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HomeMy WebLinkAbout16-17016 CITY OF ZEPHYRHILLS �J 5335-8TH STREET �sis)�so-oo20 �a 16 ' - • BUILDING PERMIT PERMIT INFORMATION " LOCATION INFORMATION � Permit Number: 17016 Address: 39033 6TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-002A-00100-0011 Improv. Cost: 2,490.00 OWNER INFORMATION Date Issued: 2/04/2016 Name: ALVES, EUGENE &ADA Total Fees: 50.00 Address: 39033 6TH AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/04/2016 Phone: (813)788-2699 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES HOMEOWNER REROOF RESIDENTIAL 50.00 r�� Ins ections Re uired DRYI ROOFINSP TAPE JOINTS ROOF INSP� FINAL Z-I,G� '` 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. , , CONTRACT R SIGNA RE PERMIT OFFI R PERMIT 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 Building Departrnent Date Recetved , ' ' ` ` � ' � � � - - �� � , � ; Phone-Contact for Permtttln • — -`.- � : , , _ . Owner's Name ��/I/G �!/�'S' Owner Phone Number..+, � ti , . . - Own r's Address. � 0�3� , ' j Owner Phone•Number � " Fee SI ple itleholder Name � Owner Phone Number Fee Simpl ,Tltlehold.�r Address --JOB ADDRESS � `'�' � LOT# � SUBDIVISION PARCEL ID# (OBT/i1NED FROM PROPERTY TAX NOTICE) WORK PROPOSED °NEW CONSTR' ADD/ALT � SIGN� Q Q DEMOLISH INSTALL REPAIR PROPOSED.USE. SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q DESCRIPTION OF WORK � � '� �77 I �G- BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING '}� $ � ^���.--.--,. - � �� I VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY � SIGNATURE X � / 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 Address License# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. Address - Ucense# RESIDENTIAL Attaoh(2)Pidt Plans;.(2)sets_of;Building Plans;(1)set of Energy�Fortns;R-O-W Permit far new construcGon, Minimum:ten;(•1.0)working days after._stibmittai date. Required onsite,ConsUuction Plans:Stormwater Pians w/Silt Fence installed, Sanitary FaciliUes,8�:l;dumpster_Site'Work=Pertnit for subdlVisions/Iarge proJects � COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. Minimum ten(10)woricing days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w!Silt Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permit for all new.projebts.All commercial requlrements must meet compliance SIGN PERMIT Attach(2)sets of Engi,neered Blans.. , .� •"'PROPERTY SURVEY required for all NEW construction. Directions: Fill out applicaUon completely. Owner 8 Contractor sign back of applfcaUon,notarized If over 52500,a Notice of Commencement is requlred. (AIC upgrades over b7500) '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same DVER THE COUNTER PERMITTING (Front of Application Only) Reroofs If shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW DISCLOSIIRE STATEMEN'P FOR OWNER ` " CITY OF ZEPIiYRHILLS BIIILDING DEPARTMENT I, have read and fully understaad and agree to the provisions of this instrumeat. The uadersigned states aad affirms that he or she is desirous of constructing, renovatiag, adding to or reroofiag his or her owa domicile, that he or she actually occupies, or will occupy by said domicile, aad same is aot for reat, lease or sale. That he or she shall comply with the following conditioas: 1. That the owaer and he or she aloae shall act as the builder for all phases of construction. 2. That the owaer will comply with all provisioas of the City of Zephyrhills ' ordiaaaces and codes pertineat to the buildiag. 3. That ia the eveat various phases of constructioa are subcoatracted, he rwill engage only properly liceased subcontractors aad will personally supervise such work. 4. That in the event the Building Iaspector shall require correctioas to be made, the owaer will assume full responsibility to iasure they are made, aad upon , completioa will call for a reinspection before proceediag with the building. 5. That the owaer shall assume full respoasibility for the coastruction and will aot expect supervieion of his work from the City of Zephyrhills Buildiag Departmeat. 6. That prior to fiaal inspection any additioaal fees, iacluding reinspectioa fees, must be paid ia full. A writtea request from this office shall constitute an official aotice to pay additioaal fees. 7. That the owner shall comply with all City, State and Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owaer shall comply with all the safety codes issued by the Florida Iaduatrial Commiasion. 9. State law requires construction to be doae by licensed contractors. You have applied for a permit under aa exemption to that law. The exemptioa allows you, as the owaer of your property, to act as your owa contractor with certain restrictions even though you do aot have a licease. You must provide direct onsite supervision of the coastruction yourself. You may build or improve a oae-family or two-family residence or a farm outbuildiag. You may also build or improve a commercial buildiag, provided your costs do aot exceed $75,000. The buildiag or residence must be for your own use or occupaacy. It may not be built or substantially improved for sale or lease. If you sell or lease a buildiag you have built or substantially improved yourself within 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 violatioa of this exemptioa. You may aot hire an unliceased persoa to act as your coatractor or to supervise people workiag on your building. It is your responsibility to � make sure that people employed by you have liceases required by state law aad by county or municipal liceasiag ordinances. You may aot delegate the responsibility for aupervising work to a licensed coatractor who is not licensed to perform the work being doae. Any person working on your buildiag who is aot liceased must work uader your direct supervisioa aad must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinances, building codes, aad zoaiag regulations. OWNER'S SIGNATiJ�C i DATE ADDRESS� � TJ 33 Psor� 9 WITNESS PERMIT #