HomeMy WebLinkAbout16-17386 CITY OF ZEPHYRHILLS
� � � � � 5335-8TH STREET
(813)780-0020 7386
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17386 Address: 4940 9TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-00500-0130
Improv. Cost: 2,250.00 OWNER INFORMATION
Date Issued: 5/26/2016 Name: PF ALLIANCE BORROWER LLC
Total Fees: 50.00 Address: 4940 9TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/26/2016 Phone: 8133258413
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES "
TKJ CONSTRUCTION COMPANY INC REROOF RESIDENTIAL 50.00
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, Ins ections Re uired
DR IN RO F INSP
TAPE JOINTS�jO-OF INSP(
FINAL VI�LZ=1
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.
,;
CONTRA TOR IGNATURE , PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e��-�8o-oozo City of Zephyrhills Permit Application F�$��-�eo-oo2�
� � Building Departmerrt
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Date Received phone Contact for Permitting
7TTf'Trrr c�
Owner's Name o Q � I es �er Phone Number ' 3�-S E � �3
�0 �3 5 �s�t�
Owners Address 33 wner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address /
JOB ADDRESS � \ � LOT# �
SUBDIVISION � PARCEL ID# —��- ��— C�O►C�-' D o,�bG� �O 3�
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e New cON57a e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK b ' A I e rl ` ,..5 I S�
BUILDING SIZE SQ FOOTAGE �S HEIGHT �
08UILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.`.C�
' QPLUMBING $ �� /
`' p, ,� �3�jKl
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �y �
�f';
QGAS � ROOFING Q SPECIALTY � OTHER���J V,� t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
, PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
IAddress License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i
Address License# I�
SIGNATURE v v ROMP�Y� I KJ ��"'F��l��-G�CTY� �GYY� �'y yt�G
Address �](���p �•� _���� O�C�. y�,-yr�i �IS �Li��e#' C��i3a���s
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIi1111111111111ti1111111111111
RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnd for new construdion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 8'I dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnitfor new construction.
Minimum ten(10)working days after submittal date. Required onsde,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projeds.All commercial requirements musl meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
DirecHons:
Fill out apptication completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for ihe conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from awner autho"ing same
^ _NTER PERMITi1NG "(copy of contradjequ^;ed) �� �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) �� �
:_�`'"�°°8��; EVA MARIE MARSHALL
' MY COMMISSION#FF080465
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'•.".��oF�;,d?'.� EXPIRES April 11, 2018
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7 ihichmey".9be�more:reatMcHVetlia�►Gifiai�E�ilr�ei`�,alatTohs 'Th�i:und`;erel�ned"a�'��mee'ie�portsibii[tytorici��rtipqan�8witti�ariy.` _",�
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INLICENSED��'C�,N�►G�AR��AFIFJ GONTRA6TOR`RESP?dN5f�1Li1'I�S�:�=1��:�lieiwviiliner�tias4fitied��a=`i�iriaactar or
ontrectorsto.andertakework;;ttiey:may..be;te�qttli;ei�:�o;bslti�neAd;-ln;aa�rilattce_;,�ititli�state;�nd;Iocalaregiif�Hq�is:,�if_�tha;--� -.-
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; antractoF;[s`ftot�llcenseif;aa�:�e�itir�d by iaw.6o�i#he owner a�-i�ntrae�sirmay�be�-ctted=�a mlac"tet�seanar viol�Uon `
,j �nder state law. it the owner or Intend��cw,�rtreetorrase�ncer�aln e�..to�wl+iat�Icensinp�requtremeMs,mayrspPl��i1r Gie;;�.��°�• I
i �tended uvork,�they'aria edvlsei�fo:6britac�t�ie I'esco;.Cou�ty<Bulid�ng;liiajsectfgn'Dlvlelo''r'_=1:icianstrig`SectNon�t 72T=847- ,
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� onVaator;:liiatrraay be�edindlaadori-�iat he is=not"propeNyrliceriseit and`ts�t��5t'=en"gde8 to�°permRfingi'pril`rlteges'In"Pasco
� county. ' . :- .. _ . _..... . ..->: :.,•4_' . . ,
` RAN8P01�tATtON�lMPAGYltiTIL-t'�'tE8•tMF�ll�1=�4Ff6=RESO�Jit6E RECOH�ttYFEE�:�'ihB�aRdeC�igtted�tini3erstands .
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j 0-OT,as amende.di�ae und�t��d�a1�d�s�tlds�th�Estnh f�:sa�ma�d e�ptNF:be identlfted at th�e Ume of�� "rr�-� r .
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� ermlNing. It Is'fiiitlier anderst�d.that TrahsporfaUon.lmpeiit'Pees and`:ftesourae�iteiroveryr.°Fee's<m�sf be paid prlor to
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, ace{ving.a3'ce�iffsata•�ot-:aecu�tac��or fl�tppwerytelease:,°.i€the pco�e�E�SZ08g 7��It1Y�Y8;i�'.GB�I�IC8t8 Of O,GCil�BC'iGj�:Qf��=t.""<.�.�
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� �es are due;.lhey�nust be-pald:pilor to.permik��seyence-In_at�o�rdance yv�l�appllcabfe:Pasco;Cnunty:cii�dinances.
:ONBTRUCTION ttEN L"A1l��(CNepte�713�Elortda'Sfett�t�s,as.ametided}, if vstua�oa.ot wark ts S?.b04:OQ:or?mo;s;:!�• .-
� � ertify that..t�..:#he_appitcant,..tta�te•:;tieerr.p�vlS3ed�wittr=a-:aapy*of=the'FtotldaaGon�ttitcttonxLlen�>t;aw—Nomeowner's
�rotecQon Gulde'prepared.by,tM�`Flor`ide'Rep��rtmeMf of Ag�c�ithire and Cons�marAff,aUs: if the appllcant is.sohieoae;_ ..� �,-
' ther than the"ownet",!certfty;th�t;l.lt�!a.tlb�l�ied?s:copyrof..the:abctva=deserl a�!' ` ��- romis�.Crt,".�od-#ai to. .>
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�ON7RACTQR'SIOWNER'S AFFIDAIRT: I:, w', lt118tSll,th�x1 . °'�'' �
c�rtl[y;;,�,... �fArr►t�t�on�l�slhla.�application I�accurate.and that eli wvrk
�III be done tn compliance wlth aU-appltcable lativs reguletlng conaWcUon.zpning and�landLLdevetbpment Rpp!lcatlan ts
sreby made #v.obfaiti-.a-.pe!:lnifr#o��ios�lcv;and:�.Tti�tai�a�an as in�[c�fed�wri�;=c�Etft�t tF�af iio wark��iir,.instaitatton"Fias
ommenced`pi'lor'io'Is"suance of e�.Remilf"ar`ii�:�thsif;alt�viiork will be pertormed to meet�stand�+de.=ot.ati laws regulating-
onsWction, County and Cfty codes+ �oning.regula8ans, and land development regUlattons=lri`ttieY;t�HsdtcUon.�-,l-al'so
ertify t�st 1 understsnd that#he reguta�ons of other govemment aget:ctes maY-apply::#o#ha�intended;uv,ork,and that it is �
� iy reaponalbllity to identlfy•what.ecUona 1 must�take#o.bedn_cor�pllaAa�:,.$uch;agendes<Ir�cCude�but are:not IlmJted.tas�.:- ��
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' - Departrtient of Etrvironmentali'PrtltecNoEt=Gyprea�-8aytiead�;=l�ft�land�l�eas.and�Envtrvnmenta0y Sensltive ,
� Cends,WaterlWa�tewater•"fr.ea#ment. :-'° = - .� �
- 3outhwest Florida Weter Manage�ert��-:�Dlstrlct=Weils; -6yprese.`�.Bay.�eads°;� Wetland Areas, Altering � {
Watercouraes. :. . . . -- � . : _ .
- Army Cor�ss af Engtneers`"-Seavvall`s;-Docks,�tavtgatile ltftatetiivaays. -
I - Department of.Health,;&�x.t�liatillit�thrs`�Ser.v.icealEmlronm,enYal�:,Nealtti�:.Untt-Wella; Wa�teNratec�Treatment, �
, SepUc`Yatiks:' „� ., . . - _ - - -
- US Erniranment�i Prot��ction Agency Aabestos atiateme����
Federai Avtailon aAtiiFioH���Rucmays:_,. : . _ .
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� undetstand thet.the..follcwing;'res�.���bns�eppty fo'the use'of flll:• ,
- R1ea of f11t ts not sltowed iri Ftond:Zgne`V`uNess expt�ssiy permifted.
- if-ihe.�Fmeterlat�IS�.L0�b6i:t18CfZ�^.`�R•�f.lood.Zone.•A",'it ts"urider`sfood-that-e dralnege'�plan addres'stng a
°campeFlsaling volume".will.be subml�ted at Ume of permttking wfilch Is prepared by a profeaslonal englneer
1lcensed�tiyi#tier:5tete�o€,-Fto�ida:- ' ,: :�,
- , tf th�..fltl;rrmsteHat`;i�=ta:;be:used tn�icod'ZAns'A"tn��onnecilon�wlth:a'�iermitted buliding using stem-wail
. conatrucHort,.i;cerdiy,;that fllirwJlhhe;�aed on�r.to.ml the_aiea.within:the:atem wa1i.
- if""fllf�tnetet�tai�Ta"towbe�ua+�=°tn�.a�ny.area;:l'��esttfy that uaa of�saeh.:fllCywSfi �at adveraely aEfed�adjacent
praperties.� If use.of f�lf;ls,f�wnd to.sdvers��r.,affe�t?'adJaeedt�`pmpeHies,,the awner mey be ctted tor.viotating.
the'cond�l6ns;_.of;die`tiull�lii��permltfssued-iinder tha=atEa�FFied..�i'rmlt;appllcatl�Fl,foe•lots less-than:one(1)
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acre vfrlilch are"8lev�iled+tsyr'flll;�n�sngEneared drafna8�Plari is iequU�id..
i am!he A6ENT:f..OR;7H�.OWNER;i;i�iiiiritge'In,�oo;d f�ith to:icsform-the•owner of�tfte perntifting.amdfttons:setYorth ln �,
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�Is aHidavlt pilor`to=cammencing��constiti�tfo`rt'i."'1`und�terid#het e+a�qe�ate per'mlt may be requtred for electrical wark,;,
lumbtng,slgns,,wells;„po.ols,�alc,ccndttlosilt�J,,�ass.pa_r.�oNsec fn��tfons;nat.apecJRcatly induded-In.lhe applEcat[on; .A - _ '_?
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srtnit tsauetl'sHa11�6e,:t�n�htied�to`b�e�?a�license;tir.prvs�ed wtt}i'tlte_v�ortc';arid not�s:aathority�ta-.viotatercancel�`�tfe�,or
9t aslde eny provlstons oi�lhe'tec'Fidli;al..codeg;nor shall Issuence�oi"a`peimtk:prevent the Bulldlrig Oiftclel from thereafter, �
iqulring a correctton;W errors ln_pten�;4coiis�rip�lort or vlolaUons�of�erry-code�.�:�very.;p�etmlt:tssued<sbstb betirome�lnvalld " �
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nless the work�auttiotized�l�y�s-tscF�peiiplf�,a.commen�ed�vidtfitn,stx mc.tnths�of�pertnit fesuattce,or itwark sulhorized by ,
ie permlt I's suspend�d�or,eba�doned;f,or�a:petldd,ot;elic�).mo�i{he�'�tCer fhe tlme.the�work��s commericed. M extenslon '
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iay be requeaCed,l'n iNr,ltlhg;tifrcm'tti�i�Flul�ding;(afll�lal�'for•aa p�[Iod::Aot�lo•e�caeed:nlriety{90)�d9ys�acid•.wll!`deinanstr,'ate
stlflabie cause for�the extenelori; tf viroiic c�sa�es,far niaety.{90}�nseautive:daysrt�ie�ob�ta constdeted aha�icloned.'. ._
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ho Idate PersonMly Igrom►to.me or#fedhave prpduced re.P 1iy�,�ta.nte,.ar:lf6attisve:pmdiu�d
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.•�;:9:.s��;: ACQt1El�INE BOGES ' �
ime of Notary typed,prinled or elemped Name ot .p :
=,ry o� xpires cember 12,20i8
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