HomeMy WebLinkAbout16-16508 CITY OF ZEPHYRHILLS
, ' - 5335-8TH STREET
(813)780-0020 16508
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16508 Address: 38020 8TH AVE
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: 11-26-21-0010-12600-0020
Improv. Cost: 2,800.00 OWNER INFORMATION
Date Issued: 8/11/2015 Name: DOTY NORMA
Total Fees: 75.00 Address: 38020 8TH AVE
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-3946
Date Paid: 8/14/2015 Phone: 813-788-9947
Work Desc: METAL REROOF (CHANGE FROM SHINGLE)
CONTRACTOR S APPLICATION FEES
H MEOWNER REROOF RE IDENTIAL 50.00 PLAN REVIEW FEE 25.00
�.. �
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Ins ections Re uired
DR I ROOFINSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are nece§sary 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 job site f) 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.
�
CONT SI ATURE ' PERMIT OFFI R
ERMIT 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
,;, � 8uildit�g Department .
Date Reasived Phone Cantaat for Permit#�n
Owner'�:Marrie�: � Owner Phone Number ��J "' �� `� ''1�
Owner's.Ad'dress . � . ._�.tJ__ � dwner Phone Number �- �
Fee Slmple Titlehalder Name �� � Owner Rhone Number � �
Fee Simple Titlehalder Addresa
JOB ADDRES3 V LOT# ��
su�o�ws�ow � � PARCEL ID# � " Zb - 2 r -{}d�p �j�6�� -p0 - --__
(OBTAINED FROM PRQpERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR AdDJAt�T � S1GN Q Q DEMOLiSH
INSTALL 8 REPAIR
PROPOSED LlSE � SFR Q COMM Q OTNER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL C]
DEBCRIPTMON OF WORK �,7 "'C-'e �Q� •�' t`�j L.1 ' �e
BWLDlNG SIZE �� � gp FQOTAGE�� HEIGHT �_��
QBUILDfNG ��`�1-�,�C3 VA4UATiON OF 70TAL CONSTRUCTION
U V
QEt�ECTR�GAI- �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
Qt�t��n�B�t�G � �] �O`�7
_._.1 � `(�
OMECNANiCAL $ VALUATION OF MECHANICAL tNSTA�LA'TION
Q�S � ROOFiNG Q SPEClAITY � OTHER
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
BUII.DER ,,, CQMPANY �,1�1�„�({'F
SIGNATURE ��t�-�.,,� REGISTEREC� / N FEE CURRE� Y/N
Address � Lfcense# I -�
ECECTRtC1AN COMPANY
SIGNATURE REGISTEREd Y/ N FEE CURRE� Y/N
Addrass License# � �
PCUMBER CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
MECNANIGAL �Q�Pp�r
SIGNATURE ReGISTERED Y/ Pl �E CURREn Y/N
Addtess License# �� ��
OTNER Ct3MPANY
SiGNATURE REGISTERED Y/ N . FEE CURRE� Y/N.
Addre$s Ucense# � �
RESIDEN'FIAl. Attach(2)Plot Plans{2}sets of Building Plans;(1}set of Energy Farms;R-Lt-W PeRnit fur new constructian,
Minimum,ten(�1Q).working days after.submittal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Sllt Fence installed,
Sanitary FaGiiUes&1,dumpster,Site Work�Partnit for subdivisions/large proJects
- COMMERGtAC - At#ach(3)compJete sets of Buildlrig Plar�s plus a l.Ife Safe#y Page;�1}se#af Energy Forms.R-tJ-W Pe�ni#for new construc�on.
Minimum ten(10)working days�after submittal date. Required onsite,Gonstruction Plans,Starmwater Plans w/Silt Fence installed,
Sanftary Facilides 8 1 dumpster.Site Work Permit for all new projects.All commercial rec}utrements must meet compilance
StGN PERMlT Attaah{2)sets of Englneered Rtans. -
`""PROPERTY SURVEY required for all NEW consWction.
DirectEons:
Fill out application completely.
Uwner&Contractor sign back of applicadon,notarized
IE over a2500,a Notice of Cammancement is reqaired. {AtC upgrades over�7500j
" Agent(far the contractor)or Power of Attomey(for the owner}would be someone with nota�zed letter ftom owner authorizing same
I DVEF2 THE COUNIER PERMI'TTFNG (Front of Application Only}
Reroafs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Faotage)
Driveways-Not aver Counter if an public roadways..needs ROW
NOTICE OF DEED RESTRICTIOMS: The undersigned unders�tands°:th�t this.p�rmit.may be.subJect to"deed"restrlctions"
which may be:more.restrictive than County regulatlons. �The undersigned assumes respon9lbility for compilance with any
applicable deed rest�ictions. �
UNLICEIdSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required=.to be;licensed In.accordance.with state.and�local regulations. If the
contractor (s not Ilcensed as required by law, both the owner and contractor may bQ cited for a misdemeanor violatlon
under state law. If the owner or Intended�contractor are uncertaln as to what Iicensing:requlrements may epply for the
intended work, they are advised to contact the Pasco County Building Inspection Divislon—Llcensing Section at 727-847-
8009. Furthe�more, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of thls application for which they wfll be responslble. If you, as.1he owner sign as the
contractor, that may be an fndication that he ts not.p�operly Hcensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT ANb RESOU�tCE RECOVERY FEES: The undersigned understands
_ -!h�!Trase��crtatlo:�-lr.:pa�t-����-and.-R,�co.u�� R��ove�:�:Es�s-msy-ap�s9y-ia-Qhe co�istru�tion-of�e�-bulldings;-ch�nge-ofi
use in existing buildings, or expan�ion•.of��existin,g�6uildings, as speciffed.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that:such fees�,as�may�be�due,:will:•be tdentlfied at the time of
permltting. It Is further understood that Transportatlon Impact Fees and Resource Recovery=Fees must be pafd prior to
receiving a �certiflcate of occupancy" or flnal powec release. .If the project does not invoive a certfficate of occupancy or
final power release, the,fees must be paid prior to permit Issuance. Ft��thermore,�if Pasco County WatedSewer Impact
fees are due, they must be-pald prlor to permit-Issuance-In accordance with�applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�as amended): If veluadon of work is$2,500.00 or more, I
certify that I, the applicant, have-been provided with a copy of the�"Florida Construction Lien Lav�Homeowne�'s
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner"� I certify that I have.obtained a copy;of,the above..described document°and.p.r.omise�in,good faith to
deliver It to the°owner"�prior to�commencement:
CONTRACTOR'SfOWNER'S AFFIDAVIT: I certify that all the Inf.onmation in this application is accurate and that all work
will�be done in compliance with all.applicable laws �egulating construction, zoning and land development. Application Is
hereby made to obtain .a permit Co do work and installation as Indlcated: 'I certffy that no work or Installation has
commenced prior to Issuance of a permit and that all work will be perFormed to meet standards of all laws regula�ing
construction, County and City codes, zoning regulatio.ns, and land development regulattons�in the jurisdtction. ( also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what.actions I must take to bedn:.compliancs: Such agencfes include but are.not Ilmited to:
- Department of Environmental Protection-Cypress.�Bayheads; Wetland Areas and Envlronmentally Sensit(ve
Lands, WaterMlastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress. Bay.heads; Wetland Areas, Altering
' Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, Navtgable Waterways.
- Department of Health� & ReMabilitative Servlces/Environmenfal Health Unit-Wells, Wastev�rater Treatment,
Septtc Tanks. � _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways.
1 understand that the following:restrictions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal is to be used in �Flood Zone "A", It. (s understood that a drainage plan addresstng a
"compensating volume" will be submitted at time of permifting which Is prepared by a professional engfneer
Iicensed by the State of Florida.
- If the fill material is to be used in Flood Zone °A° in�connection�with.a permltted building using sfem wall
� construction, i certify that fill�:wlll=b.e used only.to..fill the area w(thin the�stem�wall. f'..; ,
- If ffll materlal is to be used in any area, I certify that .use. of such fill will not adversely� affect adjacent
properties. If use of flll is found to adversely:�ifect adJaEent�propertles,.the owner may be cited for viofating
the condltions of the building.permit issued�under the attached �ermtt application, for.lots less than one (1)
acre which are elevated�by flll, arr engineered dralnage plan is required. •
If I am the AGENT FOR THE OWNER, I;;promise In good fatth to inform the owner of�the permitting conditlons set forth In
this affidavit�prior to commencing cvnstruction. I understand thafi a-separate permit may be requtred for elecMcal work,
plumbing, signs, wells, pools, air conditioning, .gas, or,other install�tlons not spec�ically included�in.the application. �A
permit issued shail be constcued to�be a Iicense to proceed with the�work and not as�authority to.violate, cancel, alter, or ,
set aside any provislons of the.techn(cal.codes; nor shall issuance�of a.permtt.pcevent the Bulldirig Offictal from thereafter
requiring a correction af errors In.plans, constniction or violatlons of any codes:. Every permit issued shall become invalid
unless the work authorized.by such permit�Is-commenced�witfitn sGc months of permit issuance, or if work authorized by
the permlt is suspended or.abandoned for a.period of six(8)•montFis:after the time the wo�k�•ts commenced. An extension
may be requested, in 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.�cutive:day.s�..th\job is considered abandoned.
WARNING TO OWNER: YOUR:FAILURE•TQ.REC.QRD A:_NOTIGE OF•COMMENCEMENT.MAY=RESULT IN YOUR _ _
PAYING TWICE:FOR�IMPROVEMENTS TO YOUt�PROPERTY.-,IF�.YOU�IN'FENDk�TO�OBTAIN��FIPtANCtNG;�CONSULT "�
WIT UR� E. D O � AN�ATTORNE � FOR��R COR� G.� -U � � �'O ? • � E � N .� , °�;•
FLORIDA JURA�.(F.S. .03) - � � • ., . -� • .. ' � . " . . • .
OWNER OR AOENT � CONTRACTOR
Subsc►Ibed and swo (or alflRneyl)betore me th s Subscribed and'swom=to(or aflirmedpbefore me fhis
by d ,by
Who is/are personal� knovm to.me or hasihaye produced Who ls/are personelly known;to me,or has/heve produced
as Identlflcatlpn. as IdentlflcaGon.
otery Publlc Notary Public
Com � '' 'e.�,, OEL .BACON
• • Commisslon.No.
; :o; Expires June 29,2018 ' '
'��� ' Insurenee80a385•7019
Na o Name of Notary typed,p�lnted or siamped
;� �
DISCLOSIIRE STATEN�NT FOR OWNER
CITY OF ZEPHYRHILLS BIIILDING DSPARTMENT
I, � have read and fully understand and
agree to the provisioas o this astrumeat.
The undersigaed states and affirms that he or she is desirous of constructiag,
reaovatiag, adding to or reroofiag his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following coaditions:
1. That the owner aad he or she aloae shall act as the builder for all phases of
coastruction.
2. That the o�vner will comply with all provisioas of the City of Zephyrhills
ordinaaces aad codes pertinent to the buildiag.
3. That ia the eveat various phasea of construction are subcontracted, he will
engage only properly licensed subcoatractors aad will persoaally supervise
such work.
4. That in the event the Buildiag Iaspector shall require correctioas to be made,
the owaer will assume full responsibility to iasure they are made, aad upon
completion will call for a reiaspectioa before proceediag with the buildiag.
5. That the ov�er shall assume full responsibility for the constructioa and will
aot expect supervisioa of his work from the City of Zephyrhills Buildiag
Departmeat.
6. That prior to fiaal inspection any additional fees, including reinspection
fees, must be paid ia full. A writtea request from this office shall
coastitute aa official aotice to pay additioaal fees.
7. That the owner shall comply with all City, State aad Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be doae by liceased coatractors. You have
applied for a permit under aa exemptioa to that law. The exemptioa allows
you, as the owner of your property, to act as your own coatractor with certain
� restrietioas evea though you do not have a licenae. You must provide direct
' onsite supervision of the constructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuildiag. You may also build
or improve a commercial buildiag, provided your costs do not exceed $75,000.
The buildiag or residence must be for your owa use or occupancy. It may aot
be built or substantially improved for sale or lease. If you sell or lease a
buildiag you have built or aubataatially improved yourself withia 1 year after
the construction is complete, the law will presume that you built or
, substaatially improved if for sale or lease, which is a violation of this
exemptioa. You may not hire aa unliceased persoa to act as your contractor or
to supervise people working on your buildiag. It is your respoasibility to
make sure that people employed by you have liceases required by atate law and
by couaty or muaicipal liceasing ordiaaacea. You may not delegate the
respoasibility for supervising work to a licensed coatractor who is aot
licenaed to perform the work being done. Any person working on your building
who is not liceused must work under your direct supervisioa and must be
employed by you, which meaas that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your coastructioa must comply with all applicable laws, ordinances, buildiag
codes, aad zoaing r latioas. �
OWNER'S I NATURE � � DATE � l , �
ADDRSSS -
PHONE
WITNESS PERMIT # CG �dS�
Florida Building Code Online Page 1 of 1
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Code Verston 2014 FL# 7271.9
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FL# Tvoe Manufacturer Validated Bv Status
FL7271-R3 Revision UNION CORRUGATING COMPANY Yoosef Lavi,P.E.Approved
Historv FL#:FL7271.9 _ (214)340-0049
Model:MasterRtb
Descrlptlon:Mtn 29 ga.,36"wide through fastened panel over 15/32"thick plywood
Category:RooFlng
Subcategory:Mebl Roofing
*Approved by DBPR.Approvals by DBPR shall be revlewed and retified by the POC and/or the Commission If necessary,
Contacc Us 1940 North Monroe Street.7allahassee FL 32399 Phone:850-487-1824
The Sta[e of Florida Is an AA/EEO employer Coovrlaht 2007-2013 Sta[e of Florida. Privacv Statemen[ AccesslblliN Statemen[ Befund Statement
� Under Florida law,ematl addresses are public records.If you do not want your e-mall address released in response to a pubiic-records request,do not send electronic
, mall to this en[Ity.Ins[ead,contact the office by phone or by tradi[Ionai mall.If you have any questions,please con[act 850.487.1395.�Pursuan[to Section 455.275�
(1),Florida Statutes,effective Oc[ober 1,2012,Ilcensees Ilcensed under Chapter 455,F.S.mus[provide the Department with an emall address If they have one.The
emalls provided may be used for offlclal communlcation with the Ilcensee.However emall addresses are public record.If you do not wish to suppiy a personal address,
please provlde[he Department wlth an email address whlch tan be made avallable to the public.To determine If you are a Ilcensee under Chapter 455,F.S.,Dlease
click e e.
Product Approvel Accepts:
� � �� �
SCCU['it'�tk'!'IUCS
�
ALL WORIC SHALL COMPLY WITH ALL
PREVAILING CODES,FLORIDA BUILDING
GODE,NATIONAL ELECTRIC CODE AND
CITY OF ZEPHYRHILLS ORDINANCES
�E�p��t���-���/�_/J-,
ca`r�����'���Y���o��s
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http://www.floridabuilding.org/pr/pr_app_lst.aspx 8/14/2015
� � � _ � I IIIIII IIIII IIIN IIIII IIIII IIIII IIIII IIIII IIIII IIIiI llll illl
2018128261
Rcpl:1704737 Rec: 10.00
DS: 0.00 IT: 0.00
, 08/11/2015 T. S. , Dpty Clerk
PRULA S 0'NEIL,Ph D P(i5C0 CLERK d COMPTROLLEh
080RiBK 1923�m PG 4�6
NOTICE OF COMMENCEMENT
Pennit No._I
� Propaty Ideirtification No.��- �0-�/-6 oi a/260 o.�p u,
'I�iE LTNDERSIGNED haeby give inSormv yon thet the improvement tn'II be mede to certain reat pmperty,and!n eeeordanee with
Seccion 713.23 ofthe Flortde Smmtes,the following mformetlon is provlded in this NOTICE OF CONAI�NCEMENT.
i.DescriptionofProP��t)'�/�Ealdescr Bon.) Z� � I4SSPS5�: , � /OiVff:S� 21� �O3�Q
e�sm��c naa�s; 3�o
2.Qeneral deseription ofimprovemenis: .�t ��e ���r
.Owner Infounation
n)Nerne�d address: �7Z) l�h�YYt� ..
• b)N�e and eddress of fee simp title6older('if othei than owner)`�� e �l�S �_ 7j 3���
e)InGetsst in ProP�Y
4.Con�aemr Informatioa •
a)Nema aad add�ess:. �.,
b)Te(aphone No.:��'��� �_ Fex No.lOot1
5.5�uety Infoimetion
a)Neme md'eddms:
b)Amatmt of Bond:
c)Telephano No,.: • ' Fez No.(Opt)
6.Lender
a)Neme�d eddress•
Phone No.
7.IdentIty of person within the Stata of Florida deeigna�ed by owner upon whom notices or other doc�ents mey be sernd:
a)Name end add�e.v.+: � �
b)Telephone No.: Fax No.(Opt,)_ __
B.In additioa to himsel�owner dai�ates t}ie following pereoa to receive e copy bfthe Z,ienor's Notica av�provided in Secffon
713.13(I)(b�Flarida Sm�:
e)Name end address: �
� b)TelephoneNo.: t• � .FaxNo.(Opt.) . .
� 9.ExpiraHon date ofNodee of Commencemeat(the exQitarion date ls one year from the daDe of recocding�mless a diffdent dato is
' speci5ed):
� ' ' .
� WARNIIYG TO O WNER AhIY PAYMENT514IADS BY THE OWNER APTER THE EXPIRATION OF THE NOZTCE OF
COMMENCEMENT ARE CONSIDERED A1'lPROPER PAYMENT'S UNDER CHAPTER 713,PART I,SBGTION 713.13,
F[:ORIDA STATUTE3;AND CAN RESITLT W YOUIt PAY�7G TWICE FOR IMPROV$MENTS TO YOU1i PROPERTII.
A NOTICE QF COMNIENCEMENT MUSf BE RECO1tI)ED AND POSTED ON THE JOB S1TE BEFORB THE FIRST
INSPECITOPT. IF.1'OU INTEND TO OBTAII�i FINANCING,CONSUI.T YOUk LENDER OR AN ATCORNEY BEFORE
COMMENCIIVG WORK OR RECORDING YOUR NOTICE OF MENCEMEN'C
� STAiE OF FLORIDA , �
j COUKfVOFPASCO
• Si ! ot ��Qffea/D^rjtm/Pu6�v/Mcuga
� �ad:evq:ti JOEL E.BACON y ��� c � L•�
��� �':� Commission#FF 137073 JF�cN,� '
•' :A�3 Expires June 29,2018
fo go wat�elmo�ed�i9C�1}9s dey of 20L,by__�____
(tYoe of ority,e.g o ,trusteq attomey •
in fect)f (aeme ofpazty on beLalf o Snst eat as �.
Petsonal}y Knowa_OR Produeed IdenHficetlnn� Nomry 5i�afure
Type of IdeaUfieation Produced 'r"�. ��'ru`�� Name(ptmt) t. i-- aG D��
� VerlficaHan pursueat to Section 92.525,Flodda Stawtes.Unda panetties of pajivy,I declere that I hnve had the fomgofag flnd thet
i the facti stated in it are Cue to the best of my Imowledge end belie£
rj�@�`'�
I � �d
I� I Fo�� ��� ° � � � R� STASYE°��.`�I�' .�C1N�'1(OF PA$CO�
��'. G�� THIS IS Tp CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
� • 1n'�L�r�ve7�� .. �` ON FILE OR OF PUf3LIC ECORD IN THIS OFFICE
:��..,,. ' IIVITNESS�Y HAND OFFICIAL SEAL THIS
� - * � O * 4`��AY OF 2 ���
� ��} PA S.O'NEIL,CLE &COMPTROLLER
� 1887 --------� --
Sj�q�O��o��OQ' � DEPUTY CLERK