HomeMy WebLinkAbout18-19297 CITY OF ZE�'F[�RHILLS
, +� 5335-8TH STREET
� ° 19297
� �� (813)780-0020
BUILDING PERMIT
PERMIT INFORMATION. LOCATION INFORMATION "
Permit Number: 19297 Address: 5204 9TH ST HISTORIC
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: 11-26-21-0010-18200-0110
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 2/12/2018 Name: PARSONS MARY LEE & FRED
Total Fees: 50.00 Address: 5204 9TH ST HISTORIC
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2018 Phone: (813)715-1925
Work Desc: REROOF GARAGE SHINGLES
CONTRACTOR S � APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 50.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS RO F INSP�
• FINAL i
REINSPECRON FEES: (c)Vilith 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." i
Complete Plans, Specifications Must Accompany Application.All work shall be performed 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
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� s�3aao-oozo ` City of Zephyrhilis Permit Rppli t on�- _Y ��_ F 1aa�ao=oo2�
- ' '"� Building Departm�nt- ' .��,•
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Date Received Phone Contact for Permittin - _ ?
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_ Owner's Name r. �r S Owner Phone Number �f�3 "" � 5 - ( 2� �
Owner's Address Z U � '�`„ Ouvner Phone Number
Fee Simple�Titleholder Name P Owner Phone Number
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Fee Simple{Titleholder Address
� �JOB ADDRESS � �} V+�� LOT#
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SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B . NEW CONSTR e ADD/ALT � SIGN Q � Q DEMOLISH
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INSTALL 'REPi41R
PROP,OSED USE Q SFR Q COMM Q OTHER .
TYPE'OF CONSTRUCTION Q BLOCK • Q, FRAME 0 STEEL Q
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DESCRIPTI,ON OF WORK C'_.�(�U� � S �f (1 �e
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' BUIL"DIPIG�IZE SQ FOOTAGE� HEIGHT •
BUILDIIVG $ VALUATION'OF TOTAL CONSTRUCTION
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QELEGTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QP4LUMBING $ '
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, OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER : COMPAtdY
SIGNATURE � G.d-R---�- REGISTERED Y�/ N FEE CURRE� Y/N I
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Address -License#
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:="ELEC7RI,GIi4N .; COMPANY
�..'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
' Address - License# � '
Ptl1MB.E,R�. - COMPANY .
SIGNATURE, REGISTERED Y.•I N ` FEE CURRE� Y/N
-s
/Address License# :
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MECHANICAL � _ COMPANY -
SIGNATURE'" � REGISTERED , Y/ N'- . FEE CURRE� , Y/N '
, �. , -
Addre§s�' � � � " ' License.#
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.. OTHER:; ;:�: . � C;OMPAfdY -
'�"SIGNAT.URE�;a_ z -, - • " REGISTERED Y/N FEE CURREK Y/N
Address: . - - _ . � • � � License#
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:�RESIDENTIi4L�.���` .Attacfi,(2)�:PIot:P.lari's;;(2):sefs�of=Building�'Plans;(1�)°set'of�Energy:Form§;R=O-W.Permit�for new constiuction,
-y'l�.�,_,�_:,�_�;Minimum;ten�(:1Q);working;days aftersulimitta�=date.'Required'onsite;`Constriic�omPlans,`Stormwater Plan`s w/Silt Fence installed,
- .. Sanitary,�,F'acitities,8��41;,dumps;e�;Sife:Wo[k Permit forsybdivisions/large;projecfs'- �� _ � -
;��::COMMERCIAL Attach�(2)'complete sef,s of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
" Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
--= Sanitary Facilities&1 dumpster.Site Work Permit fo�'all�new�p�ojects.All commercial requirements must meet compliance
. :;`�SIGN:PEi2iNIT "Atta6F►(2)sets;of,Engineere.d Flans:��� ;
__ *"'"PROPERTY SURVEY,required for.all NEW construction._ .
`Dl�eCtions:, _ :E•, .
- � Ffll:out:application completely. ,
Owner`&,ConVa�tor sign back of appllcation,notarized
' If ovec�$2500;a Notice.ofCommencement is required. (A/C upgrades over$7500)
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.- " AgenY(forffie`conf�actor)or•Powerof Attomey(for'tlie owner)would be someone with notarized letter from owner authorizing same
::OVER.THE COUNTER�PERMII'TING. (copy_of-contract�required) '
'"Re�oofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
_ Driveways-Not over Counter if on public roadways..needs ROW
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NOTiCE C1F DEED RESTRtCTICINS: The undersigned understands,#hat this,permit may be subject;to"deed".resY'r'icti_,ons":;��;,'
which;may,be moce,r,estcictive�than�County.cegulations �Thefundersigne+d'assumes��res?ponsibtlify'fo��=compirance-innth any '
, aPPllcable iieed restrictians. -T�E:�.-'� t"..'�°t :� .
� UNLICENSED. CONTRACTG►RS AND" CONTRAC70R RESP:ON3181L-ITfES: =!f•the�owner��has��t�ired��a;�contractor-ar �;
contractor's ta undertake work, they may,be required to be licensed in accordance with state and��locaFregul.ations:.'If�ttte�-=�-�
contractor is.not licensed.as required'"by'(aw, both the awner�and'cant�acfor=may�=be<citeil�fo�=�-a�misdemeanor violation• �}
under state iaw. If the owner or intended.cantractor are uncertain as to wha# (icensing requirem,ents:��may.{apply#o.r..;tli"e t;u�" ��
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in#ended wark,..they:are-advised to ctintact`fFie'Pasco Courity Biiitding inspectiori`Division=Liccnsing.Section at-727=847= :�
8049. Furthermore, if #he owner-tias"hirec!'-a contractar or contractars, Fie is advised to �have #he contractor{s,}�;sign ,w7,,;;
porkions of the contractor Block of this applica#ian_for which they wiil.be responsible. <If.you, as�ttie�owiiet�sign as�tlae'� `;;
contractor, that may 6e an indication that he�is not propeirly licensed and�is not'entitled to permitting�privileges:in*Pasca�.. ;:=�
Counfy. . .. , • }�::-r�=�.;-,_. -;_:;
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TRANSPORTATtON tMPACTNTiLIT1ES•tMPACT AND RESOURCE RECOVERY PEES:��The undersigned understands =;
tha#Transportation tmpact Fees and Recourse Recovery Fees,may�appty ta tfie construction,of new.buiidings,cFian'ge�of�����;�±=,
use in existing buildings, or�expansion.:of�:existing buildings, as speci�ed in Pasco County t3rdinance number 89�07�:and �.
9U-07, as amended. The undersigned also.understands,•thaE such,fees, as".may_.;b.e:due, will�be;iden#i�ed at�tiae,tiiiie�of� '���:�_
permitting. �It is further understood that Transpartation Impact Fees;and Resource�Recovery:Fees must be paid'pr.ior to
receiving-a "certificate of accupancyn or final.:power telease. If the.project does not involve a certificate of occupaney`i.or-=��:, �
final power rele.ase,,the,fees:must be_paid prior to perrriit issuance. Furthermore, if�.Pasco�Caunty Water/Sewer!:Impact��,;-;� �
fees are due,tfiey,m,ust.be._paid prior•to permit issuance in accor�ance with�applica�le,Fasca-County ardinances.' ; `
CQNSTRUCTlON�LIEN�LA1fV(Ghapter 745;Florida�Statutes,as ar�ended): Mf valuatton of work is$2,500.O,Q.ar�mor.e;;,f,,;�; ;
c�rtify that 1, the applicant, have .been-:provided w�th a coPy-of.#he °Fbrida Construetion :Lien -�aw Hdmeowne�'s �
Protectian Guide" prepar"ed by the Flo`rida Department of Agriculture and Consumer Affairs. If the applicant�is.someone.,,
other than #he"owner",;I;certify.that I.have obtained a copy of the above descri6ed document and promise•in gaod`,faitli to `,i
deliverit.to.the�`:owner�,pr.iar.:to:commencerrient: ; '
CONTRAGTOR'S1UWNER'S AFFIDAV.IT:,;1.certify that ail the informatian in this applica#ion is accurate and`that alrwork
will be dane in cnmpliance with a8 appl'icable laws regulating canstruction, zoning and land-development. Appiication.,is
hereby made to ob#ain;,.a.,_permit to do,work-and installation.as .�ndicated. 1 certify thaf no work or Pnstallation<has �
commenced prior to issuance of"a permit and that all work will be performed to-.meet standards of al! faws regulating I
construation, County and City codes, zoning regulations, and land developme�t regulations'in:the jurisdiction. ; ! also-
certify that i understand that the regutations of other gavernment agencies may apply to the intended work, and that it is ;;
my respansibifity to identify what actions i must take to be in compliance. Such.agencies include but are not limited;to:
- ,Depactment of EnvironmentaC Rrotection-Cypress Bayheads, V11etland Areas and Endironmen#atty Sensitive ; ',
Lands,WaterNVastewater Treatment. � ,
- Sauthwest Florida Water Manag�ment District-Wells, Cypress -Bayheads, Wetland Areas, Altering •
Watercourses. ' �
- Army Corps of Engineers-Seawalls, Docks; Navigable Waterways. ' ��
- Department af Health & Rehabiiitative Services/Environmentai .Health .Unit Wetls, Wastewater Treatment,
Septic�Tanks. ;
- US Environmental Protection Agsncy-Asbestos abatement.
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- Federal.Aviation Authority-Runways.
I understand that<the following�restrictions apply to the use of fill:
- Use af fili is not ailowed in Ftood Zone"V"uniess expressly permitted. -
- tf the flll..material is to be used in Fbad Zane uA", it is understoad that a drainage plan addressing a
"compensating volume° wil! be submitted at time af permitting which is prepared by a professionai en`gineer �
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 s#ei;n wa!!
construction, I cer#ify that:fill=will be used only ta fill..the area within the stem wall.
- if fill -ma#eriai-is��to be�used in any area, 1 certify that use of such�fill will not adversely affect adjacent
properties. !f.use of fill is found to adverseiy affect-adjacent properties, the awner may be cited for violating
the conditions of.:the.bafldirig.permif�issued under the attached permit.application, far lots less than ane (9} `
acre wtiich aTe elevated by fill,an engineered drainage plan as requi�e,d. !
If I am the AGENT FQR THE�WNER;-1�promise in good faith to inform the owner pf the permitting condi#ions set forth in
this affidavit prior to.commencing constitiction. �I understand that a separate permit may be required for electrical4work, `
ptumbing, signs, welts,, poals,,air.,condi#ioning,.gas, o�-otlier installations not specifically included in the applioation. A s �
permit issued shalt'be construed�#o�tie a i'icense=#a proceed with#ha wark and nat as.authority to violate, cancel, alter, or
se#aside any pravisions of'the"technica!codes, nor shall issuance af a permit preuent the Bui(ding f3fficia(from thereafter
requiring a correctian of errors.�in plans,�constcuction.or violations of any codes. �Every permit issued shafl become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authoriaed by ;
the permit is suspended.or abandaned�far a period;of six(6) months after the time the work i�`commenced. An extension -
may be requested, in`writing, from fhe Buiiding�Ufficia(for a period no#to exceed ninety(90) days and will demonstrate '
I� justifiable cause for the extenslan. If wortc ceases for ninety(90}consecutive days,the job is considered abandoned:
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WARNING TO OWNER: YOlIR.FAlLURE TO RECORD.A NOTlCE �?F COMMENCEMENT�MAY�RESUL,T IN Y4UR
I PAVING TWICE'FOR IMPROVEMENTS TO YO'UR:PROPERTI(., 1F YOU:.INTEND�TO��OBT,AIN'FINANCING;CONSULT
f WITH YQUR`i:ENDER OR AN ATT� NEY BEFORE RECORDIIVG YOUR NOTICE�OF' O MENGEMENT.
� ��.o�au�.�uRar{F.s.zaT.aa� _
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OWNER OR AGENT d*'...---�-�—,.., CONTI2ACTOR �`"''—�"f~ _
Subscribed antl swo #o-{or a r�ned}-be€ore me tttls� ��— - Subscribeii and- `orri to{or af�irmed}pefare me tFiis"�� �` {
by by
Wha is/are personally known to me or has/have produced Who fs/are personally known ta me or has/have produced �
as iden#Ificatlon. as identif+caBon. '
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Notary Public Notary Pubtic
; Gommissfan No: Commission No.
Name of Notary typed,prfnted or stamped tVame of IVotary typed,printed ar stamped
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DISCLOSURE STATII�NT FOR OWNER
CITY OF ZLPHYFLHILLS BL7ILDING DFFPARTMENT
I, have read and fully vaderstaad aad
agree to the provisioans o� this instriuneat.
Th� �undersigned statea and affirms that he or she is desiraus af eaustruetiug,
renovati�g, addiag to ar reroofing his ar her own domicile, that he or she
actually occupies, or will occupy by said domicile, aad same is no� for
rea�, lease or sale. That he or she sha11 eomply �caith the followiag coaditioas:
I. Tha� tha owaer and he or she aloae shall act as the builder fa�r all phases of
conatruct�ion.
2. Tha� the awaer will camply writh all provisioz�s af the City of Zephyrhilis
ordiriaaces aad codes pertiaeat �o the buildiag.
3. Tha� ia �he eveat variaus phases of construct3on are subcoatracted, he will
eagage only proparly Iiceased subaasztrac�ors and cvill persanally supervise
such work.
4. That in the event the Buildiag �nspeetor sha11 reguire carreeti.ons ta be made,
the owaer wi11 asavme full respaasibility to iasure they are made, aad upon
completiaa will call for a reinspection before proceeding with t�he building.
5. That the owaer shall assume full respons3,bili�y far the canstructioa and will
aot expect supervisioa of his work from �he City af Zephyrhills Buildiag
D�paztment.�
6. That prior ta fiaal iaspectioa aay additional fees, iacludiag reiaspection
' fees, must be paid in �uli. A writtea request from this office shall
constitu�e an off�.cial notice to pay additioaal fees.
7. That the owner shall camply with all City, State aad Federal laws ia regard ta
social security, workman's aompensation, lien laws, ete. , where appZi.cab3.e.
8. That the owaer shall comply with all the safety cades issued by the Florida
Industrial Commission.
9. State law requires coastruatioa to be doae by licensed contractors. You have
applied for a permit under an escemption �o that law. The exemption allows
yau, as the avsner af your pragerty, to act as yaur own coatraetor with certain
restrictioas even though you do aot have a licease. Yau mu�t provide direct
ausite supervisioa of the caastructzca yaurself. Yau may buiid or imprave a
oae-�amily or two-family resideance or a farm outbuildiag. You may also build
or improve a commercial bui,l.ding, provided your costs do ao� exceed $75,000.
The buildiag ar resideace must be for yaur awu use or accupaney. It may aot
be built or substaatially improved Ear saZe or lease. If yau sell or lease a
building you have buil� ar svbstantially improved your�elf withiu I year after •
the aoas�ruc�ioa is camplete, the law will presume that you built or
svbstaatially improved if for sale or lease, which is a vialatioa of this
exemptioa. You may no� hire an ualiceased pexson �o act as you= contraetor or
to supervise people working on yc5ur building. It is your respoasibility to
make sure tha� people emplayed by you have liceases required by state law aad
by aouaty or znuniaipal liceasing ordiaaaaes. You may aot delegate the
respoasibi.lity for sugervising wark ta a 3.iceused contraetor wha is not
Iiceased to perform the work beiag doae. ,8ay persoa workiag on your building
who a.s aot licensed must work uader your direct supervision and must be
employed by you, which means that yau must daduct F.I.C,A. aad wa.thhoZdiag ta�c
and provide workers' compensation far that employee, all as presaribed by law.
Your caa�truction must camply wi�h a12 a�plicable laws, ardiaanees, buildiag
codes, aad zaaing regulatiaas.
OWNER'S SIGNA'rURE �'�-�—`-^—�'" DATE j f__�_
ADDRESS
PFI4Ni�
WITNESS PERMIT #