HomeMy WebLinkAbout15-16705 CITY OF ZEPHYRHILLS
,. � 5335-8TH STREET '
(si3)�so-oozo 16705
BUILDING PERMIT
PERMIT INFORMATION- � "LOCATION INFORMATION ' �
Permit Number: 16705 Address: 39564 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Numbe • 1_3-26 -0140-00000-1140
Improv. Cost: 1,800.00 - � ° NER INFORM� ION � �
Date Issued: 10/30/2015 Name: MAYBI HOMES LLC
Total Fees: 45.00 Address: 9564 MEADOWOOD LOOP
Amount Paid: 45.00 Z YRHILLS FL 42-6713
Date Paid: 10/30/2015 Phone: 813-3 -
Work Desc: REROOF SHINGLE
CONTRACTOR S � APPLICATION FEES -- '
HOMEOWNER RER F RESIDENTIAL 45.00
^�
�
��p,�,�` ,�carrt��
' Ins ections Re uired ' �
DRYI ROOFINSP
TAPE JOINTS ROOF IN��� /
FINAL 'Z
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 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
' CONTRACT R GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER
813-�8o-oo2a City of Zephyrhills Permit Application Fax 813-780-Op21
: Building Department
Date Recelved �Y Phone Cantact for Permittin —
Owner's Name � t—Y e S� Owner Phone Number --��^,����
Owner's Address � t_. � �,� Owner Phone Numbgr �' �
Fee Simple Tltleholder Name Owner Phane Number r— �
Fee Simple Titleholder Address
JOB AbDRESS LOT# ���
$UBDIVISION �� � PARCEL Ip#
(OBTAINED FRQM PROPERTY TAX Nl3TICE)
WORK PROPOSED NHW CONSfR ADD/ALT � S1GN• Q [� pEMOLISH
INSTALL REPAIR
PROPOSED t3SE Q SFR Q COMM Q OTNEFt
TYPE dF CON$TRUC'9'ION � BLOCK � Q FRAME �] STEEL Q
DESCRIPTION OF W4RK 'V1 �'
BUILDING SIZE � � SQ FOOTAGE�_�, HEIGHT C��
� �8���"d»G � VALUA710N OF TOTAI.CONSTRUCTION
[--1��-0�,� `
i QEIECTRiGA�. � � AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C.
` QP�UMBtNG
C- � ��n�
� OMECHANtCR� $ VAIUATtON OF MECF{ANICAI.lNSTALLATlON ,,� t
, QGAS Q ROOFING Q SPECIALTY [� QTHER
FINISHED FLQOR ELEVATIONS �� FI.00D ZONE AREA C]YES NO
SUILDER CBMpANY ►�G�, � ,. ��e U-��
SIGNATURE ' REGISTERED Y/ N FEE CUFtFtE� Y/N
Address Cfcense# �` �
EIECTRICIAN _, COMpANY
SIGNA7URE REGIST@RED Y/ N FEE CURREt� Y/N
Address License# � �
PLUMBER COMPANY
51GNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address License# �� �
MECHANICAI. COMPAPiY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addrsss License# �y ���
OTHER COMPANY
SIGNATURE REGIS7ERED Y/ N.. FEE CURRE� Y/N
Address License# �� �
RESIDENTIAL; �Attach t2}�Plat P,lans;(2}setsaf:Buildiitg Plans;{1)sef af Energy`Forms;Fi-O-W Permit fat new construction,
Minimum ten_(1;0).warking days after.submittal ilate. Requlred onsite,ConstivcBon Plans,�Stortnwater Plans w/Sflt Fence installed,
Sanit+ary Facillties&::1�dumpster:Site'Work-P.ermlt far subdivistonsllarge pro}ects
�--�OIf11ME1tC1A� Attach{3}coinplete se#`s of 8ciilding Pians plus a l:ife Safe#y Page;(1)set of Enargy Famts.F2-O-W Permit for new construction. - �
' M1nlmum ten(10)working days�after submithal dake. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
San(lary Facili8es&1 dumpsfer.Site Work Permit fuc all nev�+projeats.A!i commerclai requirements must meet complEance
SlGN PERMIT Attach"{2)s`ets of Eitgineered Plans.., �.
••'"PROPERTY SURVEY reGuired for all NEW constructlon.
Dtrectic�ns: - ' { -
Ffll out applicadon completely. � � .
Owner&Contraotor sEgn back of appifca�on,notarized . ` ' ;�*.;,
' a :
if aver 52500,a Nctics af Commencement ts.rsquired,��(AlC�upgrades over�T500) �. • ,, _< " �
`* Agent(for tkie contraotor)or Power of Attamey(for tt►e owner)would be someone with notarized letter from owner autho�iztng same
C1VER THE COUNTER PERMITiiNG -.(Front of Application Onty) ., , " j _: , _ '" '
Reroofs if shingles Sewers Servlce Upgrades�.A/C � ;,Fences.:(Plot/Survey/Footage) , ,..:� .�- �
. . , ,. ---..>, .,. .. -, _` ,• • , .. . . ,.
� Driveways-Not over Counter if on public roadways:Ineeds�„ROW � ,- , i -„, i ` : ' . ` ';
�. . _. . , „
�
• 7
NQTiCE QF DEED RESTRICTfONS: The underslgned under�tands°�th�t.thls.ppcmif may be.sub�ectrtor°deed"res#rlcttons°
which may be�more�:�r.estctctive��th�n Countyeregqiations:"The�undersigned'`assumes responsl6ility-.far�compliance with.any '
applicable_deed restrictions. . -
UNLtCENSED CtfNTRACTORS AND CONTRAGTOR RESPBNSIBIL1TtES: --If the ownar-has��hiced a contractar ar
contractors to undertake work, #hey m�ay:be;r�qulred;:to.be;_Itcensed In accordance.with=state.and�lacal.regutations: If�the �
contractor 1s not IEcensec# as roqu3red`tiy tav+t� batti the ovuner ari���coritfacioramay be�cited��for�a-misdemeanar vioiation
under state law. If the awner ar intended;contra�tor;.are uncertaln as to what Itcensing:requlreKnents;may-apply�:ior��the
intended work�they are advised to cantact tfie Pasco-Counky 8uilding Inspection Dlvision-l�:igensing Section at 727-847-
8009. Furthermore, it the awner'lias"Fiifed a contractor or conti�actors, he is advised fo have the cantractar(s), sign
portians of the "contractor Block" of thls application for which they wlll be.ce.sponsible. If.you,:as-.#he owner stgn'as`'tFie
contractor, that�may be an Inilication that�he��ls not.properly licensed and Is'not'entitled"to pe�inittiiig.piivlleges in Pasca
Counky. ` �
TRANSPOR7ATION IMPACTIUTlLITlE$�IMPACT AND�RESCIU�tCE RECClVERX�FEES:��Theundersigned understands
that Transportatian impact Fees and.Reoourse Recave.ry.Fees m`ay�:�ppiy°to�the consUucQon of new.buitdings,.tchange�of� -
use In existing buildings, or:expanslon=of��eXistin;g:`sbuildings, as specifled.in Pasco County Ordinance number 89-07 and
90-07� as amended., The unde�slgned also�understands, #halt such fees,-.as smay���e:dt�e;.w111:.6e Ident�fted at the�time�of -
permitting. It Is furtNer understaod that Transportatlon Impact Fees an.d;Resource Recove"ry�'Fees.mu�t be paid priar to
xece�ving a"certi�cate..of ascupancy" or�ina! power-release, :If�the pto�ect.does not tnvoive.a:certificaEe af occupancy. or
final powerrelease;_the•.fees.must be paid prior#o permlt tssuance. F��thermare;�if Pasco County°�1NaterlSewer:lmpact
fees are due�they must.be�pald.p�lor ta_permit�lssyance�ln accardance with appllcable Rasco County�ordinances,
CONSTRUC'flON�;lEN I.AW(Cfiapter 713, E1or�da Statutes«as stnended): if valuatlon ot'work ls$2,500.00,ar more, I
certify that I,_ the applicant, have-been. pravided with. a copy� of the "Florida-Constructtan Llerr.Law=-Homeowner's
Protectton Guide" prepared by ttie Florida Department of Ag�lc.ulture and Consum$r Affatrs. If the applicant is someone
other than the°owner", I certify that I�have.abtained�a copy.of,the:abQve.descrlbed docu�nent°and:p.r.omise in,goqd faith to
deliver It to:the"ownec".p�or.to�commencernent: '°� � ' '
GONTRACTt3R'SIt�WNER'S AFF1DAViT: 1.ceitify;:that�all.tha�l�formation.#n thi�appticatlon is accurate and that ati work
will'be done in compliance with all appiicable�laws regulating�cons#ruction� zoning and�•land development� Applicatian is
hereby�made to obtain .a-permit.Ca da woifc.-;snd i�stalla#iort as indtceted:�:. '1 cettify_tF�at no�wotk=�or Ins�alla#lon has
commenced prior ta Issuance'of-a�permit'and that'�all�work will be pertormed to meet standards of.ali laws regulating�
constructlon, County and City codes, zoning regulatlons, and land developmettt regttfatfons�in�the �urisdiction. 1 ai'so
certify that I understand that the regulations of other goverr�ment agencies may�appiy�#o the intended wark, and that i#is
my responsibility#o idenkify�what.actions 1 must take.to be�In:.carrlpllance: $uch agencles include but�are:not limited to:
- Department of Er�vironmental Pro#ectton=Gypress.'Bayhead�, Viletland Areas and Environmentaily Sensitive
I.ands,WatedWas#ewater Treatmenk.
- Sauthwest Ftorida Water Management D9strict Welts, Cypress. `Bayheads, Wetland Areas, Altering
Watercaurses.
- A�my Corps of Englneers�-Seawalis,Docks�iVavigatile Waterways. �
- Department of Health�& ReMabliitative Servtoes/ErnironmenEal Nealth Unit Well.s� Wastev�rater�Treatment,
Septic Tanks. .
- US Environmental Protectlon Agency Asbestos abatement.
- Federal Avlallon Authority-Runways.
I understand that the following:restrtctions apply to the use of flll:
- Use of fill is not altawed in Fload Zone"V"uNess expressly permitted.
- Ii the fill material is to be used.in �Flood Zone °A", It. (s understood that a drainage plan addresstng a
"compe�saEing volame"wiil be submitted at�me of perm3tttng which Is prepared by a prafess�anal engMeer
Iicensed by the State of Flortda:
- tf the �11 material Is to be used In Fbod �one 'A" in�connection�with.a�{�ermitted buifding asing sterrt walt
� construction, i certify that fili•wlll�b.e used oniy.to filt the area wtthln the stem:wail.
- If ftll material Is to be used In any area� I �certify that use. af such'fill will not adv�rsely affect adjacent
properties. If use of fi111s foc�nd ta adverse�y:�ffeat adjacent�prope�#ies�.the owner may be`cited fvr vtoCating
the conditions of the�building,permit issued under the attacfied permit applicatlon, for lats less than one (1)
acre whlch are elevatecf by flll;an engEneered drainage plan is reqeiired. •
If I am the AGENT FOR THE.0IMNER, I;promise In goad faith#o infarm the owner of-the permitting conditions set forth In
this affidavtt'prior to commencing constructivn. 1 understand that a:separate permit may be requtred for electrical work,
plumbing, signs, welts, pools; air candifioning, .g�s� or ofher Instail'�itlons na�.spec�ficatly tneluded in.#he application. �A
permit issued shall be conshued#o be a'Itcense ko p�oceed wrlth the work and not as:authori#y to..vlalate,cancel, alter, or
set aslde any provlstons of the technical codes; nor shati issuance�of a permit.prevent#he Bulldlrig U#ficial fram#hereafter
requiring a correction.af eRors in plans; constn�ctian or vlolations of any cades. Every permit Issued shall become invalid
un{ess the wrork authorized.by suah permit�ls-commenced�withln sfX months of permlt Issuance, or if work autharfzec! by
#he pe�rmit is susp�nded or.abandoned for a:period af�s�C(�B)monti�s.aftec the time the�wark is commencad: An extension
may be requested� in wrfting, ftom the Building.Offlcial for a pertod�not to exceed nin�,ty�(90) days and will demonstrate ,
3ust1#iable cause for.the extensian: If work ceases:far nlnety�90}cons.ecutive:day�t..th�job�is.cansldered aba�dor�e�. �
WARNlNG TO OWNER: YOUR �AlLURE•TQ.,REC.Oltt1 A-MQTIGE O��G4MMEMCEME�T�MAY°RESULT IN YOUR
PAYiNG iWICE.FC�R iMPROVEMENTS Ti�YOUR�:PROPERTY.-;iF°YOU=INTEND:TQ't�BTAiN��FiNANCMIG;�Ct3NSULT
WI7 OUR LEND O AN ATTO NEI� FORE � �O � G:� OU � D �� �:O ` �' E �E
FCORtDA JUftN'i{F. .'1. T.03} �- . . , �_ .
OWNHIt OR AOEN CONTRACTO
Subsalbed and swom M(or aflirrr�ed)before m 1s Subscrlbed and'swom�ta{or a�frrned}•befa ttte thts
bY `�Y
Who is/are personally known to.me or has/have produced Who.ls/are personalry#cnown ta me or-has/have•produced
as IdenUftca�on. , as tdenti�catlon.
Nofary Pubttc � Nofary Publlc
CORt StOtf 4:F-. C4[ri 81 N0.
•�'"�ei�••. JOEL E.BACON
,,,,��,,,
Narr�e o1 Notaty ._ R9 Name of Nats t � ��F M137073
;� p; Expires June 29,2018 '#� `=
�•�pF @�Q.•` 6anded Thm Troy Fain Insuranee BU0385•7019
:,: �,�: Expires June 29,2b18
�'%,'�,'�pF �?:�� Bonded Th�u Troy Fain Insurenca B1�0385•7019
�= a
DISCLOSIIRE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BIIILDING DSPARTMENT
_, have read and fully uaderstand aad
agree to the provisio of this instrument.
The undersigned states and affirms that he or she is deairous of constructiag,
reaovatiag, adding to or reroofing 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 conditions:
1. That the owaer and he or she aloae shall act as the builder for all phases of
conatructioa.
2. That the owaer will comply with all provisioas of the City of Zephyrhills
ordinances aad codes pertineat to the building.
3. That in the event various phasea of coastruction are subcoatracted, he will
engage only properly licensed subcoatractors and will personally supervise
such work.
4. That ia the eveat the Building Iaspector ahall require correctioas to be made,
the owaer will assume full responsibility to iasure they are made, and upon
completion will call for a reinspectioa before proceeding with the buildiag.
5. That the owaer ahall assume full respoasibility for the coastructioa and will
not expect supervision of his work from the City of Zephyrhills Buildiag
Department.
6. That prior to final iaspectioa any additional fees, iacluding reiaspection
fees, must be paid in full. A written request from this office shall
coastitute an official aotice to pay additional fees.
7. That the owaer shall comply with all City, State aud 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
Industrial Commissioa.
9. State law requires conatruction to He doae by liceased contractors. You have
applied fdr a permit uader an exemption to that law. The exemption allows
you, as the owaer of your property, to act as your owa coatractor with certaia
restrictions even though you do aot have a licease. You must provide direct
onsite supervision of the constructioa yourself. You may build or improve a
one-family or two-family resideace or a farm outbuilding. 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 owa use or occupaacy. It may not
be built or aubataatially improved for sale or lease. If you sell or lease a
building you have built or subatantially improved yourself withia 1 year after
the constructioa is complete, the law will preaume that you built or
substaatially improved if for sale or lease, which is a violatioa of this
exemptioa. You may not hire an unliceased persoa to act as your contractor or
to aupervise people workiag on your buildiag. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by couaty or municipal liceasing ordinances. You may aot delegate the
responsibility for supervisiag work to a licenaed contractor who is aot
licensed to perform the work beiag doae. Aay,person working on your building
who is not liceased must work under your direct aupervisioa and must be
employed by you, which meaas that you must deduct F.I.C.A. aad withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordiaaaces, buildiag
codes, aad zoaing gulations.
OWNER'S SIGNATURE DATE �,o ^�n- �S
ADDRESS
PHOfQE -
/
WITNSSS � PSRMIT # I ��v S