HomeMy WebLinkAbout18-20342 CITY OF ZEPHYRHILLS
5335-8TH STREET
` (813)780-0020 20342
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20342 Address: 37950 6TH 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: ZEPHYRHILLS COLONY
Est. Value: Parcel Number: 10-26-21-0010-12800-0100
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 10/17/2018 Name: BLISS, GERALD
Total Fees: 55.00 Address: 4904 WESSEX WAY
Amount Paid: 55.00 LAND O LAKES FL 34639-5663
Date Paid: 10/17/2018 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 55.00
12
Inspections Required
DRY IN ROOF INSP
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 7 � Phone Contact for Permitting —
Owner's Name Owner Phone Number
Owner's Address �� (p S Owner Phone Number
Fee Simple;Titleholder Name Owner Phone Number-
Fee Simple Titleholder Address
JOB ADDRESS 2 2?SD �� !fL LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NW CONSTR e ALLREPAIR SIGN = = DEMOLISH
i}
PROPOSEp USE = SFR = COMM 0, OTHER
TYPE OF CONSTRUCTION 0� BLOCK = _ FRAME = STEEL Q
DESCRIPTION OF WORK O
j,
'BUILDING SIZE F SQ FOOTAGE HEIGHT
BUILDING $
3 l�tJ� VALUATION OF TOTAL CONSTRUCTION
=E.LECTRICAL $ 6 AMP SERVICE, Q PROGRESS ENERGY Q W.R.E.C.
i.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
r
OCAS ROOFING Q SPECIALTY = OTHER
FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i ,
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURREP
Address License#'
ELECTRICIAN COMPANY
`SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER; COMPANY
SIGNATURE REGISTERED' Y/ N` ' FEE'CURREK
Address License#
MECHANICAL- COMPANY'
SIGNATURE-• REGISTERED Y./ N:" .FEE''CURRED-' -Y/N
Address . // Licenseg#
. •COM,P,ANY
SIGNATURE ._ ,/ REGISTERED Y/ N •-FEECURREN. Y/N
Address , 1g1L t 3 � G ��`r _ License# ®OlL�._
RESIDENTIAL . Attach;(2),.Plof Plans;'(2)sets,of Building Plans;,(!)set of rm Energy.Fos;R-O-W.Permit k.,fog new.constructio
Minimum ten'(10f working days after submittaFdate: Required onsite,Construction Plans,Stonnwater Plans w%Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets 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 for all new projects.All commercial requirements must meet compliance
SIGN PERMIT . Attaoh(2)sets of.Engineered Plans.
***'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner'&"Contractor sigm back of application,notarized,
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
'* Agent:(for''the contractor).-or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
`OVER THE4OUNTER•PERMITTING_ (copy of contract required)
;. Reroofs'.ifshingles - Sewers Service'Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED,RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any,,
applicable deed:restrictions:
UNLICENSED. CONTRACTORS AND CONTRACTOR- RESPONSIBILITIES: If the owner has hired a contractor or
contractors'to undertake work;,,they may be,required to be licensed in accordance with state-and--local.regulations: �if-the
contractor is not licensed as-required by law, both the owner and contractor may be cited for a misdemeanor violation
under`state law. If the owner or intended'contractor are.uncertain.as,to-what licensing requirements:may apply'f6r'the'
intended work, they are advised.to contact the Pasco.County'8 ilding Inspection Division—Licensing Section at.727-847-
8009. Furthermore, if the-owner .has'-hired"a contractor or..contractors,. he..is.advised -to-.have the'contractor(§)`§"ign
portions of the "contractor Block' of thisapplication for-which they-will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges.in:Pasco :-
County. . . .
TRANSPORTATION.IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands...
that'Transportation_Impact Fees acid"Recourse:Recovery Fees may apply to the construction of new-.buildings, change-of
use in existing buildings, or expansion of existing buildings;,as specified in Pasco County Ordinance number 89:7!07..;and_
90-07, as amended. The undersigned-also-understands, that such fees, as maybe-due;will-;be identified at the•timi.`&
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior-to
receiving a "certificate of occupancy" or final power release.- If the project does not involve a.1certificate of occupancy,or
final power release, the fees.must.be paid prior to permit issuance. '-Furthermore, if-Pasco County Water/Sewer Impact
fees are due, they must be-paid'prior to permit issuance in:accordance with applicable Pasco County ordinances:
CONSTRUCTION LIEN.LAW(Chapter-713, Florida Statutes, as'amended):If valuation of work.is$2-500.00-or more, I
certify -that I, the applicant;-have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide".prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant-is someone
other than the"owner", I certifythat I have obtained a copy of the above described document-and promise in good faithto
deliver it to the"owner" prior to 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. Application is
hereby made to obtain a permit to do work-and installation as indicated.' ,I certify that no work or installation has-
COMM
enced prior to issuance.:of.a permit and that all work will,be.-performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may,apply Wthe 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:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and 'Environmentally Sensitive
Lands,Water/Wastewater Treatmentf i
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks,Navigable Waterways. {
Department of-Health & Rehabilitative Services%Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection:`Agendy=Asbestos t.abatemen
Federal Aviation Authority-Runways.
I understand that the,following.restrictions•apply to-the use of fill:
Use of fill is not.allowed in Flood Zon6 V" unless expressly permitted. -_
If the fill material is to;be:.,used in (Flood Zone "A", it is understood that a drainage plan addressing a
"compensating_volume"..will..be,.submitted..at time'of permitting.which-is.prepared bya 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 stern wall
construction,'I certifohaffill will'be used only to fill:the area.withinahe:.sterri wall. i
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 affectadjacent'properties, the owner may be-cited for violating
the conditions of the building permit issued under.the;attached permit application, for lots less than one (1)
acre which are elevated by fill,an'en ineered dra nage;plan is required.
If I am the AGENT FOR THE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. Il understand that a separate permit maybe required for electrical work,
plumbing, signs, wells, pools, 'air conditioning, gas, or;other installations-not--specifically included in the application. A
permit issued shall be construed to be a license to proceed withahe work and not as authority to violate, cancel, alter,;or, .
set aside any provisions of the technical codes, nor"shall issuance-.-,of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes: Every-'-permit issued shall become invalid
unless the work authorized.by such 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 afterthe time the work is�commenced. An extension
may be requested,-in writing, from the.-Building Official for a°period not-.to exceed ninety (90) days and will demonstrate
justifiable cause for the extension., If•work ceases for ninety(90)'`consecutive.days,the job is considered abandoned
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 1(OlJR LENDER OR AN �iTTORNEY BEFORE-RECORDING-YOUR.NOTICE-OF-COMiWEN.CEMENT.-
FLORIDA JURAT(F.S.117.03) ,
OWNER OR AGENT CONTRACTOR s R�
Subscribed and swam to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by
Who Is/are personally known to me or has/have produced Who Is/are rsonally wn to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Comm6si6n No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
City of Zephyrhllls .
5335 8t1 St
Zephyrhills,FC 33542
RO OFIRIG.INSPECTION AFFIDAVIT
Permit.No::
licensed urider,Chapter 468, Florida Statutes"as a n :.
Conte-actor r .Engineer Architect -Building Inspector -
License IVa: "
On or about /0. .2�h . -did personally inspect the: .
Check: Roof Dec
g +�_ ; Dry k_Nail in. Flashing and.Drip edge -
Check which was used:. 30#felt Peel and:Stick" OtFter:(List} ysffyfrEZr
• At-tlie:follouuing.. "" �_.
address::'"
Based up.6n.that.examination,,I have determined.the installation.Wa.s done according.fo the Hurricane
Mitigation Retrofit Manual:-{Based on Section 553.$44;.Floiida Statutes},
Signature:
""STATE OF FLORIDA .
COUNTY OF PASCO.
SW6rn.to and subscribed.before this"day
BY. ...
otary:Public State of:Flarida
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