HomeMy WebLinkAbout18-19393 CITY OF ZEPHYRHILLS
. 5335-8TH STREEf /�
�: . (813)780-0020 19393
,
BUILDING PERMIT ��
PERMIT INFORMATION � LOCATIOR INFORMATION
Permit Number: 19393 Address: 4934 16TH 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: 14-26-21-0010-00400-0130
Improv. Cost: 2,363.93 OWNER INFORMATION
� Date Issued: 3/02/2018 Name: FINLEY, JOHN & FINLEY LAWRENCE
Total Fees: 82.50 Address: 170 WINDSOR NECK RD
' Amount Paid: 82.50 WINDSOR ME 04363-3208
Date Paid: 3/02/20_18 Phone: 207-462-2238
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 82.50
�.
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL �i��,(�� �
� T�/
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
' ��
ONT CTOR SIG ATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
$�aaso-oozo - City of Zephyrhills Permit Application FeX-S13-78U-UU'L'I
• Building Department
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Date Rec�.�lved �. �, � : ;phone Contact`for Permittin -
9 � �
Owner's Name l`��� Owner Phone Number OXJ����� ^ ���
Owner's Address �"� � -J "' 1� �` � ��e-Q�� Owner Phone Number
Fee Simple}Titleholder Name � � � Owner�Phone Number �
Fee SimplelTitleholder Address
JOB'ADDRESS �G�rn�- �� � ��- LOT# �
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SUBDI1lISION PARCEL ID#
, ' (OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PRQPOSED ., NEW CONSTR ADD/ALT Q SIGN Q "Q DEMOLISH
� B INSTALL 8 �REPAIR
PROPOSED USE - Q SFR � Q GOMM Q OTHER
TYPE`OF CONSTRUCTION Q�� BLOCK � Q. �'FRAME Q STEEL Q
�i (� �,�,, (� ,
DESCRIPTION OF WORK -~ ` � '�.� � \� �.`7��
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BUILDING'SIZE SQ FOOTAGE�• HEIGHT-• _
a.r
OBUILDING $�� 2 � 2 VALUATION'OF TOTAL CONSTRIJCT,ION
J J
�'E.LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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' I P-LUMBING � $ (� �
0 z Q
i J � 1� � �
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QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
QGAS Q, ROOFING Q SPECIALTY Q OTHER -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER � �� �C�[''��� COMPANY �1U
SIGN�ITURE (� REGISTERED Y'/ N ' FEe curt�� Y/N
, Address License.#
1.
-_�ELECTRI,CIi�N: ;., COINPANY
�=SIGNATURE REGISTERED Y/ N ��FEE=CURRED Y/N
,�ad��s$ ` - License# ��
, �. _ , �
, P,LUMBER� ; . COIVIPANY�• �. . •
, ,, 'SIGNATURE ` REGISTERED , Y/ N.`�. ` FEE CURRE� Y/N
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Address � Llcense#' �
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� ::' MECHANICAL � COMP.ANY �
`'' 81GNATURE' ' � � '' REGISTERED , Y/ N FEE CURRE� , Y./N ' , ,
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Aaa�e$sF�>-= � ' � � � - ii�nse.#. �
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..OTHER;�:'°;�.:, " • " - - ` - - 'COMPANY _ -
`:;t"SIGNATURE;.?`r::�^:•'- .� � ' - ` � REGISTERED ' . Y/.N �' FEE CURRE�' Y/N ,
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Address,,v. . _ ;=&r •,�: _ - _ . , . .�; �,` , License#
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��RESIDENTIAL�^,:r'�AtCacli:°."2.'�FlotiPlans•�'�2'sefs'of:Buildin �Flans� 1'set of�Ener -Forms•R,O-VV Petriilt"r new.coristruction�
. , , ,.. w�,��_.). . �� � 9 �� ) .9Y. ., : � .. � _�
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'" '" :�:=>,;Minlmum�;ten�(>1,0,);working?:dayS;aftersu6mittal�dafe:='Required�onsite;'Gonstriiotion Plans,'StormwaterPlan"s w%Silt Fence installed; I
5... ':3i"";3.� ,,;>a. , _ _ .s; _ . .
' _ " ``'� � ������3anif,�ry,F,acilities.E&�;1�Mdumpster`Sifes�Wor,kRermit:foi�;subdivisions/la[ge:p�ojects:•:Y;, � : _ " -
I ''i�C.OMMERCIi4L Attacla'`�(2)'aomplete sets'of'Building Pl'ans plus a Life Safety'Page;(1)set of Energy Forms.R-O-W Permit for'new constructlon.
'�~�• - Minimum ten(10)working days after submittal date, Required ansite,ConstrucUon Plans,Stormwater Plans w/Silt Fence.installed,
�.'.��.
Sanitary FaciliUes&1 dumpster.Site,Work Pertnit fo�all-new projects.All commercial requirements must meet wmplia�ce
;:SIGN��P�RiWIT `"Atfacfi(�j`sets;of:EngineeredqPlans;.i�.-;::� +� �
-.._ . :
,:�,?_.._: ; "'"PROPERTY SUR1/EY required for..aII.NEW.,construction:. _ .
>Di�ectlons: -->,i:,.. ._:,,::s; . --
; ��`Ftlf.outapplicaUon completely.
O,vvner'8 Contraator:sign:tiack of application,notarized
If over:$Z500;a Notice•.of:Comm�ncement is required. (AIC upgrades over$7500) _
��";..:; ' •-�,:�,•=�u'.,.,
Agent�(fortfie�coritracto�)�or.Pov�rer ofAftomey(for'tfSe owner)would tie someone with notarized letterfrom owner authorizing same
r'�°OVER;:T,HE�COUNTER;PERMIT�TING, , (capy_of contrast:required) """�'' ``" �
�:. � : ...
���Reroofs�if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) _
. Driveways-Not over Counter if on public'roadways"needs'ROW
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NOTICE OF[�EED RESTRICTIONS: The undersigned;undecstands;-that;this�permit:may,be,swbje.ct�to,w'.deed"::.resfri.ctions",,,,�„._
wliich�may�ti.e.�more=restrictive:=�han�'Gouritjr�rr>egulatio�s: T�ieXundersign+�dt;assumes�fesporis'ibitiiy�f��co}mpliar�'ce vvithtany`,` +.�
applicable deed restrictions. � � - ���=>�W`;;����"=�='�-��;>-{'���'
� ..,.._,.. _ ... ...:.. ,.-:�,;�.
UNRICENSED'.�CONTRAC'FQRS AND'GON1'RACTOR RESPGNSiBIC:1TIES:- tf�-the��ot+viier�Fias.liire`d�:a�:eon#cactar or �t
caritractors�to undertake wark; they.-;mayf;be.;ce.quired;-to be�licensed�in accordance.with_s#ate�and�loea�;�regulation"sa4-'.'If:th°eE��,'��' y
contractar isinot.=licensed as�reguired'tiiy.�law, both:�the owner°�and�co�itractoc-�ma� be cifetl for;a�rii�silemeanor-uiolation ,. �,� ,
under state law, If the awner or;intendecl.conf�acto,r. are�uncertain as to what.iicensing�requireme�ts�rnay..appiy;�o�:th`e$�'4�°;
°�E�� ��.s
intended workr,they.are-advised�to contacf'the�'Pa'sco County'Build'ing'Inspection'D"ivision,.-�=Licensing Section at'727�84�7= ;�
8Q09: F�rr-thermore, `�f the owner has`°ttirgt�'-a cont"r�ctor or contfiactors, he��is advised td��have the:,cantractarf4s4)`�;sigr�,,;._µ:;{,. ;=;k
portions of the "contractor�Block" af this applicationTfor which.they will be,:resp.onsible.:�-lf,you;�„as.;the�,owner°s�ign a's_'tlie�'`' t�� ;:
contractior., that may be an indicatiori�th�f he�ls riot properly licensed an�f�is not enti�led-to permitting priviteges �n�Pa_s.cq�{F„=',� ;;,
County. ' _ . ..• _ -.:<,.:: = ...; :.;�,.
TRANSPORTATION IMPAGT/U7ILITIES�IMRACT AND RESOURCE RECOVERY'�EES: The undersi ned.under;stands..,,. ; }`'
�� Yix�S,.�:t�'�.�y t. 1-.;
that Transpo�fat�on Impacf Fees and Recovrse Recovery Fees?may:appfy to:.fhe.construction.of:new:6ui.l.dings,.=change,o.f���:;;:<',; .t�,i
use in existing�buildings,=or4expansion�af3:existing�buifdings, as specified in Pasco Counfy Ordinance number�89=07 and, `ss :�;
90-Q7, as amended. 7he�undersigned"a!"so urtderstancfs, that such=fees, as..may=.:be�due; wifl�be;iderttified�atttt�e�>tf�'rrie�afr'.:���`, r°�
permitting. =1t is further understood fhat Transportation Impact Fees�and Re'source rRecovery Fees'must be paid'.p.r.ior ta "
receiving a"certificate.of occupancy" or final,pawer release. If the.project d'oes not=involve.a ce�kificate of occup'ancy`o�:a`}��;. �
final.power release;�the.-f_ees-�nust�be.paid prior to perrriit issuance.....FurtFiermore,.if:Pasco Coun#y W�ater/$ewer�;;tmpacf:�,::�_�� F� :
fees are due,.they,must;be.paid,prior to.permit'issuance in:accordance with applicable:Pasca C,omnty ordinances.
CQNSTRUCTION'U�N�LAitU{Chapter 71�3; �forida Statutes,as amended}: If valuation af wor:k is$2,5{}O;OO�or:rtmrare,�.in:;.:� � � -
certi, that "I, the a licant, �have been rovided with-a co " � � '`��" �
fy pp p py::af-the Florida Cans#cuc#ion ��;ien .Lav�Hameowner s
� Protection Guide" prepared�by ths Florida Department of Agricufture and ConsUmer<Affairs. If#he applican#is som�one., . .
other than the"owner", 1 eertify that;i:have obtained'a capy of the�aboVe''described;dacumenf and,pr_,�rrimise�in�good,#aitfi;;tq �_
deliver it;to`th:e>`�o�rner"ripFior.;to.commencement:` � _ i
C�NTRACTOR'S18WIdER'S AFFIDAVIT:.��I;certify:#Fiat'all't#ie inforrnat�on in this application is accurate and�ttiat atiwork �
will be done in compliance with all applicable'faws,regulating constructian, zoning and�lantl•-development. Application is
hereby made to o6tain a.=.pecri�i9t:.4to�'do:�work�-ancl instatiatian as'tindicateif: �! ce�tify that no woi�lc ar,�r�stailat�on�has
commenced prioc to issuance of a p.emiit and��that all work will be performed to::meet�standards-of all laws regulating, ,
construction, County and City codes, zoning regulatians, and land development�regulatians in�tfie jurisdiction. °-�1�°also ���,
cettify tFtat I understand that the regulations of other government agencies may spply to the_.intended work, and that it is „ ;,
my responsibitity to identify what actions I must,take.to.be in compliance.r�Such.agencies include but;are not�limited;;ta::' :'�x
- _Department of Envirorim�ntal�`Rroteat�oia=Cyjiress Bay�i�ads; iNetland Areas and Environmeri#ally Sensit�ve
Lands,Water/Wastewa�ter Treatment. � � ; �.;
: r-,
( - Southwest Florida Water Manag�merit Distr.ict Wells, Cypress -Bayheads, Wetland Areas, AI#ering
Wa#ercourses. - � " �
- Army Corps of Engineers-Seav�alls, Docks;Navigable Waterways. ` �'�, I
- Department-of Health;� Rehabilita#ive SeryicesiEnuironmental_�.Heal#h-°Unit-Wells;'W.as#�!water Treatment, ;� �,
Sep#ie°Tanks. ' � � V
- US Environmeritai Protecfion Agency-Asbestos.abatement. • _ _
- Federai Aviation�Authority-Runways,. �� � ;
!understand that�:tlie following�restrictions apply fo the use of fili: i ,
- Use of fili is not a(lawe,d in F.foad Zane"V"unless expressiy permifted. j
- If the fill material :is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
"compensating,vo{ume°will be submitted at time af permitting which is prepared by a professionai engineee �
licensed by the'State�-of�lorida. •
- !f the fifl material is ta be used in Flood Zane "A° in connection with a permitted building using stem uvall '
construction, i certify.that-fill will�be used only to filt the area within#he stem wall. _ ; -i
- If fill� material is to :be used in any �area, I certify that use of such frQ wiU not adversely a�Fect adjacent.
properties. If use df fili is faund to adversely affect:ad�acent properties, #he owner may be cited for violating. �<�:
the conditians"of.the.':"building.permif 'issued und'er the�attached per:mit:application, far lots�less-than one (1_) �';� �
acre which are elevated by fi11,an engineered drainage ptan is reqtiired, �'; j
If 1 am the AGENT FGR THE OWN.ER;:I:promise in..good faith to inform�the ow�er of.the�permitting conditions set forth;in � ° ` '
;��� �
this affidavit prior fo.commencing cons#naction. 1 understand that a sepa�ate permit may be required for eleatrical wa�k,. ?-� '
plumbing, signs, weits,.pools,,a,ir,.�canditioning;.,gas;.:.ar�ott�ier instailations not specificatly inctuded in the applicatian. �A., w � � i�; !�
permit issued shall�be�consfriied`-to�be a license�`to�.praceed�wiith the work and not as authori#y to violate, caFlcel,;alter,Eor ��� ��
, set aside any provisiorts of`the"#echrticat codes, rtar sha11 issuance of a permit prevent the Building O€Fciat from #tiereafter ;,�; ,
� requiring a co�rection of ercors in plans;�cbnstruction or;viola#ions of any codes. �-Every permit issued shall�beeame inva�lid r.:;�.
unless the work authorized by such permft 9s commenced within six months of permlt issuance, or if work autharized_by� �,�;
s.,
the permif is suspended.or_abandorned.far a-period::,of six t6}"months after the time the work i� commenced. An extension - ,.�,
may be requested, in`writing,;from'ttie Building=0fficial for a period.not ta exceed ninety (9a) days and wil! tlemonstrate �:
justlf�able cause for the e�ctensian. ,If woris:ceases for nine#y{90}consecutive days,#he jab is considered abandoned. � ;��y
. ! ���
VVIIARNFNC TO OWNERc:YOUR:.,�AILURE:..T,O;:RECORQ.A.�IOTIGE.4F COMMENCEMENT MAY RESULT 1N'YOUR
PAYING,TWI.C,E'FOR:IM��O;VEMENT�S�'�QYO;UR:�PROPERTY:; IFYOE�si(Y�END�TO�OBTAIN:=FINANGiNG;CONSULT �� '
y--Wf i FI'YOY:JR"L�NDEF2.�1�AtV Afi1`ORN�1(BEFORE�t�C_C�FtDiNG�YOIiR-NC1TlCE='C�F��C1MNiEN�E�iIENY:-��-`_�� : -�-- -
FL4RIDA JUFtAT{E.S.9'l7.03 �;,; , . . . . . � _ `;
OWNER OR AGEN ` CONTRACTOR �f .r"�
Subscr3bed and�sw o(or affirme j befare me thls Subscri6ed an m ta or affir�med}-b�o re m�s - .
bY bY <�fi�i(D� i A,/ .C`
Who is/are pe►sonally known to me or has/have produced Who islare personally known to me ar has/have prod ced ' �
as tden8flcatlon. as idenEifica�on. -
Notary Public Notary Publlc ,
GommEss[on No. Cammisslon No. "
Name af Notary typed,pfinted ar stamped Name af Natary iyped,printed or stamped �
+ " DISCL05i7R� STATEi�tl'S FQ� O�NSR
CITY QF ZBPHYRHILLS BIIILDIY+'�G DEPARTP�RTT
I, S��'{'\����2.C..� have read aad Eully wnderstaad aud
agree ta the provie3oae af this iastrument.
The uad�rsigaed states aasd affirms that he or she is desirous of construc�iag,
xeaovatiag, adding to or reroofing his or her owa domicile, that he or sb.e
aatually occupies, or will acaupy by �aid domicile, aad same ss aot foz
r�at, lease or sale. That h+e ax she shall camply with the following coa8itioas:
1. That the ov�ser aad he cr she aloae shall act as the buii�der for all phases of
canstsuction. �
2. That the os,raer r�vill complg with all pravisiaa8 of the City af Zephyrhills
ordiaaaces and eadee pertiaeat to the bui2diag.
3. That iu th� event var3one phaees af coaetruction are subcoatracted, he will
eagage anlZr pxoperly liceased subcoaCraators aad will persoaaZly supezvise
such work.
4. That ia the eveat the Suildiag Iaspector sl�a2l xe+quis� corxections �o be m�de,
the ot,raer wil2 assume fu11 respaneibility to iasure they are m�de, and upon
campletioa wiZl cali for a reiaspection before praceedis�g with the buildiag,
5. That the owuer shall aesume full re�poasa.bilitg for l;he caastruction, and will �
aat �gect supetvieioa o£ his work £rom th� City of �ephyrhills Build3.ng
Department.
6. Tb,at priox to £iaal iaspec�ion aay additiaaal teee, iscludiag reiaspect3oa
�ees, muet be p�id ia full. � wsitten r�quest from this office shaZ1
con�ti�ute aa official aotice to pay addition�l fees.
7. Tha� th� awaer shm1Z aomgly w3th aZl City, 5tate aad Feaera.3 Iaws ia regard to
saci.al seeurity, workman's campensation, Iien I.aws, et�. , where applicable.
8. That the awaer shall camply vaith all �he safety oodes iseued by the Florida
Iadustrial Commiseioa.
9. StaGe law require�s caaetruetio�a to be done by lieensed cantractors. Yau have
- appZzed foar a pazmft under aa �emptica to th�t Iaw. Th�e e�cemptioa al2ow�
you, �s the awaer o� your property, to act as your owa cantxactor wsth cextaia
xeatrict3.oae evea though yota do aot have a license. You must grovida direct
oasite supervieioa of the coas�ruct3oa yourse2f, You may build or imprav� �
one-f�mily ar ts�o-famsly resid�ace oz a fazm out3�uild3ng. You may alsa build
or improv�e a commercial building, pra�rided your costs do aat exceec� $?5,000.
The buildiag or sesideace must b� for yaur owa use ot ocaup�.ncy. IG may na�
be built or substaatialiy impraved for sale or lease. =f grou sell ar lease e
buildiag you h�ve built or substaat3ally 3mproved yourself wi�h3a 1 y��r ��ter
the coastruet�.oa is eomp2et�, the law vaill presume that you built or
sub�taatialiy improvetl �,f fat� sale ar le�ee, which is a vialatian af this
ex�tiaa. You may aat hir� � ualice�sed p�rsaa to ac� �s yaur coatsactor or
to supexvi�e geo�rle workiag oa gour building. Yt is your ze�ponsibility to
make suxe that people emgloyed bg you have licenses rec�u3r�d by stat� Ia� and
by coua.ty ar munie�Lg�I liceasiag ardis�aaces. You may not delegate the
respoas3b3lity for Bupervieiag work to a liveaeed coatractor wha xs aot
Iiceused ta perform the arork beiag doae. Aay pereoa workiag oa your builc�ing
who is not licensed muat work uadex lrour direct aupervisiaa aad inust be
__------- eJplo_yed byyouu,� whi��t►�aas—that_�mu-must-dedt��t-R.��:�-.--sad--�rithhcrrdin��tax- --------- -- --
aad pravi.de workers' aampensatian far that employee, all as prescribed by Iaw.
Your eanetructiaa must aomply with all agplieable lawa, ordiaaaces, buiidiag
codes, and zoa3ag regulatioas.
06�NER'S SIGNATUREG�r��/��---/,;� DATE �,{J ",��''l � .
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ADDRBSS �
�saNa. 20 7 � �.�
i�T'ITNBSS PSRMIT #
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �o h n -�i n l ��
Date Received: a J�� f� g - �
Site: (�.�-(�� � (p�"�1 s�
Permit Type: • �� �6.�- �,'e ,
� Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalvin Swi � lans Examiner Date Contractor and/or Homeo er
(Required when comments aze present)