HomeMy WebLinkAbout18-19566 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19566
BUILDING PERMIT
PERMIT INFORMATION .LOCATION INFORMATION
Permit Number: 19566 Address: 37632 NEWPORT DR
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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0340
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 4/12/2018 Name: RACHEL COREY J & TAMMY D
Total Fees: 55.00 Address: 37632 NEWPORT DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-7994
Date Paid: 4/12/2018 Phone:
Work Desc: REROOF SHINGLES
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 55.00
DRY IN ROOF INSP 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.
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A13-780-0020 '"City of Zephyrhilis Permit Application Fax spa-Tao-0021
Building Department
Date Received - r -�I ,[ - . . .:. ... .:,=, �
�+� /M.
2/:�� Phone Cbntact�forPermittin !J 6
,. (}ram
Owner's blame" �L C 14"C�- Owner Phone Number �� "mil J ' ��7-33
Owner's C�"Address . /(Q 3v2 A,V AvA717. (� . Ow"ner,,Phone Number
�} _ ,
Fee Simple'Titleholder Neme Owner Phone Number
FeeSimp{"Titleholder Address
JOB ADDRESS S� LOT#
t _
SUBDIVISipPt. { PARCEL ID#,
I' (OBTAINED FROM PROPERTY:TAX NOTICE)
WORK PF,OPOSED NEw.CONSTR ADDIALT SIGN "Q .. Q DEMOLISH
INSTALL. REPAIR
PROPOSED;.USE: 0 SFR [ COMM Q OTHER.>"
TYPEOF CONSTRUCTION.: BLOCK Q. " FRAME �. STEEL
DESCRIPTION"Of WORK
r; -71 .
BwIloil is SlZE'" SgFbOTAo> . /$ � IfEIGFIT lj .
=tBU1LDING _ $ VALUATION'OF TOTAL.CONSTRUCTION
=ELECTRICAL $ . AMP SERVICE 0. PROGRESS ENERGY Q W.R,E.C.'
=,4ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l
=GAS ROOFING _ SPECIALTY. Q•. OTHER
FINISHER
DI FLOOR ELEVATIONS _ FLOOD ZONE AREA =Y.ES NO
BUILDER!;, �j E„ 'l Cot1tPANY C-G�G�
SIGNATURE j/ REGISTERED Y'/ N FEECURREN
Address Zicense:#`
=ELECTId[GIAN :COMPANY
`SIGNATURE REGISTERED Y/ N FEE%CURREM " Y/N'
;ta Address,. {:icense
RLU.{4I46t i
i 'SIGNATURE"' 'REGISTERED Y•/'N, FEE CURREN Y/N
Ys Address iacense'.# F_. °.. ._.
MECHAN1t:AAL"' " .COMPANY
+`'SIGNATURE:° REGISTERED Y/•N EEE;C.URREh.
F
Adr3Pptas�>::. licenSe.#
a'':".�IGNIATURE:y.i: *' r REGISTERED Y/,N FEE=CURREA Y/N
I„L „ ,,.f
Aiiclress:ac, .:Ps. a�;si='<f: License
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: ....-'L ...�...,. K .'-� '.::-: .:j::a'•�'+ • --.•:Jif"':Y.}�i...7,♦..Y::_R�•,�.,..a.,�., r-(.'-§$::.X'�i�F:.:� 4 "4�$h:.�,t:;ate.:'_
Rli I-iTl�� , :,Atta_ ;'P)dfVlansr..2 setsat�Build1 ;Plans;+:1<setofEri -Foyrris R V:P.ermlt.far•"'riew:i instttiction�.;.
- „ A;r.,.. Minimum teri x70,swo._1 a afterxsi gin(ttal;date._�Re afred"onsite ConSUu'cti6ir'Plan`s'Stc. water;Plans w/SIlt Fence.lhstalled,
= ^yx�. .:ai+', r�.._ -
>> Sal, acilities;&!'A',d m to:„S'e{Nafonlc Peimit fbt si�tidivisiciris/fa. e;"'ro sets ;'r:.
EO MERCIi41. AttacEt?(2, coiitpiete=sefs±of Bun Ling Fiatis'plus'a"Life`Safety Page,`{1)set of Energy Forms.R-O-W Permit for'neW construction.,
s,ub
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, .
-- Sapltary:Facilities"&:1 dumpster.Site Wotk,Permit;foi ofi,eW,0fgf s;'Rii-i ommerciai requirements:mustmeetcompiiance
$1Gi1'ERtdIT `"Atfac ()'sets of Engris�reil�t?ians:;:3::,t
t: ""PROPERTY"SURVEY requlred,for:all,NEW canstralcUon....
t,
. =Flll<flut;applicat(on.completely.
. ttvirner4,'Contractorslgn:back�of'aPp)Icatlon,notarized
`af-pver;$2300;_a N.otice:;of Commencement.is required. (AIC upgrades over$7500)
Ag�nt`(for'the ciiritractor:)br t?owerrof Atttimep(for ttie'owrier)'+nrdbl&66`someone with notarized letter from owner authorizing same
d)OVER
' ff IE;CQUN EEt PE'R)iAtT1INC',." ,-.„(copyaof contiairt regwire
Rerggfs if'sfifrigles 'Sewers" "Service Upgrades A/C Fences(Plot/Survey/Footage)
,R..
Dalveways-Not over�Counterif onJpublic�roailways::riee'cis'ROW'" .
s NOTtCE:OF DEED.RESTRICTIONS: The
- under`si` an�e-d.;unde,rstands:taat;t'h.i;s.,;.,;: :..e..t.rmi:statma :bfe,sCbtfcot rt rc t.idnlexpei-ida Orir
'i i o es<ur�i ictfh o:airns.Y;:;-
':;�
requ w";Ni _whi r t ro i dersygr fassornes ;.
applicabte1446d restrictions:
contr a{'�y{or:'is no. t ticensedC aEsQ FeSgi'aAire.c.t: ov✓ner°:anNOA CIoBi"LrtaTUNLICEN6 -D GONTRA r1rY��ay- t ^ i,: ::r}a<misP'tl,:reettg n..us
fstiots} lf:tther
, hstaelol:t% Y;.,mcontractors-to.undertakework � io be`1!sensed:in-accordance.wi eanor-viol
b:ek c:te dfoi +Y
under 'state law. if the owner or intended contractor.are;Uncertain asAo what.licensing.requ rdfi,et, Omnay appt '
intended'work,:they.are advised to contac'the`Pasco.County`"BtrIldir `tinspecfior Divtsion Liccerising.S`' ion at 727 47
8009. iF�rrthermore, rf the' ownerhas"tiiieci`a'ctiritractor`or, contractors, he sis advised to' have,the,Aontractor(s)sgn:;r„:.;
Porto of.the "contractor Block"of.this application-:for which.they wilt:be.:_responsible :if you,0"hd,ofwrier:s�igir as this'
contractoe; that rmay"6e an indication-tFiaf'he !snot propeity licensed and is not entitled to permitting privileges,
County,. '
TRANSPORTATION IMPACT/.UTtLtTtES=1MPA T°AND RESOURCE REC01iER1F`FEES: Tice undersigned.understands::- ,:q
that-Transportation Impact Fees and Recourse Recove Fees'>rrra"?;a l to<:the.construction,af.:new;.bultd!!ia ctanoff '' s
t ,y, Y PP Y. gat' 9a .,
use46-6xlsting°bulldinvo; or:,expa►asion�'of=a..ist`ri jbuildings, as specified In Pasco County Ordinance number8g 7:and
f 90-07, as amended: 'The°undersigned�also:understands,-,tFiat:suehY.#fees,as'.,rij y t e.due wit! t3e-identified 4f.4 a.t m'" °f'=e'
permitting. !t!s furtherunderstood ilia#Transportation Impact Feestiand-Resourc vil ftavery..Fei�s_rust be paid-prior.to
�. : ._., .
receiving.a."certificate-of-occupancy"or firiai:pawer-release.:If the.project doe_-_o lnvAly--0 certificate of od0up lac
final_=power retease,�tiae:�;tees:must be.paid;prior to permif°issuance.;i:Furthdrmore#,_N- _S o Cour3ty ttl(ater/Se�nter impact:K.
fees are.due,they must;be paid.prior to permit issuance:inraccOrdarice with-applicable Pasco Counnty ordinances.
CONSTRUGTIQN=LIEN LAW-(Chapt'er 7l3'*Florida Statutes,as amended): if valuation of work is-$2,,5.0.0,0,0:.or.mare;�rl,.,;
certify'that 's, the-applicant,: have'been.provided with a:copy:;:af.:;#he.-"Florida'Cons#ruction:''l�iera.-::Lau+i�Homeowner's
Protection Guide°'prepared'by the Florida Department of Agrlculture'and Consumer-Affairs. If the applicant is.someone,:t;,
other than the"owner",;l:certify.that.i�have:obfai'ned`a copy of the:abave'descr'it a aoctinaent"and`Mpromise in.gootl f IJ to..
. ov! ..'..__
deliver,it:to'Ele°oily"er"` rior,to:coiirericerierit:`
CONTRACTOR'S'/OWNER'S AFFIDAVIT:,J certify-,that'a11:'the iriforMatton''lri this application is accurate and'that all'inrork
will be done in compliance with all applicable'laws regulating construction, zoning:,arid;land>development. Application.is
hereby,made to-obtain,>,a;:.permt#:.,:to do:,,VVork and. installation .as`;indicated. I'certify that no-work ,or-.insfaliatioia<has
commenced prior'to`issuance of'a peirrrilt 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: '-°also t
certify that I understand that the regulations of other government agencies may apply-to the iinterided 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.4w:
Department of Environrrientat:"Protection=Cypress'Bayheads; Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Man49ement District-Wells; Cypress- .6byheads, Wetland Areas, Altering
Watercourses. s
Army Corps of Englneers=Seawalls, Docks' Navigable Waterways.
Department,,,of,Heaith.,;&.,Rehabilitative;Services/Environmental :Health=-Unit-Wells,.Wastewater:Treatment;
Sep#ic�Tanks:... . .
- US Environmental Protection Agency-Asbestos,abatement.
t federal Aviation::Auttority-Runways, .
I understand that:thefotlowing:restr'ictIons apply to use of.fill:
Use of fill is not'allowed in'Flood Zone"V" unless expressly permitted.
- 'if.'the fill,..material:'is to be' used in. Flood Zone "A", 'it is understood that a drainage plan addressing al
"compensating 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 ts.to--be used in Flood Zone "A" in connection with a permitted building using stem wall .
construction, !certify:that:fillWill tie used only to fill the area within the-stern wall. .
- if fill- Inaiterial `ls-to :be used In any area, I certify that use of such fill will not adversely affect adjacent. .
ro erties. if.use of fill is found to adversel affect ad acenty ro erties, the owner may be cited for violating properties. Y ., j p P Y 9
the cotiditions:�of ttie buildtng;pe'rmi#:.issued under'the`attaohed,perm.it-application,.for.lots-less'-than one (I)! K _'
acre which are-elevated by,fill,an engineered drainage plan is required.
If 1 am the AGENT FOR:THE:OWN.ERt�;[,promise,in,.good faith to inforrh,the owner of-the permitting.conditions set forth in �
this affidavit:prior'ta comMehc ng`cansf fiction. .I understand that,a.separate permit may be required for electrical.work; >' '
plumbing-, signs,.weils,.;,,pools,,,air;conditioning;:gasA.:or�-other°lit taltations,not specifically included in the application. A.t.: n61
permit issued shall be construed to-1 e.a'licertse`.to,proceed wlth_the.work':and.not::'as authority.'to vioiate,.cancel,-after, or '
set aside;any provisions af`thd fechnicai.codes, nor shall issuance of a permit prevent the Building Official from,thereafter
requiring.a4correctlan,of:errors>:in puns ticonsfriactIon,,or,vtoi6tions of'anycodes: Evety''perm'it lssued shah become invalid i
unless the;tnrork'authorized b y such permit !s commenced.within,six.months of permit issuance, or if work authorized b ,• s,,
Y P .... _ P Y , =�, (i
the permit is,suspended;.cr abandon ed;,for;a;pericd,,of:six{6):`Months after-:the time the worts is.commenced.' An.extension '
:may be requested, In'vunting, from the Bultdtrtg-C)fllciai for a period:not to exceed ninety{±3t)){days'arid`wlll demonstrate
justifiable cause for.the extension-If.work ceases for ninety(90)consecutive.days,the,job is,considered abandoned:
1AlARNifiIG'TbROWNER;:_`YOUR,FAiLURE�TO.RECORD_A NOTICEAF:COIVIMENCEMENT MAY:RESULTAN YOUR'
PAYING=TWICE FOR,IMi t Q�fEMENTS TQ YQUR PRt PERTY, IF;Yf}tt;IN:TEND-TO OST'AiWFIN�►NCiNG;''CON$ULT
,WITH YQUR`"LEt'at ER'CiR AN ATTORNEY BEFORE;RECORDING'tYOUR`.NOTICEVF'=CGmMENCEMENT ?;
'...FLORIDA Jt1RAT>(F:S..1 tj7 03)::.1 - :,: ;..::.;.,•,, .
OWNER Olt AGENfi=` ' CY'' � CONTRACTOR
Subscribed. nd'swem (or affi )before me this' Subscribed and sworn tg�(or affi before';rtLe this-
7 by �iz.E'*� ct E �2—(:�3 ,•by C ErC, '
s/a onai known to me or has/have produced lureersonail k o�wn,,to meYcrha_s/have:produced'-
C(Lv-V.` :as tdenftficatton - �—,Las Identification,
).,oA .644r—
Nota ' Public ! Nota Public
ry ry .
:om is on No. GZ4 �� Co ssIon ;any a"'•.' iArn
yACQ �F i50422 f= Commission#FF 15Q4 rnmcntssifln# 22
Jame of Notary ' ' rti ec�gp' Name of Note nteddarAtaW
385d6t8
dsdTdtuTroYFanlnWrance86a surettca80p.3857ai9
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DISCLOSURE STATEMENT FOR OWNER
• CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, n �� have read and fully understand and
agree to thk provisions of this instrument. i
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 conditions:
s
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.
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 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 Viv DATE T�2 <i/s
ADDRESS 37W ,fJ
PHONE
WITNESS PERMIT #