HomeMy WebLinkAbout16-17695 CITY OF ZEPHYRHILLS
,� „ 5335-8TH STREET
(813)780-0020 17695
BUILDING PERMIT ;
PERMIT INFORMATION LOCATION INFORMATION
Permit I�lumber: 17695 Address: 4773 SILVER CIRCLE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: Subdivision: CHALFONT VILLAS
E t. Value: Parcel Number: 15-26-21-0190-00000-0040
Impr�v. Cost: 2,500.00 OWNER INFORMATION _
Date� Issued: 8/29/2016 Name: ROBERTS, RICHARD & JOAN
Total Fees: 50.00 Address: 4773 SILVER CIRCLE
Amo�nt Paid: 50.00 ZEPHYRHILLS FL 33541
Date Paid: 8/29/2016 Phone: (813)780-2836
Work 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 JOI TS ROOF INSP
FINAL t1
REIN PECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment 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.
NOTIaE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may �e 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.
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
imp ovements 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
/ NO OCCUPANCY BEFORE C.O.
CONTRA R SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s��-�aaoozo City of Zephyrhills Permit Application FaX-s���ao-oo2�
Building Departrnent
Date Received phone Confact for Pertnitting
� � � � � � � � � � 1 � �
Owners Name l�V Q �Qlr .5 Owner Phone Number
L. S � 4
Owner's Address Pl� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
/y i �
JOBADDRESS / �/ LOT#
SUBDIVISION PARCEL IDIt
(OHiA1NED FROM PROPERTY TAX N0710E)
WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
'' �
DESCRIPTION OF WORK � • �✓
BUILDING SIZE SQ FOOTAGE� HEIGHT �
OBUILDING $ �/ALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ / AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
I ���
� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY 0 OTHER � �
� � .
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGi57EREo Y/N �E cuRRen Y/N
Address License�t
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE cUfutEn Y/N
Address License�
PLUMBER COMPANY I
SIGNATURE rx�cls��n Y/ N �E cuw�En Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE r�c�s�aen Y/ N �cuw�en Y!N
Address License#
OTHER CI��Sd � � p vytY. COMPANY U C�/E—
SIGNATURE r�cis�a�o Y/ �e cur�xen Y/N
Address .Q • p / �/�/ License# �
IIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111/111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new constniction,
Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Starmwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Buitding Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new consWction.
Minimum ten(10)working days after submirial date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Sile 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.
Directlons:•
Fill out application completely.
Owner&Cantractor sign back of applica6on,notarized
� If over 52500,a Notice of Commencement is required. (A!C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someane with nofarized letterfrom owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage)
Driveways-Not over Counter'rf an public roadways..needs ROW
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� � NO`I10E OF DEEP REST.RMCTIONS: The undersigned understands=tt�t:thls.;p�rmltmay.be,subJect b'deed'resirlcttons'
which may<be,more�resltic�re�tharrGounty��jr�tatConss'Theund�r�lgnad aseumes YespcnsitillNy"fa��co"m''pllance wiih'any
appttcabts claed resttictlons. •
UNLtCENSED:CONTRACfiOR8 AND COAITRACFOR-RESPONSIBiE�1TIES: If the owner has�hired e contraator or
cantractors to underteke work,they maybe�r,eQuir;e�i�.to.be,llcensed In exardan�.with state.and;local ragulatloqs. •If the
, conlrastar ls rsat ticensed aa�requtced:by taw.both the owner s�id:conifaotor�irisy be-clted•for-��misd�meanor vtolaUan
under state iew. tt the owner or intended,�.co�fraqkar:ere,�ncertain se to what Iicensing.requiremerrts`may.Jappiy:��foF`the
Intended wark,they are advised to aontect the�Rasca Counly Building'Inspection btvisiorf--l:icensing Secklon et 727-847-
8009. Fuithermore, if the owner has hfred�a contraator or contraators, he is aidvtaed to have ihe contrsctor(s�,.sign
porktons af#he`cantrsctor 81ock'of fhle.applk:sUon Eor,which they wtit_6e.responsibta.-.-if,you,.as.#he ovrr`r`ie�sign'as��e
contractar,lhat m�y be�an Indlcation that�he-Is not properl�r Iicensed and'Is riot endBed tb permHiing prlGlleges In Pasco
County. .
'iRANSPORTItTtON-iMPAGTltFfit.FE1ES`IMPA�i"�AN�RESO�i2CE RECOVERIF FEES:The underslgned vnderstands
ihat Trensparteqon Impact Fees:and.Recouree Recove.ry.Feea mey�apply�b�tf�e.conatructlqn of new bufldings,�chan�e of" ,
use In exisNng buildings,ar�eicpanslor�of�eXlsBeig.:tiu!ldings,as epeclfted.ln Pesco Ccunty(?rdinance number 89-07 and
9Q-07.as amended...Tha undetsigned also�undenstaads,th�iYsuch tee"s,,��ay:��dne:,.vuiit-6e tdent�fled at the•�me=of
permiHing. It is furtFier understood thet Tran�portaUon Impact Fees and�fteaource.RecoveryrFees muat be pald prior to I
recefving a."r�rtNicate ot occupancy"or tlnal•power,�elease, l��the proJect,dces�.ci6t�lmrolve;a�certiSEcate of cccupancy or '
finat power ratesse,�the fees mu�t 6e pald.prlor to:permtt Issqancs. F�tlhennore;fE_Pasco;County�lNatarlSswer lmpact �
fees are due,.they.:must:ba�pai�.prior to permif•Isayance=ln,alccordar�ce xiilh appllcabfe Pasca.Counly ordlnances. •
CONSTRUCTION'CIEN I.AW(C6eptgr 713�Florttla Statutes.as amended): !f valuatlon oi work is 32,bQ0.OQ_or more,( '
certtfy ttiat 1, #he. applEcant,.have.been pcoi[Idesl wiih a copy ot the�`Ftodda ConsWctian�l.ien l.aw--Ftameowr►er's
ProtecUon Gulde'prepared by the FlbHda DepertmenC of Agriculhrre and ConaumerAtfalts. If the eppltcant Is someone �
other than the'owner',I certffy that I have,tibtalneilia�copy:,of..the akxtva.deacAbed dacumenhand.proml��irt,good tiatth.to �
deliver It ta,th�'ownec`pitan:#a�commenc�me�rfi:. ,
CONTRACTOR'SIOYVNEit'S AFFIDAYIT: I.c,e.iflty.,tHat•all"tFier.lMarmetlon:l'n"�thia sppllcaNan Is accurate.and thet ell work
wlll'6e done In complfance with all.appllcable lawe reguletlng consdvction,zantng and land developmenG Appltca8on Is
hereby made to obtein_a.penr�it.#o s!o wofk.,and thstalle#nn as IndEt;efedl °I c:ertify that na wark�or tnstattatton has
cammenced p�ior to tssuance ot a permit'and that.alt work wi(I be pertormed to meet standerds of.all laws regulating•
canstruction, County and City codes, zoning regulaticns, and land develapment r.egulatlons�in tha J�risdlcQon. l al'so
certity that t unde�stend that the tegulala��ans of ofher govemment agenctes may�apply ta the Intended warfc,and that it ts
my responsibility ta identlfy�what.ecUons I must•teke.to beJn�carqpilanca: S,uch agencles indude bat are.not Ilmited to:
- Department of Envtronmental�Protecqon=G�ipres�s.'Baylieads;Wetlend Areas.and Eavfronmentaliy Sensitive
larsds,WeterlWa�tswaterTreattnent.
' - Southwest Florida Weter Management 'blstrict-Welis, Cypres.s.�8ayheads; Wekland Areas, Altering
Waterapurses,
- Army Corps of Englneets�eawalts,Docks,Navtgable Wa#ernays.
- Department of Neatth�& Rehahliitafive SetviceslEnvrronmerdei Fteatttl Unft Welfa„Weatewater�Treatment,
� Septic Tenks. ' .
- US Environmenta!ProtecUon Agency Asbestos abatement
Faderat AvlatlonAuthcrity:Rurnvays.
I underetand that the.follovving reaUl�tlbne apply to the use of flll:•
' - Use of ftl!Is not allowed in Flood;Zo.ne"1("unless expressly petmfkted.
- If ftfe fll! mate�lal ts ta be used:'tn.:�laod Zane.A', tt is underatood fha# a dreinage pfan addresstng a
"compe�sattng volume"will be submttted at Ume of pe�mitting which ts prepared by a profess(onal engineer
'� _ Ilcenaed by.the Stete of FloNda: ` _
!f thA t�l! materlat ts to be used in Flaad Zone"A ins connecfion•wEth a�itted 6uitding using stem wail
; construuctlon,I certify thek fl11:�VJll.b.e�sed onty.to ml the a[ea within�the�atem wall.
' - If fll!'R181@del I9 10 bB U88d•'Ip..etly 81LB� !.certity,Htat use of such ti{t wlti qot advetsely aftect adjacent
pruperttes. If use af fili la found to adversely.�ffecf aslJaeent prespertles,,fhe oumer may be ci#ed tor.viotating
ihe cond�lons of tMe bulldlag;pemilt Issued�under the�attacfied pertnit qpplkatlon,far lots less�than.one(1)
acre whlch are elevated�by flll;��t�nglneered dralreage plan Is requlred..
tf 1 am the AGENT FOR TF#E OWtliER,!;promtse I�good faifh to inform the owner af the pemiitting�ndiNons�et farth in
thls aftldadlt'prlor M commeacing conshiicGon. I under"afend thet srseparate pertnit mey be requtred for electrlcal work,
' plumbing,_slgns,wells,,pools; alr candltloning,.gas, or:ot�er Ins'tal�pons not.spec►ffca!!y Induded tn.the appllcatton. .A
petmit Issued shall tie coi�slrued to be a�ltcense-to pitsceed wlth#fie work and not as.aafEtarity_to,vtotste,cancel,atter,ar
� set aslde any provlslons of ftie.tectinlcal codes;nor ahall Issuence^ra�f a.permft.pcevent the Bulldlrig Qffidel irom thereafter
requlring a carrectlon�_errois In prans;canetFiictfon or vlolaUona ot•any codes:��very pgrmft tsaued shall become Invaltd
'� _ unlesa tlt�wtitk authorized:by auc#t permlt��ts_cammenc�dwtfhln s�c,moolhs of-gernnit tssaance,or If wo�ic anthorized by
iha permit.ls auspanded or..abandoned for�,period of elx(�)�monfEis�iter;lhe�me lhe�wark�s commenced. An extenslon
may be reguested,,In wrlting,�f�om.tlie,Bullding,(3fflclal for a perlod:not-to exaeed nlnety(90)•days add wlll demonshste
Justi�a6le'cause fet:•the eattettsfot� tf work ceasea:for ntneqr,{9{}}consec�thre days..t�e iob�ta c:ansidered a6andoned.
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WARNING'1"O OWNER: YOUR;FAILIIRE 7t1 REGORQ./�>NG'F�GE:OF�COMMENCEMEHtT•.MAY•RESt�1:T IN YOUR
I; PAYIN�TWtCE�F,ttR:IMPRQVEMENISrt'Q:,Y#}�t�P.�4RER7Y IF°af0 � . D4'T�O'�8�'�AiE1�`Fii+�i�#Cd�:�O�tSU�T
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V FLORIDA JUFtAT(F.�t1T.03) ' • : - ., -
! OWNERORAOEHT . C
ISubeaibed an�m ta(or�mmted)beforo me fhle end'ewom �";eq e�;befotq me'fhl!
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Who Islare perao�lly Imwm to.ma,ot haalhaue ptpduced. Wha(�/ara petaon ta me orhadhavepraditt�d
� " , " ad tdenUflcati9n: aa tdenti�CaHcn.
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Rtofsry Publtc . Nqtaty Fubttc
Commisslon Wo:` Commbalon.No. '
Name af Notary lyped,printed or stamped Nam�ot Notery typed,printed or etamped