HomeMy WebLinkAbout16-17121 CITY OF ZEPHYRHILLS
� 5335-8TH STREET .-'�
(813)780-0020 17���
r � BUILDING PERMIT '�
PERMIT INFO
RMATION LOCATION INFORMATION
Permit Number: 17121 Address: 38447 18TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200-0070
Improv. Cost: 3,138.00 OWNER INFORMATION
Date Issued: 3/03/2016 Name: CHURCH OF THE NAZARENE THE
Total Fees: 82.50 Address: 6151 12TH ST
Amount Paid: 82.50 ZEPHYRHILLS FL 33542-2615
Date Paid: 3/03/2016 Phone: 813-782-7032
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
OWNER REROOF COMMERCIAL 82.50
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Ins ections Re uired
DR N ROOF IN P
TAPE JOINT�ROOF IN P
FINAL �-, i
REINSPECTlON 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 properly. 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.
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CONTRAC OR SIGNATURE ; PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-7ea-oo2o City of Zephyrhills Permit Application �ax-813asa-oa2�
Buliding Department -
Qate�Recefved "3� ���' Pfione.Contact for Permittin –
Owner's Name �t, '7� `--yt�� '#` � �R.Z�t'e..i''�4.. Uwner Phoae Number ����1�Z`7�'� Z _
Owner's Address rC Si ��r� �'�'�-+ Owner Phone Number ��� "��3'��Sy �`��
Fee SFmple Titleholder Name � � Owner Phone Number �� �
Fee Simpie Titleholder Address b
.roe�a�ar�ss 3 ���1 ��� t3-+!C' e.aY# ��
SUBDIVISION � � PARCEL ID# �``�r 2/-� ���7} •" ��D-- �� �
(dBTA1NED FROM pROPERTY TAX N4TICE)
WORK PROPOSED 'NEW C4N5TR ADD/AI,T � SIGN Q [� DEMOLIBH
� e INSTAI.t REPAIR
PROPOSED USE Q SFF2 COMM �� OTHER
TYPE OF CONSTRUCTiON . [� BLOCK � � FRAME Q STEEI C]
e
DESCRIPTION t7F WORK K.'�� r�� M'�`��
BUILDING SIZE � � SQ FOQTAGE C� HElGNT �,,�
OBUILDING $ �� �*`"`"`�` .`�''-.
�� ��' ' VALUATION OF TOTAl.GONS'I'RUGTIQN
QELECTRICAL � AMP SERVICE Q PROC7RESS ENERGY Q W.R.E.C.
QPLUMBiNG �—� �� � � 2 �
�]fUIECHANlCAi. $ VALUATION OF MECHANtCAL tNSTALLATiON
C_„_,_�
C]GAS � ROQFiNG. Q SPECtAI.TY � OTHER
FiNtSHED FLOOR ELEVATiOM1lS � � FLtJOD ZONE AREA QYES NO
1 ('�
BU(LDER � Q�'>�S� COMPANY � V 4tsP►Q/"'
SIGNATUR� � ��� REGISTERED Y/ N FEE GURREh Y/N �
Address License# C� �
,,.
ELECTRICIAN n COMPANY
SlGhtATtJRE REGISTERED Y I N FEE CUf2RE� Y/N
I�dfASS � �C8(1S8# � �
PLUMBER � . � cannPa��nr
SICsNATURE REC3ISTEREp Y I. N FEE CURRE� Y/N
Address .License# ( ' �
MECiiARiiCAL COMPAMf
SIGNATURE REGtSTERED • Y.I• N FEE CURREF ' Y/i� �
Add�ess� License# � (
t�THER CQMPANY
SIGNATURE REGISTERED Y/ N,. FEE GURRER , Y I N
Address Ucense# ��� �
RESiQENTfAL Attach{2}Rtot Rlans;:(2)sets of,8uilding Ptans;'(1}set of Energy°Farms;R-O-W Perinit for new,constructi,on,
Min(mum,ten*(1.0)workfng;days;after:sub�nt#tat tlate. Requkred ons4te,Canstnsction�Piarts;°Starmwater`Plans w/Sllt Fence i_nstalled, .
Sanitary FaclllUes&�1..dumpster Site Wark•Permit for su6dlVislons/large projects . _
GOMMERCtAt Atfach(3}complete sets of Buildirig Pians pius a Life Safeiy Page;(1)set of Energy Forms.R-O-W PeRnit for new consUuction.
Minimum ten(10)working days after submfttai date. Reqoired ansite,Construc8an Pians,Stormwater Plans w!8iit Fence{nstaited,
Sanitary FaciliUes&1 dumpster.Site Waric Permik fqr al!�ew proJeafs.All commerclal.requlrements must meet compliance
SIGN PERMIT Attach"(2)'sets of Erigineered Plans..::-rr - �
•""PROPERTY SURiIEY required for a!t NEW constructfon.
�• Direetion�: '
Filt aut applicaftaa completety.
Owner&Contractor sign back af appficarion,notarized
If over 52500,a Notice of Commencement ts required. (A/C upgrades over ST50Q)
'" Agent(far the contraicfor)or'Power of_Attomey(for the owner)would be sameane with notarized letter from owner authorizing same
dVER THE COUNTER PERMITTING - (Front of Ap'plication Only)��.;' ' „ .._
Reraofs if shtngies Sewers ?; Service Upgr�des`A/C" , ,Fences�(RIotJSurvey/Footage) _ _. Y . : - ' , ,
, ,. , :... , ?._,
Driveways-Not aver Counter if;on public roadways,.needs'ROW , �
NOTICE OF DEE�RESTRICTIONS: The undersigned understands:th�t:this;.,p�rmit_may.be.subJect to„",deed"_,restricttons" � ,
which may-:be:moro.rest�ictive-than Gounty'regulat(ons. =The under§igned'"assurries responsibility for`compliance with any �
appflcable.deed restrlctions. • � -
UNLICENSED=CONTRACTORS AND CONTRACTOR RESPONSIBILITIES�:- If-tfie owner has �hired �a contractor or
contracto�s to undertake work, they maybe,cequired.to�:be,,licensed In.accordance.with state.and•local_regulations.: �if�the -
coM�actor Is not-licensed as requlred'=by law, both'the owner and:confracto��inay be-cited for a�misdemeanor violatlon
under state law. If the owner or intended�.contraetor�are uncertaln as to what Iicensing.requirements'may>.apply.�for�tiie
intended work, they are advised to contact the Pasco County Buiiding,Inspection Dlvlslon--Licensing Section at 727-847- '
8009. Furthermor0, tf the owner has�hl�ed a conwactor o�contractors, he�is advised to have the contractor(s),,sign '
portions of the "contractor Block" of thia application for.which they will be responsible. If you�-.as-.the owne�'sfgn�as the `
contractor� tfiat may be�an indication that�he-ts not.properly Iicensed and�is noYentiHed to permitting privileges In Pasco ;
County. ' �
TRANSPORTATION=IMPACTIUTILITIES IMPACT-ANb-RESOURCE RECOVERY�FEES: �The undersigned understands }
that Transportation 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�exfstin;g`6uildings, as specifled.in Pasco�County Ordinance number 89-07 and :
90-07, as amended.,The undersigned alsa:understands, thait.•such fees,�.as�may:tie�due,.wili�.be identified at theatime�of �
permittfng. It is iu'rtfier understood that Transportatlon Impact Fees and Resource Recovery�Fees,must be paid prior to '
receiving a "certificate-of occupancy" or flnal powec�release. ;If�the project does not involve�a:.certificafe of occupancy:o� '
final power release;;the.fees mu�t��be paid prior to permit Issuance. F�i�thermore;-if Pascv�County�INater/Sewerrlmpact � �
fees are due, they�.must.be-pald_pNor to.permit-Issuance=ln accordance with�applicable Pasco�-County ordinances.
CONSTRUCTION-CIEN'LAW"(Chapte�713� Florlda Statutes,as amended): If valuation 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 L'av�—Homeowner's �
Protectfon Guide" �repared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the appllcant Is someone '
other than the°owner", I certify that I have-.obtained�a copy.of the.above..described document�and.promise in,good faith to
deliver it to the'owner"prior:to>commencement: � ,
CONTRACTOR'SlBWNER'S AFFIDAVIT: I certify that all the Inf.ormation in;thls application 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 oUtain .a permit Co do. work..and installatlon as Indicafed:�;. 'I certffjl that no work�tor Installatton has
commenced p�lor to issuance of'a perm(t and that.all work will be pertormed to meet standards of all laws regulating-
construction, Counly and Clty codes�.zoning regulations, and land development regulatlons-in the�jurisdfction. I also
certify that I understand that the regulations of othe�government agencies may�apply;to the intended work, and that it is ;
my responsibility to identify.what:actions I must teke to be,ln:.compliance; S,uch agencles-include but-are..not limited to: ,
- Depa�tment of Ehvironmental Protection=Cypress.�Bayhead�, Wetland Areas and Environmentally Sensitive ;,
Lands, WVateNWastewater Treatment. p
- Southw�st Florida Water Management .Distr(ct-Wells, Cypress. Bayheads�, Wetland Areas, Altering
Watercourses. R
- Army Corps of Engineers-Seawalis, Docks, IVavigable Waterways. �
- Department of Health� & ReF�abllitativ.e Serv(ces/Environmental Health Unit Welis, Wastewater�Treatment, ' '
Septtc Tank"s. , ?
- US Envaronmental Protection Agency-Asbestos abatement.
- Federal Avlatlon.Authority-Runways. .
I understand that the following restNctions apply to the use of flii:• _ ,
- Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
- If the fill materfal is to be used_ in �Flood Zone "A", It. is understood that�a drainage plan add�essing a
"compensatfng volume" will be submitted at time of petmitting which Is prepared by a professional engineer -
iicense�by�the State=of-Florida.
- If the fill material:.ls�to be used in Flood �one °A" Ins connecfion�with.a:permitted building using stem wall
� construction, I ce�tify that fill�:will:b.e used only.to.fill the area wtthin the�stem�wali. `
- If flll material is to=tie used in any area, I certffy that .use. of�such-�flll wiil not adversely affect adjacent
properti�s. If use of flll is found to adversely,affect ad)aEent properties�.the owner may be cited for violating ��
the condifions of the building:permit Issued•under the�attached permit applicatlon,-for lots less than one (1)
acre which are elevated�by.flll;an engineer•ed dralnage plan Is required. • ,
If I am the AGENT FOR THE OIMNER, I;�promise In good faith to i�form the owner of>the:permitttng conditlons set forth in �
th(s affidavlt�prior to commencing construction: I"understand th�t a.separate;permit may be requtred for elecMcal work, ?� '
plumbing, signs, wells, pools; air conditiontng,.gas, o�ottjec Installatlons nol,specffically included in.the application. .A I;
permit Issued shall be constcued to be�a'Iicense to�p�oceed with tlie work and not as-authority to,violate,cancel, alter, or
set aside any provistons of the technical.codes; nor shall Issuance�of a.permit.pcevent the Building Official from thereafter '
requlring a correction af errors in.plans, constructlon or iriolations of any codes:. Every permit Issued-shall become invalid ':� �
unless the work authorized.by such permit��is-commenced•withln six months of permit lssuance, or If work authorized by �� '
the pe�mit is suspended or.aba�doned for a:period of:six f8)montfis.after_the time the�wotk�ts commenced..An extension t�
ma be re uested, le� writin , from the Buildin ,Offlcial for a eriod.;not to exceed nine 90 da s and will�demonstrate ��
Y 4 9 9 P tY�� ) Y �.
�ustifiable cause for t6�e extensior�. If work ceases:for ninety(90)consecutive day.s�..the Job is considered aba�doned.� l;
WARNIfdG TO OWIVER: YOUR FAILURE�TO,REC.OltD.A NOTIGE OF:�COMMEMCEMEMT MAY�RESULT IN�YOUR
PAYING TWICE.FOR 1MPROVEMENTS TO YOUR�.PROPERTY. :IF�YO.U�IM'FEND'TO'�BTAIN��FIN�ANCING;�CONSULT �'
WIT -Y U!d D� �A� d1 : � O NEY�B �A6t�} G�R�� �;:1(OU � O:� E � � �_ _ _
FLORIDA JURA��(F.S.1.17. 3) . ^ _
DWNER OR At3EP1T � CONTRACTO v d`
3ubscribed and swam ta Qr �irtr�ed befo me t � Subscrlbed and's �a �ned) efore m ttit�
by t� � �b t�1�:.F �l e.�r�
Nho ara�pe�onally kn to.me or has/have produced Who.ls/are p.ersonally kno,vm•to me•or-has/have•produced
�C... 172�Ue-<Cz`cn:,,5�—. as Identlflcatlon. ,f2 c.. d�.0�exs L+!n-r� as IdenBflcaOon.
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' � Notary Public . '� ,P�� Notary Publlc
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Vame ot Nota �"��InFl+c►(�p�i � � Name of Notary �• , Q b FEI� CE�'�DBr i' „
�{: ' ;•= Commis #F ��� ,.;`;;;°`•` �^dedTtwT�oyFeinlnsurance6Gil;idi�7Ul9
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BUILDING PLAN REVIEW COII�IMENTS
Contractor/Homeowner: �R,,.S`7�"C.��%+°��'t-`"�� 7'�2��-tG�y�.�
Date Received: ���f,�
Site: ��`d��7 ���� �`��'`C%
Pernut Type: �+�/'"� f�'1
Approved w/no comments: Approved w/the belaw carnments: ❑ - Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
, r � �f�
Kalvin Swi r Plans Examiner Date Contractor andlor Homeowner
(Required when comments are present)
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T ��ODIJCT APPRC�VAL �PECIFICATIC�N SNEET
As requ(red by Florida Statute 553.842 and Florida Admtn(strative Code 96-72,please prov(de the Information and appraval
' numbers on the�u3tdEng corrtpanenfs Ilsted betow If they wlit be utll#zed on fhe construction project for whlch yota.are applying
for a buiidtng permit. We recommend you cantact yaur local product supplter should yau not know the product approval
' number#o�an of the a IEcable listed roducts. StatewEde a roved roducts are llsted oniine www.fioridabultdin ,or
Cate o /Subcate o anu�ac urer Product Descri tlon A roval Number s
'� 9, EXTERIOR D�aRS
A. SWtNGING
B. SLIDING
I C. SECTIONAUR{}LL UP �
D. OTHER
2. WIND01lVS
A. SINGLE/DOUBLE HUNG •
8. HORIZONTAL S�IDER
C. CASEMENT (,Qj�j
D. FIXED '�}
E. MULUON a IO
F. SKYLIGHTS �
G. OTHER E
3. FANEL WA�I.
A. SIDING
B. SOFFITS •
C. S'iOREFRONTS - i�vr�� ,- � , .
D. GLASS BLOCK :,,� —
E. OTFlER " ,�
` � .k
4. RQOFING PROQUCTS
A. ASPHALT SHINGLES
B. NON-STRUCT METAL
, G. ROOFING TE�ES
D. SINGLE PLY ROOF
E. QTHER ' ��„ � � j .
5. STRUC7 COMPONENTS
' A. W�OD GQNNECTCIRS
B. WOOD ANCHORS
G. TRUSS PLA7ES
d. INSULATION FORMB
E. L,INTELS� �
F. OTHERS
6. NEW EXTERIOR
ENVELOPE PRODUCTS
A.
The products Ifsted below did npt demonstrate produot approval at plan review. I understand that at the time of inspection of these
� products,the foilowing Ir�farmation must be available to the Inspectar on the jobsite; 9}copy of the product approvat,2)perfarmance
characteristics which the product was tested and certifled ta comply with,�3)copy of the applfcable manufacturers installation
raqutrements.Further,!understand these products may have to be removed if approval cannot be demonstrated duri�g Inspect#on.
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� A .PLICANT SIGNAl"URE DATE ,
R 1305 01-04 �