meet standards�of all laws regulating-
construction, County and City codes, zoning regulatians, and land development cegulatlons-in the jurisdiction. I:al'so-�
certify that I u�derstand that the regulatlons of other government agencies may�apply�to,the_intended.work, and that (t is
my responsibllity to Identify•what-.acttons I mus.t take:to be�in�compllance; S,uch agencles=lnclude but are::not limtted to: -
- Depart�ient of ErlvtronmentairProtectton='Cypress:`Bayiieads; V�leUand Areas and Environmentally Sensttive
Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management�:Dtstrict Wells, Cypres5. �ey.heads; Wetland Areas, AlteNng
Watercourses. � '
- Army Cocps of Engtneers=Seawalls, Docks� Navlgatile Waterways.
- Department of Health�'8 Re�abil(taHve.,Senilces/Environmental Health Unit:Wells� .Waste�tater-Treatment, '
Septic Tanks: ' � ' ,
- US Environmental Protection Agency-Asbestos abatement. �
Federal AviatLon�AuthoNtyr,Runways� � -
I understand that.the folfowang..restNctions'apply to�the use of flil:•
- Use of flil Is not allowed in Flood:Zone"V"unless expressly permitted.
- If the fill material is�to:,be-used�"`In :Flood Zone. "A", It. Is underetood that a drainage plan addressing a
°compensating volume" will be submitted at�ime of permttting which is prepared by a profess(onal engineer- �
Iicensed:by the:,State-of Florida:
- If th� flli material�:ts.to.be.used in Flood Zone 'A" in�connect(on�wlth.a•�permitted building using stem wail
construction, I certiry that�Il:wall:b.e�used only.to.fill the area wtthin.the�stem•walt.
- if flll materlal�is to=be used In�=�any�area� f�certify that .use. of such flll will not adversely affect adJacent
� propertles. If use of flll is found to adversely,�ffect ad)aeent��properties,.the owner may be cited for violating
the condi#lons of the building:;perrii(E Issued•under the:attached permit appltcation� for�lots less than.one (1)
. .acre which are elevated`byflll,art 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 condftlons set forth in
lhis affidavtt�prtor to commencing constructton. I'understand that_a�separate permlt may be required for elecMcal work, -
olumbing, signs, wells, pools;_alr conditiontng,.g�s, or�other insfal�at�o'ris`nol.spec�ically included�in.the application. .A
�ermit issued shall be constcued to be a•license to proceed with the'work and not as:authority to:violate��:cancel, alter, or '
3et aside any provisions of the technic�l:codes;�nor shall issuance�of a permit.pcevent the Bulidirig O#ficiel from thereafter �
�equirtng a correction_.af errors:in:plans,constructlon or irlolations of any codes. Every p'etmit Issued shall"become�invalid
mless the work authorized.by such permit:�ts-co�tmenced�withtn sfX.,months of�permit lssuance� or if work authorized by
ihe perm(t is suspended or,abandoned�for a:pertod of six�(�)montii§�after;the ti�ne the�work�ls commenaed..An extension
�nay be requested, in writing, from the;Buliding,Official for a per(od.,not�to.exceed nlnetK�(90) days a�d will demonstrate
usti�able cause for.the extension. If work ceases�:for ninety(90)cons.ecut(ve:day.s...the)ob�is considered aba�doned:'�
NARNING TO OWNER: YOUR.FAILURE TQ..:RECORD_A,tI�OTIGE OF.•C.OMMEMCEMEI�T�MAY�RESiJLT IN�YOUR
�AYING TWICE:FOR;IMPROVEMEN.�S TO.X-CUf�PJiOPER�TY.:IF.YO.t1�i��END�T��iOBTA1N��FIN�NEING;�CONSULT
IT O D �O. AN�A'�'TO NEY FO'RE� �ECO �� f:� O ?. :.p �_ O C " �.N. .�_—--- ----- ----
�LORIDA JURA�(F S:-!. .:03}-- ---. .� ..�--.. .. _- ,. .',.. ._
---•-=--�--- --�-- . •
�WNER bR A�EN� �'�-.�"�'!�f(�Y�C.w • •CONTRACTOR '
iubscribed and awo (o�ffirmed)before me_th�� Subscribed'end'swom`to(ot aflirtned)'b�fote me tlil�
by �nl .by...
Mio is/are personally nown b.me or has/have produ 1Nho`Is/are p.ersonally.known�to me or_has/have•produced •�
as IdentlBcatlpn. as IdentlRcaOon.
� Notery Publlc �
- Notary Publlc
:ommisslon No. �� Commiaslon No.
�ame of Notary typed,printed or atamped Nartie of�Motery qrped,printed or slamped .
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