HomeMy WebLinkAbout17-18112 CITY OF ZEPHYRFIILLS
- � 5335-8TH STREEf
(813)780-0020 181,12
. • BUILDING PERMIT �''��
PERMIT INFORMATION ' LOCATION INFORMATION
Permit Number: 18112 Address: 39343 9TH AVE
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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0100
Improv. Cost: 5,680.00 OWNER INFORMATION
Date Issued: 2/01/2017 Name: SCOTT ROGER W & NANCY
Total Fees: 65.00 Address: 3135 YODER HILL RD
Amount Paid: 65.00 KEUKA PARK NY 14478-9707
Date Paid: 2/01/2017 Phone: 315-536-8539
Work Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 65.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS RO F INSP �
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 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.
"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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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A
CO TRAC SIGNATURE PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1
813-780-0020 City of�ephyrhills Permifi Application FaX-a�aaao-oo21 �,
� �" Buildina Department
Date Rec�ived ^�
Phone Contact for P�rmitting � p� — �
._.y_�..r_�_�.�..`..�.. � .. ..� . .. _ ._ _. � _ _�_�.B...j...4_ _. v
Owner's Name Owner Phone Number
Ow�ner's Address � � �� Ou+nee Phone Alumber
� Pee Simple TiUeholder Name Owner Phone fdumber �
Fee Slmpfa Titleholder Address
JOB ADDRESS �'-('� -y"� LOT# �
SUBDWISfO�! _S PAfiCEL1D# a U O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
'fYPE OF COPISTRUCTIOPf [� BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � � -
BUILDIiVG SIZE SQ FOOTAGE jC��-I V HEIGHT
QBUILDING $ ���,�0 sry� VALUATIOIV OF TOTAL CONSTRUCTION
CJV
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHAfVICAL $ VALUATION OF MECHANICAL INSTALLATION �1(�I/ �
�]GAS [�` ROQFING Q SPECIALTY � OTNER _ C� ��J��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �
BUILDER 6 , COMPANY � p � � �
SIGNATURE REGISTERED N FEE CURRE� `(/
Address �b License# C�l �.� �
ELECTRICIAN COMPAPlY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
Addreas Llcense# �
PLUi1fiBER COMPANY
SIG(VATURE REGISTERED Y/ IV PEE CURRE� Y/M
Address License# �—
MECHANICAL COMPANY
SIGNA7'URE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N F�Cuw�n Y/N
Add�ess License# �
IIm ➢ PfiRi11i1t � iltlltlY8A1961 ! ! 1 { ! lIIP ! llitii111QIf6t1i1l1 # 1t1Ald � �
RESIDENTIAL Attach{2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Mlnlmum ten(10)working days after submittal date. Requlr�ed onsite,Construc8on Ptans,Stormwater Plans w/Silt Fence fnstailed,
Sanitary Faalities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCiAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalfed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engfneered Pians.
"*'*PROPERTY SURVEY required for all NEW construction.
Directions:
Fili out application compietely.
Owner&Contractor sign back of application,noterized
If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500)
*` Agent(for the contractor)or Powar of Attorney(for the owner)would be someone with no#arized letter irom owner authodzing same
OVER THE COUiVTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) �
Drivew�ys-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° I
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. I
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 local 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 WateNSewer 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—Homeowners
Protection Guide" prepared by the Florida Department of Agriculture 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
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
certify 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 filt 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
i 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 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
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 authorized 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, CONSiJLT
WITH YOUR LENDE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT.
FLORIDA JURAT(F.S. 3) �
� a
—
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to or affirmed)before is Subscribed and sworn to(or affirme me this
by by
Who is/are personally known to me or has/ ve produced Who is/are personally known to or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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C/O Richard Bar�lett � � �:�� �..�
38408 3rd Ave. I Ze h rhi!!s FL 33542 ����"�--�'` . .��..� `�
13 7$2-5585 I 352 523 1944 I 813 973-7737 � �'r� ��-���"'�"�-
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One of the Lar est, Oldest, Most Dependab/e Roofing Campanies ira���e�rtr,� filnri a
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Speeializing in Mobile Home lNhite Gommercial Ftubber, Shingles & f�o a�-MetAa,f�ca.�fing�n��#�"�
RESIDENTlAL • COMMERC(AL • MOBILE HOME Y� ,,,�F..--- � �� �
LeCENSED • tNSURED - BONDED � '
•MEMBER OF THE CHAMBER QF GOMIIt1ERCE& BETTEl� BUSlNESS BUREAU *
Ser�ing ��phyrhills,��ade City,�Crystai �prings, Quait Holiow, Wesley Chapel, and Surrounding Areas.
VI/e have re-roofed or�epairad more roofs(t8;000}in fhe pasf 41 years, than iha fourloca!leading roo�ng carnpanies corr►bined.
We�a n�t ch'arg,+�r.�xfra fees,.far credff card purchase.Most companles aharge 3 to�. �,�,,,
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Home C7wner: �
Richard C.Ba�tiett,Prasident&Qwner A.Bartlett Rooflng of Central FL,Inc. � �t� ��p
THANK YOU f t�� � .�--�� . 3 �.-�..,.,�.„���''''
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Your Business is Appre�iatecl��aG��,+��-�:,��..�x w � �
Payment upon completion untess previous arrangement mad.�V�Varranfi�s pertain ta original awner. �„�, u'�`���`�-�'
All arrangements oonfingerrt upon sttikes,accldenEs or delays beyond aur c4�tro(.4wner ta cac�flse,tomado and other necessary insurance.� �
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in callecting this bill. ...�� ,.-^�'�-•- ,�
Rotten w0od is an extra$35,00 pef 9heet(4•pty).Rptten fascia is$2.OU per IineaT fooi. �����`� .����� �
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'I Feb.01.2017 03:29 PM A SARTLETT ROOFING 18137801805 PAGE. 1/ 1
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