HomeMy WebLinkAbout18-19489 ' CITY OF ZEPHYRHILLS 1
5335-8TH STREET
(813)780-0020 19489
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19489 Address: 38032 7TH AVE
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: 11-26-21-0010-12900-0171
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 3/23/2018 Name: DAUSCH THOMAS J
Total Fees: 60.00 Address: 38032 7TH AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-4056
Date Paid: 3/23/2018 Phone: 813-
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 60.00
DRY IN ROOF IN P Ins ections Required
TAPE JOINTS ROOF INSP
FINAL
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT CTOR SIGNATURE PERMIT OFFItXR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
01s-rau-uuzu Lary OT Gepnyrnuis rermlt/APPucdLIUII - - - --
Building Department
Date Received phone Contefdtf6pPennitting
Owner's Name Owner Phone Number
OWnees Address � 4 h e Owner Phone Number
Fee Simple}Titleholder Name Owner Phone Number
Fee SimplelTitleholder Address
JOB ADDRESS ` �ve ' / �� LOT# 7 /
SUBDIVISIONPARCEL ID# a�.�bn/v �— / a-- �� 7/
(OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PROPOSED NEW.CONSTR' ADD/ALT SIGN 0 = DEMOLISH
e INSTALL B 'REPAIR
PROPOSED;USE = SFR 0 :`COMM = OTHER
TYPE'.-OF CONSTRUCTION BLOCK 0 ,FRAME 0. STEEL
DESCRIPTION OF WORK CG C`Pi
BUILDING:SIZE SQ FOOTAGE 7�f HEIGHT •. 6 /
t
I
=B,UILDING $ VALUATIONOF TOTAL CONSTRUCTION
0 o- cv
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING- $
C
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION h
=;GAS ROOFING 0 SPECIALTY = OTHER:
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
,
7.
BUILDER / �C�`� COMPANY
SIGNATURE /1 C/'� REGISTERED Y'/ N FEE CURREK
Address �D ✓e Lice se
ELECTRICIAN. :... COMPANY
SIGNATURE REGISTERED Y/ N . FEE: URREN
t
Address' License-#
P.CUMBER.. "COMPANY=
SIGNATURE REGISTERED . Y/"N, ' FEE GURREA
Address License#.
:=:MECHANICAL COMPANY.
" SIGNATURE.''" REGISTERED Y/ N FEE CURREN Y/N
Address*" License.#
OTHER `;: :;..:r; COMPANY
.SIGNATURE :: _. •_ REGISTERED Y/.N FEE:CURREK Y/N
Address, a, License#
:l" a r'of Bu'MIK Plans . setbfEne Form"s R=O-]N:Pemiif or ne' ,construction;.
RESIDENTIPiL? ;: .Attacha:(2)FRIot;P,ans;(2)*s is , g ,O r9Y..._ x,!
sutimittal•`date."Re uirei!'onsite`Construction'Plans,`Stormwater Plans w/Silt Fence installed,
,.;
,.,
q
Sanitar
Facilities&;1+.dumpster,•;,,SifeW..orkPermit;for subdivis'ions/largeprojects'
}
�GOMMERCIAL Attach"(2)"Yctimplete sets'of`l3uliding`Plans plus a LI'e Safety'Pege (1)set of Energy Forms.R-O-W-Permit for'new construction.- --
f'H Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,,.
Sanitary Facll(ties&1 dumpster.Site Work Permit fd��aAl=new projects.All commercial requirements must meet compliance '
:SLGN;:PERMIT Attach`(2)'sets of Epg nQe�ed Plans«,;: ,.r.
"'
-: PROPERTY SURVEY req uired_for,all.NEW,construction:.,:
`{ ...
Direction`s• .--„.:-.:;;;.� -.
III application completely.
` OwnerA Contractor sign_back of application,notarized
If:over,42500;.a°Notide.of Commencement is required. (A/C upgrades over$7500)
Agent: owner)would tie someone with notarized letter from owner authorizing same
%'.OViR THE:COUNTER'P.ERMt,TTIPIG:,....._ ..(�py.of contract.required)
"'Reioofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) . .
;Driveways-Not over Counted if on.public.r`oadways;:needs-ROW
NOTICE'.OF-DEED,RESTRICTIONS: The undersi ned::unde rstan,,,jis;that,this-permit;ma z be.,sub e-et�tti;:�"deed
!^:xf•�;.:i; :4�f ":s't .t•.`;.`: s. .S�LyY,,: ��>. � 1-
which:mayRbe.mordaestrlcfive:fhian;County:regulations =.The,undersigned,assumes.responsibitityfo r.,compliance`wrti}any:.":'
applic&d..deed restrictions. : . ,..
UNLICENSED CONTRACTORS AND"CONTRACTOR RES !C}NSIBI!lTIES . if ttie>owner ias-.ialred a contractor or-
...._. y
contractors to undertake work, they may,be;r:_egtiired to be=licensed in accordance:witK state::and local regulations -y`If=tie =
contractor,isrnot'licensed:as:,,requi d 15'y. law; both the owner=and"contractor niay,be�cited�forsa7 misdemeanor violation .. '
under state law. 'If the owner..intended'contractor-are;uncertain as.to what:licensing,requ rement's�cn'a7f�aj�p1y�for�fl
Intended work .they:are advised to contact the Pascg_Courity Bttliiiing.;inspo,ion Dtvlsion--Licensing,Section at 727-847
8009. Furthermore, 'if the owner has'Windd'`4 contractor or contractors, he-is advised to+have-the.contractor( ;sign
portions Of the "contractor Block" of this-application:for which they-will-be,responsible :�^if:you,
contra ,as ti eowner sign:asvthe ' h
ctor,'that may be an indication=that'heµ snot properly'licensed and is not entitled to permitting 1 rMteges in>Pasco
County i
TRANSPORTATION•IMPACT/.UTILITIES,IMPACT AND RESOURCE RECOVERY'FEES:-The undersigned understands;:,.,
that Transportation impact Fees and Recourse Recovery Feesr-may apply totthe construction.-of now., .uildings,::changle
use in-existing'buildings,=or-expansion:of`existing buildings, as specified in Pasco County Ordinance number 89 OT',add.•
�,• :: {
90-07, as amended. The°undersigned,also understands,:that suchfees, as.may:>be,due, wiif'be Identified at='they time<af :,
permitting. 'It ls"further'understood that Transportation lnipact Fees,'and Resourceiftover ,Fees-must be paid:prior_#o
recelving:a certificate of occupancy or final,power release: `If the project.does not:involve;a certificate of occupancy or=
final'power release,;theJees:must:be_.paid prior to-permit-issuance.....Furthermore,.if.Pasco County Water.:Seweraimpact
fees are due;.ti ey.must be:paid.prior to permit issuance.in:accordance with'appiicaple;Pasco`County ordinances.
CONSTRUCTION'-4&1— (Chapter 7l'i.Florida Statutes,as amended): If valuation of work is$2,50>0:0.0,or,morei jr ;,t
certify that I, the applicant,.have been provided with- a.copy...of::the °Florida'-C:onstnaetion,L ien :law -Homeowner-s
Protection Guide"'prepalred'.byAhe'Florida Department of Agriculture and Consumer.Affairs. if the applicant;is.:someone:;.,..: ..
other than the"owner", I certify tha#have obtained a copy of the above-described`document and_.promise°iri.goodfaith-to::,,.; -
deliver.it,to`fne':..ownee,LJ`iorl commencement:
CONTRACTOR'S%OWNER'S AFFIDAVIT:,:-I;certify;that"all the information in this application is accurate and'that all'work
will be done in compliance with all applicable laws regulating construction, zoning-and land.development. Applicatidn.is
hereby:made to.obttain•a; permit:.to.;;-do:work--and installation .as`indicated. 1 certify that no 'work ar':installation,'has
commenced pnor'to issuance of'a permit and--that all work will be performed to.meet standardsdf all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in•-the jurisdiction. ° 11'also > `
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance.;Such agencies include.'but:are not,limited to: r
,Department of Environmentai"°Protection=Cypress Bayheads, 1JVetland Areas and Environmentally Sensitive
>;
Lands,Water!Wastewater Treatment,
Southwest Florida Water Management District Wells; Cypress -.Bayheads, Wetland 'Areas, Altering
Watercourses,
Army Corps of Engineers-Seawalls, Docks; Navigable Waterways. y
Department,.of.,Health;.,A,Rehabilitative. Services/Environmental:4.He.alth..:Unit Wells, Wastewater.Treatment,
Septic°Tanks.: ;
US Environmental Protection Agency-Asbestos,abatement.
Federal•Aviation;Authority-Runways.:
I understand thatthe:foll'awing°restrictions apply t9 the use of.fill:
Use of fill is not;allowed in Flood Zone"V'! unless expressly permitted.
If the fill`-material I' to be used' in. Flood Zone "A", 'it is understood that a-.drainage plan addressing a
ucompensating volume"will be submitted at time of permitting which is prepared by a professional engineer
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 stem wail
construction, I certify1hat fill will-be used only to fill the area within the stem wall.
If fill material is-to be used in any area, I certify that use of such-fill will not adversely affect adjacent
properties. -if use of fill is found to adversely affect-adjacent properties, the owner may be cited for violating
the conditions of the-6uiiding,permit issued under1he-attached..permit application, for.lots Iess'than one,;,(`I)
acre wtilch are elevated by fill,an engineered drainage plan is required.
If I am the AGENT.FORATHE-.OWN_ER,i:promtse in goodfaith-to inform the owner of-the-permitting'conditions set forth in
e ri
this affidavit prior`to_coromancing construction: .l understand that.a separate permit may be required for electrical.work,. _
ools t..�..,
plumbing, signs, wells,p ,.;air,conditioning,,gas,..or other`iiis allatiohs not specifically included in the application:;
permit issued shall'be.constrtiedito tie a'liceiise�toi.proceed-with the:work::and'not-as:authority-to violate,.cancel, alter„or
nic
set aside any provisions of°the'techal codes, nor shall issuance of a permit prevent the Building Official from thereafter .�,
F
requiring a correction of.errors:iri:pians;':construction.or violations'of`aiiy`codes.`Every permit issued'shall`become invalid
unless the work authorized`bysuch permit is commenced.within:six;months of permit Issuance, or if work authorized by�
the permit Is-suspended.or abandoned for;a,�period=;of-'six'(6)months-after the time the work is commenced. An extension �4
may be requested, in writing, from.the Building Official for a period:not to exceed ninety{90)days and wii!'der>tonstrate
justifiable cause for.the extension. ,lf work.ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING T0�OWNER; YOUK FAiLUREjTIQ.,RECORD:A NO.TICE,OF COMMENCEMENT MAY RESULT IN'YOUR
PAYING,TWICE;'FOR,IMPROVEMENTS*TQ.Y,;.OUKVROPERTY:,:IF YOUsi1NTEND:TCl ORDAIN FINANCING;;CONSUt.T
WITH YOUIRI:ENDER 0 -AM,oA'1` G1Ri!!FY-B& RER1.k0QRD9NG_LI0IJR`- F?COMMENCEME
—FLURIDA JURAT(F.S.117.03)
OWNER OR AGENT _ UV.2,� CONTRACTOR X4-4�
S bscrib d and swom to affirm ). fore me Sub cribed and sworn toaffimted)b r�aae tlai
Lby s at e{ 1£t by L� ae�5 ,
W o islare ersonally known to me or has/have.produced o Ware personally known to me or has/have produced.
i t/lr' lam./Gem ,Q as idenUflc flon.' as IdentiflcaUon.
f &;A . UV LdotarvPublic G - Notary Public
C mmission No. r to tbS2(2 C mission No.
N e o Notary typed,printed or stam dd Name of Nota
�epa'rP pE !_�-�ir.;i•=.UFFE_LL •�i�YP DEBRAELAINE RUFFELL
. .. c�;commission#GG 045343
,,.commission 4 G(^ 43
M .�a ?•;, "r;i}'rs Novetr 2i? -,rP�g`Expires November 7,2020
j,� ° Bonded ThniTro Faiolnsurance8043857019
CITY OF " NOTICE / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE PERMIT
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
&�KCZJ Lo V-41LZ 6X A,0_ 424&
It is unlawful tar any carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR NSPE TI
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
DISCLOSURE STATEMENT FOR OWNER
/ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
O M u 5 OL U-5 cA have„read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own ,domicile, that he or she
actually occupies, or will occupy by , -3� said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
. 3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
S. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in 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 Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, - as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction 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 residence 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 substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or. lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and-must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATURE ' OD X U4_,L DATE 3 a.
ADDRESS e e Lr
PHONE -7 - 6 3 2D/
WITNESS PERMIT #