HomeMy WebLinkAbout16-17756 I l
CITY OF ZEPHYRHILLS
5335-8TH STREET
, • (813)780-0020 17 6
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit �lumber: 17756 Address: 5709 13TH ST
Perr�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propos�d Use: NOT APPUCABLE Lot(s): Block: Section:
Squa��'e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es4. Value: Parcel Number: 11-26-21-0010-08400-0060
Improv. Cost: 2,011.83 OWNER INFORMATION
Date Issued: 9/21/2016 Name: KOPPELBERGER MYRON & CAROLYN
Total Fees: 75.00 Address: 5709 13TH ST
Amo�nt Paid: 75.00 ZEPHYRHILLS FL 33542-4144
Date Paid: 9/21/2016 Phone: 813-783-1735
Wo�k Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 75.00
/(
�
�
� Ins ections Re uire
DRY IN R� OF INSP
�
TAPE JOI�ITS ROOF INSP
' FINAL I
i
REIN PECTION FEES: c With res ect to Reins ection fees will com I with Florida Statute 553.80 2 c the
�
� ) p p PY � )� )
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reins ection whichever is reater for each such sub r '
�
p , g , sequent e�nspection.
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
' impr�vements 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.
� �,2 � ��;� ��� � �_i'c r�'/C
CONTJRlACTO I TURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTEC4 CARD FROM WEATHER
' � DISCLOSIIRE STATEI�NT FOR OWNBR
CITY OF ZSPIiYRHILLS BIIILDING DBPARTMENT
I, hav� read and fully vaders�aad aac3
agree ta the provisia�ns of thie inatrumeat.
The�undersigned states an8 affisms that he ar she is desiraus af ccnstruetiag,
reaovatiag, adding to or reroo£'ing his or her owa domicile, that he or she
ac��ally oecupies, or will oceupy by said damiaile, aad same is not for
rea , lease ar sale. That he or she shall aomply with the followiag couditioas:
l. Tha� the ovmer and he or she alone shal.l �et as the builder for aIl phases of
- coastructioa.
2. Tha� the owaer will camgly with a31 prov3.sious of the City of Zephyrhills i
ordiaances at�,d cades pertiaent to the buildiag. I
3. That� ia the event various phasea of coas�ructioa are subcoz►trac�ed, he will
engage aaly properly liceased subcontractors aad wi1Z persoaally snpervise '
such work. '
4. Tha� ia �he eveat the Built33ng Saspeetor shall require correctioas to be mad�, �
the owaex wi17. assume �ull respaasibility to iasure they are made, aad upaa �
completica wa.11 c�ll for a xeinspect3on before proceeding with the buildiag.
5. That the awnes shai2 assume fu31 responsibility for the construction and will
aot expect supervisioa of his work fxom the City of Zephyrhills Buildiag
i
Depastmeat. j
6. That priar to fiaal iaspectioa aay additioaal £ees, includiag reiaspectiots ' I
fees, must be paid ia full. A writtea reques� from this affice shaZl ,
caastitute aa. official aotice to pay additional fees.
7. That the awa�r shall camply with all City, State and Federa]. laws ia regard to
social security, workman's compensatian, I.ien laws, e�tc. , where agpliaabZe.
8. That the owaer shall camply with all the safe�y codes issued by the Florida
Industrial Cammiss3aa.
9. State Iaw requires construc�ion to be done by liceased contractors. You have
applied itir a permit uader aa eu�mption ta that law. The exempGion allows
ou, as the cwaer af your proper�y, to ae� as yaur awn caatractoz with certain
restrictions even though you do not have a licease. Yau mus� provide direat
'onsi�e superv�.sion af the oonstructiaa yourse].f. You may bu3l.d or impxove a
one-family or two-family res3.deace or a £arm autbu3.ldiag. You may also build
or improve a cammercial buildiag, provided youz costs clo aot exceed $75,OQ0.
he build3ng or re�aidene� must be for youx owa use or cccupancy. It may aot
� e built or substantial].y improved for sale or lease. xf you seZl or lease a
�uildtiag you have built ar substaatiaZly 3.mprav�d yourself withia 1 year after
I he coastruction ie complete, the law wi11 presume that you buil� or
�ubs�aatially impzoved if for sale or lease, which 3s a violatiasi af this
emption. Yotz may not hire an ualicensed pereon to act as your oontractos or
'to supervise people workiag oa yaur build3ag. Tt is your responeibil3ty to
e sure that p�ople employed by you have licenses required by state law aud
y county or muaicipal licea�iag ordiszaaces. You may aot delegate the
xespo,nsibility for supervisitxg work to a lieen�sed contraator who a.s aot
icensed �o pexforrn th� work beiag daae. l�ay persoa wor]ting on your builda.ag
a
ho is aot licensed mus� work under your direct supervieion sud muat be
ployed by you, vrhich meaas tha� you must deduct F.I.C.A. as�d w3.thhoSding tas�
;�nd provide workers' compensation for that employee, all as prescribed by ].aw.
aur coastruct3on must aamply with all appZicable laws, ardiva.nces, buildiug
ades, and zoaiag xegulatioas.
�7WNER'S SIGRIATURE �' c�l� � � � �% ��/� DATE �/�`�(o,
.�UDRSSS a�' ` ,� '
�xoxs �i.3 - 7�,��-1�7.3� ��° �'J..� �'�� � ?
TTNESS " PSRMIT #
t
%�'���_
Force Esagineetin?�"�'esting�nc_
19530 Ramblewood Drive
HumhIc,T%77338
Product E�aluation Report
' STFEL ROOFIIVG SYST�MS, LLC.
Min. 29 Ga.AG Roof Pane!over 1x4 Wood Punlins over 15/32n Plywood
Florida Product Approval#15837.2 R1
Florida Btrilding Code 2014
Per Rule 61G20-3
Method:l—D
Ca4egory:Roofing
Subcategory:AAetal Roofir�
Compliance Meffiod:61G20-3.005(1)(�
NON HVHZ
Produd Manufacturer.
Steel Roofing Systems,LLG -
3049 Drain Field Rd.,Ste#6
Lakeland,Horida 33811
, �O�PLY WITH
En�ineer Evaluator: f�l.l.
WORK SH
Terrence E.Wolfe,P_E_#44923 ALL CD,NGSCODE,
pREVAtl.1NG
Fiorida Evatuation ANE ID:1920 F�OR�DA BU��-� �C CODE.��
validatar. CATY OF ZEPHYRHI�»�S��`D�N�C��
Locke Bowden,P.E.FL#49704
9450 Alysbury Plaae
Mo�gamery,AL 36117
Contents ���/0�� �p1�� `���
LLS
rt P es 1—a EPFiI� HI _
Evaluat�on Repo ag (�I'� QF �
' ��� ��cP►�nIN���
,,�����E�re�ij�s
,��� ��C..E k,��i�i
`�� ���� CE1Vs�r.c+��� ,
�� �1.�: n �A�Y rr
f"I � : t�fo.443?� t� . �'r i.C...�
� �y 'vt• i �/
i���i'�� * '*� f
, ''�._,�L _ ��"
�-a� STA7E CF :��'
♦
���p'�`- ��U R I��.'����
��xbm ���'s•_ -6����
in ,t`•�f 4� �istit����
FLit 15837.2 Rl AIIGUST 11, 2015
_,h'V-J O " �
a
��
7,A1#iiUR•.
� .w. .
� ����
� ��
•�.:
�',4 w3+eY�:#.
Y !�
.`��-,
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractar/Homeowner: �� r'""L��l/� /�'Yl`/'!"�0/7 k��,����i��,��
Date Received: � / /o�.���
--T
Site: �.7�'i'�,_L���"h cS�'
Permit T e: �{��'"('A.� � (.�C��'^
Approve w/no comrnents: Approved w/the belaw camments: ❑ Denied wlthe below comments: ❑
�
�
(
Thi.s cornment sheet shall be kept with the permit and/ar plans.
� /�
.��' �� !„L
Kalvin —Plans Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
i �
�
� s�s- so-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0021
• Building Department
� + l�
Date Received g.— � � phone ContacC for Permitting — C�
/� �/ -Civ L
Owner's Name � � � � . "� �
� / / / Owner Phone Number .
/ �(y) �.�Gi ht� /
Owner's Address � /�(1/ � Owrner Phone tdumber /�" / �
Fee Simple 7i leholder IVame Ov�rner Phone Number
�.,t
Fee Simple Titleholder/�4dd[ess
JOB ADDRESS /� / � LOT# �
� SUBDIVISIO� PARCEL ID# ' '� � �(�('Qd
�
'i (OBTAINED FROM PROPERTY TAX NOTICE)
WORK,PROP SED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
� INSl'ALL e REPAIR
PROP.OSED SE Q SFR Q COMM � OTHER
' TYPE OF COFJSTRUCTION _ Q BLOCK • Q FRAME � STEEL Q
� .
DESCRIPTION OF WORiC
BUILDIidG SIZE _ SQ FOOTAGE� HEIGHT
I .
�BUILDING $�� j 8 VALUATION OF TOTAL CONSTRUCTION
/�
QEL CTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
� 6 V�
�PL MBING $ �U,;.,.�r��; ;�-„i,
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /�� cS�
�
QGAi � ROOFING Q SPECIALTY 0 OTHER
FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPAPIY
SIGNATURIE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAW CONIPANY
SIGNATURE � REGISTERED Y/ N FEE CURREF Y/fV
Address License#
PLUMBER:_ COMPAMY
SIGPIATURE, REGISTERED 'Y-/ N- FEE CURRE� Y/N
Address License#
AAECHAPIICAk. , COMPANY
SI�aIdATURE� � REGISTERED Y/ N FEE CURRE� Y/N
Address License#
` .'r; � ` ' �
OTHERa � Ji � COBflPAMY
SIGNA7URE>> y"` REGISTERED / N FEE CURRE� Y/N
Address ��D :� ./, e� ` -• -� License# � i�
RESiDER7TIA�.;." i4ttach:.(2);Plot P,lans;s,(2):sets of-'Building�Plans;-(1)"�set�of•Energy Forms;�R,O-W Permit for new.construction,
:Minimum'-ten;(:10)working:days aftec'subtnittal.date. Required onsite;Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities•.&,,1.,dumpster Site,W,ork Permit'for;§ubdivisions/large projects � -
COMAAERCI�.L Attach-(2)`complefe"sets'of'Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster..Site Work Permit fo�all new projects.All commercial requirements must meet compliance
SIGN PERMiI i Attacti�(2)sets of Engineered Plans.-,. •
*"**PROPERTY SURVEY required for all NEW construction.
' Directions: -��-=� �
Fill=out a I plication completely.
Owner&�Contractor sign back of application,notarized
If:over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agemt(foIr the cont�actor)orPower•of Attomey(for tfie.oiivner)would be someone with notarized letter from owner authorizing same
OVER THE CbUNTER PERMI7TIMG ,.. �(copy-of�contract:required)
�....�
Reroofs if shi Igles Sewers Service Upgrades' A/C _,.;Fences(PIoUSurvey/Footage)
, ' .:�.. -;�.,.>_ ..- ..�..._�._�s.: , :.
,-... .__.._ _..-.••°� ".�
Drivewa -Not over Counter if orn pu6lic•roadways..neecJs.ROW ...._.- , �°�:+�.:�-!' , '!
, ,�, ��f�,- ,.5 't E;C
��; . .. _ �.','�^ =�;� i . -"%. ;�
'3y:..1,-.:v-:...: .:��,w.��,.-... .�. ��;...,a��:..�-., .;.�
— - -- -- - _ .�_�..,,.:�..�:�;�•�:���;�:�,
- - ... y
� .i
NtJTiCE�F:DEED RESTRlCT18NS: The undersigned undecstands;.that,this.permit may be subject-to"deed°.restrictions.",.�� �
which:,�iay:be:riiore_r.es#cictive�than-Caanty:regulatioiis:'aTtie=�undetsigne��'assuFnes�responsibility#qr�-carripliarice�inrith�any-``:'
applicatile.deed�restrlctions. � �.- • -"},�
UNLICEPISED,�CON`CRACTORS AND CONTRACTOR RESPONSIBlLITlES:. -!f tfie=�owner-��tias° tiired°a�;contractor or
contractors to undertake work„they may, be required to.be�licensed in accordance with,state.and<Iocal,.regulatians:.-if.:tiie= �
contractar is not°-t�censed�as-,r.equired �6y"lavii; botfi #he owneir-and confracfor may��be�citedYforwa misdemeanor violation
under sfate faw. If the owner or intended,cantractor are uncertatn as to what licensing.requirements:�may�:�apply.foc.:tiie=-�'
intended wark,�they are adv'rseif ta contact'the Pasco.Counfy Suil�ing frispection�'Division-Licerising Section at 727.-847-
8009. FurthermoreJ 'if the owner has'hiFei!'a cont"r'acto��or coritractors, he is advisec! to�have the contractor(s) sign_ ,,
pa�tions of the "contractor Block°_of this applicatianvfor which they.will.be responsible:u!f y_ou,,as',the'�ovirne"'r sign�as'ttie " ,
contractor, fhat may be an.indicatlon that he is nat properly licensed and is nof entitled to permitting privileges;in Pasca ___, �•
Caunty. , . - - ...,. . . . �.. ..�� = .. ;
TRANSPORTATi4N tMPACTiUTiLtTtES iMPACT AND-RESOURCE F2ECOVERY�FEES:`The undersigned understands„ `
that Transportation Impact Fees and Recaurse Recovery Fees�mayc:appiy;to the cons#rucfian of;new built)ings, cFiange�of"�'�'��� _;
� use in existing buildings, or expansion_.of.:ezis#ing��6uildings, as specified in Pasco County Ordinance number 89-Q7 and
90-07, as amended. The undersi�ned also understands, that such�fees, as maykbe.:due, will,;6e;identified at'�#he�time'�of'�'�' `
permitting. (t is'further understood that Transportation 1mpact Fees and Resaurce�Recovery Fees must be paid prior to '
£ receiving a "certi�icate of occupancy° ar final__power release. If the_project�does no# involve a certificate of occupancy�or�:'
fina! power refease, the fees-must be_paid prior to permit.issuance. Furthermore,,�f-Pasca County Water/Sewer•,linpact:,,--
€ees are due,they must be paid priar Eo.perrtiit issuance in accordance with�appiicatile.Pasco.County ordinances.
CONSTRUCTlClN L-IEld LAVI("(Cfiapter T13, Floricla Statutes,as amended): If valuation of work is$2,540.00.qr,moce,.l�<_
certify that I, the appiicant,.,have been provided-with a copy_ of the "Florida- Gonstruction iien.,Law::Homeowner`s
Protection Guide" prepared by the°Fidria`a Clepartment of Agriculture and Gonsumer Affairs. If the applicanf�is someone;
other than the"owner", I:cerkify that I.have obtained a copy�of#he a6ave described"document and-pco,mise��in_good;faithi to
de#iver it ta fhe'�awner"prior,to commencement. � � ' ��
CONTRACTOR'S/OW1dER'S AFFIDAUIT: kl:certify-:that:all�the information in this application is accurate and that aN worii
wil! be done in compliance with all appficabte laws regufating construction, zoning and land=development. Appfication is
hereby made to obtain a :perrnit.to:.,do work and installation as indicated. I cer#ify that no'<work ar installafion�-has
commenced p�ior to issuance of a permit and that all work will be performed-ta meet standacds of al! laws regulating
construc#ion, Caunty and City codes, zaning regulations, and land development regulations in;;the jurisdiction: I also
certify that t understand that the regulations of other goverriment agencies may appiy to the intended work, and that it is
my responsibitity ta identify wrha#actians 1 must take to be in compiiance. Such agencies inc(ude�but are not iimited.#o:
- pepa�kment,of Environmental Rrotection=Cyp�ess Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterM/astew�ter Treatment.
- Southwest Florida Water Management District-Wells, Cypr�ss. Bayfieads, Wetland Areas, ;4ltering '
, Wa#ercourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterw�ays.
- Department of Heal#h & Rehabilitative Senrices/Environmentai .Health Unit:Wells, Wastewater Treatment,
Septic=TariRs. ��� �
- US Environmental Protection Agency-Asbestos abatement. , -
- Federal.Aviation Authority-Runways. �
I understand thaf�ttie following restrictions apply to the use of fill:
- Use of fiii is not allowed in Flaod Zone"V"unless expressly permifted.
- !f�the fili material is ta be used in. Fload Zone "A", it is understopd that a drainage p(an addressing a
°compensating volume" wil! be subrnitted at time of permitting which is prepared by a professionat engineer �
licensed by the 5tate af Florida.
- If the fill matecial is ta be used in Flood Zane "A° in connection with a permitted building using stem wal!
consfructian, I certify that fill will be used only to fill the area within the stem wall. �
- if fill material is to be used in-any area, I certify that use of�such fill will not adversely affect adjacent
propert'tes. If use af fill is found to adversety affect adjacen# praperties, #he owner may be cited for violating
the cond�tions of ttie��building permit_issued under�.#he attached permiE application, for lats less than one (1}
acre which a�e-elevated by fi!!, an engineered drainage plan is required.
� If I am the AGEMT FOR THE OWNER; ! promise in gaod faith ko-inform the owner of the permitting conditions set farth in
� this affidavit prior to cammencing con"struction: I understand that a separate permit may be required for electrical work,
plumbing, signs, weHs, paots, air conditioning, �gas,. ar�other'in"sta(lations not specificall�r included in the application. A ,
permit issued shall be construed to�be a license to�praceed``witfi�the wark-and�not as autharity to violate; cancel, atter, or
se#aside any provisions of�the techn4cat codes, nor shall issuance af a permit preven#the Buifding Officiat from thereafter
requiring a correctian af errors in plans;eanstruction or vJolations of any codes. Every`permiE issued shalt become invalid
unless the work authorized by such permit is commenced within,six months of permit issuance, or if work authorized by
' the permit is suspended or abandoned�#or a period..of six(6)months after the time the uvark is`°�ommenced. An extension
� may be requested, in writing,from the Building Official for a;period not to exceed r�inefy(90) days and will d,emonstrate
justifiable cause far the extension: !f work ceases for ninety{90)consecutive days,the jab is considered abandoned.
WARNING TO OWNER. YOUR FAILURE.:TO RECORD A NQTICE OF GOMMENGEMENT MAY�RESULT IN YOUR
PAYING TWICE FOR IMPRQVEMENTS'.,TO YO.UR:PRbPERTY.�:,IF YOU.INTEND�TO 4BTAIN FINANClNG;.'CCJNSULT
VMOITH YOUR LEND`ER OR AN ATTORNEY BEFORE-:RECORDING:YOUR NOTICE OF'COMMENCEMENT. '
_ .___
. ._. —_ _..
FLOf21DA JURAT{F.S.117.Q3) ` - -- --
� � � `1 f,,
- - ---------
- ---
OWNER OR AGEN7J�� ._ -� . .� GONTRAC7"OR � ��D(,G� -- ��.� .� �G._�(?���'�"C�
�)�,_3ubscribed�n c3�wot�t to{or affi ed)beta Fe e in�����'���Subscdbed and swo (or a ed}be r me thiS�.
G�f���._�`"��fG��G�° i4�..��P�"r� by � N -" . ��^�v
/ ab is/�r ersonatty kno t me ar has/have produced " Who is/are p�s oaally known to me or has/ha produced
as Identiflcatlon. �� � J.�Irf�lS Lp�r,r,9� as identificatlon.
�,���='-���' �4����lokary Public ����.. - Natary PublEc
_=---��1a:—
Commissi n No. ��,�LI!�� Comm3s ion o. �
��� j�����������? ',�:�.Y��= Commission#FF 950422
Name af N e� rfnte�i at'�tarnoed (Vame of Natary typed, �t '
� �+r..�r.rr Ft�" on e m Troy Fa'n��ourane�QOOa85•70f o
• T+,, '�Rt„��
s�;•:" �yt'�: A!E[.INDA E.MGGEE
x.r . '';._ Mv GOMMIS310N M FF 143645
�� a: EXPiAES:Octobar 3,2d18 , ,
%�;'c"�`' 6onded Thru Notary Pu11ic UndEnMritecs
R�„f:••
I _