HomeMy WebLinkAbout16-17694 CITY OF ZEPHYRHILLS
. �_- 5335-8TH STREET
(813)780-0020 17694
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BUILDING PERMIT '
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17694 Address: 4772 SILVER CIR
Perm�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CHALFONT VILLAS
Es�. Value: Parcel Number: 15-26-21-0190-00000-0250
Impra�r. Cost: 2,500.00 OWNER INFORMATION
Datellssued: 8/29/2016 Name: LONG DONALD SR & LONG NANCYLON
Total Fees: 50.00 Address: PO BOX 286 �
Amo�nt Paid: 50.00 CRYSTAL SPRINGS FL 33524-0286
D te Paid: 8/29/2016 Phone:
Woq�k Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
CAPST � NE CONSTRUCTION REROOF RESIDENTIAL 50.00
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Ins ections Re uired
DRY IN R �OF INSP
TAPE JOINTS ROOF INSP
FINAL I
REINS�ECTION 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
I 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 b�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.
"WarIning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr6vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comp ete 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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' ONT C I A/T RE PERMIT OFFI R
PERMI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER �
s�a-�saoozo City of Zephyrhills Permit Application F�-s��-�saoo2�
Building Department
Date Received phone Contactfor Pertnitting �l� o�V� - / lfJ �
1 1 1 1 1 1 1 � 1 1 1 1 1
!
Owner's Name Owner Phane Number
Owner's Address � ' � t
� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TitleholderAddress
JOBADDRESS / / �� t LOT# �
SUBDIVISION � PARCEL IQ# Q ' Q'� �
, (OBTAINED FROM PROPERTY TAX NOTICE)
' WORK PROPOSED e NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK - /✓ � ('J
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION �� � '��
U�,
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � ^�/;�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � r/ 'T
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N �cuRREn Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE rtEcis�a�o Y/ N FEE CURRE� Y/N
Add ress License#
PLUMBER COMPANY
SIGNATURE a�cis�aeo Y/ N F�curu�En Y/N
Add ress License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
OTHER C� �S�C,�'�G' CO L'�S COMPANY v
SIGNATURE REGISTERED / FEE CURRE� Y/N
Address � License# d ,3 Z. �
I I I 1 1 1 1 1 1 I 1 I I 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 I 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W PeRnit for new construdion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed,
Sanitary FaciliGes&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out applica6on completely.
Owner&Contractor sign back of applira6an,notarized
If over Ez500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorrzing same
OVER THE COUNTER PERMI7l1NG (copy of conVact required)
Reroofs'rfshingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW
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� µ NO'fiCE OF DEED REST.RICTIONS: The undersigned under�tend�th�t:thls;p�rr�lEmay.be.sub)ect to.'deed`restrlctlons" _
which mey�.tie;more resltictive�thar�Coentya�ri�grilettons:'The�underelpned a"s"sumee Yes��ItiilHjr�for�compUarice wiitti ariy
applicable deed resMcttons. � _ .
UNLICENBED CONTitACTORS AND CCIMTRACfBR-RESPONSIBIL-i71E8: iF ihe owner haa�hired�e conUactor or
cantractors to undertake work,ttrey mey besr,equfr;ed:to.<tie;llcensed Irt exoMance.wtth state.and:local regulatlons. IFthe•
co»tractor is nat Itcensed es requiKed:by law,both the owmer and'�ottactor�ma}rDe�ci#ed•fcr$�misd,emaanor vIolatfon
urtder state tsw. if the owner or tntended�,cp�trat�tpr•are„wncertaln sa to whet ftcenetng.requtrements`may�eppty.��finr�the
Inte�ded wark,they ere adviaed to contact the�F�asco County Butltling'Inapecddn bhrislor�—Llcensirrg§ecNan at 727-947-
8009. Futthermote, If the owner ti'as htr'ed a contrractor or contractars, he !s a�vlsea to have the contracior(s),,slgn
port{ons of the'con#rsctor 8locl�'of fhla appllcattan.for which they wlif.be.tesponsibte.-_ii you,.as.#he o�i�i't`ter aigti as`the
conkractor,thet-may be an IndlcaUon that he=is not properiy Ilcensed and ls not en�8ed to pemiftUng priirlleges In Pasco
Counly.
TRANSPOl�TAT[ON.IMPAGTI�f1.4�lES�iM�AC'i��ANb RE30t1ltCE RECOVERY�FEES:T#te undersigaed undetstands
that Transportetlon Impact Feas:end.Recourse Recove.ry.Feea meyr,�app1y:b�t6e constructlon o�new bulidings,�chanQe of"
use in exiating bulldings,or�eicpansi�n�of��leiNRip�Builifings,as apecifled.ln Pasc�Coun{y OMlnance number 89-07 and
t Sa07.as amended.,�Tha undecslgned alsa:understands,thalEsuch faes,:as•tna��r�due;;w}1F:=be ldentlfted at the�ttme`af
permitting. It Is turUier undetstood that TransportaUon Impac#Feea and'Resource Re�overyrFees must be pald prlor to
recetving a"certiticate of.occupancy"or flnal�powe.r•celeese. ���the project;�loea ciot lrnolve;a•:cerNflcate of cccupancy or-
final power retease.•:lhe faes mtt�t be patc!-prtor to,parm(t Issnance. FuMheanore;i�-Pasco County�{NaterlSevver lmpad �
fees are due,.they must•b��pal�'prlor to permif•Isayanee�in,atxorda�ce with'appllcabl�:Pasco,Cour�ty ordinances. •
CONSTRUCTION'CIEN"4qYM(C6epter 713.Flodd�a Statutes,as emended): If valuatlon of work Is 52,600AO:or more,!
certify that 1, #he. appticent, hsxe•been provided wtth a copy of the "Flortda CansWction�Lfier� �avu�—Homeawnet's
Protection Guide'prepared by the Florida DepertmenC of Agrlcullure and Conaumer-Aifalrs. If the eppllcant Is sameone
other than the'owner',I certify that I have.o.b.ta�Ined�a�cdpy:,ot:the�abQva.descritied cloairiient°and.promisetn,gpod�eph.to
delhrar 1t to,the'owner"`.pr1a�•tc�comri�eric�men�: .
CONTRACTOR'9JOWNER'S AFFIDAVIT: i.ceitlty,tFiakslr'ttie;ihformaflon:l'ti�this appllce8an(s accu►ate.and that all work
will'be done In compllance wfth all.applh�ble laws regulaUng consbvcUon,zpning and land development. AppllcaUon is
hereby made ta obtafn.a.permtt.to do.�:,artd Ihsfalla�an as Ind[t�Eeef.: 't �ertlEy'r"that no work'ar ins�lta#kin has
commenced prior to iseuance oF a permit"and that:at�work wiii be pertormed to meet standerds of all laws regulating•
constructton, Counly and Cily codes, zoning regulatinns, and land development regulatlona�in the Jdrlsdlction.. ( al'so
cet�ty Utat 1 uaderstand that the regutaflons of other gavemmenk agenctes may�apply�ta the tntended wark,and that it ts
my responstbitity to identtfy.what,actions 1 must•take.to be.in=ootrlpilance: S,uch.egerrcles Include buf sre.nat Ilmited to:
' - Department of Etrvironmental�protection-G�ipreas.'Bayhead5;Wetlend Areas.and�Environmentaily SensRive �
� �ands,WaterMtaetewa#ar TreatmenL
( - Sauthweat Ftortde Water Management:btsirtct-INelis, L'yprea.s.`�Hayheads; Wetland Areas, Altering
' Watett;ourses.
, - Army Corps of Englneers-Seawalls;flocks,Navigabie Watetways.
, - Department af Neaith•'� Rehabilltafive ServicesJEnvtronmen#al FtealtFi Uhit Weils,;Weatewater�.l'reatment, �
.- Septtc 7eriks. ��
- US Envlmnmentat Protectton Agency Aabestos abaEement �
, Federai AvtattonAutharity:Rur�ways.
I understand that the following.restriotTons appfy to the use of flll:•
i - Use of fill Is not allowad in Fload;Zone"V"unlesa ezpress{y permlkted.
j - if the flll materlaf.ts to b.e used:ln.:�taad Zane.`A', it Is understood that e drainage ptan eddrassing a
� "compeFlsating volume"will be submftted at 8me of.pe�itting which Is prepared by a professional engtneer
Ucenaed by the 9fate MfloNda; '
� - if thA fl11 materlal ts to be used tn Ffood Zone'A in�connecfton�with�a permitted buildtng using atem waii
conatrucHon,I certify that flll:wlll:be used onty.to}ill the area w(thtn�the�stem walL i
' - If ftlt mete►lal (s to be usad In,any e�res, { certify t#tat.uae of such fi11 wlll pot adversely attect ad)acent ,
� � pr�pettles. tt use of ft11 ta fonnd to advstsely.�ft`ect adjaeeat�properNes,,the owner may be ct#ed for.viaFetEng
', the cond�lons_of fhe building:.pertnit Issueil under tha�attecFied.permlt applk�aUon,for lots less than.ane(1)
ecre whlcFi ere eleveted�tiy flll;�n engineered drelnage�plan Is requlred..
{f 1 am the At#EN2'FOR THE OWislER..1 fpromIse in good f�1Ua to tnfarm#he owner af the pemiltttng�ndiHons set farth!n
thts aNidavlt"prlar ta commencing construcUon. I underatend thet+a�eeparate permlt may be requlred for electricaP work,
j plumbing,_algns,wells,,pools;.alr candiUoning,.gas, or.ot�er Instsilt�tlons not.aPecm�ily induded�in.the•appltca8on. .A
permlt Issued shat!be co'ttstrued to be'a�llaet�.ta`pr�ed wltti ftt'e worEc snd nat as.suthotity ta vloiater cancet,al#er,or
set aside any provlsidns 6f tiie.techolcal codas;nnr shall Issuance^of a.permlt.prevent t�e 8upolrig l?fticlal from thereafter
requlring a correctlon�errors I.n;prans;iionehuction or vlolaUons ot any cade�: �very permit(ssued sfiall bec�me invalld
untess the work aulhorized:by such pemiit>ts-commenced�wifhln sGc Enon##ts of�patmit[ssuance.c�r 1[wark authorized by .
iha pertnit.ls.suspendad or,,abandoned•for a;period of�elx(e)monttis�fter the tlme the�work ls commenced. An extenslon
� may be eequeated,In writing,:irom tiie Bullding,Offlclal(or a period•�not:to exceed:nlnety(9�)-deys add wIIC demonstrate '
�ustfflable'cause#er•tha eactensEon: tf worlc ceasas for nlnetyr.{80}cons.ecuttve days�.th'e�f ab��constdered a4andoned.
WARNING TO OWNER: YOUR._FAILURE.>TD REGORQ,,A,NO�CE:OF,�CO MCEMEII�F'f•.MAY�RESULT:IN YOUR
i PAYINGTiIYICE;FOR=1MPEtt3�tEM�1+t�'8�1'UY#?t�R4•Pt��EE�T1F I��YQU� � '�AiN�F1t��t�IG:�CON3Ui.T
I i -. ' tt � _ _. 'i -
FLORIDA JURI#'f(F.�t1�:03) � �,,t� .-" -
E OWNER QR AtiENT_- -. CC� '` � l .''� .
Su6eaibed and maom ta(or alrtmted)beforo me fhie 8albed' ewom lq(ot' rm� " m ib �
bY ��bY i
Who Islarc penanalty knawn to.md or haaR��ve prqQ4cad. 4Yho(aJara peuaonaUyknovmlo orhaalhave�roderced � �
. " as tdeatlB6a@pn:� aa tdentt�ca8art.
� Nofsry PublIc . Notary Putrttc
Commisslon No:'" Com�lbalon.Na.
� �
� Name oiNotary lyped,printed ar atemped Name ot Nols
�Y bP�.P�lnted or atamped