HomeMy WebLinkAbout16-17016 CITY OF ZEPHYRHILLS �J
5335-8TH STREET
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' - • 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
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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 #