HomeMy WebLinkAbout17-18900 ; CITY OF ZEPHYRHILLS
� ` ,� 5335-8TH STREET
� (si3)7so-o020 189 0f
, � �UILDING PERMIY
PERMlT INFORMATION LOCATION INFORMATION
Permit Number: 18900 Address: 4615 WISTERIA DR
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: WHISPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0010
Improv. Cost: 2,100.00 OWNER INFORMATION
Date Issued: 10/05/2017 Name: GARCON, JOE &ALBERTA
Total Fees: 50.00 Address: 4615 W ISTERIA DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/06/2017 Phone: (904)415-2124
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 40.00
�1L�c{�� Vu,�,�,c�,-�vbr,��v�o�i'��G4'e��-�yr.`��S"� REROOF RESIDENTIAL 10.00
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s ections Re uired
DRY IN ROOF INSP
� TAPE JOINTS�20 F
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 I
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 BEFOFtE C.O. 'i
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
PROTEC� CARD FROM WEATHER
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azaaao-oozo City of Zephyrhills Permit Applica#ion Fax-813-780-0021
, � Building Department �'
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Dad�'Rece�ved " �Q �� php»e Contact foc Permitting �1 � - ��
Owner's Name 4J'� 'C� ''` Owner Phone Number �73�-
Owner's Address �� l �. l. /� Owner Phoqe Number �— �
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Fee Sirr'�ple Titleholder Name Owner Phone Number
Fee Sirriple TiHeholder Address _ —
JOB ADDRESS �'�f / �
, �,�l. J (C t '�� LOT#
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�z SUBDiViSION - PAF2CEL tD#
�.� WORK PROPOSED NEW COi�t$TR ADDtALT � 51��NEp FR�OM PROPERTY TAX�NOTICE)DEMOLISH
t; INSTALL � REPAIR
� PROPOSED USE [� SFR _. Q CCtMM � OTHE12
�� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
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�� DESCRIPTION OF WORK lJ U �s •
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�� BUILDING SlZE SQ FQOTAGE�___�� HEIGHT
� QBUILDING $ �
VALUATiON OF 70TAL COM1iSTRUCTION
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k� QELECTRICAL $ AtVIP SEi2V10E Q PROGRESS EiVERGY Q W.R.E.C.-
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# QMECHANlGA� $ VALUATION 4F MECNANICA�INSi'A�(ATION6��'J� t
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R �GAS Q ROQFING � SPECIALTY O OTHER
� FINISHED FLOOR ELEVATIONS L� � FLOOD ZONE AREA QYES NO
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� BUlLDEtt COMPANY
� SIGNATIJRE R�GISTERED Y/ N FEE CURRE� Y/N
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� Address License#
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�� EL.ECTRICIAN COMPANY
SIGNATURE ' Re�isrEReo Y/ N FEE CURRE� � Y/N'
� Address � License#
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i PLUNlBER. COMPANY • '
� SIGNATURE REGISTERED " . Y'/' N FEE CURRE� ' "'Y/N' `��
� �Address License#
MECHANiCAL COMPANY -
SIGNA'LURE REGISTERED Y/ N. - FEE CuwzE� � �: Y�/N � -
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Address �icense#.e�. �
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OTHER, . , `/� COMPANY Yt�k.'.. l/� '�`t�''
SIGNATURE v �--^"""L---��'""� REGISTERED Y/ N FEE CURRE� Y./N
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`� Address _ ,L�icense# � �
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�,= RE5iDENTiAL��' 'Rttacti(2}Ptot Plans;'(2}sets af Buitdtng Plans;_{1}se#of Energy,Fariris;'R-O,WV:Permit''foc new construction,.
�F Minimum ten�(�1.0)working days'affer su6mittal d'ate. Required onsite;�ConstructiomPlans;Stormwater Plans w/Silt Fence installed,
i.>. Sanitary Faciiities&1 dumpster;Site Work Permit for subdivisianslfat�e projects
� COMMERCtAL Attach(2)complete sets of Buiiding Plans plus a Life Safety P.age;(1)set of Energy Forms.R-O-W Permit for new construction.
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Minimum ten.(10)worlcing days after submittal date. ReGui�ed`onsite,Constructlon;Plans,Starmwater Plans w/Silt.Fence installed,
Sanitary FaciPties&'!"`dumpster.3ite Work Pertnit for all neuv projec#s.All cammercial requirements must meet complaance
, - SIGN PERMIT Attach(2);sets�af Engineered Plans. ,
***•PROPER'TY.SURVEYrequired for all NE1N construction. , ,
Directions:
� Fill out application completely.
( 4wner,�=Contractor slgn back of appl3catian,natarized
If over$2500,a Notiae of Commenaement is required. (AJC upgrades over$75Q0) ,
** Agent{for the contractoe)or Power.of Attomey.(for the ovmer}would be someone with notarized letter from=ownerautha�izing same,� -
OVER THE COUNT.ER PERMITTING (copy of contract cequir.ed) , �
Reroafs if shingles Sewers $ervice:Upgrades A!C � ;Fences(PloUSurvey/Foatage} � _ � . � ,
`Driveways-Not over Counter if an public roadways..needs ROW �� " � � 4
NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deedn rp��ictions"
which may be more restrictive than County regulations. The undersigned,assumes respansibility for compliance:with:any
applicable deed restric#ions. . . - � - � - : _ ._
UNLICENSED �CONTRACTORS AND CONTRACTOR"RESPONSIBILITIES: If the owner. has hired a contcactor or
contractors ta undertake work; they�may be required to be licensed in accordance with state.and lacal.r.egulatians. If�tfie
contractor is not licensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation
under state.law: !f the owner ar intendeii contractor are_uncertain as ta what-licensing-requitements may appty for#he
intended work;fhey are advised to contact the Pasco County 8uiiding Inspection Qivision—Licensing Section at 727-847-
8009. Furthermore, if the owner has''hired a contractor or-cantractars, he�is advised�to have the contracfor(s)`sign
pottions af the "contractor Block" of this applicatian for which they w�ll be respansible. tf you, as fhe awner sign as the
cantrac#or, that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Fasco
County. �
TRANSPORTATION IMPACT/UTILITIES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees:and Recourse Recovery Fees may appiy to�the construction�of new buildings, change af
use in existing 6uiidings, ar expansion of existing buildings, as specified in Pasco County Ordinanee number 89-07�and
90-07, as amended. The�:undersigned also understands, #hat such fees, as may be due, will be"identified at the time af
permitfing. It is further understaod that Transportation Impact Fees and Resource Recavery Fees must be paid prior:to
receiving a "certificate of accupancy" or final power release. If the-project does nat invalve a certificate of occupancy or
final pawer release, the fees rnus# be paid prior to permit issuance. Furthermore,.if Pasco Gounty Water/Sewer-fmpact
fees are due, they must be paid prior to permit issuance in accordance wifh applicable Pasco.County ardinances. -
CONSTRUCTlON LlEN LAW(Chapter 743, Florida Statutes,as amended): If valuation of wark is$2,500:00 or more, I
certify that i, the applicant, have�been provided with a copy of the "Fiorida Gonstruction Lien 1.aw—Hameowner's.
Pratectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If,the applicant is sameone
a#her#han#he"owner", t certify that 1 have obtained a copy of the above de�cribed documenfand promise in good fai#h#a
deliver it to the"'owner" priar to commencemenf. �
CONTRAGTOR'S/OWNER'S AFFIDAVIT: 1 cerfify that a!I the infarmation in this application is accura#e and that all;work
will 6e done in compliance wifh all appiicabie laws regutating construction, zoning and iand development. Applicafion is
hereby made ko obtain a permit to da work and installation as indicated. I certify that no work or installatian has
cammenced prior ta 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 alsa
certify that 1 understand that the regulatians of other government agencies may agply to the intended wor3c,;,and that it 9s
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not fimifed to:
- Depa�tment of Environmental Pratection-Cypress Bayheads, Wetland Areas and EnvironmentaAy Sensitive
Lands,Water/Wastewafe�Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses. '
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterways. �
- Department of Heal#h & Rehabilitative ServiceslEnvironmenta! Health Unit-Wells, Wastewater Treatiiient,
Septic Tanks. i
- US Environmenta!'Protection Agency-Asbestos abatement. ,
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill: � .
- Use of fili is not allowed in Flood Zane"V" urtless expressly permitted. '
- If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating volume" wifl be submitted at time of permitting which is prepared by a professional engineer
Iicensed by the State of Florida. '
- If the fill material is #a be used in Flood Zone "A° in connection with a permitted building using stem wall
canstruction, t certify that fil)wili 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
properkies. 1f use af fill is found to adversely affect adjacent properties, the owner may be cited far v�olating
the conditions of the building permit issued under the atfached permit appi�cation, for lots less than one (1)
. acre which are elevated by fill,an engineered drainage plan is required. �
tf}am the AGENT FQR TH�QINNER, i promise in good faith to inforrn the owner of fhe permitting canditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plurnbing, sRgns, WelEs, pools, air conditianing, 9as, or other installat�ons nat specificaliy incliaded fi 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 provisians af the technical codes, nor shall issuance of a permit prevent the Building O�cial from thereafter
requiring a correction of errors in plans, construction or vioiations of any codes. Every permit issued shai) becom� invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work.authorized by
the perm9t is suspended ar abandaned for a period of six{6}rrtonths after the time the work is,�commenced. An exteiision
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 far ninety(90)consecutive days,the job is considered abarrdaned:
WARNING TO OWNER: YOUR FAILURE TO R�GORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAY(NG TiNlCE FOR IMPROVEMENTS TO YBUR PRORERTY. .IF YQU,IN.T.ENQ TQ C36TAIN FiNANC1NG,GGINSULT
WITH YOUR LENDER'OR AN ATTORNEY BEFORE REC4RDING YOUR NOTICE OF COMMENCEMENT. '
Pl.ORIDA JURAT{F.S.14?.03} _�__-_ ._ - - ' - -
OWIdER OR AGENT�I�P�� C�-P �r���„ CONTRACTOR' �=-Lti„�,"�'�'.�.�'.�G7""� _ �
S�b,,sc�n��and swom to or ed beiore s#1�Is scribed nd ' t r rme }before me this
��bY � ������.2��r�G^,"- j�r s"�� by ���-�'r.G'�C'�2_�,!1-- �
�/�s/ erson Ily knawn to me or has/have produced Who is are pe nall na to me or has/have produced �
�k'lL t�� ��-- as iden�f�catiart. � 1��� as identification.
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Name a#No � , �rt ,��soa�ssaa�s Name of Notary , , a�t��d„,fasuranco&D0.385•7019
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''�� DISCLOS'UREE STl�TE�' FOR L?i�PtrtER
C23'S[ OF Z33PAYR�iZLLB �IIILDING DEPAItT�!'
_. ���.1'��-��f�--� f/�� hav� read aad fully �i.ndesstaad aas�
agree to the provi�aaus af thi.e instzument.
Th� vadersigaed etates aad affirm� that h� or she is 8e�irous of constructiag,
renovatiag, adc2iag to or r�roofiag his ar h�r os�a domicile, that he ar she
actualZy occupies, ar wi11 occupy by said domicile, aad eame i� not for
reat, le�se or sale. That he or sYae slaall aamply �vith the fallowiag coa8itians:
1. That the a�,raer aad l�e or sh� alane shall aet as the bu:i.lder for sll phaBes of
eoastruction. �
2. Tlxat the owaer will camply i,*3th alI provisians of the City of Zep2ayrhilis
ordiaaaees �nd cod�s�pestinea� to the b�.#.Idiag.
3. That ia the eveat varicus phasee of C0718tZ'11CtlOII are subcontracted, he c�i11
�agage aaly praperly Iiceased subcontractoxs aad sQ3.Sl pexsaaally supervise '
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such work. i
4. Th�t 3.n the eveat the Buildiag �aspector �ha21 require corxeetioas to be made, �
the o�raaez will assvane fu12 r�sy�oasibility to insure they are mac�e, aad upon 1
campletiaa seill aa11 for a reiaspeatxoa b�fore proceediag ivith the build3.ag. �
5. That the oivaer shall assume fu21 re�poue3b31ity far the canstruct3on aad saill
aot �ect aupervision of his vaark fsom the City of Zephyrhills Sus.ldiag !
� D�partme�t. �
6. That pxior to fin�l iaspectian aay add:it3oa�1 fee�s, iacluding reiaspectioa
feee, mue� be pa3d ia ful1. A writtea xacau�st from i:hie ofgic� ahall �
aonsta.tute aa oEficial aotiae to pag� ad�itioua�l fees. 1
7. That the cvaaer sha11 compl� with all City. Stat� and F�deral laws 3� regard to �
social secursty, workman's compensatioa�, lien laws, ete. , where applicable.
8. That the owaer sha21 comply with all th� saf�ty codes issued by the Florfda
zadustriaZ �ommissioa.
9. State l��,r requires coastruction ta b� doae by liceaeed coatractoss. 7Cau hav�
�ppli�d for a permit uad�z aa exemptio� to that Zaw. The ex+�ptiaa allov�s
ycu, ae the osea�r of your praperty, to act as yaur o�a aoatractor v�rith a�rtaia
restrictians even though you do aot have � licease. Yau must provid� direct
oas3te supervisian of t�e eoastructioa yourself. You may build or improve a
one-family or twa-fam32y residence ar a farm autbuildiag. 'Y'ou may a�so build
or imprave a commezcial buiidiag, pravided your �osts do not r�acceed $75,Q00.
Tbe buildiag ar residence must be fox �our o�s+u use or occupaacy. It snay aat
be built or Bubsta,atf�lly impraved tor �ale oz lease. If you sell or lease a
bu3ldiag you have b�ilt or substaatiall.y improved yourselE wrsthia 1 y�ar �fter }
_ the casxstruction ie comple�e, the law wi12 preaume that you b�ilt or E
svbstaati�lly improved if for sale ar 2esse, s�h3c� is a violatioa of this
exearptioa. You may aot hire au ual3eeased parsan to act as your contraetor or
to supervi�e people working oa your bni�c�iag, It is yaur responeibility to '
make suse that people empioyed by yau h�v� lia�nses reguired by state law aad �
by cauaty ar xauaiaipal Iiceasiag ord3aaaices. You may aot deleg�te the � �
respaasibility fos supeavisiag �aork ta a licen$ed coatsactor who #s aot i
Iic�ea,e�d ta perfoxan the wa=k b�iag dane. P.ay person �aarkiag oa your buil@iag �
who is aat lic�nsed mnst work wader g�aur dtirect supervision aat3 must be j
_._ _._empl�ed byxou�.����h...meaae �t_.�._ou_�ust-ded��-g��-:C-.-�-�ad--wit3rho-ldi�ag'tax_. .____ .- -..--- --.-• `
and grovide workers' comp�ns�tion for that emplayee, all as pt�scribed by Iaw.
Your caa�tructian mu�t comply with a21 app2icable lawa, ardinances, building i
codes, �ud zaniag r�gulations. �
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OW13ER'S SI URE ' . 'd'`���'� DATE L� � /"�'�-
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R.L. Building Contractors Inc.
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Florida Certified Roofing Contractor CCC 1328792
4701 E. Hanna Ave. Tampa, FL 33615
Cell: 813.516.6489 Fax: 813.200.8105
rlbuildingcontractorsCa)yahoo.com
City of Zephyrhills Building Official,
Based upon the examination of the roof located at 4615 Wisteria Dr Zephyrhils, Florida 33542. I have
determined that the following roof mitigation measures were performed in accordance with Section 201 of the
Hurricane Retrofit Manual and meets 2017 Florida Building Code requirements:
1. Roof deck attachment and fasteners strengthen and corrected as required by Section 201.01.
2. Secondary water barrier provided as required bu section 201.2. All associated mitigation is in compliance
with the Hurricane Mitigation Retro it Manual (Based on 553.844 F.S.).
are Randolph, Contractor
CCC1328792
State of Florida :County of Hillsborough
Subscribed and sworn to before me this '��day o �/l^��" , 20�
B�� . Ct ,['� �C(�►Cr�/ � Notary Public, State of Florida
��� Notary Public State of FloridA
� � Toni Mabien
�� y mmission GG 145760
a�o�' Expires 01l20I2022
Personally known o�- .
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Produced Identification
Type of identification produced ' " j��"