HomeMy WebLinkAbout17-18248 /
CITY OF ZEPHYRHILLS
5335-8TH STREET �
_ • (813)780-0020 � 4$ ,
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 18248 Address: 5110 1 ST ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book: '�
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 3/10/2017 Name: DONGSUNG TRUST MARTINEZ LAW PA
Total Fees: 50.00 Address: PO BOX 7054
Amount Paid: 50.00 WESLEY CHAPEL FL 33545-0100
Date Paid: 3/10/2017 Phone:
Work Desc: RE-ROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MG EXCELLENT SERVICES CORP REROOF RESIDENTIAL 50.00
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Ins ections Re uired �
DRY IN ROOF INSP
TAPE JOINTS R OF INSP l
FINAL
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 2 c the
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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 I'
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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CONT OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-ooao City of Zephyrhills Permit Application Fau-813-780-0021
, SuEiding Department
D��e Received �`L. -- � . Phane Cantact far Permittiag � U U — - V�...7 !
Owner's Idame �� Owner Phone Number
� ! �Owner's Address �(p�`✓ '(/� .' ,C/CQ�"" � Owner Phane Number ��
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address �
JOB ADDRESS L� G . � .�� r . LOT# �
SUBDIVISION � � PARCEt,ID#
� (OBTAINED FRdM PROPERTY TAX NOTICE)
WORK PROPOSED e '. NEW CONSTR 8 ADD/AlT � StGN Q � Q . DEMQI.ISH
INSTALL FCEPi41R
Pi20Rt}SED`USE Q SFR Q COMM C� OTHE12 C , �i , _�
TYPE':OF CONSTRUCTION [� BLOCK `• Q FRAME � STEEL Q r T�
DESCRIPTION OF WORPC �' ''. / /7 /'7 �/'-a c.:�"�••
BUIL"DIPIG 51ZE � � SQ FOOTAGE /�"""� , HEIGHT •���
�BUILDING $ �7 ��/� VALUATION'6F TOTAL CONSTRUCTfON
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[�ELECTBI�AL � � AMP SERVICE Q PFtOGRESS ENEi2GY Q W.R.E.C,
QPLUMBING � � �
QMECtiAi31CAL � � VALUATION OF iV1ECHANICAL INSTALLAT10�1 ��
��as �oo�»� � sp�ci�.�r [� a��a
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FINISHED F1.00R EI.EVATIO S �� FLOOD ZONE AREA QYES NO
BUILDER CONIPJ4NY ��G� • ��� �` �G' •
SIGNATURE REGISTERED ' N ,FEE CURRE� Y/N
Address Cicense# I �
"'ELECTRI,C,IAN� ,. ` COMPANY
SIGNATURE REGISTERED Y/ N � ��Fee CUR►t�� Y/N.
Address . l:icense# I �
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P.LUMBER;.,, COIVIPAMf, �
SIGNATURE REGISTEREO - :` Y,•/'N.� ,' FEE CURREA � Y I N
Address License#`� � �
� MECH�IVICAI: , � CQMPANY
`� SIGNATURE� -� REGISTERED , :Y/ N F.EE CURRE� � ;• Y/N
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�ddre's's�'' `� " . Licens,e.# ,
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,,:OTHEF3'' ',' , COMPAPIY
;.`.`SIGNATURE��,�: � � � REGISTERED Y/.N. FEE CURREK Y/N
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•Address�.., - _�:� �.;.� � ` � ' License# � �
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4'"~ESID,EN1'IAL��;�;,: °Att�ch_;(2);Plot�iPlans;�`(2):sefs�of_Building�PPan§;(1�)`set'bf�Ene�gy;Forms,�B;Or1N,Pemiit_fornewconstiuction,.
�.�} :.=:.-sMinimum ten(;10,);„w,orki'ng;days afte�;sutiini14a1�date. 'RequiretlYonsite'Con`struction Plans,`StoCmwater Plans w/Silt Fence installed,
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- �.�:,.1.. , .. SanitaryxFaclliries}�1�,dumpsterrSife;Wor,k�Permi#for.-;sitbdivislons/farge:pFojects: , .
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„�COMMERCIAL Attach�j2f�oomplete'sets'af"Building Plans plus a Life Safety Page;(1)set ofi Energy Forms.R-O-W Permit fqr new canstruction.
u Minimum ten(10)working daysafter submittal date. Required ansite,Construatlon Plans,Stormwater Plans w!Silt Fence installed,
�f San�tary.Facilifies&9 dumpster.Site Work Permit fa��all�new projeats.All commsrciai requirements must meet compliance
`;:>;`�.
»�=$IGN�pERMIT ""At#ach(2f sets�,of;Engineered,Flans.�+� �� � � -
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�'��'����� ****PROPERTY SURVEY,required far aI1,NEW.canstruction: "
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.,�--�Di�e�kions: ;=.,r,.;,;,.:,,.,.�:>: _�
'"`.�, 'Fiii-°out`appiication completely.
Qwner&Contraotor sfgn back o#application,notarized -
` If.over.$2500;a Notice.of:Comniencement is required. (AIC upgrades over$7500) _
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���*` AgenY{for�tne�cxint�actor)-or`Pawer'of'Attomey{for'Uie ou�mer}wouEd tis sameone with natarized letter fram awner autharizing same
;�:.:
��;QYElt'rTHE COUN'i'�R:PERMITTING. ._ (copy of contract-required) �
'�'�fteraofs if'stitngies Sewers Service Upgrades AfC Fences{Ptot/Survey/Footage)
Driveways-Nat over�Counter if an publia roadways..needs ROW �
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ldOTICE OF DEED RESTRIC3'IONS: The undersigned undec�tands.that this,permit may,be subje�t=to, deed rest�i.c.tions,.
r'w .;_�.:_ ..�;�,::�:.�:�-�,::> a��-.,r.,,�.-�;:���,--x;;t::y.:.:,�.:=�.-���<M;s�.r,
which,may.:be moce:restrictive=than;.Counfy r�giilations: �`Tlae�undersigned=assumes-�respons�bit�tyAfor�compliance�wtth any ;
appiicafife deed`rest�ictians. �;.d-�.s�`;N-��~;��=`:rt�` '�
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UNLICENSED;CONTRACTORS AND CONTRACTQR RESP..ONStBILITIES: If•the�-owne�==has�.ti�red`��a�=�canteactor or �
cont�actors�fo undertake work; they,may_:be required to be�licensed in accardance with state;and`local;regulatioms..��lf�tn'e.�.�A;��:
contractor.is not,iicensed:as required by"`'taw, tiotti the owner-and`confracfor�=rriay�=be�cited�fo�:;asmisderrieanor vio[atidn� �
undec state law. �!f the awner ar intended,contractor ace uncertain as to what licensing requisemer:its:�rnayrapply=;f.oir,�he;�;?�-�;
,�w„t ,,.rix � - �, �.,
intended wor.k,..they:are�advised tv confact the:Fasca County�Builclin,g lnspecfion;'Division_�Licensing Section at 727-84fi- �"
8009: Furtharmore, if fhe owner has`Hired�a-contractor or confractors, he is advised to��?Mave the,coniracfor(s�}.�,sign,,.�,-;�
po�tions of the "contractor Block" af this application_far which they:wiii be responsible.�:If�you, as{;tFie;owne�sign''as��ttie�"�°L�
contractoc, that may be an indication that he is nat properly licensed anii is not'+enfit(ed to permitting privileges:.in;;Pasco;.;�...tti
Caunty. , ., �:.. =._4.:.�...� ._
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TRANSPQRTATIQN tMPAC1"i._UTIL•ITI�S•IMPA�T kND-.i2ESt31lRCE RiECP3VE�lf'�E�S:°The undersigned under.stands; '�_
_ 4,,.,,;a,k= �,r;�r;
--" —""�-#iiat Transport�tion Impact Fees and Recourse Recovery Fe,es.,may:appiy to_the consttuction.of new�buittlings, change;of-����`;t:ry,
use in existing buitdings, or�,expansion�of:existing buildings, as specffied in pasco County Ordinance number 89-07:antl '�=�:a:
90-07, as amended. The�undersigned afso understands, that such..fees, as-,may.b,e,dwe, will�ae itlen#�ed-af��tt�eg�tirne>of�===�T„�
permitting. �Ct is further understood that Transportation lmpact:Fees�and Resource��Recovery Fees must be paid prior;to. '�'
receiving a "cerkificate of-occupancy." or final;power release. If the praject daes no#�involve,a ce'rtificate of oecupaiieyt:or�r�=�h-`��
fina! power release;the.�fees-must be:paid prior to permit issuance. Furtfiecmore,,if.Pasco:County W.,ater/Sewer,-lmp,ack;:.ry- '�
fees are due;tkiey must be paid prior to permit issuanee in aceardance with'applica6(e_Pasco County ordinances. v
CONSTRUCTION �IEN L'-A1N(Chapter 713, Florida Statutes,as amended): If_valuation of work is$2,500.00,or.more,�Is3:�E� ;
certify that I, the applican#, have been provided. with a capy-�of;the �"Florida Consti�uction.tien.,-Law=-'Homeowner's �
Protection Guide"�prepared by ttie florida Department of Agriculture and Consumer Affairs. If the applicar�t�is,someone,,,. .
ott�er than the"owner", 1_eertify that-1 haue o6tained a copy of the above de',scri6etl'tlocument;and promise=in goo�tl`:faith-�to�.�`�:u .
deNver it.to.the.'rowner":prior to-commencement•.
CONTRAGTQR'S%CIWNER'S AFFIDAVIT: :t.certify that ail°the infoemation in this application.is accurate and'that a!l�wark
wiit be done in compliance wifh all appl'icable�laws regulating construction, zaning�and land-development. Applicafion:is
hereby made to .obtain a_„permit to,do,_�work and insta(latian.=as :indicated. I certify that no work ar.:installat'ion;has
commenced prior to issuance af a p.ermit and`that ali work wilt be performed to.,meet.standards of all laws regulating �
construction, County and Ci#y codes, zoning rsgul�tians, and land develapment reguiations iri?:the jurisdiction: �-F°also
certify that I understand that the reguiations of other government agencies may apply ta the intended work, and that it is A �
,
my responsibility to idenF'tfy what actions 1 must take to be in compliance. Such agencles include.bat are not limited�;to: �;
- .Department of Environmental�Pr:otectian-Cypress 8aytieads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management District-Weiis, Cypress .Bayheads, Wetland Areas, Altering .,
Watercaurses. -
- Army Carps of Engineers-Seawa(Is, Docks;Navigable INaterways. ,
- Department of Health 8 Rehabi(itative ServiceslErnironmental Health Un�t We!!s, Wastewater,Trea#ment,
Sep�ic{Tanks. �� � "
- US Enviranmenta(Protection Agency-Asbestos abatement. ' , •
Federal Aviatian�Authority-Runways.
(understand that the foUawing,restrictions apply to the use of.fill:
- Use af fill is not aUowed in Fia,od Zone"V"unless expressly permitted.
� - If the�fil! material,is to be used in Flood Zane "A", it is' understood that a drainage plan addressing a
"compensating valume" will be submitted a# time of permi#ing which is prepared by a professional engineer ' "
licensed by the State of F(orida.
- If the.f!I material is ta be used in Flood Zone "A" in connection with a permitted building using s#em wall
construction, !certify�that fill wil!be used only to fiN the area within the stem wall.
- if fi(F inaterial is to be used in any area, 1 certify tha# use af such�fill wifl not adversely a�fect adjacent
prope�ties. If use of fill is founri to adversely affect.adjacent proper�ies, the awner may be cited far violating
the conditions of the building permit issued under the attached pecmif.applicatian, for.tots less,than one (1) �
acre which are eievated by fill,an engineered drainage plan is required.
If I am#he AGENT EOR THE t?WNER;I pramise in good faifh to inform the owner af.the�permi#ting condi#ions set forth in
this�affidavi#.prior to commencing constructipn: I understand that a separate permit may be required for elec#rical,work,_
plurnbing, signs, wells, poa[s, air conditioning, gas, ar other'installatians not specifically included in the app(ication: A
permit issued shalt°be construed to'6e a license to proceed with the wo�lc and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shaH issuance of a permit prevent the Buitding O�cia!from thereafter
requiring a carrection of errors in pians,:construction or vialatians of any codes. Every permit issued shail beeome invalid
unless the work authorized by such permit is cammenced within six months of permit issuance, or if work authorized by _
the permif is suspended or abandoned for.a period..af six(6}"manths after the time the wark i�c�ommenced. An extensian -
may be requested, in'writing, from fhe Buiidirig Offiaial for a period.oot to exceed iiinety (90) days and wrill demonsfrate �
justifiable cause for#!ie extension. !f work ceases for ninety(90)consecutive days,the job is cansidered abandoned. � ;
WARNING TO ONVNER:. YOUR.�'AILURE TO RECORD A NOTICE OF C.QMMENCEMENT MAY�RESULT IN YOUR
PAYING TWICE'FOR lMRRC?VEMENTS:Tt)YOUR.-PROPERTY., IF YQU:INTEND�TOKOBTAlN��FINANGING,CONSU�.T `
WITH YDUR�LENt3ER OR A� 'ATTORNEY BEFORE RECQRDING OUR NOTiCE �F>'COM ENCEMEri1T:— ---- - -�
FLORlQA JURAT�S;9.17_03)_ __ __ _._ _ __. -.- _�_—� - - � t
OWNER.OR AGEIdT C.ONTRACTt?R �
Subscribed and swom t (or a rmed be re me thls � •Subsoribed and swo �� 'tmedy beforg��� -- ±
by , .. bY_ / 0-t-jf-d / :
Who islare personally knovm to me or haslhave produced � ` Who isfare persana�nown to me or haslitiave produced
as tdeniification. as identlflcaUon.
Notary Public ' Notary Pubifc
Commission No. Cammission No. ,
Name of No+tary typed,printed or stamped ' Rlame of Notary typed,printed or sfamped
Mar 10 2017 2:04AM HP Fax page 2
M.G Excellent Services Corp - 03I08/17
360 w 64 st Hialeah FL 33012
CCC 1328452
Phone: 786-247-7067
Fax 786-558-4499 .
I 'chel Garcia owner of M.G Excellent Services Corp authorize to Humberto
Le n to signs, pick up and drop off permits for my company. If have any question
fee free to contact me Michel Garcia?86-24?-7067.
Contractar Signature �
Notary Sea1 & Notazy Signature
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