HomeMy WebLinkAbout17-18533 .✓�� i
CITY OF ZEPHYRHILLS �'�
�. , 5335-8TH STREET •
(813)780-0020 1 533
- BUILDING PERMIT �
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18533 Address: 5935 20TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04500-0050
Improv. Cost: 2,100.22 • OWNER INFORMATION
Date Issued: 5/30/2017 Name: LEACH BREE P
Total Fees: 50.00 Address: 3002 PROVERBS CT
Amount Paid: 50.00 MONROE NC 28110-7896
Date Paid: 5/30/2017 Phone:
Work Desc: REROOF SHINGLE
� - CONTRACTOR S ° APPLICATION.FEES
HOMEOWNER REROOF RESIDENTIAL 50.00
�
� �
- Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS�ROOF 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
ff _
ONTRACTOR NATU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhitls Permit Application Fax-813-780-0021
; Building Depattment
Date Recelyed , .. Phone�Contaot fae;Permtttin - �
p �
pLOwner's Name !. f�� Owner Phone Number
� Owner's Addre�� �-�� � �o� - j��/'� 33�� Owrter Phane Number � y�
Fee 5lmple Tltleholder Name � Owner Phone Number ��, �
>
Fee Simple Titleholder Address
�JOB AdDRESS ���� ZO � �����' � �i.�'�{J�,. LOT# �
SUBDIViSiON �� � PAFtCEL ID# " �
_ (OBTAINED FRdM PROPERTY TAX NOTICE�
WORiC PROPOSEO � NEw CONSTft ADi}lALT �" S1GN Q [� DEMQLtSH
, INSTALL � REPAIR
�I PROPOSED{USE � � SFR Q GQMM [� �OTHER �
TYPE OF CONSTRUG710N � �] � BL.00K ' � FRAME ��] STEEI. Q
c /
DESGRIPTICIN OF WORK � �� �� � �}"�'/N(7j C�
� BUILDING SIZE � �'SQ FOOTAGE�� ,HEIGH.T C�,�
� '�'����' � VALUATION`tOF�TOTAL COi�STRUCTiOPi
� . ���U��
� QEIECTRtGAL ��-� AIVIP SERVICE Q PROGRESS E1�IERGY Q W.R.E.C.
QPLUMBlNG ;�� " ��Jj
QMECHANICAL $ VALUATIOIV OF:MECMANiCfiZ INSTALLA710N ��
� Yr,
OGAS Q RUQFIidG .Q SPECIAI.TY C,� OTHER '
FIfVISHED FLOOR ELEVATIONS r�� FLOOD ZQNE AREA [�YE$. NO
� � _
BUI�DER ''" ..�'� COMFANY" l� (J <..�
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N .
Addre�a k � License# � �
ELECTEtiC1AN,, � � C�MPANY � -
SIGNpTURE '� REGISTERED Y/ N �EE cuR�n= � `Y/N
A�ddre�s ' � . �icenae# �. p �
__. �, ;
PLUMBER_ � COiViRANY � : `
51GNATURE' '� �` � .REGISTERED, Y./�.N-� . FEE:CURRE� � Y/N
Addre� liconse_.# � �
[VIECHANIGAI:` . . _ . . COMFANY � .
SiGNA7URE � � " i � REGISTERED , Y./ N . FEE CURRE� X L�N' .
Address;;� 1 . , - � - . � � Licens,e#�� I
OTNER , . - , , ;COMNANY . � -
$IGNATURE - � 'REGIS7ERED ' Y/ N<._.' FEE CURRE� �� Y/N
Ac�dress '�.� ; . • � . License#�� � �
,.,. , . . .,: . , „
RESIQENTEAt:T= :Attaah(2}„P-_tot�.Fians;�:(2)`sets of�Biiitding�'Plans;('i}`set of�Eiiergy�Fanns;,R-0-W=Pemilt for new wnstruc#ton,
�� ;Minimum:ten.(1.0)�working;days,aiker:"submiftal'date.::Requfred onsife;C6nsirucHon-Plans;Stormwater'Plans wl Silt Fence instaUed,
"��+�' Sanitary'FacilfUes:&,�1:,dumpster-5lte Work�P,ermit fgr su6diVisionsAarge proJects. ..,',-._..�_._ _ = ---
COMMERCtAL Attach{3)ecrnptete se#s of B'ultit3tig Plans pius a 1.ife Safety Page;'{1}set af Enet�gy Fasms.R O W Petm[#for new canstr�ctian.�
Minimum ten(10)working days af#er submittal date. Requlred onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaoiliHes&1 dumpster.Site Work Permik for all new proJects.Ap commerGal requi[ements must meet aomplianca '
SFGN PER[r�FT Attacfi'{2}"sets"of ErsgiiieeiedrPlans.,, ��, �• '
""•PROF'ER1Y SURVEY reguired for,all iVEVV cbristruction.. '
Dlrecttons: . ' .
Ffll out applicaUon compietely. ,
Owner 8 Contraator slgn back of applicatlan,notarized '�
lf over�2500,a Notice of Commencement is required. {AtC e�pgrades over�T500)
;, -
'" Agent(for tFie�contraoto�)or"Power of Attomey(far tFie owner)wauld be�someone with notarized letter from owner autho�izing same �
OVER TH�COt1NTER P..ERMFTT(NG .(Front uf Rppttcattom On{y) ' .� ' , ,
Reroofs if shingles Sewersi="�`"Seniice Upgrades,;%1'/C ' `,;Fences(Plot/Survey/Footege) � . � , .
Drivawsya-Nat aver Counter tf on ps�btia'iasdutiiays:.�eeds R8W` -z i - , ,,,.'„ , „
r�'
.
• y �
' : .. .,
NOT1GlE��DEER RESTRlCTlONS: The undersigned.under�tands�.th�t{thl�.;p�rmlk�,may,be;subJect.to.°deed,",resUictlo'ns".,�.,, ;"
, ..�.
. ..
which may be:.more`�r.esthlctive>th�in��County-r'eguletfons:���The�underslgned"assumes'responsibllity`far'compiiatace with�'any` ,' � ,'
applicable_deed-rest�ictians. ,;, ,;,,,,;;;,; ,: ;_ . � , �,_ , -
. .-
UNLtCENSED�`CONTRACT�RS .AND Ci'3N�"RAC70R�RESPONSIB1CiTtES: °ff�tiie�awner has��hired� a��contrac#ar or
contractors#o undertakewortt, they may:be:reEqerEred=.to:be,llcensed.ir�,accordanae.wttft,st�te.ar�d�locai_regulation�. ��lf�the�,-, �
con#ractor�ls-not.ltceri'sed�-as�%�equlred`tiy (aw, �oth:�th� a�rner antl-'confractor�may be�ciked°for°a�ri�lsdemeanor ulolation
under state Iaw. If the owner or Intended�:tcontr�ctor:are,;uncertaln as to wFiat Ilcensing.requirements:;may��apply�:ior��the� � � ��
. r....:.
Intended work�they are:advisetl to=contact`the.Pa�cn County�uliding;inspei:ttonVDtvlslon-�Llcensing Section at 727-847-
8009, Furttierinor�, if ttie owner�has lii�+ed�a��con�racto��or contractors� he is advised to have �the contr�ctar(s},r slgn,., ;
partb�s of#he "contractor 81ock" vf..this.appllcatlon.far:wMch,they..wltt be�r.�spanslble.- If:-you;:.as_.#he_owcier'stgn'�as��the- � : .
contrac�or, that�rnay�be�an indicatlon thaf'he'�ts no#:pro�erl'y�llcensed�aritl�ls'not entltled ta permlkting prEvlleges !n Pasco
County. � , � . , f : _ . = ,. .
TRANSPORTATION�IMPACTIUTII:ITIES�(MPAC7�ANb R�SOU�tCE RECOVERY�FEES,� The understgned�understands
that Transportation Impact Fees and.Reco.urse Recovery.Fees may�rapplyGto°#(�e.consttuction,of new_buiidings��.chan�e of�'- � �"°"
use in exis#ing buildings,�or.�expansibn=•of=�exis#in,g�=bu�ldings, as sp�c�led:in P�sco Caunty Qrdinance r�umber 89-07 and
90-07, as amended..:The und,erslgned al�o.underst�ntls, th�t:�such fees,�.aszmay;�`e•�due,:,wllf.;be tdentt�ed at theµtiirie'of:�-�� -�� :;
permltting. !E Is#urthier understood that Trac�sp�ockatlan Impact�Fees and'�Rssource:�Reco�rery;Fees,must be pald priar to
receEving-a 'cetEtficate af occupanay" o�flnal�-power;r.eleaBe� :If�the proJect�does:.nnt�Involve:a�.certlffcaEe of occupancy,o���==��° `�'
flnal power release;=ihe,fees'Mu�t be"pald;prlor to ypermit Issuance. �t�rkkiermore,-tf:Pasco,.Countyi'INater/5ewerWlmpact � .
fees are due,.they must.be;pald;,prtor,#o permit�issuance=ln accordance wtttr:applloatite Pasco'.Countyso�dinances. �
CONSTi�UCTIt3N"LiIEN�lAW(Cli�p�er 713� 1=1ar�da Statut���as atner�����: If v�tuation of work ls�2,SOO.Ot�;or mate,.!� - =�t:;
certify ttist I, #he. appllcant�. have=been proYlded wi#h�a=capy�of the�"EI�rEda- Constcucttan: �leti .t:aw Homeowner's
Pcotecttan GuEde" prepared by=�Elie Florlda Department�of Ag�tau�knre and Cansumer;;Affalrs. !f the appl4cant ls someone:... , i
other than#he"ownet", 1 certffy':_th�t I.;h�ve,obiained�a=copy,of:the;abova.des.crlbed tlocuii�ent°and:.promisi�;ln,gaod'.faith to . . � �
deliver It to.tfie�'owner"�=p�ior.'to�commencemerit.''" � ' ' ' � � � � ; � �' - . - � �
CONTRACTOR'S/OWNER'S AFFtDAVIT: 1.ce�tity:,fhat��iit.:the�,inf.ormationy:in�#hi�applla�tton is accurate�nd that eli work {
witi`be dane in camptiance vvith �11.applicabie'laws regulati�g constructton, zoMng and_�land devetapment. Appticatian is ,
hereby made to abtain .a permit.to do:.w.,ork„and •If�stall�tlan as tndtca#ed:. '1 cectffy that no work�`:or [nsEatlatlon lias
� commenced prloi� to Issuance of'a perrrilt�"antl that`:a!! work �rlll be perFnrmed to meet standards-of atl laws regulating-
c�nstruation, �ounty and C1ty codes, zoning regulatians� and land development tegulatlons�tn the .jurlsdlctlon., 1-al'so _,
certlfy that I und�rstar�d that the regulatlons of other government agenates may�apply�to the Intended.work� an�that it is
my responsibltity to identify.what.actiona I must take:to besin:.cor�pl)ance:.,.�uch,agencles Inclwde but�are.not limited to. �
- Department of E�`�vironmental>�Pmtectian=Gypress.`Bayhead�;��/eNand Areas and Envirorimentally Sensitive
i Lands,WaterlWas#ewater Treatment.
� - Sauthwest Flor�da Weter Manageri�ent=:�Is#r�ct-Wells; Cypress.��Bay.#�eads; We#land Areas, Altering
Wakercourses. , . . �
' - Army Cnrps of Englneers-Seawalls,'Doaks, Navlgable Waterways.
'� - Departmen# of,Heaith;:�.8 ,ReMabiiita#ive SecviceslEnxironmentat.:Nealth Urti#Weiis; Wastev�rater�Treatment,
Septic Tanks..`. .::.,: `, ' ..-- .-
- US Envi�onmental Pro#ectlan Ag�r�cy-Asb�stos sba#ement��_. � �
- Federal:Avlatlon-Authorlty-Runways.� � �� �
I understand that.the.:following:�reatrl'ctlons apply ta the use of flll:
� - Use af fill ls not altowed in:Fload�.Zone"V"untess expressty permitt�d.
- if the �.fiil material is to b.e used:In ;Flood.Zone. "A", it. is understbod that a drainege plan addressing a
�compensating valume"will be subr�ltted at time af.permltting�v�ilch is prepared by a professiona! engineer '
ltcensed by the State of'Flatlda: '� ._ - . ,- -
- . !f!h� flll materlah Is�to 6e used In Flood �one "A" !n�connection�wltfi�a permitted building using stem wall
construction, l cerkify:th�t fill:wlU-b.eused only.to.flll the�area�withln the�stem�wall: �
- If fflt materlal�is to be used`In any area; l�certlfy t�af .use. of`such fili vnill �ot advers�ly affect adJacent
properties. if use of fiil is for�nd_to, adverseEy��ffeat adjac�nt pr�pertie�,.the owner may be clted for violating
the condf#ions.iaf ths building permit Isstied=under the:'attach�d permit appllca#bn, for_:lats�.less tFian one {9}
acr$whtch"are elevated�by t!1!,a�t englneered dralnage plan is requlred.
� If!am the AGEMT l�OR.THE OVYNER; I;.promtse ln.good.fatth to l�form the�qwner of the permltting condftions set forth In
� this affidavtt�prior to coiinmencing construc#ion. 1 understand thata�sgparate permtt may be requtred for electrlcal'work, �
ptumbing,_signs, wells,.pools;, alr conditionirtg,-.gQs,.or othe'r: instaii�tioris na1�spec�icalty Inctuded�in.the application. .A
i permit lssued sha1l be construed to be;�a�il�ense��#o�procead wlth"trie:work antt nat�as:authortty ta:,vlolate,°aa"ticet. atter, ar
set aslde�ny provislons of ttie technlcal,codeis;�nor shall Issu�nce•af a.permit.pr.event the 8ulldtrig Officfa!from thereafter �
requlring a correction nf errors In,.plans,�cansUuctlon or.vlolatlons�of-any�codes:� Every�permlt=lssued shall tiecome�invalid
unless the work autho�ized.by such permlt-ls.commenced�wlthln sGc..months of�pe�rnit Issuance� or tf vvork authorized by
the permit is suspended=or:abac�doned�for:a:periad nf s�C(8)montiis,.'afte�;Q�e time the�wo�rk�s commenced. An e�cfension
may be requested, in wrlting;wfrom tlia�Building,�fficiai for s perlod�:not•.to.exceed-nirieiy�(90} days artd-wiil~demonstrate
)ustifiabfe cause for.the exfenslan, 1f work.ceases:for nlnety.{90}cons.ecutive�day.s._the�ab_�s.�considered abaadoned, ..
W/ARNlNG TO OIMNER; YQ.Ul�.-FAILLlRE�T�,RECO�tD.A NCITICE:OF;l�AMMENCEMEMT.MAY�RESULT��lN YOUR
PAYING TWICE:FOR�IMPRO.VEMENTS-TO:YOUI�:P�tOPERTY:-1�°YK�.U�IR1'fEWD?TO'OHT�IN�FIN�4R�� G,�CONSULT
:�,�9T U .s . �A M� CAR FC�13�t Oi'��i f��1fE�1:1 :. C ` F�. :,:'M E .
FIORIDA JURA�(F.S:Z . , - . - -__ .___ -
� OWNER OR AOE � CCSNTRAGfiO ,
Supscrib�t and swo a rme } etar th s n,,, `1�. �u bsctfb �tflttn �(g' ,,,,,,
�5�-�-/7 by � ,�����/ J-3r�'� •b. e'J
Wlio��s,�are,,p���;ona y k own to.me or has/h ptodqced UVho ��r o tts.me oc hasfiave�produced �
l��4-��'z�4v��'$' h..�-=asld"enURcallon.- . /�Z-����_.x.00 asldenUflcatlon.
• `
� Notery Publlc • . Natary Publtc
�m �g Com. ss No
',�' �Py�:: Commission#FF 150422 •
'+�� „���,
Name oI!V � p�z.Qou.�ao�s Name oi Notary d' �o
a •,g;,;�`��'.�ea �+: :*= omm ss,an#FF 150422
, ;;��. oP; Expires December 12,201$
'q�oF F;,.� Bonded Thru Troy Fein Insurance 800�385-7019
��
l
May 26, 2017
' � , , ,
I, Bree Leach, owner of 5935 20t" Street, Zephyrhills, FI 33542, authorize Jonathan
Leach to obtain quotes and prices on materials, pull pe.rmits and/or legal
documents.as required, enter into contracts ta��epair/replace the roof on the
noted property.
i
Bree Leach
5935 20th Street
Zephyrhills, FI 33542 �
� ' .. „ . ,
�.��
l,�i�s�e cl � `4-1ni� ���` el - �� IrV� �� ��1�
� � �
. . . y .:r� .
.� • , , ' ` '��ai�"'�e��c' ...;:�/� PATRICIA A KURTZ
, Notary Public-State ot Florlda
, 1y �' Commisslon M GG 010062 •
, . %,,��a�n����, My Comm.Explres Jut 10,2020
, , �1�1'GI�' �'(�1.� ��
� � 1
�
�.P, �j,�l;,l,� �V i �OCJ II
� 0
s . �
DISCLOSURE STATE�PTT FOR OWNER
CITY OF �13PHYRfiILLS BtTILDIN� DEPAR�2�'P I
I� ��CS� l��+Q-�.�"�" ha�ve read aad fully uuderstaad aud I�
agree to the provisioas• of this instrumerst.
T3�e uadersic,�r�,ed states aa�i aftisms that he or she is desirous of coagtxucting,
renovatiang, addiag �o or reraofia� his ar her awa damicile, that he ar she
actually accagi�s, ar tvil�. oeaupy by �aid domic3le, aad same is nat �ar
rent, le�se ar sale. That he or she shall campZy v�rith the follawi.ag aaaditioas;
1. That the owaer and h� ar ehe alorae shall act as the bui].der for all phaseB o�
cans�ruct�.oa.
2. That the awaer will aamp2y with aIl provisious af the City of Zephyrhi3.is
ordiaaaces aad cad�*s pertiaentc to the b�aildiag.
3. That in the event various phasea o� coaetructioa are au}acoa�raeted, he will
engage only properly liceased subcoatraatars aad s�ill personally eupervise
such work.
4. That in the event �he Buil�3iag Iaspeetor sha21 r�quire correatioas �o be ma�de,
the o�+rner wi11 assume ftall r�sgaasibility ta iasure th�y are made, aad upoa
completiosz will call �or � rei�nspection before proaeediug wi�h th� buiZding.
5. That the owsser sha11 aseume �u7.1 respaaeibil3ty for the coas��uctioa and will
not exp�ect aupervseioa af his work from the City of Zephyrhills 8uildiag
I�egartm+�at.
6. That pr3or to �iztai inspeetian any adc'�'itioaal feae, includiag reiaspectian
fee$, anu�st be paid 3a full. A writtea reqnest froia this office shall
coa���.�ute an official notice to pay additional fees.
' 7. That �h� owaer shall comply with �11 Csty, S�ate and Federal laws ia regard ta
' social security, workman's compensa�ian, lien laws, eto. , where applicable.
$. That the owner shall camply with aIl �he safety codes issued by the Florida
Iadus�arial Camm3ssioa.
9. State la+r� requires constructioa ta be doae by licensed eontractors. You hav�
applied for a� permit uader aa e�cemptioa to that. law. The eacemp�iaa allows
you, as the awner o:E your property, to aat as yaur own caatractar with certaia
res�rict3ans even though yau do aat hav� a I�.cease. You must provide disect
oasite supervisiaa of th� constructioa yo�srse2f. Yau may build or improve a
one-fa�mily or t�o-family resideaee or a farm outbuildiag. You may a2so bui.ld �
or improve a commercial build3.ag, prov3d�d your casts do ao� exceed $75,OQQ.
The buildiag or resideace must be for yous owa use or occup�acy. �t may aot
be built or subetantially i.mproved for sale or lease. IE you sell or lease a
buildiug yau hav� built ar svbstaati�lly improved your�elf wi�hia 1 year after
the coastruction is comp2ete, the l�va wil�. presums that you hui3t or
subetant3ally improved if for sale or lease, which is a violatioa of this
exemptioa. You may uot hire aa ualiaeused pesBaa to act �s your coatractor ar
tc supervi�e peaple workiag on your bu3ldiag. It ie your respoasibility �o
make sure that peopl� emploSred by you have liaeaaes required by state lmw aad
by couuty ar xnunica.pal licensing crdin�n.ces. You may not de2eg�te the
reaponsibility for supervisiag wark �o a Zicensed coatrac�or who is aat
licensed to perform the work b�iag doae. Any persan work3ag oa gour building
who is aot liceased must +work un,der youar direct aupervisian aad must be
--------- em�Ioyed b��u�thi�h._m�aa�thatyouu-mus�-c��duc�t-�.-F:C.�--�d-witlr3io-l-diag-rt�—_--.-J--_
and pravide work.ers' eampensation for that emgloyee, a.12 as pr�scriber�t by Ia�t.
Xour ccastruc�iaa must comp].y with all ag�plieable laws, osdiaauc�s, buildiug
cades, aad aoaiag regul t3 s
OWNER'S SIGNAR' DATE � �,�Q�J'I�
�nn�ss S 3 � 1 J
pxorr�.�13�!24�� �
i
va=�ss Psx�x #
�
�