HomeMy WebLinkAbout17-18996 � i;
CITY OF ZEPHYRHILLS
M. „ 5335-8TH STREET �-`�
(813)780-0020 �89 6
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18996 Address: 38939 5TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14400-0100
Improv. Cost: 2,490.00 OWNER INFORMATION
Date issued: 10/30/2017 Name: MADEIRA CAPITAL FUND LLC
Total Fees: 50.00 Address: 3812 N TAMPA ST
Amount Paid: 50.00 TAMPA, FL. 33603-4744
Date Paid: 10/30/2017 Phone: (813)486-2839
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
DURBIN ROOFING &WATERPROOFING I REROOF RESIDENTIAL 50.00
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Ins ections Re uired
DR 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.
NOTlCE: 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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` -��ea-oo2o City of Zephyrhills Perrnit Application Fax s�s-�eaaa2t
,_�� Buiiding Departrnent . ��
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Da#e Received � PhonatCantact foc Permlttin
Owner'�Name /� i �� �l + 1 �t,�, �.� Owner Phane Humbe�r �����C�( �""b t
Owner's Addrass �J��� /� : ,,�i�T Owrter Phone Number . �� �� ,
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Fee Slmple,Titleiiolder Name �� � Ow►ner Phone'Number
Fee Simplef Tltleholder Addr�s�
JOBADDRESS � () � -ML� l,OT# ��'�' �/
SUBDtY18l�N PARCEl.1t?# �i �.(�i,� �� ��j� ( �/�i�� O��
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� . . .� (OBTAINED F:RpM.PROP6RTY,TAX N0710E)
WORK PROPOSEQ .NE1AI C4P15TR ADplAl.T C�` SIGN`� [� � [� DEMOLISH
; �� INSTAI.L e , REPAIR ~ -
; RROP08ED'rUSE � � [� SFR� [� -COMM � "Q �OTHER � �
TYPE OF CONSTRUCTION Q� ' "BLOCK " Q FRAME `;�' 'STEEL Q
DESCRiPTiQN OF WORK. .LL ��"� t 11 �, J�f`�i j` . , " ` " . �
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�tlILDlNG�IZE , , . 84�FOOTAGE C�i -= � : ;, .�,., �
�BUILDING � �uQ� � VALUATIOPI�OF``f0"fAl.CQNS'1'Rl'JCTlON �
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QEI.ECTRICAL $ AMP SERVICE [� 'PROCnRESS ENERG`( [� W.R.E.C.
P � �f � ,��t, � ! �{�f
QP4UMBING , $ -. V"'���� �.�'�- l V ( ��"
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OMECF{ANIGAI. �!� VALCIATIONOF,MECHANICAI.INSTALLATION � � ����
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QGAS � ROOFING .Q ,, SFECtALTY C� OTHER �C 2�Y,�p�-.
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES. Y kNO
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8UlLDER ; �� COMPANY= � v..6��Y�� ���"�Yl "�f- �'if �� roc�,'r
SIGNATURE REGISTERED Y/ N FEE CUR ' ' Y'/N
�dare�s ��z�� S t,. v v2. �tcecise# ��'cc,f`�3,o a`� (
ELECTRIC!%W; , � ::�COMPANY ,
SIGNATURE � REGISTERED Y J N FEE CURRE� ' ='•`'Y/-N�
Address " � ', _ , Llcense# (• '. �. ���
PWMBER` � .CQMPANY. . - +►� �
SIGNATURE` � ' ' �� ���,REG�sTJE�RED.. � Y J,•N.. , ,,FEE CURREi�. Y-1 N:
Address ' �. - , -. . � ` .Ucense,#��.._.,�..�._...._,..�'
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iNECHf1NIGA1: ' . ` • ' ` C.OMpANY _ , ' � , ,
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SIGNATURE � ` ' . , ' � ' � REGis7EttED, ' �...Y./ N ~ : FEE Cut�tsi� . Y./-N .-
Addre� : _ � ' _ � �� .=`- ' , ' � � . - � ° ;�l.icense#�1 � .
OTHER �- _ � - _ ; , - , . ,. �C�.1MN'ANY' � � _ .... � ,
SIGNATURE .. �'�� ��� t3�' f' � • -°� ' � REGI8TERED' ' Y/ N..,: �eCu�h Y!N-
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Addres� °: -„>..r.;. F,.., � rt-_,.,,,.," � - . . „ - �� . . cense# " . .' ' '
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RESIDENTIAL.�� �Attacfi"(2),,Plo.t;Plans;;_(2)sets:of�Buililing`Plans;°(4)set of-Energy�Fo`rrns;,yR�O�UV��PeriXilt far new conskrua#ion, ' `
- •. r,,;>MinimumatenT(10)�,worklrig;daystafte.r.;"subrititEai'date::R`equireii orisfte,::Con§tivcBon-Riaos;'Starrnwater`Plans wi Si!#yFenrs instailed,
�... t .�.� ., _
��Santtary Fadtitl�&,&:�'l,,dumpsterv3lte_Workl�esmik;far„subdiv(slonsllarge=proJects:_ yn�:,..-• . � ., _ . , _ ,
COMMERCIAL Attach(3)complete'sefs�of Building Plans plus a l.ife Safety Page;(1)set of Energy�Forms.R-O-W Permit for new construction.
Minfmurim ten(10)work(ng days'after subinittal date. �teqatred onslte,Construction Plans;Stortawatar Plans w!Sitt Fence instalted;� - �-
Sanitary Fa#i�tles 8�1 dumpster.Slte Work Parmit for aN neuvrprojecks:.Afl oamme�ctal requt[ements..must meet campllance '
SlGN PERMIT Attach"(2)sefs�of`Engirieer,ed�Plans:.,;;. '. ..�` .. _ _ ,` �
""PRQPERTY SURVEY requirecirfor at(NEW ycanstruction._.
Dlrectlans: ,. ,���,: ,� ,
FIII out applicaUon wmpletely,
Owner 8 Contractar sign back of application,natarized
If aver�2500,a Natice af Commencement Is requlred. {I4IC upgrades ovsr�7500)
;,;"'na'C.rasr�:'"+ .
" Agent{for thervcontractor)�or'Powes:of attomey{fcr ttie cwner)wautd be someone with'notarized letter from owner authorizing same
DVER THE�CQUNTER PERMITTING;-, ----{�ront af�ApplicaUon Onlyj �
Reroofs if shingles Sewers Service Upgrades ,A/C Fence�s(Plot/SurveylFootage)
Driveways-Not aver Gounter{f on.publEc roaduJays..need"s=Rt3W � �
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NOTiCE OF DEED RESTRICTIONS: The undersigned.undecgtands;;th�t;thls.�p.�r:mlt_-.mayrbe.subJect to°deed"_restrictions°- �,::,, �,�_i,.
which may�tie.�more�r.est�ictive-th��County�:regulatfons:�TFie�undersigned•assumes'resp�insib(Itty°'for`compllance=with°°any"" � "`
applicable deed restrictions. :. �>._. :-, ,;-., :, - � � .. ,.. ... .,. . -'. ° ,.' , , �
UNUCENSED�CONTRACTORS-AND CON�RACTOR RESPONSIBILITIES:��-=1f•the owner has����htred��a�`:cdntcactcr or
contractors to undertake work, they may;b.e,�r�quire.d;tto,.;be;llcensed In accordance.with;state�.and:local�regulatl.ons:�-1f the�= -' ���'
contractor is-not�Iicensed'`as��requlced;tiy law, both the owner arid conUacto�{may�be�cited for��e�misdemeanor diolatlon
under state law. If the owner or Intended.3contractor;�are,�uncertaln as to what Ilcenaing:requirements�may,�appiy�:�for�the=-�-� `.�s=
, . ._,.,:._....--- -�- -•-
tntended work, they are'advised fo coritact the-�Pasco County Bullding'Inspection.,Division.-t.lcensing Section at 72T-847-
8009. FurtFiermo�e� if the ovmer fias��hired�a contraafo��o�coritractors, he Ts �dvised to have �the contractor(s),s(gn_,,_,_, _,
. N;a. ..t_�-�t,ri�i. �
portlons of the 'conttactvr Block" of.this..application._foc.which they wlll be_r.esponslble.� If=.you,:�as-:the owrie� stgn�as`the ' ' ``
contractor,-thatinay�be an IndPcation that'iie=ls noYproperly�licensed"and��is'�nof en88ed to permitting+pri�ileges In Pasco
County. ` � ;•:.t ,.::r� .• _:..
TRANSPORTATION.IMPACTIUTILITIES�IMPAC'��ANb RE30URCE RECOVERY°�FEES:�The undersigned understands
that Transportation Impact Fees and.Recourse.Recove.ry.Fees mey�;apply.�to�the;construction.of new buildtngs,°change'�of-`� '��� •�
use In existing buildings,�or,expansion�,�of�ezistin�'�buildings;as specifled.in P�sco County Ordinance number 89-07 and
90-07, as amended.,,,.The undersigned aiso;�understands; thait:�such fees;�;as,�ma�r�be�:due;�willitie ldentified at the�_time�of-���� �•��� •"
permitting. It Is furttier understood that Transp�ortation Impact'Fees and;Resource_:Recovery=Fees.must be pald prior to
rece4ving a °certificate�of�occupancy"or�flnal�power;release: �:If�the.project.,does:not involve:a-.cettfficate of occupancy�or.����y���`�'�
flnal power release�tFie:fees mu�t:be-pald',p��or to permit issuance. Fti�tk�ermore;ff Pasco�County�Water/Sewer�:impact� , _: . .
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fees are due,_.they�must:be:paid.prior to..permlE l'ss4ance�in accordance.wlth,appllcabFe:Pascc'.County�oi�clinances. �
CONSTRUCTION'LIEN�LAW"(Ciiapter 773� Florltla$tatut���as amended): If valuation of wrork is$2,500.00;or�more;,:l�� �- t-:_� �
certify that I, the..applicant,:�-have�_been provided�with-a copy-of.the:�":Florida� Construction� Llen..Law—Momeowner's
Protection Guide" prepared by.�tFie Florida DepertmenC of Agric.ulture and ConsumerAffairs. If the appllcant Is someone: : , ..
�y..� ;
other than the`owne�",pcertify_that l;have,,oqta)ned�a-copy.of..the;abovades.c�lbed_docuii�ent,and.promise`U,good;falth to .. . :,
deliver It to the<�owner"':��ior�:to�cornmencement:�` - • .
CONTRACTOR'SJOWNER'S AFFIDAVIT: i.�rt�►<.:tn,ac:en,thealnformeHqn.in:thl�application is accurate and that all work
will'be done in compliance with all applicable�laws regulating constructlon, zontng and land�development. Application is
hereby made to,obtain�:.a.permit�.Yo�do.-work;;and tlnstallatlon as indicefed:<.�.i� ce�tffy that no work-°or ins�liatton fias �
commenced p�ior to Issuance of'a permit'"and'that�.all�work wlll be pertormed to meet._standards�-of all laws regula�ing-
constructlon, County and City codes, zoning regulatians, and land development regulations�in tFie.jurisdlct(on.- I�al's'o= �
certify that I u�derstand that the regulatlons of other government agencles may�apply�to.the._intended work, and that it is
my responsfbility t�identffy�what,acttons I must�take:to be�in:.campliancs._ ,S.uch,agenctes-Include but=are.not Iimited to: � � , �
- Department of E�v(ronmentai��Protection=Cyp�ess.`Bayfiead�; 1NeHend Areas and Environmentaliy Sensittve
Lands,Water/Wastewater Treatment. r.
- Southwest Florida Water Management: :District-lNells; Cypress. Bayheads; �Wetiand Areas� Altering
Watercourses. . � •
- Army Corps of.Engtneers-Seawalls, Docks, Navigable Waterways.
- Department of Health;,8 Rehabllitative�.ServiceslEnvtronmenfal Health UniRWell.s; Wastewater=Treatment, •
Se�tic Tanks. _ � - - .
- US Environmentai Protection Agency-Asbestos abatement...
- Federal AvlBtlon.Aulhonity=Rur�weys:� , �
I understand that the following::restrl'ctions apply�to the use of flll:•
� - Use of flll Is not allowed in°Flood�Zone"V"unless expressly permitted.
- if the fill mate�lal is to�`be useii�in-:Flood Zone. "A", It is understood that a drainage plan addressing a
"compeFlsating,volume"will be submitted at time of,permitting which is prepared by a professional engineer
Ifcensed by'#Fie=State of'F�orlda: . � � '
- If ihA flll materiai-ts to:be:used in Flood Zone "A" in�connect(on�wlth�a�permitted building using stem wali ,
� constn�ctfon, I certify that fill.wall.b.e used only.to fill the area within�th��stem�wall: • . `
- If flil material�is to be uged �In any area, I �certify that .use. of such��flll wlll not adversely affect adjacent
properties. If use of.fill i.s found_to adversely.,�ffect adJaEent�propertfes,,the owner may be clted for vioCating
the condfiions�of the building:permtt issued�under tFie�attached,�ermit appllcation, for:lots�.less=ihan.one (1)
aare v(rhtch ere eledated'tiy f111;a�engineered dralnage plan Is required.
If I am the AGENT FOR.THE OYIINER; I;..�romise In_good faith to inform the owner of°the permitt(ng conditlons set forth In
this aifidavlt�p�ior to commeracing constructlon. "I undersfand that a�separate permit may be requtred for electrical work,
plumbing, signs, welis,.pools;. air.condltioning,.gas�.or other Install�tions not.specffiaal�r Inclu�led�tn.the application. .A
permit Issued shall be constcued to'be`a'license`to`�proceed with tNe virork and not:as:authority-to.violate;'cancel, alter, or
set aside any�provistons of the.teclintcal c+odes;.nor shall Issuance�of a.permlt.prevent the Buildirig Ofltcialfrom thereafter �
,, , rt;. ..,
requlrin.g a coITectton af.enors,in,plans; construction.,or violattons of�any codes. .Every-permit lssued"shall�tiecome invalid_ _, �
unless the work autFiorized.by such permit:is-commenced�withfn six_m.onths of permit Issuance, or if work authorized by -
the permit is suspended�or..•.abandoned�for:a:period�of�six:($)montT�s;..aRer the tirne the�work�ts commen�ed. An extension
may be requested, In writing,,from.�tfie:�Building,Official for a period=�not-to exi.eedninety�(90)�days and�will'demonstrate
justifiable cause for�the extension�. If work ceases:for ninety(90).cons.ecutive•days�..the Job�ls considered abandoned. ;
WARNING TO OWNER: YOUR..FAILWRE�T�I,R�EC.ORQ,A:,NOTIGE�:.OF��COMMENCEMEMT=.MAY�RESULT IN�YOUR
PAYING TWICE.POR.=IMPR01%EMENTS-.TO:YO.U�;PROPER=TY:�-=1F°YO.U{I�V�EWD�T�'�OBTAIN��FIN�AI�EING;'C.ONSULT
WITH YOUR L,ENDER:OR AM°A7'TORNEY�EFOR�+RECOR�IMf;�Y�UR'NOTICfi'OE�CdMIIAENC�fENT: ` �
� FtORIDAJURA��(F.S:117.03} .. - - ---•-_--'. ' ' -_- --- - - -
OWNER OR A(iENT �' CONTRAGTOR v/� �
Subscdbad and swom M(or aflirmed)before me this S�i scrlbed and'swom�Q(of afflrt1�edpbefore�Qe Uilfi/�
by G ("7 ..by..!'.�Y�nOS�o�'1� -/lti� rl0 a n.
vvho Isfare personally known lo.me.or:has/have.produced Wh �a� erson I�lyknown•hs me.or ftaalhave•produced • �
� �s Identlflcatlon. �J Gr�e.eu, as IdentlBcaUon.
.
Nofery Public . � Notary Public
�. ••:�.Yey'•� JACQUE E 80GES
Commisslon No: Com Is on.No :��� �'-. ,
*� :ke
:�= �o: Expires December 12,2018 �
.�,-
e�n neurenca 7019
Name of Notary lyped,printed or stamped Name of Nolery typed,. ' or ,