HomeMy WebLinkAbout17-18941 �_ _ - CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18941
BUILDING PERMIT
PERMIT INFORMATION .LOCATION INFORMATION
Permit Number: 18941 Address: 5153 16TH 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: 11-26-21-0010-19500-02A8
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 10/16/2017 Name: EQUITY TRUST COMPANY CUSTODIAN
Total Fees: 55.00 Address: 1 EQUITY WAY
Amount Paid: 55.00 WESTLAKE OH 44145-1050
Date Paid: 10/16/2017 Phone: 813-297-7694
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
SUNRISE CITY CD ORG REROOF RESIDENTIAL 55.00
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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 pertormed in accordance with
City 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
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
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Date Received ` "- • Phone Contact for Permitting � ��C� —� �
Owner's Name � U � � Owner Phone Number I {� '
Owner's Address � L � ! Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS �� LOT# ��
;: SUBDIVISION PARCEL ID# � "�� �l!�(,Q � O�A'�
i'j (OBTAINED FROM PROPERTY TAX NOTICE) •
�� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
1 PROPOSED USE Q� SFR Q COMM 0 OTHER
(� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL, Q
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�� DESCRIPTION OF WORK �� � F �
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: BUILDING SIZE SQ FOOTAGE � � HEIGHT
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, QBUILDING $ V TAL CONSTRUCTION
# ; d��. ��
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� � ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C:
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� QPLUMBING $ ,
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�� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /t
. � �� : I��'�f(
' QGAS Q ROOFING Q SPECIALTY 0 OTHER �
i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
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� BUILDER COMPANY � 9YL� � ��vu j�S
4 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address ��j V e - ,�Q /�r License# � C ��- 8'
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�� ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N '
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Address License# �
� PLUMBER - COMPANY ' � '
; SIGNATURE REGISTERED � Y'/`N FEE�CURRE� Y�/�N' '
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� Address � License# .. -
� MECHANICAL. � _ COMP.ANY -
1, SIGNA'LURE - REGISTERED Y/•N- � ��FEE CURRE� •,,Y/N � ,;,
' Address License#
� OTHER� C.OMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N,
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�r Address License#
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;`� RE$IDENTIAL' �`AttacFi(2)'Piot Plans;(2)�sets'of Building Plans;(1)set of E'nergy Forms;:R=O=W.Rermit'for new wnstruction,
1; Minimum°teri�.(�1.0)'working days affer sutimittal date. Required onsite;-Construction Plans,Stormwater Plans w/Silt Fence installed,
- Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - - __ -
�y_ COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety,Fage;(1)set of Energy Forms.R-O-W Permit for new co.nst[uction.
_ Minimum ten.(10)•working.days after submittal�da.te. Requi�ecJ onsite,Constructian.Plans,Stormwater Plans w/Silt Fence installed,
`� Sanitary Facilities&'1`dumpster.Site Work Permit for all�new p�ojects.All commeroial requirements must meet compliance
'=' - SIGN PERMIT Attach(2),sets of Engfneered Plans. ,
*"""PROPEEtTY,SIJRVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner:&-Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
*' Agent(for the contractor-)or Powerof Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (copy of conVact required) _.
Reroofs.if shingles Sewers Service�Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTION3: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. 7he undersigned,assumes responsibility for compliance:with:any
applicable,deed restrictions. � ' - � - ' ' � - - '
, 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 Iocal_.regulations. If tFie
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�infended contractor are uncertain as to what�-lice.nsing-re.quirements may apply fo�the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing,,Section at.727-8`47-
8009. Furthermore, if the owner fias'hired a contractor or contractors, he is advised-to have the contracto�(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 AfVD RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees:and Recourse Recovery Fees may apply to the construction of new buildings, change of
I use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07 as amended. The:undersi ned�also understands, that such fees, as may be due, will�be identified at the time of
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permitting. It is further understood that Transportation Impact Fees and Resource Recovery�Fees must be paid,pr:ior-,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 Water/Sewer Impact
fees are�due, they must be paid prior to,permit issuance in accordance with applicable Pasco,County ordinances.' -
CONSTRUCTION LIEPI LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500:00 or m'ore, I
certify that I, the applicant; have�been provided with a copy of the "Florida Construction Lien Law—Homeowner's_
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"owne�' prior to commencement. �
CONTIZACTOR'S/OVVNER'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 constcuction, 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 peeformed 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
L'ands,Water/Wastewate�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. t
� 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 fill 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
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. i
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 irnvalid
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 isecommenced. 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 a
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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. -
FLORIDA JURAT(F.S.117.03)-- - -- _ -- — - -- ---- -- — - ---— --- — —
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OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this � Subscribed and swom to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced ii
as identification, as identification. I
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Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped ' Name of Notary typed,printed.or stamped