HomeMy WebLinkAbout19-21090 r CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21090
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21090 Address: 4913 8TH 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: 14-26-21-0010-00700-0070
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 4/12/2019 Name: TREBOUR, CAROLYN
Total Fees: 65.00 Address: 4913 8TH ST.
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/12/2019 Phone: (813)779-3694
Work Desc: REROOF METAL
CONTRACTOR S -APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 65.00
l �C-\
1,2-
DRY IN ROOF IN P
Ins ections Required
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
.�k
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2019056725 OR BK 9884 PG 3569 Page 1 of 1
04/04/2019 11:45 AM Rcpt:2042982 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Neil, Ph.D., Pasco County CCerfe&ComptroCCer
NOTICE-OF COMMENCEMENT
Permit No.
Property Identification No. l T•Z jo-L�"fI���"t�700'�070
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes,the follow_inngin�furmaatiionn is provided In this NOTICE.OF COMMENCEMENT. (�[
1.Description of property(legal dercrodon:)
a)Street Address: O
2.General description of improvements:
i
X 3.Owner Information
a)Name and address: / S i
b)Name and address of fee sirrin_titleholder(if other than owner)
e)Interest in property
4.Contractor Information ,/
a)Name and address: a f �'/ '� !)
b)Telephoae No.: Fax No:(Opt.)
S.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served.
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.10 addition to hirnsel&owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Stahutes:
a)Name and address:
b)Telephone No.: e.• •Fax No.(Opt)
9.ExpMon date of Notice of Commencement(tire expiration date Is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTI S ®�
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I.SECTION 713. � •� ti
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP CO
c
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE f �
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Cs .
STATE OF PWRMA
COUYIY OF PASCO Ir
S of crownees /Dl�aior/Pamrcr/M®sSvv W
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e farego' ins was aclatowledged before me this 3�A day of 20_,by cL 0 0 H W N w
b r/N (W as (type of authority;e.g.otHcer,trustee,attorney 1b WW W z cA 0- p
is fact)for (name of party on behalf of whom Instrument was O O _ — _j 2
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Personally Known_OR Produced Identification Notary Signature � W U- X V U
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Type of Identification Produced`r L` \ Su (P ) D ® = O U O
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verification pursuant to Section 92.525,Florida Statufes.Under penalties of petjtay-I cc am that I have read the foregoing and that Ix F LU d z O
the facts stated in it are m e to the bast of my imowledge and belief: ® � of 0- = Q
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29GUAGEGULFRIB PANEL OVER 1X4 WOOD PURLINS
FLORIDA PRODUCT APPROVAL NO. 11651.27 R3
Product Evaluation Report
GULF COAST SUPPLY& MANUFACTURING, LLC.
29 Ga. Gulfftib Tm Roof Panel over 1x4 Wood Purtins
Florida Product Approval #11651.27 R3
Florida Building Code 2017 ALL
WORKSHALL
Per Rule 61 G20'---') CODES FLORIDA 8 COMPLY WrrH PREVAI
Method: 1 -D NATIONAL ELECTRIC
UILDING CODE 9 LINr
AND 7-HE C, ECTRIC CODE,
ORDINANCES OF Z.EPHYRH1UjS
Category: Roofing
Subcategory: Metal Roofing
Compliance Method: 61 G20-3.005(1)(d) Q/7-)e" LAPP
OF
NON HVHZ I�ZA �-V
�s
Product Manufacturer:
Gulf Coast Supply & Manufacturing, LLC.
14429 SW 2nd Place, Suite G30
Newberry, FL 32669
vk�EL S'
oCEIV
Y�
Engineer Evaluator:
Z*: ,
Dan Kuhn, P.E. #75519 No 75519
Florida Evaluation ANE ID: 10743
-�P-- STATE OF 47.
Validator: ;4% OR joP'
Locke Bowden, P.E. #49704
lr�'ONAL VA 01
9450 Alysbury Place 1111111kW
Montgomery, AL 36117
Contents:
Evaluation Report Pages 1 - 5
FL# 11651.27 R3 •OCTOBER 5,2017
A r a •
KUHN ENGINEEPJNG, LLC
�1200 CLINT M-OORE RD.SUITE 9, BOCA RATON,FL 33487 -FL COA#30464
AL
City of Zephyrhills:
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: I -
Site: I ��
Permit Type: 0
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
APR 1 t 2019
Kalvin w' z Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' Building Department
Date Received 'Z Phone Contact for Permitting — 2 ../ .
Owner's Name
�Lj o n � � � �D LL Owner Phone Number
y ✓�
Owner's Address G Owner Phone Numb tJ
Fee Simple Titleholder Name Y Owner Phone Number
Fee Simple Titleholder Address I I J *
JOB ADDRESS F LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R
ADD/ALT ® SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE ® SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
� JJ
DESCRIPTION OF WORK
BUILDING SIZE p X �J�P/ SQ FOOTAGE HEIGHT 1 e
=BUILDING Q VALUATION OF TOTAL CONSTRUCTION
$
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING ® SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ( COMPANY Die el
g,911, L/
SIGNATURE 16A64nv REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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 subdivisionstlarge 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 P6vVdr.of Attorney,(for the owner)would be someone with notarized letter from owner authonziing;same �+
OVER THE COUNTER PERMITTING `' (copy of,contracf squired) "�' -''
Reroofs if shingles • e,:Sewers:" N'iVice'Upgrades A%C .;z Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on'public F6ddways:.needs.ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to ude6d"restrictions"'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
-applicable deed restrictions. *I
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 for the
intended work, they are advised to contact the Pasco County Building 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(s) sign
portions of the "contractor Block" of this application 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 and 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 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
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 certificate 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 1, 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 certify that I have obtained a copy of the above described document and promise in good faith to
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
commenced 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 to the intended work, and that it is
my responsibility to i 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 Treatment.
- 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 Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" 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 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 wall
construction, I certify that 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 building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage 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. I understand that a separate permit may be 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 with the work and not as authority to violate, cancel, alter, or
set aside any provision'S 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 after the 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
-FLORIDA JURAT-(F.S.-117-.03)------
OWNER OR AGENT A A A�16 CONT' RACTOR OA44p"n
�by
i swqrn to(or affifned)q%Qre me this Subscribed and swo to or M e e this
COP.,ILIA re_k0iit- 3—(, bysonally knovqj to me or has/have produced who is/are-prr;soQaily kn me or hasthave produced
FL,rOe4Ve4S s identification. f�cr i V-X-s r-F-- as identification.
Notary Public Notary Public
Commiss Commis Vn NO.
ir
go Name of Notary
._�!%J A2,,2022
GIs
SOO- -wif.
I V0 eandedToulmifeb
t
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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 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 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 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 SI(;NATURE oxot� I - Wo DATE
ADDRESS IN^
PHONE
I -U
WITNESS PERMIT #