HomeMy WebLinkAbout15-16832 �
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CITY OF ZEPHYRHILLS
� �%" 5335-8TH STREET �
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BUILDING PERMIT
PERMIT INFORMATION -- LOCATION INFORMATION
Permit Number: 16832 Address: 38506 PIEDMONT 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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0940
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 12/15/2015 Name: SIGLER RONALD & SHIRLEY&OLDHAM
Total Fees: 50.00 Address: 293 MOUNTAIN VIEW RD W
Amount Paid: 50.00 ASBURY NJ 08802-1058
Date Paid: 12/15/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GAVIN ROOFIN REROOF RES DENTIAL 50.00
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Ins ections Re uired
DR N ROOF IN P
TAPE JOINTS ROOF IN P
FINAL , - 1� �I��
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
- PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�s-7ao-oo2a Fax-813-7saoo2� ��
City of Zephyrhills Permit Application
� Building Department �
- �� ' - ��
Date Recelved . Phane-Contact far Ferrntttin - I
Owner'�Name /'� �l�/ql� �+!���, Owner Phon�Number
Owner's Address 7� ��, ���"� /� ��/L Owner Phone Numher � _ �
Fee Simple Titleholder Name r� � Owner Phone_Number � �
Fee Simple Tltleholder Address
JOB AbDRESB � A.�I�� �E /���r ��'° LOT# �� /
I SUBDiVISiON �L��� �f LL/��'-.� PARCEI.tD# S"•�-a)�'��.- — l��� " � �� �
(OBTAINED FROM RROPERTY TAX NOTICE)
� WORK PRdPt}SED , NEW CONSTR ADDIAIT Q SIGN � Q DEMOLISH
e INSTALL� 8 REPAIR
PROPOSED,USE Q SFR Q COMM � OTHER
TYPE OF CONSYRUC'T'ION Q BLOCK ' Q FRAME Q STEEL Q
� DESCRIPTION OF WORK /`-H"��L.. A/V,� '� ��D�� �GL,�� /�f� �a l�. D M i N'S1�NJ't�- J/�ll+� _
BUllDING SIZ� � � SQ FOOTAGE[_� MEiGHT .
OBu��'���� $ VALUATIOid�OF�T07'ALCONSTfttJCTiON
�- Pf�,�����
QE�ECTRICA� �� AMP SERVICE Q PRUGRESS ENERGY Q W.R.E.C.
� _QP�tlMBiNG rs (�,��
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' [�MECNA[ViCAt $ VAlUAT10N OF MECNANIGAI.INSTAI.lAT10N
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' [�GAS �'"� ROOFIfVG Q SPECiAt.'E`Y � OTHEF2 .��
i FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
B6d1�DER COMPAMY
SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N
Address License# r� ^ �
� ELECiRIC1AN � . COMPANY
SIGNA7URE REGISTERED Y/ N PEE CURRE� Y/N
( A���g�$ License# �! �
PWNI�ER � COMRANY
' SIGNATURE REGISTERED Y/ N FEE CURREA - Y/N
���$s License# �� �
MECNANICAt. COMPANY
SIGNATURE REGI$TERED Y/ N �FEE CURRE� Y/N
� Addreas � ' License# � �
OTHER fi4 �_ C�MPANY G'7T�11� j1�f'��
SIGNATURE ������ REGIS7ERED Y/ N . FEE CURRE� Y/N
Addr�ss � � �� ��L�"` �' r�(i license# ��-1i�7�+��1 �
RESlDENTIAi: Attach{2�Plat Plans;=(2}seis.of.Builifing`.P#ans;(9)sst afEnergy Farms;R-O-W Pe�rnit far new consfructian,
Minimum,len•(4.0)working;days after,submittal date. Required onslte,Construotian-Plans;Stormwater Pians w/Sflt Fence installed,
' Sanitary FaciilUes,&.1.dumpster,Site,Work Rermit#or sutidlVisionsAarge projects -
COMMERCIAL Attach{3}complete se#s af Baildirig P1ans ptus a Life Sa€ety Page;{1}set af Energy Forms.R O-W Pertnit far new c�nstruction.
Minimum ten(10)workfng daysafter submittal�date. Required onsite,CansUucUan Pians,Stortnwater Plans w/Silt Fence installsd,
Sanitary Facilities&1 dumpster.Site Work Perm(t for all new proJeats.All commercial requirements must meei compllance
SIGN i'ERMIT A#tac�i{2)'sets of Engineered�Rlans.. ��
"`"PROPERTY SURVEY r+equired for all NEW constructian.
D}rectlons: _
Fill out applicatlon completely.
Owner 8 Contractor stgn back of application,notarized � !
[f over§2500,a Wotice of Commenceme�t is reguired. (AlC upgrades aver�T5d0) �
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`" Agent(for the contr'actoF)"ar Povirer of Attomey(for the owner)would be someone with notarized letter from owner autha�izing same '�
OVERTt1ECC1UNTERPERM1T71NG�>.�.+3:,y�. .�-= �.�f�.:Y.��.,_.�:� -",. _:...,`
��.(Frontof�App8cat3anOnly) _
Reroofs if shingles Sewers {; Service lJpgrades•,A/C ,� Fences.(PIoUSurvey/Footage)
Driveways-Not over Counter'if an pubflc roadways..needs}20W; '
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(VOTICE OF DEED RE�TRICTIOIVS: The und�rsigned under�tands°.that thi�:.permit.may.be.subJect to'"deed"restrictions"
which may be,more t�stcictive 4h�n�ounty-�regulatlons. �The'und�rsigned assumes responsibil(ty for-ccmaiplianoe witfi any
appllcable deed restrictions. �
11NLICENSED CONTRACTORS AND CONTf�iCTOEt RESPARISI�ILITIES: �If the owner has hiri:d a contractor or
coe�tractors to undertake work, they may be requir;ed.to be-ltcensed in accordance.writh state.and•locat regulations. If the
con4ractor ts not licensed as requlred=by law, both the owner and�contractor may b� cited for a�misdemeanor violation
under state law. if the owner or intended=contractor are uncertaln as to what Iicenstng.requir�ments.may apply�:for the
intended work, they are advised to contact the Pasco County Buildfng-Inspectlon Divislon--Licensing S�ection at 727-847-
8009. Furtherrnore, If the owrner has hired a contracto� or contractors, he is advised to have th� contractor(s). sign
portions of the "contractor Block" of this application for which they wilo be .responsible. I�you, as.th� owner sign as 4he
contractor, that may be an ind'ocation that he is not.properly Hcensed and is not entltied to perinitting ��rEdileges in Pasco
County. ' '
TR�INSPORTATION.IAAPACY/IITILI'TIES rMPAC1'AND-RE�OURCE RECO'�ERY��PEE3:_ The undersigned understand�
that Trensportatlon Irropact�Fees and Recourse Recove.ry.Fees may�apply�to:the construcQion of new bi�iidings,�change of
use in existing buildings, or:expansion-,of-�existin�'�6uildings, as speclfl�d.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also.understands, that such fees,.as=may�be�due,;wlll�be idenl:ified at the•time-of
permitting. It is furthe� understood th�t Transportation Impact Fees an.d Resource Recovery'Fees_micst be paid prior 40
receiving � °certifc�te of occupancy" or flnal�powe.r-release. :If�he project do�s not involv�_a.certific�Q� of occupancy or
final power release, tE�e fees must be pa(d ptior to permit Issuance. Furthermore;•�if Pascq County Vil'ater/�ewer-Impact
fees are due, they.must.be�paid prior to permit�lssuance-in accordance with applicable Pasco County ordinances. �
CON�TItUCT10Pi O.IEM ii.AV11(Ch�ptec 713� �loa#cla St�tut��o�s �mended): If valuatton of wor,k➢s$;z,500.00.or more, I
certify Qhat I, th� applican4, have been provided with a copy� of the "Florida Constructlon Lien. L�aw=Homeowner's
Protection Guide" prepared by the Florida Department of Ag�fc.ulture and ConsumerAffairs. If the ap�pl(cant i� someone
othar than the"owner", I cerfify tha�I have,obtained�a copy of.the above..described document�and.pror�ulse in,good faith to ,
deliver It fo the"owner"p�ioc to•commenceQnent: '• `
CONTF3�ACTOR'S/OWNER'3 AFFIDAVIT: I certify.that•ail.the,information In this application is accurate and that all work
will'be done in compliance with all appltcable lawrs regulating construction, zoning and land development. Applica�tion is
hereby rroade to obtain .a permit to do wotk :and installatlon as indicated. .,1 certlfy that no work or Installat(on has
commenced prior to fssuance of�a perm(C and�that.all work will be pertormed to meet standards of ali laws �egulating�
construction, County and City codes, zoning regulations, �nd land developmenQ tegulations�9n the jurisdiction. ( al'so
certify th�t I understand that the regulations of o�he�government agencles m�y�apply�to the intended work, and that it is
my responsibility to identify�what.actdons I must t�ke to be,ln:_conlpliance. S.uch agencles-include but ar�3.not Iimited to:
- Depa�tment of E�vironroiental Protection-Cypress.Bayhead�, IOVetland Areas and Envlrorumentally Sensitive
Lands,WateNWastewater Treatment. �
- Sou4hwes@ Fiorida Vliater Management .District-Wells, Cypress. Bey.heads; Wetlancl Areas, Alter3ng
Watercourses.
- Army Corps of Engin�ers=Seawalls, Docks, N�vigable Waterways.
- Department of Health'8 ReMabllitative Services/Environment�l Health Unit-NVells, Wast��water Treatment,
Septtc Tanks. ,
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal AviationAuthority-Runways.
I understand that the following.restrictions'apply to the use of flll:�
� - Use of fill is not allowed in Flood Zone"V"unless expressiy permlQted.
- If the fiil material is #o be used,.in. Flood Zone "A", IQ is under§tood Qhat a drainag� �plan addressing a
°compensating volume" will be subm(tted at time of permift(ng �vhich is peepared by a pr�fessiona) engineer
licensed by#he StaQe of Florida.
- If the fll material Is to be used In Ftood Zone �A" in4 connection �uith�a permitted buildir�g using sQem wall
� construction., I certify that fill.wall�=be used only.to.flil the area wlthin the stem wall.
- If ffll material is to b� us�d in any area, I certlfy that use. of such fill wfll not adversE3ly affect adjacent
properties. If use of flll Is found to adver�ely.�ffect ad)aEent properties,.the owner may bE� clted for violating
the condi#ions of the building:p�rmit issued�under the_attached perm(t appiication, for lots; less than one (1)
acre which are elevated by fllt, �n englneered dralnage plan i�required. .
If i am the AGENT FOR THE OWNEIt, I,�promise in good faith to Inform the o�rner of the permitting conditions set forth In
this a�davit prior to commencing construction. E understand that a�separate peronit may be requtred for electrical work,
plumbing, signs, w�l6s, poois; air conditioning,.gas, or othec installat(ons not.specifically included�in ilhe application. .A
permlE issued shall be constcued to be a Iicense to-proceed uvith tlie vvork arad not as.authority to..viol�Re,cancel, altee, or
set aside any provislons of tfie techraical codes; nor shaii issuance�of a.perrr�lt.prevent the Bulldtrig Offii�Qal from thereafter
requ6ring a correction af errors in.plans; construction or violations of any codes. Every permit issued sFiall become invalid
unless the work authorized by such permtt:�s.commenced�withfn sfX months of permit issuance, or if udork authorized by
the permit ds suspended or.abandoned for a period of six(6)Pnonths.after the tim�the work t�commenced. An extensfon
may be requested, in writing, from the Building,Officfal for a perlod.�not to_�xceed nfnety(90) days and�_will demonstrate _
justifiable cause�Tor.Qhe exfension. If work ceases fo�nln�ty(JO)cons.ecutive days,.th�)ob�6s consider���aba�doned.
VIlARNING TO Oli�NiER: YOUR.FAILUItE TO RECARD �► IVOI'IG� OF COMMEMCEMENT IVtAY �E�SIJLT IN YOUR
PAVIfVG TWICE FOR iMPROVEN!@NTS TO YOU�PROP�RTV. IF YO.U�IfVTEMD�'7'O O�T�11N�FIId�APiCING,�COR1Sl1LT
WITH YOUR LENDER�OR AN�4TTORNIEY BfFORE-RECAR��ING YOUR IdOTICE�OF COIVIAAENCE��EWT: '
FLORIDA JURAT(F.S.1.17.03) � �
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Od11NER OR AGENT C"' ��"�� CONTRACTOR--�-1�G,f,��`'—
Subscrtbed an b�wom to(or a(fl ed)before me this Subscri�d ar�'.sdvs to(or afftrmedpbefore me tfiis
_/� % • Y
Who islare personally knowm to-me or haslhave produced Who Is/are erson known M me or haslhave produced
as IdenUflc�tlon, as Idendficaflon.
Notary Public _ ���X�'�-- _Notary Publlc
Commisslon No': Comml�s on No
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:: �k= C%G'T1�t�ssio!���. FF 150422
Name of Motary typed,printed or stamped Name of Idotary ,,�� l�il cr�►S� �'�°���� �
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