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HomeMy WebLinkAbout16-17785 � ' CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 85 BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit �lumber: 17785 Address: 38020 10TH AVE Perrr}it Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Propo��ed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS Es�.Value: Parcel Number: 11-26-21-0010-09300-0010 Improv. Cost: 2,450.00 OWNER INFORMATION Date Issued: 9/29/2016 Name: BRIGGS, MICHAEL Total Fees: 50.00 Address: 38020 10TH AVE Amo�nt Paid: 50.00 ZEPHYRHILLS, FL 33542-3920 Date Paid: 9/29/2016 Phone: 813-938-0938 Wo k Desc: REROOF SHINGLE CONTRACTOR S APPUCATION FEES � TKJ CO STRUCTION COMPANY INC REROOF RESIDENTIAL 50.00 ��� Irrs ections Re uired DRYINR�OFINSP TAPE JOINTS ROOF INSP FINAL /D-�P�. /(� REINS ECTlON 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. NOTIC : 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. "Wa�ning 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." 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. � a CONT CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - � ' s�a-�aaoozo City of Zephyrhills Permit Application Fax-813-780.0021 Building Department Date Received Phone Contact for Permitting — —rm�—� p� Owner's Name S Owner Phone Number �� 3 �3� �� D Owner's Address �� ' y'r[�n�d�W��ne NY�r�i6e'r� �1 Z Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� , f 3 3S`��0 SUBDIVISION PARCEL IQ# '� "� OOI(/ (OBTAINED FROM PROPERTY TA NOTICE) WORK PROPOSED e NEW cONsr� ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK 1 GiI�O V� � V' ff V' � , BUILDING SI2E SQ FOOTAGE 2�DO DOO HEIGHT � �1����f.� $Z b� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL - $ VALUATION OF MECHANICAL INSTALLATION /�� ��� QGAS � ROOFING Q SPECIALTY 0 OTHER �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l f�—E-i— 1 BUILDER � COMPANY Vl �� SIGNATURE ISTEREo Y N FEE CURREN N Address License# C�� ELECTRICIAN COMPANY � SIGNATURE REGISTERED Y/ N F�cu� Y/N � Address License# PLUMBER COMPANY SIGNATURE �cis7e�o Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE Rects�a�o Y/ N F�cur�EN Y/N Address License# OTHER COMPANY SIGNATURE RECIs7E�� Y/ N FEE CURREN Y/N Address License# 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 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 I 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sels of 8uilding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facili6es�1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Fortns.R-O-W Permit for new consWction. Minimum len(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilities&1 dumpster Site Woric Pertnit for all new projects.All commercial requirements must meet comptiance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required far all NEW construction. Directions:• Fill out applicaGon completely. Owner&ConVactor sign back of applicaGon,notarized If over$2500,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 authorizing same OVER THE COUNTER PERMITTING (copy of conVact required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) Driveways-Not over Counter if on public roadways..needs ROW � , . NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and Iocai regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign , portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be.paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work i will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certity that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: � - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. ' - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certity 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 properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work author¢ed by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT".I�Y)kl A�Q� �'^t- CONTRACTOR � � � u scrib d and swom to(Gr affirtned be ore me this scn d and swo to(or a(firtned)before me by i�.hne� �r�Qds ���_bY�..dVe✓11C. L. A'LJ�Z.� o is/ re persona known to me or h�s/hav,�iuced Q�i re personally known to me or haslhave produced as identificaGon. K.1101�1►1 i-� fKe_ as identification. Notary Public Notary Public Commission No. � Commission No. ��yQ �y'p S �V4 I�,�S�I l nn e or s a pe Name of Notary typed,prinled or stamped ;=o�'""'°'��:_EVA MARIE MARSHALL ..,.. .••'�1�r°�e"' _� •a MY COMMISSION#FF080465 ,.-=o o�<.EVA MARIE MARSHALL :7�'••........���f� - '••'�oF�;o�;, EXPIRES April 11, 2018 `•� ' �"' MY COMMISSION#FF080485 (407)398-0153 FloridallotaryService.com •"�'oF�F;:o��f EXPIRES April 11, 2018 (ao7)398-0153 FloridallotaryService.com