HomeMy WebLinkAbout18-19919 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19919
BUILDING PERMIT
PERMIT INFORMATION = LOCATION-INFORMATION
Permit Number: 19919 Address: 4830 17TH 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: 14-26-21-0010-02200-0110
Improv. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 7/03/2018 Name: FERGUSON PHYLLIS
Total Fees: 80.00 Address: 4830 17TH ST
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-6024
Date Paid: 7/03/2018 Phone: 352-807-2292
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
AVATAR ROOFING LLC REROOF RESIDENTIAL 80.00
Ins ec'ions 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.
W,F,A
kWONTFTACTOR 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 Phone Contact for Permitting =1,22._
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple.Titleholder Name Owner Phone Number
Fee Simple.Titleholder Addresses
JOB ADDRESS O�D �� LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
B INSTALL e REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q/� BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK
i
BUILDING SIZE SQ FOOTAGE HEIGHT
I
=BUILDING Is p6emVALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �W
i
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
I h
� I a 2 i i i i i i i i i i i i v v v I i i i IT w
BUILDER COMPANY QA,
SIGNATURE REGISTERED Y/ N F E CURRE� Y/N
i
Address License#
I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
I
Address License#
PLUMBER; COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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 Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign 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 THE,COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
RD
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.. ,. _. Zephyrhills FC 33542 .; .
r (813.):780 0020".. ,
ROOFING-INSPECTION AFFIDAVIT
Permit No.:
fcensed under Chapter 468 Florida Statutes as:a(n):
-Contractor. Engineer_Architect- Building.Inspector_
License No.
2.
On or about did pe"rsonally,inspect the: .
Check; Roof Deck Nailing "g .Dry in -. Flashing and'Drip,edge
Y.
Check which was.used: 30#felt—Peel and Stick_Other(.List):-'
At the following /
address:. .
Based.upon that examination, l have determined the. nstallatio,n vuas done'according to the Hurricane
Mitigation Retrofit Manual,(Based on-Section.553.844;Florida Statutes):
Signature: -
STATE OP FLORIDA .
OUNTY OF
PASCO .:. . , . .
:. . _ Sworn-to and subscribed before this day:. ::
BY:
Notary Public State of:Florida
DEBRA ELAINE RUFFELL
ber 742
;_Commission# 343
P Expires Novem
020
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Pemms,Wkri: te:Stata or Flarlea designated by fie"TW upon rdtam mZces to o0W do0arm6,11B nWbe.smtd as pvAftd by. - -
i iec lcn 713.13(IXW).Ratio SW tes. 71
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Teieplttate Number of O:ostgtiated Person: =
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_ to nmem aoapyas xcon 713.13(1}jU Fonda ,'.._.'.
Tetaphans Nitrtba o1 Pecan or Erao Desk by Orates:
8. Exp i data of N.cfiee of Caorrna=wmd M*eMbmbm date may its4 be befae Bye umqiaHOn of wnstruetion nod fetal payt»erd Ioj)te
WARMNGTo OWNEJt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT..
.ARE CONSIDERED IMPROPER.PAYMENTS UNDER CFt PTER 713, PART 1 SECTION 713 13, F.LORIDA STATUTES.AND Cjkc =
RESULT IN YOUR PAYING TV410E FOR IMPROVEM1IFWS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE -
1 •c'' :'..: .:,' .. " RECORDMAND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF-YOU INTEND TO OBTj Fit:ANGNG,COt4UL-
l. ". WITH YOUR LENDER OR AN ATTORNEY BEFORE CQMMENGNG WORK OR RECORDING YOUR NOTICE OF C.OMMENCEMFPIf
STATE OF FLORIDA
-OUNTY OF PASCO-
of Oww or Lessee.or q s or Lessee's Aid wdwd .
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STATE OF FLORIDA
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