HomeMy WebLinkAbout16-17044 CITY OF ZEPHYRHILLS
5335-8TH STREET
�_ _ (8�3)�80-0020 17 44
BUILDING PERMIT I�
PERMIT INFORMATION. LOCATION-INFORMATION
Permit Number: 17044 Address: 5535 5539 23RD ST �,
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: r', � Parcel Number: 12-26-21-002A-00700-0010
Improv. Cost: 2�@6:60 Z`��� OWNER INFORMATION - !
Date Issued: 2/12/2016 Name: MERMAID LAND INVESTMENTS LLC
Total Fees: 50.00 Address: 503 S MAIN ST '!
Amount Paid: 50.00 BROOKSVILLE FL 34601-3744
Date Paid: 2/12/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
BROADER IMAGING CONSTRUCTION & D REROOF RESIDENTIAL 50.00
� u
Ins ections Re uired � -
DRY IN ROOF IN P
TAPE JOINTS Ri�OFJNSP j_
FINAL "5•�•���'�
REINSPECTION FEES: c With res ect to Reins ection fees will
( ) p p comply w�th 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-7saooza City of Zephyrhills Permit Appfication FaX-az�-7so-ooa�
Building Department
Date Recelved~ 2_ 12..��, Phone-Contaet for Permltt4n 3 S �� _ (1
Owner's Name i n� LZ l� Owner Phone Number
Owner's Address �'LOt,... Gwner Phone Number �� �
Fee Simple Titleholder Name � .�t/��Q � Qwner Phone Number �� �
�
Fee 3fmple Titlehalder Address �
JOB ADDRESS 2 ,, � �,' L07# �
SUBDIVISION �� � PARCEL ID#
(OBTAiNED FROM PROPER7YTAX NOTICE)
WORK PROPQSED � NEW CONSTB ADD/ALT SIGSV [� Q DEMOLtSH
' e INSTALI 8 REFAIR �
PROPQSED USE SFR Q CQMM Q tJTtiER
TYPE OF CONS�i2UC1'ION � B�OCK ' Q FRAME � STEEI Q
DESCRIPT'ION OF WORK l , Y'- i /UCJ�b CfGP C//C. _ � . /.�L � "
BUILDING SiZE �� � SQ FOOTAGE HEIGHT
�8U1l.DING $ r � � VAI,UATION`OF TOTAL CQNSTRGCTION
QELECTfttCA� �� AMP SERVICE [� PROGi2ESS ENERGY Q W.F2.E.C.
QPLUMBING ��
OMEGHANICAL (�>� VALUATION flF MECNANlCAl.INSTALLRTION
L
QGAS Q RQOFING Q SPECIALTY Q OTNER
FlNISHED FLOOR ELEVATIONS (��� Fl.OQD ZOI�fE AREA QYES NO
L
BUIIDER � C4MPANY /'' � ! �
SlGNATURE REG1STEftEC1 Y/ IV FEE GllRREl� )� ,
Address I ���Gi �Z"ilrG�', �' Llcense# � ^ ,
ELECTRICIAN COMPANY
SIGNATURE y REGiSTERED Y J N PEE CURREh Y/�1
Address License# �� �
PLUMBER � � COMPANY
SIGNATURE REGlS'TERED Y 1 N FEE GURE2ER Y t N
Address License# � ` �
MECHRNICAL COMPANY
SI(3NA7URE REGtS7ERED Y/ N FEE CURREE Y 1 N
Addre�s � License# � �
07HER COMPAt+1Y
SIGNATURE REGlSTERED Y/ N FEE CURREi+ Y-t-N
Address ' Ucense# � ��
RESIDENTIAL - •�Attach{2):Plot�Plans;.(2)sets.of=Buitding Plans;{1)set of Eriergy`Farms;R-O-W Perinit far nerni constructian,
MinlmumFten,(.1,0)working days,after.submlttal date:•Required onsice,Construoflo�Plans;Stormwater Plans w/Silt Fence installed,
__ Sanitary Facilities&,1_dumpster.Stta Work:Rermit for subdidisionsAarge'projects
CQMMERCIAt. Aftach{3}camplete sefs of 8uliding Plans plus a�ife Safety Page;{1}set of Energy Forms.R-O-W Permit for new constcuz�tion.
Minimum ten(1Q)worictng days after submlttal date. Required onsite,Construotion Plans,Stormwater Plans w/Silt Fence lflstall+ed,
Sanitary Faaititles&1 dumpstec Site Work Permit for afl new proJects.All commercial requlrements must meet compliance
SlGN f'ERMIT Attacii{2}sets of Engineered Plans., .
"••`PROPERTY SURI/EY requlred fir all NEW constructian.
Directians:
FUI out appllcation c,ompletely. '
Owner 8 Contractar sign back of applicaUon,notarized
if over 52500,a Notice of Commencemant is requlred.�(A!C upgrades over 57500)
i r. �~: ;
Agent(for the contractor}or P6Vuer of'Attomey(fo�the owner)would be someane with natarized letter from owner authorizing same
� C3VER THE COUNTER.PERMITTING (Front of Appilcation Only)
Reroofs!f shingies Sewers ServEce Upgrades AtC Fences(PlotlSurveylFootage}
driveways-Not over Counter tf on public roaduvays..needs ROW `
i',��_ -
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NOTICE OF DEED RESTRICTIONS: The undersigned.under.stands;.th�t this;p�rmit.may be.sub)ect to"deed"_restrictions"s " 1.
which may be.more cestcictive:thai��County�eg�latlons:=TFie+undersigned�assumes responsitiility�for�'compliance with'any � "'
applicable deed restricttons. _ � -=r�
UNLICENSED CONTRACTORS AND"CONTRACTOR RESPONSIBILITIES: -If the�owner-has�hired��a contractor or
contractors to undertake work, they may be,cequired;.:to:be�licensed In accordance.with state.and•Iocal cegulations. �If�the
contractor fs not Iicensed as�requlred�by law, both the owner and conVactor may be�clted-for�a misdemeanor violatfon
under state law. If the owner or Intended�contractor-are;uncertain as to what Iicensing.requlrements,'may=apply�for.-the � �
intended work, they are advised.to contact the`Pasco County Building Inspection Divistori—L(censtng Sectfon at 727-847-
8009. Furthermore, if the owner has hired a contracfo� or�contractors, he is advised to have the contractor(s), sign,
portions of the "contrector Block" of this appllcation for which they will be r.esponsible. If..you,as.the owner'sign�as'tiie � '
contractor, tFiat inay be an indication that he ts not.properly I(censed and�is not entitled"to perinitting privlieges In Pasco
County. ' ' ° '
TRANSPORTATION IMPACTIUTILITIE$IMPAC7 ANb-RESOURCE RECOVERY FEES: The-undersigned understands
thatTransportatfon Impact Fees and.Reco.urse Recove.ry.Fees may�apply��to�the construction of new_buildings,..change�of` � � ��-
use in existing buildings, or.expansion:.of�existing;6uildings, as specffied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also�understands, tha�t such fees;;as�ma�r be°.due;�:will�be identified at the�time�of�� � �
permitting. It Is furtFie�understood that Transportation Impact Fees and Resource Recovery�Fees mu'st be paid prior to
receiving a "cerfificate-of�occupancy"-or�flnal�power..release. :I�-the project does not Involve:a_certificate of occupancy.o� `
final power release, the�fees mu�t be patd prtor to permit issuance. F�rthermore, ff Pasco County�1NatedSewer�lmpact
fees are due, they.must`be�pald.pcior to permit�issuance=ln accordance witlf appllcable.Pasco�County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�as amended): If valuaBon of work is$2,500.00:or more, 1 �
certify that`�I, �he applicant,_ have been. provided with- a copy of the� °Florida Constructton Llen Law—Homeowner's
Protectfon Guide" prepared by,tFie Florida Department�of Agric.ulture and�Consumer Affairs. If the applicant is someone .
other than the"owner", I certify,that.l�have.obtal�ed a copy;of the:aboverlescritied docu�nent°and.pcomise in�good faith to .
deliver it to,.the'owner"..prior tacommencement: ' - ` ., � � ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify,;that all the.information in�thi.s appticatlon is accurate and that all work
will'be done in compliance with all applicable�laws regulating construction, zoning and:�land development. Application is
hereby made to obtain .a permit.to do.,work.,�and installation as indlceted:. .°I certffy that no work or installatton has
commenced prior to issuance of a permif'and that':ail work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development tegulations-in the jurisdtction. I al'so
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identlfy�what.act(ons I must take:M be,in:.corr�plla�ce. S.uch agencles include but are:not Ilmited to:
- Department of Erlvironmental.Protectlon-Cypress:Bayheads, Wetland Areas and Envlronmentaliy Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress'' Bay.heads,- Wetiand Areas, Altering
Watercourses.
- - Army Corps of Englneers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Enyironmenfal Health Unit-Wells,:Wastev�rater�Treatment,
Septtc Tanks: � _
-. US Environmental Protectlon Agency-Asbestos abatement.
- `' -,Federal Avlatton.AutFiority=Runways. `
I understand that the following,rest�ictions apply to the use of flll:•
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil material is to be used `in :Flood Zone. "A°, It. ts understood that a drainage plan addressing a
°compensat(ng volume" will be submitted at time of permifting which is prepared by a professfonal engineer
Ilcensed by the 5tate of;Florida.
- If the flll materlal Is�to be used In Ftood Zone 'A" in�connec�ion�wlth,a permitted buliding using stem wall
construction., I certify that fill�:wall:be used only.to.fill the area wlthin the stem�wall.
- ,If fill material is to be used in any area, 1 �certify that .use. of such�flil wfll not adversely affect adjacent
properties. If use of flll is found to adversely�affect adJaEent��properties,.the owner may be clted for violating
the condifions of the"buiiding:permit issued under the attached permit application, for lots less than.one (1)
acre which are elevated�by flll,an engineered dralnage plan is required. .
If I am the AGENT FOR THE OWNER, I;promise in good faith to inform the�owner of the permitting conditions set forth in
this aHidavlt�prior to commencing constructlon. '1 understand thefi a separate permlt may be requtred for electrical work,
plumbing, signs, wells,_pools;, air condttioning, .gas, or ottjer instatl�tions nol.specffically included�in.the applfcation. .A •
permft issued shall be constcued to be a Itcense to p�oceed with ttie work and not as:authortty to.violate;�cancel, alte�, or
set aside any provisions of the.technical.codes; nor shall Issuance�of a.permlt.pcevent the Bulldirig Offlcial from thereafter
requiring a conection.af errors in.plans, consfructlon or vlolations of any codes. Every permlt Issued shall become invalid
uniess the work author(zed.by such permit�Is.coFnmenced with(n six months of permlt issuance, or if work authorized by
the permtt is suspended or.abandoned for a:period of�six�(�)�montfls:after the time the�work�is commenced. An extension
may be requested, In writing, ftom the Building,Offlcial for a period.not to exceed nln,ety�(90) days and will demonstrate
justi�able cause for:the extension. If work ceases:for ninety(90)consecutive:day.s...th�job�is consldered aba�doned.
lNARNIfdG TO OWNER: YOUR.FAILURE�TD..RECORD.A.NOTIGE OF-COMMENCEMEMT NFAY=RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YO.UR:PROPERTY.;�IF°YO.UnINTE�e11D�`TO'OBTAIN��FINANCING;'CONSULT
WIT UR LEND OR AN°ATTORNEY FORE�R�Qi �� G�= Al1 � �ICE`OF_ -' E ENT�---- – -- - --
FLORIDA JURAT(F.S.1.17.03) " _
OWNER OR AOENT CONTRACTO "
Subscribed and swom to(ar aflirmed)before me this Subscrl (ar a rm re ttiig
by �by )
Who islare personally known to.me or haslhave produced Who s ersonal to me•or haslhave�produced �
as Identlflcatlon. as IdenBficatlon.
�
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Notery Publlc . � Notary Publlc
Commisslon No.... Commiss �'`��Y��''�. JACQUELINE BOGrS
7y' 'V�� �xp'trps�'eCem�Gl' 1��LO�U
Name of Nofary typed,printed or stamped Name oi Not ry , d `ed'a��f�rrr�e "'
_ �
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,1�!'L��'1� J��C��' 6�� �jt'�S�('�t,G�ldi'� ' • • • .
� PROPOSAL N0.
G��� �'�,r`e. 5.�. .�e.��� ��G��e� ��
SHEET N0.
�C�- i 3a � ��� ,
DATE
PROPOSAL SUBMITTED T0: WORK TO BE PERFORMED AT:
NAME ADDRESS
�, T° n� e
ADDRESS
J ot �`�. �'�-.
DATF.OF PLANS
h ���__�_1___-__ 1�.--
PHONE N0. ARCHITECT
We hereby propose to fumish the materials and perform the labor necessary for the completion of
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All material is guaranteed to be as specified,and the above work to be performed in accordance with the dr�wings and specifications submitted for above work and
� �
' completed in a substan6al workmanlike manner for the sum of ,
' Dollars ($..�¢�� )with payments to be made as follows.
���� t� ���,���
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, My alteration or deviation from above specifications involving extra costs ) �i
will be executed only upon written order,and will become an exlra charge Respectfully
over and above the estimate. All agreements contingent upon strikes, submitte
' accidents,or deiays beyond aur conVol. � '
Per � �
I —�'�° ��'�'d Note—this proposal may be withdrawn by us'rf not accepted within days.
i
,4CCEPTANCE OF PROPOS �
The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are uthorized to do e work a ecified. Payments will be made as i�
outlined above. �
Signature
Date ��� Z— �� Signature
�,srlames D8118 3-12