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HomeMy WebLinkAbout16-17902 � '. .� _ _ CITY OF ZEPHYRHILLS , 5335-8TH STREET (8l3)780-0020 179.02 r ' BUILQING PERMIT � �'' PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17902 Address: 4753 SILVER CIRGLE Per � it Type: RE-ROOF ZEPHYRHILLS, FL. Class�of Work: ROOF REPLACEMENT Township: Range: Book: Propo�ed Use: NOT APPLfCABLE �ot(s): Block: Section: Square Fe�t: Subdivision: CHALFQNT VILLAS E�t.Vaiue: Parcel Number: 15-26-21-0190-00000-0'f00 Impr�v. Cast: 2,400.00 OWNER INFORMATION Dat� Issued: 1110812016 Name: PQHJQLAINEN TYLER Toi�al Fees: 50.00 Address: 4724 SILVER CIR Ama�nt Paid: 5Q.40 ZEPHYRHILLS FL 33541-6511 D�te Paid: 1�/08I2016 Phone: Wo�k Dssc; REROOF SHINGLE CONTRACTOR S APPLICATION FEES GAVIN ROOFING REROOF RESIDENTIAL 50.00 � ' .� _ l Ins ections Re uired DR IN R � F IN TAPE J01N`�S ROC}F INSP FINAL I REINSP�CTION FEES: (c)With respect to Reinspection fees wili compiy with Florida S#atute 553.80 (Z)(c)the locat g vernmenfi shaii impose a fee af four times the amount of the fee imposed for the initial inspection ar first reinspection,whichever is greater,far each such subsequent reinspection. NOTiCE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be faund in the public recards of this eaunty, and there may be additional permits required fram other governrr�enfia] � entities such as water management, state agencies or federal agencies. "Warn�ng to awner; Yaur fiailure ta record a natice of commencement may result in your paying twice far impror�ements ta your property. If you intend to obtain financing,consult with your lender or an attorney befare recording yaar notice of commencemerit," Comple#e Plans,Specifcations Must Accompany Application. Alt work shatl be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEEORE C.O. � NC1 OCCUPANCY BEFORE C.O. G�� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITH4UT APPR{'�VED INSPECTION I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PR4TECT CARD PROM WEATHER s��aso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 • Building Department Date Receiv i d. Phone Contact for Permitting — Owner's Ida I e � G-�=� �� J�'h�'`7 GZ.�� Owner Phone Number Owner's Ad�ress ` /�7 5j���� C/�GG6• Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS 7 /S3 �/Z(��r/� �(�GC� LOT# � suaoivisiow PARCEL ID# �S���f-O 9�— C�0000— 4 D� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PRO OSED B NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH INSTALL REPAIR PROPOSED SE Q SFR Q COMM � OTHER TYPE OF CO STRUCTION 0 BLOCK • Q FRAME 0 STEEL Q DESCRIPTIO OF WORK ��l�'D/L /O T/�/�/�O�r D� /�/`7/�'Ll� G(//7� �U /� s�//d���FS � I BUILDING SI�E SQ FOOTAGE� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION � yao. �EL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPL MBING $ �ME�HANICAL $ VALUATION OF MECHANICAL INSTALLATION n� � � r V �GA �� ROOFING Q SPECIALTY � OTHER � FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA DYES NO 2�,�� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , Address Cicense# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N Address License# � MECHANICAL COMPANY SIGNATURE' Re�isTerteo . Y/ N FEE CURRE� Y/N Aild�ess License#_ OTHER �_ COMPANY �vl� /�/����� SIGNATURE�: . C%�� REGISTERED Y/.N FEE CURRE� Y/N Address � 1�,� ���3 � �� i7l� License# /C.�-�D��o� , RESIDENTIAL Attach(2)':Plof Flans;(2)sets ofBuilding�Plans;'(1)'set of Energy Forms;R,O-W Permit for new constryction, , . Minimum�ten_(,10)inrorking;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanita,ry;Facilities.&:1..dumpster;Sife Work Permit for subdivisions/large projects � - - COMAflERCIAL Attach'�(2)complete set§of Builcling 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/Siit Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit fo�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 application completely. Owner&ConVactor sign back of application,notarized • If over$2sI00,a Notice of Commencement is required. (AlC 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 contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways Not over Counter if on public roadways..needs ROW � - -_ �������.w��a � NQTiCE OF DEED RESTRtCTiONS: The undersi ned understands that this ermit ma be sub'ec#to"deed" r�strictions" ' � 9 P Y 1 which may be more resi�ic#ive than Caunty regulatians. The�.undersigned-�assumes�ce`sporisibility#or compliance iniith�ny "�` � applicable deed restrictians. -� .• � ' UNLICENSED CI')NTR,ACTORS AND CONTRACTOR RESPONSlgILIT1ES: If the owner-has��hire�-a°contractor or � contractors�to undertake wark, they may_be required to be licensed in accordance with state and�lpcal regula#ions.�. lf the=� contractar is not Iicensed as required by law, both the owner and'contractor rriay�=b'e°cited�for a misdemeanor violation under state law. lf the owner or intended contractor are uncertain as to what licensing requirements:�may:;app(y:for,the.- " � intended work, they are advised to contact�the Pasco Courity Building Inspectiori�Division-=Licensing Secfion at 727-847- 8009. �Furthermore, if the owner has hired�a cantractar or contractars, he is advised to have the contractor(s}:sign __, • partians of the "contractor Block" of this application for which they will be responsible. -!f yau, as'�the:owner s'igii as'ttie ; contractor, that may be an indication that he is not properly licensed and is not entitlsd #o permitting privileges in Pasco � Caunty. _ _ . - � - TRANSPORTATtt3N IMPACTJUTtLIT1ES tMRACT AND RESOURCE REGOVERY FEES: The undersigned understands ' ' tha#Transpartation Impact Fees and Recaurse Recovery Fees rr�ay apply to the construction af new buildings, change`of `' ; use in existing buildings, or expansion of existing buitdings, as specified �n Pasco Coun#y Ordinance n�rrtber 89-07 and 90-07, as amended. The undersigned also understands, #hat such fees, as�may-be.due, will 6e identified at'.ttie time of � '' � permitting. It is further understood that Transportation lmpact Fees�and Resource Recovery Fees must be paid priar ta � receiving a "certificate of occupancy° or fina( power release. lf the.project daes not involve a certificate af occupancy.or.' • final pawer re(ease, the fees must be paid priar#o permit issuance. Furthermore, ff Pasco County Water/5ewer Impact , fees are due,they must be paid priar to permit issuance in accordance with�applicable Pasco County ordinances. µ GONSTRUCTIDN LlEN LAW(Chapter 713, Flarida Statutes,as amended}: If valuatian a€woric is$2,500.00„or mor.e,;l�;,, certify that I, the applicant, have been provided with a copy. af the °Flarida Canstruction Lien �.aw—Homeowner's � � Pratection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone, , other than the`bwner", I certify that I have obtained a copyof the above described"tlocument and promise�in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: t certify.that ail the information in this application is accurate and�that all wark will be done in compliance with a!! applicable laws regulating construction, zoning and land-develapment. Application is hereby made to obtain a permit to do work and instaHation as indicated. 1 cerEify that no work or in"stallatian has commenced prioc to issuance of a permit and that aU work will be perftirmed to meet standards of a!I laws regulating construction, County and City codes, zoning regulations, and land development regulations in.the juri�diction. I also certify that i understand that the reguiations of other government agencies may apply to the intended work, and that it is my respansibility to identify what actions 1 must take to be in campiiance. Such agencies include but are not limited to: � - Departrr�ent af Environmen#al Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterMfas#ewater Treatment. - Southwest Florida Water Management Districf-Wells, Cypress Bayheads, Wetland Areas, Altering Wa#ercourses. . - Army Corps af Engineers-Seawalls, Dacks, Navigab(e Waterways. - Department of Heaith & Rehabiiita#ive ServicesJEnvironmentai Health Unit-Weils, Wastewater Treatment, Septic Tanlcs. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Autharity-Runways. I understand that�the following restric#ions apply to the use af fill: - Use of fiit is not ailawed in Flood Zane"V" unless expressly permitted. - ff the fili rnaterial is to be used in. Fiaod Zone "A", it is understaod that a drainage plan addressing a °cornpensating volume" wil! be submitted at time of permitting which is prepared by a professianal 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 wal! construction, I certify that fill will be used only to fill the area within the stem wall. - (f fili material is to be used in any area, I certify tha# use of such fill will nat adversely affect adjacent praperties. If use of fill is found to adversely affect adjacenf properties, the owner may be cited for viala#ing the conditions of the building permit issued under the atEached permit application, far lots less than one (1} '� acre which are e{evated by fill,an engineered drainage plan is requi�ed. ` If I am the AGENT F�R THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit pciar ta commencing construction. I understand that a separate permit may be required for elec#rical work, `' p(umbing, signs, we11s, pools, air conditioning, gas, ar:other installations not specifically included in the applicatian. A permif issued shall be canstrued ta be a iicense ta proceed with #he work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shaft issuance of a permit prevent the 8uiiding Llfficial from thereafter requir�ng a correction of errors in plans, construction or violatEons of any codes. Every permit issued shall become'snvaltd unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned.for a period.-of six(6) months after the time the work is commenced. An e�ctension may be requested, in writing, from the Buiidirig Official for a periad not to exceed-ninety (90) days and will demonstrate justifiable cause for#he extension. If work ceases far ninety(90}consecutive days,the job is considered abandoned. WARNING TO OWNER: Y!?UR FAILURE TO RECORD_A NOTlGE OF CCIMMENCEMENT MAY RESULT IN YOUR RAYING TWICE FOR IMRROVEMENTS TO YOUR PROPERTY.:IF YOU,INTEND-TO C?BTAIN FlNANCING, CC?NSUI.T WITH YOUR LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR�NOTICE'OF CCIMMENCEMENT. � FLOR(DA JURAT{F.S.147.03} _ ._ ._ _�1��_- _ � OWNER OR AGENT Y`�G'^---��____�.—. .- __CONTRACTOR��`~"---'�-=y_ _ _ �.��-�_. Subscribed and swam to{or a�irmed}before me fhis Subscribed and swam to(or affirmed}before me this " by by Who is/are personally known to me or has/have produced ` Who is/are personally known to me or has/have produced as identificatian. as identificatian. Notary Public Natary Public CammEssion Na. Commission No. I Name of�tata I ry typed,printed or stamped Name af Notary typed,printed or stamped �