HomeMy WebLinkAbout18-20024 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 20024
BUILDING PERMIT
PERMIT.INFORMATION - LOCATION.INFORMATION--
Permit Number: 20024 Address: 5929 10TH 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: 11-26-21-0010-01500-0010
Improv. Cost: 1,800.00 OWNER INFORMATION
Date Issued: 7/27/2018 Name: WHITE SCOTT
Total Fees: 50.00 Address: 5929 10TH ST
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-3564
Date Paid: 7/27/2018 Phone: 907-843-3560
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 50.00
Inspections RqWrid
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.
CONT R giGNATURE 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 Permittino =67
................... ............. ....... .
Owner's Name
CWrj Owner Phone Number
Owner's Addressi 6 cu Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simpl6,Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT S16N DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER 7777---1
TYPE OF CONSTRUCTION 0,1 BLOCK 1--71 FRAME STEEL
I DESCRIPT!r ON OF WORK k Koc)41 \SNI N I<X—*
BUILDING`S IZE SO FOOTAGE HEIGHT
BUILDING
Is VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=G'AS ROOFING 0 SPECIALTY OTHER
FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
4* H
BUILDER,. COMPANY +1 ffo _0 Jme/
SIGNATURE REGISTERED Y/ N FEE CURREN _Y N_j
Addrpss License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 'Y/'N-T, FEE CURREN'
Address,'- License#
PLUMBER' COMPANY
Y/'N'* FEE LKLN
SIGNATURE REGISTERE6 _J
Address License#
MECHANICAL COMPANY,
SIGNATURE REGISTERED YJ N. FEE�cuRREN L Y/�N
Address License#'I
OTHER,;; COMPAN
Y
-SIGNATURE REGISTERED Y. N_J -FEE CURREN_ LKLN_j
Address License#
la..... H
RESIDENTIAL :(2)'0161:•Plani;,(2)s&s_of Building Plans;'(I)set•.ofEnergyForms; -6--W-06rmitfor.66w,construcfion".
Minimum teri 10)'woikIng days after submittal'date. ReOlied'onifte,Construction Planse Stormwater'Pl6ns.w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisio,nifiarge-projects
Attach(2)complete sets of Building Plans plus a Life,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Mihimum'ten(,10)'wcirkir.ig days after su.bmittaIA te onsite,Construction Plans,Stormwater Plans w/,SIIt Fence installed,
a, .,.RaquIred
-Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)s6ts:of.,Eqji-neared Plans.
****PROPERT-,Y;,,-SURVEY required for all NEW.construction.
...........
Fill out application completely.
Owner
'wng &'C6ntrictor...sigp,backof,application,-nota'n'zed
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
bvkkTHE:COUNTER.PERMITTING !-(copy of contract-required),,..,...
Rdidofsif shingles -Sewers Serv]66-Upgradds-A/C",- :..':,Fences:(Flot/Sarvey/Footage)
Driveways-Not over Counter if on public roadways.'.needs ROW
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
11 ot W
A have. I -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 said domicile, and same is not' for
rent, lease or sale. That he or she shall comply with the following cond4tions:
I. 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.
5. 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 I 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 I'aw 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 ith all applicable laws, ordinances, building
codes, and zoning regulation
OWNER'S SIGNAT DATE ..........121
ADDRESS 590?91 /tiff Uf-
PHONE 17C)Z-
WITNESS PERMIT #