HomeMy WebLinkAbout17-19023 CITY OF ZEPHYRHILLS
" 5335-8TH STREET
(813)780-0020 .•�9
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BUILDING PERMIT ,'
� �-PERMIT INFORMATION��` ` `� - LOCATION INFORMATION
Permit Number: 19023 Address: 5753 8TH 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: 11-26-21-0010-02600-0110
Improv. Cost: 2,400.00 � OWNER INFORMATION
Date Issued: 11/06/2017 Name: SCHOENING, EDWARD & DELJEAN
Total Fees: 50.00 Address: 34812 CHELMSFORD LN
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 11/06/2017 Phone: (813)788-2161
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
' HOMEOWNER REROOF RESIDENTIAL 50.00
t � ,�
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Ins ections Re uired �
DRY IN ROOF INSP
TAPE JOINTS R OF IN P
FINAL � i
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
Ci Codes and Ordinances. NO OCCUPANCY BEF R
�
O E C.O.
,
NO OCCUPANCY BEFORE C.O.
/
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CONTRACTOR SIGNATUR PERMIT OFFI R I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a=13-780-0020 City af Zephyrhilis Permit Application Fax-813-780-ao2�
, 8uilding Department _ .
Date Receiped Phane-Co»tact for Psrcnit#in -
Owner'a N�me � �i f� � Owner Phooe Namber C�l�--�7 c�� "'"��rJ
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Owner"s Address ���� l,.t1� � � - �nrner Phone Number:�-
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Fee Slmple,Tltleholder Name �c!'f6�- �2_.. � � Owrner Phone Number ��� �
Fee Stmple}TltleholderAddress � / 2 /// L �L � . � �l !1 ��S'""`/
JOB AD�RESS S 3 w � � �I'. " j/�J S LOT# �_�i�
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SUBDIViS10W � • �. � � PARCEi,tD� �
,. . ., (OBTAINED FROIN.PROPERiYTAI(NOTICE)
WORK PROPOSED :NEW CONSTR ADDlAIT �� StGN Q �Q DEMOLtSH
� �e. INSTALL 8 ,5 REPAIR � • ,
PROPOSED•�t1SE � Q SFR. Q �COMM ' . :� -OTHER ; .
TYPE OF CONSTRUCTION Q�' " BLOCK " �[� FRAME �Q STEEL" C] " _
DESCRiPTIdN OF WORK . j1I�tJ " �'f7//l/ '�S � '
, ....
B[lILD1NG�lZE' S FOOTAGE - ttE1GHT
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OB������' �.� �� �'"T/ALtiAT10N''tOF TO`fAL COidSTF2tJC'i'ION . .
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QEI.ECTRICAL $ ' AN1P SEFiV10E Q PFttJGRESS ENEl2GY Q W.R.E:C.
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OPLUMBING � � ' `
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Q{U�ECNANlCAL $ � VALUATIQN tOF,MECHANiGAG iNSTALIATlON
C]GAS �J ROOFlNG .[� SPECIALTY � OTHER�
FINISHED EI.00R ELEVATIONS �� FLOOD 20NE AREA QYE$. ,NO
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RU1I.DER G�,� � CONIPi4NY:. . __ _ '
SIGNI�TURE REGISTERED Y/ N FEE CURREK Y'/N .
Address License:# � �
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E�ECTRICI�Fi; . COMPANY �
SIGNATURE � REGIS7ERED Y/ N FEE CURRE�'' ' '•Y/N
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�lddre� " � . , y . Ucense�# + ` �
� PLUMBER� . , COMPJ11I+1Y � _ '
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SIGNATURE` '" _ * REf31ST.EREp ,. Y./.,.N�� ,;FEE!CURRER Y--/N _
Addr�ess ' LEuense# �_ ,�:
, MECHAt+}lGAL' � GD�IIPEWY ' -
SiGNATURE ' ' ' REGISTERED ~. . Y,/ N .� FEETCURRE�. , . Y�,/~N. = - .
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�►tldre�s' ,_;, ., z ,t , -•s =.;` . ,. -`- '' ., ;�. .;,. licenSe# (
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I OTNER - ; ,GOMPANY� � . � - ,
SIGIdATURE .. ' °�_ - '�' • ° ` ' REGISTERED Y/ N.�... FEE CURRE� , Y/N- .
Addre�~ rr`.. �`.,�_ _ Y , tici�nse# fi -�� ' - �
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REStRENT1At:�- f►itac3�`(2}�Ptot:Plans;•:(2)sets=of�Buliding-'Plaas,('!)seE:of-Energy�Foims;nR�W�PersrilCfarnewccnsbuctibn, .
__� Y ,.
�� s.��� Minimumcten4(1}0)working,days,a�ter,;subriniftai d"ate�:Requi�ed onsite ConstrucBon-Rians;�Stormwater Pia'n`s wi'Si1t Fence inskaiied, '
... •�_�_.,,..�.� ,.,... _
� Sanita`ry Facilffiesn8�j1;;du,,mpster;SltesWork�P,,ermit for.subdivislohs/large projects:v_� .:�:- - �'' � ' '�� 3 ��
COMMERCIAI. Atta�{3}'cosriplete sefs`ofBultding Pla»s pius a�'Cife 8af�ty Page;{'t}set of Energjr Forms.R-O-NV Permtt#or neuv construcUon. ' �
Mfnimum ten(10)working_days after submittal date._Required ansite,Construction Plans,Stormwater Pians w/Silk Fenu�lnstatled,
"" - � Sanitary Facilitles 8 7 dumpster.Site Work Pertnit for all new:projects:All commerGal reyulrements.must meet compliance �
SEGN PERMIT AttacFa'{2}set's�8f`Engineer.et�,Plans.,4�.;=.-,, -�' ,^;, � ..- - .' a -
""`PROPERTY SURVEY reguirad for all„NEW construction..� _ �. -
Dtrectians: =�#.:. : .- � . , >, �
Ffll out applicaUo�completely.
Owner 8 Contractor sign back of appltcaUon,notarized
SE over$2600,a Natice af Commencsment i�required. {FJG upgrades aver 37500} '
ir � „' o F,.'�+„ a ' .. -,,. - '� ..
._S�. .� e�.v �
" A ent fcyr the contraotor)or PoVirer of Attor"riey(f6�Uie adune�)wauld be someone with notarized letter from owner authorizing same
aYER THE-COUNTER.PERM17'FINa... -.(Front of�Appllcation On{y}- ' - :; f . . -- „ • -• , -
Reroofs if shingles Sewers Service Upgr�das A%C Fences(F'IodSurvey/Footage) :, ' � ; , , , ,
Drivewaya-P1at over Caunter if on pabllc roadways..nead's ROW , „ ' , . �
,�
� - �
NOT�CE OF DEED RESTRICTIONS: The undersigned;undergtands�:,th�t,thi�,,p�rmif;may_,b,e:subJect.to:"deed"restrlctions".,:.w_�„�,,�-�:s
which may�be�more��r.e`st�tctivesth���County��riegr�latfons:�`�The�under`slgnea assume's-�responsltiility:for`comphance witFi any�` � Y
applicable.deed rest�ictions. :::. �..,:;._�::: : . . � -.:.. _. .: .::-.... � _. . ,:::. .. �. �
UNLICENSED�CONTRACTORS •A(�D CON3RACTOR RESPONSIBICITIES:� �If°the°�owner�has'hired�"a�`:contractor or
contractors io undertake work, they may:be:re�quire.d:tto.:�be;ifcensed:tn:accordance.with:state.and�•local;regulatlons:�-1f=the=�� � � -
contractor t§-not Itcensed:�as�re�qulred':tiy law, both the owner and con'tractorinay�be�=cite'd for a�misdemeanor violatlon
under state lauv. If the ouvner or Intended;,contractor,�are;:uncertaln as to Hrhat Iicenaing;requireRnents;may-lapply�:��for-�-'the'4-�== :: °.,";
intended work, tney a�e aa�igea to co�taci ti;e�P�asco�County,Bull,ding;inspectlon,Dhiisio�rn-Ltcensing�Section at 727-847-
8009. Furthermo�e, 1f the oinrrier tias�hired�aTcontractor or coritraotors. he is advised to have the contractor(s);:sign :_,_, ,,�
�-,�>s�-,,,� ,;::,�.w.. ,
portlons of the__"contractor Block" of,this_application,.for,v�rhlch they.wlll b.e..r.es,ponsible:- if:you,:as-.fhe oiivner;sign as�the'` ` '
contractor, thet tnay�be an indication that'Fie=1s riot.properly Ilcensed�and�'is`not entitled fo permitting pri�lleges In Pasco . _
TRA SPARTATION:IMPACTIUTILITIES'rMPAC'��ANb ItESOURCE RECOVERY�FEES:���7he undersigned�understan^d',i{z . :.iyY`
s
that Transportation Impact Fees and.Reco.urse Recove.ry:Fees may.�:applya�to�the;constructton.:of new,_bulldtngs�:change�'of'���'`�'�' '`'
use In existing bulidings, or�ezpar�si��a���,of�existin�,buildings� as specffied.in Pasco County Ordinance number 89-07 and.,
90-07, as amended,_;The undetsigned also;�understa�ds, tFiat:'"such fe.es;°,as•.�may"be�<due;�w(Il,�be identified at the���time�of=� �L�� ��
permitting. It is fiirtFier understood that Transp'ortatlon impac�`�Fees and��Resource,�Reco�ery�Fees.must be paid prior to
receivtng:a'certificate=of-�occupancy°�or flnal�.power;release:�:If>Eh�proJect:.does;�not involve�a:�.certfficate of occupancy<<o���"��"��==�� "`�
flnal power.-releaseA.,�_the;;fees�:must�6e"paid;p�ior to,permft tssuance. Fti�tt�ermore;if:Pasco:C,ounty�lNater/Sewer-�lmpact � .. .
fees a�e due�,they,must:be>paid;prior#o._permit_,Iss,4ance.'In.accordance..witF�.applicabte Pasco�:Countji�ordinances. -
CONSTRUCTION`LIEN'�L�►1N"(Cfi�pter 713� FlorJda Statutes��s amended�: Ifi valuatfon of work is$2,500.00tor more�:l~ � .���;� �
certify that I, 1he.�applicant;-have�:been provided-�with.-a-copy-of the°�-"Florida�-'Construction;-Lien .Law=Homeowner's
Protectfon Guide" prepared bytFie Florlda Depertment�of Agriculture and Consumer.;Affair�. If the appltcant is someone;.. •, ,
....�,.,
, _ . .....$ ,,,� ,
,..�..,
other than the`owner", I certifjc-that..i=h�v_e..,obtain�d�a copy.of.the;above.desc"ribed�tlocument�and:.p.r.or�ise.in,good,failh-t'o �- .;
deliver it to'the.�'owne�':p�ior to commencemeht:"�� .- ', . .� � ,_. , .. �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cert(iy;;tli;at:alLth��lnformatit�n:in+thl�appltcation is accurate and that all work
fM'�
wiil'be done in compliance with all applicable IaWs regulating constructlon, zoning and4landpdevelopment. Applicatlon is
hereby made to obtain .a permit�:to.;do__.woric.>;and :Installatlon. as indi�afed:��=.>i: certiFy that no work=:or Installation hes' -
commenced p�lor to I'ssuance of'a perrriit"and that`:all wark vulll be perFormed to meet..standards-of all laws regulating-
construction, County and City codes� zoning regulatians, and land development regulattons�in tHe�jurtsdtction.• I�al's'o= .
certify that I u�derstand that the r�gulations of other�government agencies may�apply.;to the..tntended.work, and that it is
my responsibility to identify•what.acttons I must•take;to,be,in:.compl,lance;_,,S.uch;agencies-lnclude but=are.not Iimited to:_� �
- Department of E�vlronmental��Protection=`Cypress'Bayii�ead�;�lNe�and Areas and Ernlronmentally Sensitive
Lands,WateNWastewater Treatment. Y, -
- Southwest Florida Water Management�:District:lNells; Cypress. Bay�i�ads; Wetland Areas, Altering
Watercourses. �
- Army Cocps of Engtneers-Seawalls�Docks,Navtgatile Waterways.
- Depar#ment of.,Health:'.&. Rehabllltative, Servtc�s/Envitonmenfal:Health Unit Wells; 11Vastewater.Treatment,
Septic Tank§'_ � ' � - . - . -
- US Environmental Protectlon Agency-Asbestos abatement. �
Federal Adlatlun.Autk�orNy-Runways:� ; � � '
I understand that.the..followlqg:��estrictions appiy to the use of flll:• -
- Use of fill is not allowed in:Flood�Zone"V"unless expressly permitted. •
- If the fill"material Is to be useil:7n-:Flood Zone "A", if. is understood that a drainage plan addressing a
°compensating volume" will be submiited at tirrie of permittJng which Is prepared by a professional engtneer -
Iicensed by'�Fie State�of'Fiorida: ' - _ . .
- If ih�•fill material-.is to•be�used in Flood �one 'A" in�connection�wlth�a�permitted building using stem wall ..
' construction, I certify that fill:vullf=be�used only.to.fill the area within�the�stem�walL '
- if flil material�is�to be used In any area, I �certif�r t#�at .use. of�such flll will not adversely affect adJacen4
properties. If use of flll,is,found to ativersely:�ffect adJaeent��pcoperties,.the owne� may be clted for v(olating
the condttions::,of_the building�.permit is"sued�u�der the�at�acfied,permit application;�for�lots�less:.than:one (1)
acre whtcli ere elevated'tiy f111;a�t engineered drainage plan is required. . �
If I am the AGENT FOIt THE OIMNER; I;.promise In,good.faith to inform the owner of�the permitting conditlons set forth in
this affidavit�prior�fo commeiacing constructlon. "I understand thefiaxseparate permlt may be requtred for electrical work, .
plumbing, signs, wells,,,pools;.alr conditioning,.gas., or other install�tlons noE spec�flcally included-tn.the application. .A �
permft issued shall be conshued to°be��a'license'to�proceed wlth�tFie,work and;not�as:authoNty_to:violate;'cancel, alter, or
set aside any`provisions of the.technical codes;�nor shall issuance�of a.permlt.prevent the Bulldirig Offictal from thereafter �
. � ., ..:......
requtring a correction af eRors in::plans:, constructlon,or violations of-any codes: Every�permit-lssued�sfiall become�invalid
unless the work authorized by such permit:ts-commenced•within,sGc;months of�permit lssuance, or if work authorized dy
the permit is suspended�or..abandoned:for:a:period;of�six:(�)�monttis.:after the;time the�work�is commenced. An extension
may be r�quested� tn writing,_from.tFie'�Building,Officlal for a period-not�to-exceed'�ninety�(90)��days and-wlll demonstrate
justi�able cause for.the extenslon�. If work ceases.tor ninety(90)cons.ecutive:day.s...the job�Ps.considered,aba�doned. '
WARNING TO OWW@R: YO,UR,.FAILIJRE,TO..REC.ORD;A��,NOTIGE;OF�,•CAMMENCEMENT:M'AY�RESULT IN�YOUR
PAYING TWI,C,E:FOR�IM,PRQVEMEN;TS:TO:YOUR::PRL�PER�'EY:.�IF°YO.U�IN�END�T�'�JB7'A ��FINAwE1NG-'CONSULT
WITH D O� AI��►� R FOR�+ �� °OR� G:'• OUR' � �C �O `� ,��:' � E .
FLORIDA JURA�:(F:S:11T. ) _ _� ,...: .. : ;_..=�<. -. . ... . :,.� .. .. ,
OWNER OR AOENT CONTPtACTO '�
Subscdbed and swo (or affl d) r e this Subsc�lbed and'swo w aRi ey�b Nil� �
i �by lu � � � .�/ G- I i-]a-f'� ..by� G� �� • �p G //lJ G- t ,
WFio Isfa personelly known to.me or;haslhave.produced Who.is/are personal owm•to me;or ha�lhave•'roduced •
�`.��I�la2.c5L-� e�rS� as Identlflc`atlori. -F'L�t�rCrlrQrs.C1�c�Cp as IdenBflcatlon.
�, : a _
Notery Public _ � Notary Publlc
Com Is on N :` Com sion. , ,,
,.�:�:::"''• JACQUELIPIr ,� r �M `ti� '
Y AyB i� Y P��ii
Name ot No ' ,p�n�airmrria�m�ed�i;if�422 F' Name of Motary ty�ped,printed o s� ;k= Commissio �`S
: •a: e..�m '' X s p �#F 2
=� Q, Expires D �� be��1`2;2{118 ,�• .oP;' E Pire �1504 2
•'�oF�F;Qr`� BondedThru':,.7*3�nlr�sur�nceBDC•385-7019 P���i�� Bo eCgmberl �18
nded ihru Tro 2'Z
y sar:..K. . Y Fain Insurar,Ce BOp�gg.7019
` ' DISCLOSUR� STATEP'�'sNT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DFsPARTMIs'NT
2,��������. ,`t] / /v� have read aad fully understand and
agree to the provisioas of this iastrumeat. ,
The undersigaed states and affirms that he or she is desirous of constructiag, ��
renovatiag, adding to or reroofiag his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, and same is aot for
reat, lease or sale. That he or she shall comply with the following coaditions:
l. That the owner aad he or she alone shall act as the builder for all phases of �,
construction.
2. That the owner will comply with all provisioas of the City of Zephyrhills
ordinances and codes pertineat to the building.
3. That ia the eveat various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That ia the eveat the Buildiag Inspector shall require correctioas to be made,
the owaer will assume full responsibility to insure they are made, and upon
completion will call for a reiaspectioa before proceediag with the building.
5. That the owner shall assume full respoasibility for the construction and will
not expect supervisioa of his work from the City of Zephyrhills Buildiag
Department.
6. That prior to fiaal inspectioa any additioaal fees, includiag reinspectioa
fees, must be paid ia full. A writtea request from this office shall
coastitute an official aotice to pay additioaal fees.
7. That the owner shall comply with all City, State and Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commissioa.
9. State law requires constructioa to be done by liceased contractors. You have
applied for a permit under an exemptioa to that law. The exemptioa allows
you, as the owaer of your property, to act as your owa coatractor with certain
restrictioas evea though you do aot have a license. You must provide direc,t
onsite supervision of the coastructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or resideace must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substaatially improved yourself withia 1 year after
the constructioa is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violation of this
exemption. You may aot hire aa unlicensed persoa to act as your coatractor or
to supervise people working on your buildiag. It is your responsibility to
make sure that people employed by you have licenses required by state law aad
by county or municipal liceasing ordinaaces. You may aot delegate the
responsibility for supervisiag work to a liceased contractor who is aot
licensed to perform the work being done. Any persoa workiag oa your buildiag
who is not liceased must work under your direct supervisioa aad must be
employed by you, which means that you must deduct F.I.C.A. aad withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply wit a licable laws, ordiaances, buildiag
codes, aad zoaing regula ioa
OWNER'S SIGNATURE DATE iI ' � / �
ADDRESS
PHONE
WITNESS PERMIT #