HomeMy WebLinkAbout17-19090 CITY OF ZEPHYRHILLS
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5335-8TH STREET
(813)780-0020 19�
BUILDING PERMIT �
- PERMIT INFORMATION ° ���`' �- � - � � �� `LOCATION INFORMATION -
Permit Number: 19090 Address: 4702 LARCH 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: 15-26-21-0160-00000-0130
Improv. Cost: 2,400.00 OWNER INFORMATION. '
Date Issued: 12/01/2017 Name: GRANT JOHN W IV
Total Fees: 50.00 Address: 1873 VIRGINIA LEE CIR
Amount Paid: 50.00 BROOKSVILLE FL 34602-6254
Date Paid: 12/01/2017 Phone:
Work Desc: REROOF SHINGLE
� CONTRACTOR S - APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 50.00
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� � - Ins ections Re uired . �� ���� `
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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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
frst 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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CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aasaoo�a City of Zephyrhills Permit Application Fax s�a-Tsaoa��
Bullding Departmenf '`�'
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Date Received < Phone�Contact forPermittin
Owner's Name c,!(� Owner Phone Nunnbar
4wner's Address L� 1/! it/l1�. �- �I� ���7�� ��ner Phirne Number -�— � �
Fee Slmple�Titleholder Name ~�� Owner Phone Nunnber �—��^�
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Fee Simple�Yltleholder Addres�
JOB 14DDRgSS � /•���tT° L.OT# ��
Stl�DiVIS10N � � �,�c���a# �' -�1-� t� �1 -- Q1��?� --O ..��'
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WORK PROPOSED. NEW CONSTR , ' = ` ADD/ALT [�� SlGN" "Q '�Q DEMOLISH
! ��. INSTALL � ;-REPAIR •� -� .
Pf20P03EDrU$E � _ Q SFR Q 'COMM • ' Q -OTHER '
TYPE OF CONSTRUCTION Q ' BLOCK " Q FRAME �� STEEC Q
D�SCRIPTION OF WORK ' F-tt�w�Z Z�� 1�d t l�- �/"'fJ t�t�Q �dy�j�/�� �(� � �j�trL'�'��
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BUttDlNG SlZE � � 3Q`FQOTAQE�,�, ; HE1,GH'�jz,.
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QBUILDING $ VAIUATEON�t�F TOTAl;"CONSTRUGTtC?N ,� ' "
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QELECTRIC�L. $ � AMP SERVICE Q 'PROGRESS ENERGY ' [� W.R.E:C.
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QPLUMBING A($�� - , `
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QM�CHANICAI. $ ' " VALUATION OF MECHqNI.CAL INSTAU.ATiON r
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QGA,S ROOFING .[� SPECiALIY C� OTHER _ �
FINISHED F,LOOR ELEVA710NS � � FLOOD ZONE AREA QYES :NO
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BU!l.DER ; COMPANY� � ` • ' '
SIGNATUR� REGISTERED Y f N F6E CIiRREh ';Y"I N`. .
Address � , Ucense# �! �--�
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ELECTRICWN; : , 'C'OMPANY ` � ,
SIGN4►TURE � REGISTERED Y/ N FEE CURREK� `' %`Y/N
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Addrsss ' , ,_ License# , — .� ! I
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PLUMBER ; C;OINPANY <� � �r � . .
SIGNATURE' ' � a�'REC�IS.TERED� � Y./�.N.. ;,�, .s,FEE,CURRET �.' X/N.-�';'
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Addre�s � ' . . ' License�,# ��_ '--�..-
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MEGHAN1C14L' � ' �C,QMPANIf .
SIONATURE � ' " R�GISTEREo Y.,L N "` �'CUR€tEn.. � _Y../N . ,
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aadress- ', � . � , � , . ` . , � � Lir.ense#`� ,.... . ... „..!
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OTMER _C���it, , -.. ;SCOMPANY a��/L' �,�i�Y•��-
SIGPiATURE .:- °' � ' - T REGISTERER ` ' Y I N.;.�.i ` �EE CtlRt2Eh . Y/C+}•
�►ad���� � 4 ,�k�.,X:��. .3��� �irt0� .�i` , . u��e#_° �G��lj��:�cj/ -"�: , T
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RESIDENTIAL P•s.�: �A�tacfi'(2),,PlotrPlans;::(2)sets:of;Building�Flans;•(1)set`of Eriergy Fortns;�R=O=W'Perrrilt ftir-new construction, ; ` '
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, ���. Minlmumetep�(1,0)working;days�afte�;submiital`d"ate.��Requlred onsite,:Gbnsbuction�Rlans,Stamiwater Ptans w!Si1t Fence tnsta!led,
`. .�.'r'J �"f't.,e,..e ��....r �.w�... _' '.. „ .
Sanitary Fat�lities;&�1�dumpste,r,,Slte�,WorkyPerm�t for,;subdivisions!large p,,rojeats.:..,__ ::. ,, , . � ,
CONlMERGIAL Attach(3)�aorriptete`sets"of'Builcling Plans`�plus a l.lfe Safety Page;(1)set of Energy Fortn's.R-O UV Permit for new canstruction. �
Mintmum ten(10)woricing days'after submithai date. Required onsite,ConstrucHan Pians,Stormwater Plans w!Silt Fence instailed,
Saaitary Facilifles&1 dumpster,Slte Work Permit for ail new�projects..Rll commercfal cequlnements.must meet compllance - �
SI�N PERMI'� Attact�(2)`sets ofEnginee�adl'lans.,,.:-;:,.; , t. . � , - . - - -- - -- - , -
"""PROPERTY SURVEY requtrecl„for ali IVE4V aonstruc.tian., . . -
RErectlon�: � �� �. _ - ' '
Ffll out applica8on completely. .
Owner 8 Contraator slgn back of applicallon,�otadzed
if aver�540.a Notta�af Cammencament t�required. {A!C apgrade�aver�7500)
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`* Agent(for ths contractar)`or"Power of Attomey(fci�tliie owner)would be someone with nota�ized letter from owner autharizing same
DYER THE COUNTER PERMIT'itNG- - -{Eront of Applicatton Only)�- � - -' '
Reroofs if shingles Sewers Servica Upgrades,A/G� Fences(PIoUSurveylFoo#age)
Drivawaya-Not aver Counter if on pubHa roadways:.fieed"s RG?W' '
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NOTiCE QF DEEQ REST.RICTIONS: The underst ned,under�tands:t�t:#h1�° ,rmit:ma b,e,sub ecfi to deed"restric#lo�s"�_ .. , ._._.�
which may�be�moreMresttictive-th��t County��regulatron's:'�The°underelgne.d��assumes�reapnnslblllty�for compll�anc'�with'any -" "
appllcadle deedrest�lctlons. ,.:.�..,.;, .,... : ., � . . .. ._.
UNLICENSED°"GtiNTRACTORS �AND CaN�RACTOR RESPONSIBiCtT1ES:�-=1f-the�owner has-fiired��a`contraotor ar
contractors to undertake work, #hey may:b;e,,�re�q�;lced:to.;be,llcensed In accordance.v�riith.:s.tate.and;lac�l^regulatlonss��Ifhthe�� ° ��
contractarls-nat-Ilcensei!'as�requlred;6y law, botti the awner anit�ccintfactort•may°6e'�ctted�for�a�misclemeanor viol$tion
under state law. If the awner ar lntended�;co,n,ptr;aGtor.;are,,.uncertaln as to what (lcenaing;requlrements amay�_apply��for�the> �� � �'
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intended wotk.they are adulsei!to coritact the�Pasco Counky_Bulldtng'Irtspect4on D[vlslon-L•icensing Sectlon at 727-8d7-
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8009. Furtnermore, if #he avirner'has'tiired`a contracto� or carttractors, he Ts advised to have :the cx+n.tractar(s), sign.,, ,
portlona of the "cantractor Block° of thls�appllcation.-for.whlch�they,wfll-.be.r,esponslble:,:If:you�-as.#he owner`stgn"`as`the `-
contrac#or, #hat�ms�r..be an indicatlon that'fie is noE�p�periy llcensed��and'�is��riot enf�iet3 to pet�tnitti'rtg prtulleges 1n Pasco
County. „ :;,.. *�,_ ., ,�..;-
TRANSPORTA710N•IMPAGTIUTIUT�ES�CMRACT'ANl�RESQU�tCE RECOYERY`�PEES; The�under�tgned unders#ands
thatTransportation impact Fees:and.Reca.urse Reaovery.Fees,ma"y,�.app{y�ata�fi�e�construction.of.new_buiidings�::change of"=• �`-� '�
use In euisting bulldings,�ar�exparisiom�of.tiexlsti�i��ibuildin�s, as speclfled.in P�scq County Or'dtnance number 89-07�and .
90-07, as amended.,,,,�he undersigned also,understands, tha�f=such fee�;�<as<may:be�adue;>=wiE1Y6e ldent�f[ed a#the�'time�o�; � -
pe�mitting. It Is furtMer understood that Trai�sportatlon Impact'Fees and;Resource.:RecdVeryMFees..must be pald prlor to
rece�ving-a•ce�f�{cate=of accupancy":or�#inal�pawer;r,elesise: :1�-the.pra��ct:does;not InvolveGa:cert�icate of accupancy�o���-::a.,•,•--
flnal power release;�_the:.,fees�mu�t"be patd�pr1o�to;permlt tssuance. F��thermore;�if:Pasco,Gounty°`1Nater/Sewer=;lmpact • : ��
fees are due,lhey.rr�ust.be.pald-prlo[to.permlt�lssuance:ln.accordancewltli.appllcable_Pasco'�Caunty•otrllnances. •
CONSTRUCTiON"I:IEN"�E:AYV�(Chapter 713� Elor�ida�tatutas,as amended): !f vatuation ot work is�2,500.00:or more, 1 �� -�:;�� ,
certify that I, �he �appllcant,-hav.,e been-.pro�lded�wlth a=copy of`the•�"Florlda �Constructton� Llen_Lav�--liomeowner's
Protectlon Gutde" prepared by tl�e FIoi�lda Depa�men#�of Agrlc�[#�re and Consumer-Afifatcs, If the appilcan#ts someone .
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other than th�"owner", I certlhr that;l;have.oq#ainetl�a"�eopy;of..#he:ab�ve:rf,e.s.cNbed;�dociiii�ent-and.p.r.omise�ln,good'.falth�to _ ,.r
deliver It to:the.`owrie�'�piiar to�commericemerit:�';' " " � � . .. �
CBNTRACTOR'S/t�WNER'S AFFiDAViT: 1.ceitify�:that.ail.fhexinformation:,ln•this appitcatton is accurate and fha#atl wark
will�be done in compliance with all appllcabfe�laws regulating constructlon, zoning and;land=development. Appltcatlon,ls
hereby rnade to obtain.a.permit:•Co,do°wori�;,;and;iits#alla#ion as Intl[�ted:;..=°I ce�tify that no work��r instsllatton tias
aommenced p�lo� ka Issuance of�a permif"and that'all�work wfll be pertormed�#o meet.standards-of all laws regulating-
constrvctfon, County and City codes, zontng regulatlQns, and land developinent regula�ons�l� the jurlsdtctlon.- 1=;a4'sv
certify that t unders#and that the reguiatlons af other government agencies may�apply�to the lntended work, and that (#ls
my responsiblHty ta identify•what.acttons I must•take,:to,be,ln:.compllance� S,u�h agencles Include�but-are.nat llmtted to; +
- depaftment af Er�vironmental>�Rrotection=Cypress.'8aytiead�, tiNe�and Areas and EnvtronmentaNy Sensitive
l.ands,WatedWastewater Treatment. '
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- Sauthwest Flor�da UVate�r Management ..�tistrlct-Wells; CYPress. Bay�ieads;- INetlar�d Areas, AI#er�ng
Watercaurses. '
- Army Corps oF Englneers-Seawa!!s} Docks.Navlgable W�kerways.
- Depa�tment of_�.Heaith�,&_.Ret�abllitafive,Servtces/Env�ianmentat�.Heat#h Unit We11.s; Wastewater Treatment,' �
Septic Tanks:. , � � � � - - -� -- _ �
- US Envlronmental Pro#ectEon Agency-Asbestos abatement...
- Federal Avlatton.Authorl,ty,�Runways.-� .,: � _ ;
1 under.�tand.that the,following::iestc#'ctions apply to#he use of fl!!:
- Use of fiti is not atlawed in°Flood,:Zone"V"uniess expcessly permitted. i
- If the:flll` mate�ial=is ��to<-6e-used:In-�Flood Zone. "A; tk�Is understood�that a dralnage plan add�essing ai
°compensating voEume°w111 be subrnttted a#time of:petmlttJng whlch is prepared by a prafessionat engineeri .
Ilcensed by'�fie State of=Flo�lda:. � _ �
- If #h� f�li mater#a#�Is to be�used In Fload Z�one 'A" In�cannection�vulth�a��er•mttted bullding using stem waliy
canst�uctimn, i certifjr.that flll;wall:b.e used only.to f11i#he are.a withln the�stem�wall: •
- If flll materlal Is to'be used In any ares, 1 �certlfy that use- af such flt! wlll not adversely affect adjacenti �
prope�tles. It'use of fill is f�nnd�,#o advetsely:�fFec#adjacent�prapertfes,.the awner may be ci#ed for vio�ating�
the condlllons�of the b�ll�tng;permlt Is`sued�under 1he:�attached„�permlt appltcatlon, for-lats.less=than�one (1)(
acre w#iich are e!e"vated�tiy 1�1�;a�t engtneer�d dralr�age ptac�is required. • �
If 1 am the.A�3ENT IFOR THE OWNER, I;promise In good f.alth#o f�form the��owner of•the permltttng canditlans set forth tnl
thia affidavtE�prtor to commencing con�tructlan. ! utiderstand #hat a separ�te permlt may be tequtred#or electrfca!`work,;
plumbEng,,signs� wetts,,pools;.air condltioNng,.gas.`or otMec tnstalt�ti�`ons not.spec�tcalty inciuded-in.the apptication. .A;
� perml!Issued shall be conshued to be'a�Ilcense�-to�proceed wtth"tFie,vv�ork and-nok��as:authoNty to,vlolete;�cancel� alter, ar!
'� set aslde any�pravisions ofthe.tech�lcal c�de�;�nor shall issuance�af a.pe�mft.pr.evenf th�e Bulldirig OlTtdal from thereafter�
requirin.g a carrectlon af errors-in;plans;-consti�uctlon or vlolatlons of-any codes. �Every p�ermlt lssued`sfiall beaome invalld�
unless the work suthorized.by such permlt:is.co�menced�w[thln sf�c.xmortths of�petmlt lssuanae, or!f work a�thorized by'
f �. 1...- .
the permtt is suspendad�or.abandoned,;,for.a;perfodyof�si�c;f8)montFis;:after the tirne.the�wo�k�is comm�nced.. An e�ctension
may be �equested,.In wrltln'g;.irom.tFie,`Bullding,Offlclal for a perlod:not to exeeed�nlneiy��(90)�days a�d-w1D'demonstrate�
Justt��ble cause for.the e�enslon. tf wock ceas�s..for nMety�90}�ns.ea�tive:d�y.s,..t�\fob��s consfdered aba�doned. i
�UARNMNG T4 QWNER; YOUt�..FAIl.t�tRE-.Tt1,.R�.GQ�tD.A,MQTdGE+DF.�COMM�i,lGEME�T�:NrAY-RESUf:T IN YUURt '
PAYINC TWtCE;FOR-IMPROVEMEI�a'S�TO;YOUR:PRi�PERTY.��IF�.Yf3.Uyl�1"fE�tD:T�'�OBTAIN��FIN�J�ii�ElidCti;�C.ON�UI.T�
WIT U D O. t� O PO. �,�, OR� �:' i�UR' � � E �E T' `
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F�ORIDA J!lRA�'>(F.S,1.17.03) ���``° ,. � _ _ ' G�^ . �
OWNER OR AOENT- � CONTRACTOR_• _ _ - -._ - -- i--
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-�u�sc`ribe�nti sworn�ci(o"r"a�iniedt aeia�e�ng fhts— ` �iibsaib'ed srul`�rtrto{o�afltrmedrbefore tna'ttii� °
br ,.by -. . _ .. .. . ,
WYio Islare personally known to.me or has/have produced Who.ls/are p., on�llyknown• e or hes/have•produced • ,. � �
as ldenU��Uari. as idttntlflcatton. - i
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Notery Pubtic . Y Notary Publlc
Commisslon Na: Comm si .t�o,
.�•;�iYes%a-. JACQIJELINE BOGES `
tdame ot NotarY tYP��PHnted or stamped Neme oi NotarY �p ���n FF 60422
:; �'a: Expires December 12,2018
, �'�;p���°:`��` Bonded Tlw Troy Fein Inaurenna 800.385�7018
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