HomeMy WebLinkAbout17-18430 . �
CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (813)780-0020 �$
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION•
Permit Number: 18430 Address: 5315 KING ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: LINCOLN HEIGHTS
Est. Value: Parcel Number: 12-26-21-0280-00000-0400
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 5/01/2017 Name: ROJAS DOLORES P
Total Fees: 45.00 Address: 5315 KING ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/01/2017 Phone: 813-322-4289
' Work Desc: REROOF SHINGLE
� CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 45.00
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Ins tions Re uired
DR IN ROOF INSP
TAPE JOINT R OF IN
FINAL
REINSPECTION 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
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 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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, 813aso-oozo City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent
Date Received - Phane Contact�.for�Permlttln .
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Owner's Name �� Owrner Phone Number .�� r%��
�.��1 � � �S �
Owner's Addrass v 3�� , L, � Owner Phone Number
Fee Slmple Titleholder Name � Owner Phone Number
r .
Fee Simple Titleholder Address
JOB ADDRESS �' J � , i�L.� . � . �S LOT# �
SUBDIVISION PARCEL ID# •
(OBTAINED FROM PROPERTYTAX MOTICEI
WORK PROPOSED NEW CONSTR � ADD/ALT Q SIGN' 'Q Q DEMOLISH
�,B INSTALL /� REPAIR
PROPOSED:USE � � SFR,. Q COMNi Q OTHER
TYPE OF CONSTRUCTION Q� BLOCK " Q FRAME Q STEEL �Q
DESCRIPTION OF WORK �. � C�Q�'� �
BUILDING SIZE SQ FOOTAGE� , HEI,GHT
�/BUILDING $ . VALUATION20F'TOTAL CONSTRUCTION
���Cj
QEL'ECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ' ' ����71
QMECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION.
� v
QGAS Q ROOFING Q SPECIALTY � OTHER "
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,IVO
BUILDEft � - � COMPANY�• ��. YY������1�/.�l—— - - -
SIGNA►TURE REGISTERED � Y% N FEE CURRE� Y�]N
Address � - -'s,.�,. �. � � L''Icense#"
ELECTRICIAN; - -`COINPANY � ,� .-: " �
SIGNATURE � REGISTERED Y/ N FEE CURRE� ' ' - =Y/-N
Address � , . '
License#-,
PLUMBER COPAPANY � .. ,�, .� -
SIGNATURE ' � , REGI3TERED , Y/..N-� ,FEE CURRE� :. Y.°/N. ,� -
Address �.;Ltcense.# .�. - - - - -
MECHANICAL" COMPANY �
SIGNATURE � REGISTERED Y,/,N ; FEE CURRE�- Y./N
� ,. _ ,
Address'- - � � License#� �
OTHER • - � ` °COMPANY � �
SIGNATURE' =- `=`` ' ' � REGISTERED Y/.N _. �FEE CURRE� Y/N
Address _ - - ' Lice'nse# `
RESIDENTIAL'_� :AttacFi"(2),FlotiPlaris;(2)'sets�.of Building�Flans;(1)sefof-EnergyForrns;�Ft=O=WPermlt for new conshucUon,
-- _MinimumrtenR(10);working;days_after;submittafdafe..Raqui��onslfa;:Co�strucUon=Plans;Stormwate'_r'Flans;w/StltFence installed, _
Sanifary Facillties-&;1,dumpster,Site°Vllork:P..ermit,f.or subdivislonsAarge projects=_ � ' ` - _
COMINERCIAL Attach(3)�complete sets of Building Plans plus a Life Safety Page;(1)set of Energy FoRns.R-O-W Pertnit far new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed,
San(tary FaciliUas 81 dumpster.Site Work Permit for all new projects.All commercial requlrements must mcet compllance
SIGN PERMIT Attach'(2)sets of Engineered Plans.;, � ��� • ' -
""PROPERTY SURVEY reguired for all NEW constructlon.. „ ,
Directions: . , ' � � -
Fill out appllcaUon completely. �
Owner 8 Contractor sign back of applfcatlon,noNarized
If over=2500,a Notice of Commencement is-�eyulred.. (A/C'upgrades over$7500)
" Agent(for the contractor)or'Power ofAttorrmey�(fo�`tFi'e`owner)would.6e someone with notarized letter from owner authorizin�same
DVER THE COUNTER PERMITTING- ��- :(Front of-Applicetion Only).,_"- � � " • � ; � ,
Reroofs if shingles Sewers Service Upgrades-A/C Fences(PIoUSurvey/Footage) ,
Driveways-Not over Counter if on publfc roaduvays..needs ROW � �
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NOTICE OF DEED RESTRICTIO�1�: The undersigned.understands�<;th�t;this°pprm[t:,mayFbeAsubjec�to,"deed"resUictlons°_�.__ ';�":
which may�.be��more�r.est�ictive�than-Countji.regulatlons:���The.undersigned a§sumes°resp�nsitiiit'ty for compliance with=anyi � `` �'
applicable'deed,restrlct(ons. - -�:� . � , . �. . -._ � � =.
UIVUCENSED- CONTItACTORS -AND CONTRACTOR .RESPONSI�ILITIES:� �If=the owner has��htred�-a' contractcr or
contractors to undertake work, they_may-,be;r�qu,ired.#o.be:.,llcensed In_accordance.with;state�.and�local tegulatlons::�:.:If�the«--� � ��-
contractor ts-not Itcensed-as-requlred'=�tiy'law�:tiotti�the 'owner and contractormay�be=cifed�for=a�misilemeanor violatton
under state law. If the.owner or intended;,contractor;are.:uncertaln as to what Ilcensing requirementsymay-.apply:for>:the�- � �z ��'
intended work, tHey a�e"advlsed to coritact tlie Pasco County_Building:;inspection'Divislon--4.tcensing Sectton at 727-847-
8009. Furthermore, If the owrier h'as`lilred'a conttactor or contractors� he Is advised to have the contractor(s);stgn
portions of the"contractor Block" of,thls._application.for which:they,will..be;r.esponslble� If<youu; as.#he owrier`sign��a§�the � '
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Countytor that�ma be an indication that`he is not:p�operly Olc"ensed-a�tl'�Is-not entitled to perrriitting privlleges In Pasco ,
� Y . ._. _.. : . �_ .-.
Tft�1IVSPORTI4TIONsiR�9PACT/t1TILl1`IES°-1MPAC7 ANb RES�IJRCE ItECOVERY°�FEE3:The undersigned-understands
that Transportatlon Impact Fees.and.Reco.urse Recove.ry.Fees may��apply:�to�the.constructton.of new bulldings,.change�=ofi�>�� '=`�'�'''
use in existing bulldings, or:�expar�si�n�of�ezl"sti�i,g.'<bulldings, as specifled.in Pasco County Ordinance number 89-07 and
90-07. as amended. The undersigned also:uRderstands, that�such fees,�;as,may:�e•::dne,,wlll,�be identified at the�time�of �
permitting. It Is furtHer understood that Transportation Impact�Fees and'�Resource.:Recovery�Fees.must be pald prior to
receiving-a 'certi�cate-of-�occupancy" or flnal�power-.celease: :If�the.project.:does.,not involve:a��.c�rtificafe of occupancy�o��'--�=
flnal power rele�se;:;ihe-:fees-mu�t'be paid�zprlor to,,permit issuance. Ft��thermore;if:Pasco;Counly'1NaterlSewer�;impact� -��,.��-
fees are due,.they.must.be.pald�prior�o.permit-Issuance=�n.accordance.wlth:appllcatile Pasco'�County'oriflnances. -
CONSTRUCTION LIEN`LAVII'(Chapter 713� Flor'tda Statutes�a�amended): If valuadon of work is$2,500.00.;or more, I .
certify that I, �he applicant;. have:been provi..ded� wtth a-copy of the-�"Florida� Constructlon�:Lien :Lav�Homeowner's
Protectfon Gutde" prepared by tfie Flo�ida Department of Agric.ulture and Consumer�.Affairs. if the app8cant Is someone. , -
other than th�bwner", I certify._thatl=have.obtained�a�copy.of.the:above..desc�lbed�tlocur�ent:and..promisein,good':falih:to ��.,
delive�it to_the.�bwne�"�-pi�or'.torcomm�ncement'� � - � ' " , � � � � , . -
CONTFtACTOR'SlOWNER'�14FFIDAVIT: I.ceittfy:�tfi,at>aI1 the�,Inf.ormatlon:,in•thl.s appllcatlon is accurate.�nd that ail work
will'be done in compliance with all.applicable�la�rs regulating construction, zoning and�land�development. Appitcation is
hereby made to obtain .a.permit,�to:do.:work.,and�:installation as IndlCafed:- �I: certify that no work�°or Installatton�has
commenced prior to Issuance of'a permiE"and that.all work will be perFormed to meet standards-of ail laws regulating�
construct(on, County and City codes, zoning regulations, and tand development tegulationsytn the jurtsdict(on.` I al'so
certify that I understand that th� regulattons of othe�gov�rnment agencies may�apply�.to the intended.work, and that it is
my respons(bility to identify•what,�ctlons I must take:to be,in:.corr�pliance._,_S.uch,,agencles include but��are not Iimlted to:
- Department of Er1v(ronmental=�Protect�on-Cypress`Bayhead�, Vlletland Areas and Environmentally Sensitive
Lands,WateNVVastewater Treatment.
- Southwest Flortda Water Management:��isU(ct:INells;'`°Cypress.�Bay�eads; Wetland Areas, Aitering
Watercourses. �
- Army Corps of Engtneers-Seavvalls,,Docks,.Navigatile Waterways.
- Department of_,Health.:&„Ret�abllitatfve�Senticesl�nvtronmenfal:Heaith Unit IVYell.s, Wastev�rater-Treatment, �
Septia Tank�:: :' . � � . " ; - '
- US Environmental Protection Agency-Asb�stos abatement.:,. . �
Federal Avlatton.Authorlty,-Runways. � •
-I understand.that the-following.:restrictions apply`to the use of flll:
- Use of fill is not allowed In,Flood Zone"V"unless expressly permitted.
- If the fill` mateNal-is to be used. In.:Flood�Zone. "A", it. is understood that a drainage plan addresstng a
"compensating volume" will be submitted at tirne of permifttng whlch is prepared by a professional engineer � � '
Iicensed by'#Ne State of�Flo�ida: ` � . _
- If ih� fill material�ts�to be<used in Flood Zone 'A" In�connec�ion�with�a�permitted building using stem wall_
� construction� I certify that flll:will=b.e�used only.to#ill�the area within.the�stem=wali: -
- If flll �materiai is to be used In any area, I �aertify that .u�e. of;such�flil will not adversely affect ad)acent
properties. if use of flll is fot�nd�to adversely:�f�ect adJaeent`pcoperties,.the owner may be clted for violating
the condl#fons_of-tfae building,permit i§sued�under the.at�ached,.�iermit �pplication,�.for:lots�.less.than:one (1)
acre whicN are elevated�bj►flll,a�engineered dralnage plan Is required. .
If I am the AGENT FOR THE-OWNER, I;.�romise In,good fa�th to inform the ov�ner of the permitting condttions set forth in
this a�dav(t�prlor to commer�oing constructlon. I undersfand that�a.aeparate permlt may be requfred for electrical work,
plumbing,.signs, wells,.pools; alr conditioning,.gas, or:othe� install�ttons noE,spec�flcally included�in.the application. .A ,.
permit Issued shall'be,coi�strued to be`a�license-to proceed with tNe work and-not:as:authoNty-to.violate;�cancel, alter, or
set aside anjr provlsions of the teolinical codes;�nor shall Issuance�of a.permlt.prevent the Buildirig O#iictal from thereaftec
requiring a correction af ercors In;plans; constructlon or violations of�any codes. Every•permlt"[ssued�sliall become invalld
unless the work authorized.by such permit:�is-commenced•with(n sfx.m.onths of permlt Issuance, or if work authorized by
the perm(t is suspended=or:aba�doned�for a:period of six f�)mont►�s.after the time the�work�is commenced. An extension
may be requested, in wrlting;_f�om.tlie 8ullding,Officfal for a peNod-�not.to exceed=nirietjr(90)`days a�d-will�demonstrate
justifiable cause for.the extension�. If work ceas�a:for ninety•(90)cons.ecutive day.s...the job�Ps.considered aba�doned.
WARNING TO OWNER: YOUR-FAILURE TO..,R�EC.OR�A.MOTICE�:OF--COMMEMCEMEI�T;MFAY�RESULT II�LYOUIt _ ----
PAYINGTWICE:FORIM�AVEIdlEIV�'���'£�����::°4��€�3F:; O��Y�.@&=�Pl-.��i�'�'�D�OPjTAiN•rFIt+�Af�E1NG;�C.ONSULT
-�11�7H YOUR LEWD�k�OR AN ATTORNEY�FOR�iREC�R��If�C��YOUR'(VOTICE"OF°CdMl11lEN5E��Ts
FLORIDA JURA�(F.S:1.17'.03)� �- ` - . ' ' , , '. , . -
OWNER OR AOENT� �i� �� . CONTRACTO �
Subsc�lbed and awom�(or a�irmed)befo me this Subscribed and's�i o' tQ(ot afflrmedj�beTote e tlii$
� i / 7' by ,�.' o�ore5 7��e- z ��'/•> 7 .,by�J��-o �es -�.A��e`Z
- V�f ersonally knovm lo.me or;haslhave produced 1Nho` pre p onal�kno •to me oc he9/have�produced. •
��'�[.t�(l _uSQ as IdenUflcatlon. �L. Identlflcaflon. •
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�— Notery Publlc _ ,,,, BOG Notary Public,
.ti �• � m ss�
Co � ��,.,�,:� Com Ission '* ?:`` vom�es December 1 jp19 '
,�qi�Yi�s'�,�., JACQU�LIN�BQ0�9 '�,� r�;:� BondodihN ro .
-'.: .:: Co , �
Name e�id6d�q�r�F�pgc���g Name ot Note ped,printed or stamped
���P�;,fh�� Bondod THru TRy Fdn Inwranco 000•38S�7p�9
• DISCLOSIIRE STATBi�NT FOR OWN�R
CITY OF �BPIiYRHILLS HIIILDIl�?G DBPAR.TN�NT
I, have read aad fu11y understand aad
agre� ta the provisioas of this instrumeat.
The uader�a3gaed st�.tes aad affirms that he ar she is desirous of coastructiag,
reaavatin�, addiag Go ar rerootiag h3� or her o�a dom3.cile, that he ot she
actually accupies, or will acaupy by eaid domicile, and same is aot for
r�at, lease or sale. That he or she shall camply with the followi.ag aoaditians:
1. That the owner aad h� or sh�: a2aae sha].1 act as the builder for a1l �phasee of
aoastruction. � � ..-.
2. That the owaer will comply with all psovi,aiaas of �the City af 2ephyrhills
oxdiaances an�d codes pertinent to the bui.Zdia+g.
3. Th�t ia the svent vasious phases of coastruatioa are stlbcoatracted, he Wi11
engage oaly praper3y liceased subcontractors aad mill personally eup�rvise
such work. •
�. That in th� event the 8uildiag raepector shall require aorreations ta be made,
the owaer w*i11 assusne full resgaasibility to insure they are mad�, mad upon
aompZetion v�ill call for a reiuspection b�fore psoceediag with the buildiag. � '
5. That th� owaer shall assume full resgoaeibility for the coastruction aad wi11
aot e�cp�ect su�p�svis3oa of h3.s work from the Citg of Zephgrhills Buildiag
Departmexrt. ., �
6, That prior ta fiaal iaspectioa �zay additioaal fees, includiag reiaspectian
f�es, must be paid in full. � s,r�itt�a reguest from this o�fiae shall
canstitute an o�fici�l aotice �o pay addition�l fe�s.
7. That the owaer shall complg with all City, State aad Feclsral laws ia regard tc
sacial seaurity, workman's aompensation, lien 1aws, ete, , where app3iaab2e.
8. That the owaer shall comply wit� all th� sa�ety codes i�ssued by the Florida
Induetria2 Commissioa.
9. State law requires construction �o be doae by liceased coatractors. You have
agpliec� for a permit uades aa exemp�ioa to that law. The exemption allaws
you, �� the cwaer of yaux� property, to act as your own aoatractar with certain
restriations evea thaugh yau 3o not h�ve a Iicease. Yau must pro�r3de direct
onsite supervision of the coastructioa yourself. You may build or iiaprove a
oae-family or two=family residence or a �arm outbuilating. You may also build
ar imprave a eommereial buildiag, provided ycur casts r3a aot exceed $75,000.
The buiidxag or residence must be �or your owa uee or occupaacy. It may aot -
be built ar aubstraatially improved for sale or_.lease. If you sel7. or lease a
buildiagyouu have.bu�.lt or sube�antially improved yauraelf withia 1 y�ar after
� the coastsuction is oomplet�, t]se l,aw will-presume that you built or�
substaatially impzoved if for sale or l�ase, which is a violatioa o� this
ei�empti,on. You may not hire aa ualic�ased persoa to act as your CO]1�I'BCtQi' or
to' supervise people working oa your buildirigr. I� i.s your respoaBi.bility to
make sure that p�cple employ�d by you h�ve liaeaees requir�d bg state law aact
by couaty oz snuaicipal liceusiag ordiaa�.ces. You may aot de3egate the
respoas3bility far supervising work ta a lic�ased caatractor who is aot
Iiceased to perfozm the worlc beiag daae. Aay person raorkiag oa your building
� who is aot license.d mu�t work uader your direct supervisa.on and mus� be
_ �loyed by_ ►�ouL_whic�.m�e�as_tha�t�n» must-.d�d�xc�-�-.-�-.-C:3��ad-wit-h�clding tax_..___.—_----
T and provide workers' compensation fox that employee, alI as prescribed by Iaw.
' Your caastruatioa must comply with �11 applicable laws, ordiasac�s, buildiag
co�es, and zoaiag regulatious.
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Ann�ss• 1 j �r -;� 1
PHONE,
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WJTTNESS PSRl�lIT #
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