HomeMy WebLinkAbout18-19238 CITY OF ZEPHYRHILLS
r� - 5335-8TH STREET
(813)780-0020 19238
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19238 Address: 5142 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: 11-26-21-0010-18300-0130
Improv. Cost: 800.00 OWNER INFORMATION
Date Issued: 1/30/2018 Name: WITTIG, THOMAS P &AMY
Total Fees: 45.00 Address: 5142 8TH ST
' Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
' Date Paid: 1/30/2018 Phone: (813)637-5610
Work Desc: REPAIR ROOF SHINGLES L j�� Z �
CONTRACTOR S � A PLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 45.00
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DRY IN RO F INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTEON 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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TRACTOR SIG URE PERMIT OFFI R
PEI�MIT E RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR IRISPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, a�aaso-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
• Building Department , ,
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Date Received 4�
i Phone Contact for Permitting � -
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Owner's Name �0�'� p"Ln � � Owner Phone Number
Owner's Address Owner Phone Number ���'"� �- ��
Fee Simple(Titleholder Name � � Owner Phone Number O��� ���-g� 6 � �
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Fee SimpleiTitleholder Address
JOB ADDRESS 1�'l� �� LOT# �
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SUBDIVISION PARCEL ID#
; (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSTALLSTR�B REPAIR � SIGN Q � Q DEMOLISH
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- PROP,OSED USE Q � SFR Q COMM Q OTHER '
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. TYPE'.'OF CONSTRUCTION Q BLOCK • � FRAME � STEEL Q
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. DESCRIPTION OF WORK �Q ���' IZ o 1 e i(� � (�-�
= BUILDING SIZE O CC e(�C10� SQ FOOTAGE IIJ� . � HEIGHT � l��Qi�1
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I �BUILDING $ 6-
: : s � VALUATION"OF TOTAL CONSTRUCTION
' QELEC7'RICAL $ AMP SERVICE Q - PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $
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QMiECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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� Q.GAS Q ROOFING Q SPECIALTY �] OTHER
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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;. �.BUILDER i ��� COMPANY ���n.�o �n e�
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y%N
Address �License#
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,�ELEC,,T,,RI,CIAN COMPANY
:.-'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
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. Addres,s Licerise# �
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;; PCUMBER.,x _ COMPANY- -
SIGNATUR� � :REGISTERED Y-/ N FEE CURRE� Y/N 1
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Addres's � L(cense#'
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;�:MECHANICAL � COMPANY
' ;,` SIGNATURE' "' ' ' ' REGISTERED , Y/ N _ ,r FEE CURRE� Y/N
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ABd�es"s�� � � ' _ License# .
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�-OTHER� � � • ' -
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�"'SIGNA:T.URE:•;�._ .� ' - REGISTERED Y/.N FEE CURREK Y/N
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Liaerise#
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��.RESIDENTIAL.=?; ":Atta:ch;;(2)`PIot,P.lans;':'(2�):se't's�of�BuildingsPlans;'(1�)`sefofEneFgy�Forms R=Q-V11.Perrriit-.for new.construction,� .
;� ,_ y;��4;:�,;.-,,-�.-�Minimum;tem(,,1Q).working?,cJaqs•,afte�su6mittal:date:'Reqiii�eii'onsite;Constriiction'Plans,�StormwaterPlansw/SiltFenceinstalled,
r,°,-,� Sarntary�Facilibes„&r,1.,;dumpste.r.•;,Site:.,W.orkRermitfor.:subdivisions/large.'projects� " ' - �
;•;COMMERCIAL Attacti''�(2)�complete"sets�of'Building Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
- Minimum ten�(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,- -
, '� `- - Sanitary FaciliUes&,1 dumpster._Site Work Permit fo�'all-new p�ojects.All commercial requirements must meet compliance
� :SIGN:PERMIT `AttacF►'(2)sets._of;Engineered:Flans:�f• �
��= "'"PROPERTY SURVEY required for,.aII:NEW construct(on: �
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_�.Di�ectlons: _.� ,, .. , � �
� Fill�:out applica6on completely.
'` 'Owner&Contra�tor sign 6ack of application,notarized
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If over$2500,a Notice of:Commencement is required. (AIC upgrades over$7500) , ',
`""' A enY for'the'�donfracto��orPower�of�Attome fortfie owner would be someone with notarized letter from owner authorizing same
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�-OVER.THE COUNTER`PERMIZTING� (copy..of contract=required) "`'� ""
'Reroof§if shingles �Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ,
:,�:,r,>�.:>>-x•,.,,;� - � - .r<��•� -
.. Drtveways-Not over Counter if on public roadways..nee8s"Rt�W' � " �``"�` �'' � '-` `� � ,j'"
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NOTiCE OF DEED RESTRICTIONS: The undersigned,understands,that.this;permit,may.be:subject�ta"deed",restrictio%is"'''`� �
which;ma �:be-.more-restr•i�tive,than=Counf re ulations �The undersi" ned�'as"sumes�es,onsibiti `for compiiance�uvith�.an'"'��"�;
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appiicabie-deed res#rictions. �;�;_," �_:`'=-��';� ;
UNLlCENSED _CQNTRACTORS A(N[?' CC?NTRAGTOR RESPONSIBIlITIES:- If�ffie-ovrri�ier=�has�-�ired�a�-.contractor or
:. �.__ ... . �,
contractors to undertake work;they_.may,be,reguired to be,license.d �n accordance with state-and;:local;_regulat�ons:=�lf"ttier�."=_:'
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contractor is not.licensed�as.:�required.by'law;�6ofh'the owner�:and'cont�aetor:may��6e�cited=for�a;misdemeanor uiolation : -3
under s#ate�law. If the owner'or intended;contractor are�uncertain as to what licensing requir.eiia,ents;;rnayaapply::for;�;th;e:�r:�;�;s
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intended work,.they_:are�-advised to contact tfie:Pasco County Buiiding;lnspecfion`Division�Licensing Section at 727=:84:7-
8009: Furtherrnare, `if the ouviter tias`Fiirecl``a�`contractor or conttacfars, he is aclvised to��have the cantractar(s}:.sign,x,,_.�
n n - ...-.#.- � cr -..;, .. .._-r..._"f.. �
portions of the contractor Block af_this_appfication,for which_they wi!! be respansibfe.�--•lf�you,,as,;tF�e`oinrriier"`sigri_as_ttie���"'-�
contractoc, that may 6e an indicatio��-that he�is not properly licensed�and'is nof entitled�to�permitting privifeges;in Pasco�.. ;:.,,�
Caunty. .. _ . . � � .,.. . ' -._ -..�-�r.. ;�k -._t
TRANSPORTATtON�iMPACTI.UTIL-iTiE$•tMPACT AND RESOURCE RECOVERY"FEES: The undersigned understands . �°�
#hat Transpartation impact Fees and Recourse Recovery Fees.;may:..applyto4the cpnstruction.of;new�bui(,iiings,�ciiange�of''����=;;;'
use in existing buitdfrigs, arh:expansion.�ofr:ezistiiig�buildings, as specified in Pasco County t)rdinance number 89-07'an�i ` ���
9p-07, as.amended. The�undersigned also,understands,'�that:such<fees,�as"may�;b.e.due, will t�e=ident�ed�at>t#�e=.tirriezof`''���t°=°?
permitting. �It is further understood that Transportation�lmpact•Fees�and ResouccefRecovery.Fees must be paid pcior'to �
receiving.a °certificate af occupancy" or finalt;power release. If the project:does not involve a certificate of occuparicy:aci:<3=.-..
finai.power release, the„fees.must be.paid prior,to permi#issuance, ;-Furt(iermare,r,if;Pasco�Gounty Watec/Sewec�lmpact:.;�- .;
fees.are due,tfiey must be paid prior.topermit�issuanc�,in accordance with'applicabie'Fasco'County ordinances.
CONSTRUCTIOPf LIEN�LAW(Chapter 713, Florida�Statutes,as amended): If valuation of work is$2;500.0O..,or.mor,e;wl<;.,:,Y< ,
certify that I, the applicant, have .been-=provided-with--a copy.-;of-,the "Florida� Construction._[:ien -C.aw'—Nameowrier's � �I
Protection Guide" prepared by the FI'o�ida Department of Agriculture and Gansumec Affairs. If the applicant is:.someone., .
other than the"owne�',,I;eertify that:l.have obtained a copy of the above'described'.document�and pr,omise•in�good`:fai#ti`to,.,,
deliver.it,to,the�`;ownec?:�priorito.-commenceinent' ' Y�
CQNTRACTOR'S�OWNER'S AFPIDAVIT:v;I;certify that all�the informafion in this application is accurate and"that�all"work
wlll 6e done in compliance with aii applicable`lar�vs regulating construc#ion, zaning�and iand-development. Application_is
hereby made to obtain..a ,permit:to:,�:doF wock"-and installatian -as .ind�cated. E�certify thaf no�work ar�instafiatiori=has
commenced prior to issuan`ce� of�a permit and�that al! work wil! be perFormed ta.rneet standards of aN laws regulaiing °
construction, County and City codes, zoning regulatians, and land development regulations"in.the jurisdic#ion. �EI:also
certify that I understand that the regulations of other government agencies may apply to the interided work, and ttiat it is ��
my responsibility#o identrfy what actions I must take to be in compliance. Such agencies include:but are not,limited?to:
- ,-Department of Environmerital.'Protection-Cypress Baytieads, Wetland Areas and Environmentaily Sensi#ive `
lands,WaterlWastewater Treatment. � ;
- Southwest Florida Water Management District Wel{s, Cypress Bayheads, WetCand Areas, Altering
Watercourses. � ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Vllaterways. .
- Department of Health $� Rehabiiitative Services/Environmentai Heatth Unit We(Is, Was#ewater Treatment,
Septie=Tanks.
- US Environmental Protectian Agency-Asbestos abaterr�ent. N
- Federal Aviation Authori#y-Runways. �
I understand that the following restrictions apply to the use of�!!:
- Use of fill is not.allowed in Flopd Zone"V" unless expressly permitted.
- 1f the fill materiai is to be used in Fiaod Zone "A", i# is untlers#ood that a drainage ptan addressing a
"campensating volume� wili be submit�ed at time of permitting which is prepared by a prafessianal engineer ��
licensed by the State of�larida. i�
- If the fU matsria! is to be used in Flaod Zane "A° in connection with a permitted building using stem walf
construction, !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, 1 certify that use of such fill will not adversely a�fect adjacent
praperties. If use of fili is faund ta adversely affect-adjacent properties, the awner may be cited for violating �
� the condfitians of#he buiiding pecmif issued under the aftached permit.app(icatian, far iots�iess than ane (1} ' -
acre which are elevated by fill, an engineered drainage plan is requi�ed. �,
!f I am the AGENT FQR THE 4WNER;-1 promise in good faith to inform the owrner of.the�permitting:conditians set forth in
this affidavit prior fo commencirig consfrtiction. I understand that a separate permit may be required for electrical�work, '
plumbing, signs, wells, pools, air conditioning, gas, or�othe� installatians not specifically included in the application. A ; .,
permi#issued shall°be construed�to�be a license to proceed with the work and not as authori,ty to violate; cancel, alter, or
set aside any provisions bf tfie'technical codes, nor sha(I issuance af a permit prevent the Building 4fficial from ther`:eafter
requiring a cor�ect�on of errors in,plans;�construc#ion or violations of any codes. Every permit issued shatf become ihvalid
unless the work author�zed by such permit is commenced.within six months of pertnit lssuartce, or if work aufhorized by :
the permit is suspended.or aband�ned for a periad-,of six(6) months after the.time the work is'camrnenced. An extenslon
may be requested, in.vu�iting, from tfie Building-�(Jfficial 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 abandoned�.
' I
WARNING TC! OWNER: YQUR F�lLURE TQ�RECORD,A NOTICE OF COMMENCEMENT MAY RESUI�T !N YOUR �
PAYlNG TWICE`FOR`lMPROVEMENT$�O Y�.UR:PRI�PERTY., !F YQU��:INTEND-TO!+OBTAlN f{NANCINC,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGYOUR NOTICE�O��COMMENGEMENT.
I FLORiDA JURAT(F.S.117.03} " ' "
1 � �
OWNER�R AGENY_I'f����_ - '_" - -CONTRACTOR - f ,� "�!� '-C.,r1. ^_ _ __�_ —. �— --
Su c b nd swo to(or a tt,efore me ls ub c�j b d swom a a e ) e r e'thi
j-��y " � '�Y � —'
W o i / re pe,�on I,Iy kn .t�r me or has/h ve produced � W islare pe�lly{�own or as/have pro uced +
���J��, �/1����` as iden' Uon. .�/'-/ _ - 1��d1�_as ide tifi don. ` -
{����� ___���t�� � ��� � j ` �- �
�,�.-- ,P �.� ; ota Public � Natary Publ3c
Co ission Na.�J� ��..1�'��� � Com ission No. �'�"�3� ��.���U .
f� �/�`�� ��'°�,� � ��--� �(�rne_ �;�,�'�(i
Nam ri r s Name af Nat
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,�,,•••• �G` ' � �.'•, i�EBRAELAINE RllFFELI.
`$°_;�::;�,DEBRAEtAINE RUFFELL. : ..::��H,,: '
n :Commission#G�445343 • �`�. ission#GG Q45343 t
•. A •,j�•..r=Comm ber7 202G
rs Expires November 7 2020 + �� ��_�x Ires Navem . ��J
:'��o r ':,�,� p SOO�3 y��'{`a .
�'%F,;;�;�¢�' 9onded Tlw troy Fain inswance BOa395d018 ;�. —r;�;;�� 8ondedihN 7my Faisr inxcance
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pISC�QSIIRE STATF•P�'Rfi FOR Qi+6hTER
C�TY OF ZBPHYRBILLS �UTLD�i++6G DBPARTP��.'
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z. have read and fu11y vaderstaad and
agree to th ravisa.oas o his iastrum�,nt.
The uaders3gaed states aad affir�s that he ar she is desiraug ot coastructiug,
reaovatiag, addiag to or reroofaag his or h�r owa domici3e, that he or she
actually occupies, ,or wi11 oacupy by said domicile, aad �aame is nat for
rent, lease or sale. That he ox she Bhall camply with the followiag coaditioas:
1. That the owner aad he cr she aloae shall ac� as the buil�er for al1 phases of
coastruc�ion. �
2. That the owaer will comply with al1 p�ovi.sions of tk�e City af �ephyrhi3ls
ordivan,ces �nd codes �ert3neat to th� buildiag.
3. "Phat ia the eveat various phasee o� coa�truction are subcoatracted, he �rill
engage only properly Iiaeased subeanbractars aad will pereoaally superviae
auch wark.
4. That ia the eveat the Suildiag Iaspector sha11 require correctioscs to be made,
the awaer will assume full sespoasibility to is�sure they are m�.de, aad ugan
completioa wiZl ca].I for a reiaspectioa befose proceedixug wit�h the build3ag.
5. That th� owxter sl�all aseume full responsibility for the coastruct3on aad will
not e�ect supervision of his s�osk from the City of Zepisyrhille Buildiag
I?egartmen�.
6. �'hat pr3or to fiaal iaspection aay addi�ioaal fees, iaeludiag reiuspeetioa
£eea, mus� be paid ia full. la, written request from this office sha1Z
aoastitute an offic3.a3 aotice to pay additional fees.
7. That the owaer sha22 comply �,rith a.11 City, State sad Fecl�ra,I 1a�nrs ia regard to
social secnra.ty, workman's eompensa�ion, 3ien laws, etc. , where appla.cabie.
8. That t]�e awaer sh�l], complg with all the safety cades issued by th� Florida
Iadus�ri,al Commissiaa.
9. State la,w reguites constxuctioa to be doae by licenseci caatractas�. You have
app3.i�d for a permit under aa exemptioa to that l�w. The exemptioa �llov�s
you, �s th� avaaer o� gour pragerty, to act as yaur o� coatraatar vaith aertain
restrictioas evea tl�ough �au do aot have � Ziaeas�. You must provic3e direc�
oas3te �up�rvisiosa of the coa�tructioa yaurself. You may build or amprav� a
one-fasnily or two-fami.ly residlen,c� or a lEasm out�buildiag. You may also build
ar imprave a commercial buildiag, y�rov3deei your costs do aot exeeec� $75,000.
The buildiag or reBideaae mus� be for ycur owa use or occupawcy. �t may aot
be built or substaatially itnproved fos sa2e or 2ease. If you sell or leae�e a
buildi�ng yau have built or substaati�l2y iaiproved yourself withia 1 year after
the corrtstruction 3s complete, the law will pr�aume that you builb or
substantia7.Iy impro�red if far eale or le�se, which ie a violatioa af this
eacemptioa. Yau may not hire aa ualic�nsed persoa to act �,e your coatraator or
ta supervise people woxkiag aa yaur bui2ding. It is your responsibility to
make sure that people employed by you hav�e liceases reqrxir+ec� by stat� law �.nd
by covssty or mvaicipal liceasiag oacdiaaaces. You may aot deleg�te the
-- respoasibility for supervisiag work to a liceaser� coatractor who is aat
Iicensed to perfozm the wask beiug doxie. Aay persoa workiag oa your building
.who 3s aot licensed must +arork ummder your dixeet supervisioa �ad must be
--,-------'e�loyed by�rouL�c�rhir,��aae—tha��r.osi_���,s�--ded�c�-I�,-�:�.�-�ad-vritish�2-ciiag tax- --_— - ---- - --
and pravide warlcers' campensation for that employee, al]. as prescribed by law.
Your coastructioa must comply wi�h a11. applicable law�, ordiaaacee, buildiag
eades, aad zoaiag regulatioas.
OWNER'S S2GNATURE � DATE L���^ ���� ,
ADLtRBSS +
BHONE L�(.�� --�'7 ( ')�T_
WITT2�SS PFiiP9TT #
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