HomeMy WebLinkAbout19-21221 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21221
BUILDING PERMIT
PERMIT INFORMATION. LOCATION,INFORMATION
Permit Number: 21221 Address: 38046 8TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12500-0181
Improv. Cost: 2,800.00 OWNER INFORMATION
Date Issued: 5/16/2019 Name: RICHMOND, SUSAN
Total Fees: 82.50 Address: 38046 8TH AVE
Amount Paid: 82.50 ZEPHYRHILLS, FL 33542
Date Paid: 5/16/2019 Phone: (813)995-4765
Work Desc: REROOF METAL
CONTRACTORS APPLICATION FEES,
HOMEOWNER REROOF RESIDENTIAL 82.50
Ins ections Required.
DRY IN ROOF INSP
TAPE JOINTS ROOF IN
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.
•�ce_2c � Ka�e�� �n�M��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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r.TyTF I:Ufl1O HY.;
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
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.
Kalvin Switzer—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 ' l Phone Contact for Permitting 7 _ 11 / 4 J
Owner's Name Owner Phone Number
Owner's Address 1-1, -- a Owner Phone Number
` )�L 335�"
Owner Phone Number
JOB ADDRESS ��C7 — A VL Ze- ��v ILL6 LOT#
SUBDIVISION PARCEL ID# /'aZf'Q "02 :rl-)0— O%
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN Q = DEMOLISH
INSTALL C" REPAIR
PROPOSED USE ® SFR 0 Comm = OTHER
TYPE OF CONSTRUCTION ® BLOCK (Q,� FRAME = STEEL =
DESCRIPTION OF WORK _��:3 C �� Ir1`v o, 6. 'aq, A. ("PSi6iL up A5 kvA :5r
BUILDING SIZE �— SQ FOOTAGE HEIGHT 1 Lre P�e�p
444
=BUILDING VALUATION OF TOTAL CONSTRUCTION
$
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO 1)
=GAS ROOFING 0 SPECIALTY = OTHER 2
v�
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO -
BUILDER COMPANY f
SIGNATURE //0 Me DAYIvu2_r REGISTERED FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED: Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 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 subdivisionsharge 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.,, ;„,, «,�•.-=:b
If over$2500,a NoticzQ=of Cbmmbiicdmertt`is,required.,,-,(NIP,upgrades over$7500)
" Agent(for the contractor)or Power•ofattom!py_(for;the.;oW6er).would be someone with notarized letter from owner authorizing,same
OVER THE COUNTER PERMITTING;' ;5,�(copy'ofbontract'reguir d)
Reroofs if shingles Severs:.. _:•Seniice lJpgradesPJC, , ;,Fences(Plot/Survey/F,00tage)
Driveways-Not over Counter if on public roadways..needs ROW
'
NOTICE OF DEED : The undersigned understands that this permit may be subject to^doad^
which may be more restrictive than County regulations. The undersigned assumes remponmibi|itv`for comp|i�no�xv�� any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired o 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 |mw. both the owner and contractor may be cited for misdemeanor violation
under mtmha |mvx. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they pre advised bm contact the Pasco County Building Inspection Divi io /ceno/ng Section ad727-847-
8009. Fudhermona, if the owner has hired a contractor or onntnmutono' he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. |f you, amthe owner sign mmthe
contnactor, that may baon indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION UMPACTAITkLUTUES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tm the construction of new buildings, change Vf
use in existing buildings, or expansion of existing,bui|dingm, on specified in Pasco County Ordinance nurn6er89-O7 and
9O-U7. osamended. Thmundmrmignoda|ooundmnstando. thatmuoh0sea. 00moybedue. vviUbeidoniKiadatthebmeof
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power na|maea. 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 Counh/VVatmr/Sew»r Impact
fees are due, they must bm paid prior tapermit issuance|n accordance with applicable PaomoCounhymrdinon«em.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, ssmmmended): |f valuation of work im$2.6OO.00ormore, |
certify that [ the applicant, have been provided with a copy ofthe "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iosomeone
other than the"ovvner^. | certify that | have obtained a copy of the above described document and promise in good fmith.to
deliver itto the"omner"prior hocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the.information in,this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain o permit to do work and installation as indicated. | certify that no work or installation has `
commenced prior.to i$auonma of a permit and that all work will be performed to meet standards of all |avxo regulating
construction, County and City codes, zoning regulations, and land development nagu|abmno in the jurisdiction. I also
certify that ! understand that the regulations ofother government agencies may apply h» the intended work, and that itia
my responsibility bo identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhaoda, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- . Southwest Florida VVotmr Management District-Wells, Cypress Bayheadn, VVm{|and Aname, Altering
Watercourses.
- Army Corps ofEnginemro-8aommUs' ' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- U8 Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Auth¢hb+Runxmayo.
| understand that the following restrictions apply b»the use cf fill:
' Use of fill io not allowed in Flood Zone^V"unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A"' it in understood that o drainage plan addressing a
^compensating volume" will be submitted ot time mf permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- |f the fill material is to be used in Flood Zone ^A" in connection with o permitted building using stem xmaU '
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, | certify that use of such fill will not adversely affect mdkucerd
properties. If use of fill in found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building pannd issued under the attached permit application, for lots |eao than one /1\
acre which are elevated by fill, an engineered drainage plan iorequired.
If| omnthe 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. | understand that o separate permit may be required for electrical xvork,
p|urnbing, oignw, vmd|s, poo|o, air conditioning, Qao, 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 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 insuonne, 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
maybe naqummtad. in vvr|Ung, from the Building Official for a period not to exceed ninmty (9O) days and will demonstrate
justifiable cause for the extension. |f work ceases for ninety(9O)consecutive days, the job ia 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 JumA/ 0=u 1 17. — - —
OWNER OR AGENT CONT ACTOR
Subscribed and sworn to 4 ao efore me this Su ed and 0(or affirrne efor me this
Who islare own to me or has/have produced Who is/a rs y knoo to me or has/have produced
as identification. entification.
Notary Public
Con;°io" Co""'
Name of Notary typed, Name of Nofa 41*111
Expkes
==_ --~..~Troy Fain m"11mow
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DISCLOSURE STATEMENT 'FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
1 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.
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.
S. 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 SIGNATURE DATE
ADDRESS 0 to
�36 Lf
PHONE !3 2 C
WITNESS PERMIT #
j 1
Force Engineering&Testing Inc.
19330 Rambiewood Drive
Humble=77338
Product Evaluation Report
STEEL ROOFING SYSTEMS, LLC
Min. 29 Ga. AG Roof Panel over 1x4 ' s over 15/.32"Plywood
Florida rod ct Approval# 15837. R2
Flo da Building Code 2017
Per Rule 61G20-3
Method:I—D
ALL WORK SHALL COMPLY WTI'FI PREVAILING
Category:Roofir@ODES FLORIDA BUILDING CODE,
Subcategory Metal RbWftNAL ELECTRIC CODE,
Compliance Method:61G2tiAI3t aW4DITY OF ZEPHYRHILLS
NOW HVHZ ORDINANCES
Product Manufacturer:
Steel Roofing Systems,LLC.
3049 Drain Field Rd.,Ste#6 t
Lakeland,Florida 33811 C!7 ,�`'' p? ,j` Ay
E_nydneer Evaluator: el'yt of AM1�'1 j c,
Terrence E.Wolfe,P.E.#44923
Florida Evaluation ANE ID:1920
Validator.
Brian Jaks P.E.#70159
Contents:
Evaluation Report Pages 1—4
•:,,�r�'4�' C E N S
Ib.449�
••�' STATE OF .'+ar►
ODA.
02cm
FI.#15837.2 R2
August 7, 2017
INSTR#2019083097 OR BK 9907 PG 1 02 Page 1 of 1
05/16/2019 09:54 AM Rcpt:2055116 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'NeiC Ph.D., Pasco County CCerk&ComptroCCer
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No.
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 following information Is provided in this NOTICE OF COMMENCEMENT.
I.Description of property(le al descrlptlon:) ' 15 t�G svwf F44-e 6 8 'alO Gt�s(r/9 d'2 O d-r4 Q r` 6p/-7—
a)Street Addmss: t YC'17W
2.0eneral description of improvements:
3.Owner Information L n. �
a)Name and ad&eu:St t lk' 124 OGkA _Lx aA
b)Name and address of fen pimple titleholder i f ether owner)
c)rnterestin property. • T� JZ 'zQ
4.Contractor Information ,
a)Name and address: 0 tj 2A
b)Telephone No.: Fax No.(Opt)
5.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 ofFlorida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(lXb),Florida Statutes:
a)Name and address:
b)Telephone No.: c Fax No.(Opt)
9.Expiration data of Notice of Commencement(the expiration date is one year from the date of recording unless a dif hint date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMME,kffMENT.
STATE OF FLORIDA
COUNTY OF PASCO
Siauwro 'arOw�ttr' �a Olfloa/Dl w�
�rintHame
The fare ding insp:upfrrt gpas ec�yowledged before me thls_day of t!�(;y
by
f .t C[ [�. /1I1rf,9As (name of party on behalf of Instrument wotEka_Ne.g.of5cer,trustee,auomey
in fad) ��.
erso ally Known OR Produced identification_ Notary Signature
Type of Identification Produced Name(print)
Verification_pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true-to the best of my imowledge and belief:
Sips=orNamal Pawn 34aina Abow
F0RM$xocry,a=
Commistblll�A nO�S?
. ��ghost Oedm6lt 1E,17l2
'`+.,�, Ce :a:Tt+alta➢F1inWtalttoaE0d8Ei71fo
STATE OF FLOR'IDA,�COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AiADOFFICIAL SEAL THIS
DAY OF VAMA 2(Aq
CLERK&CID PT PAULA S.O'NEILi - M - -MIT ROLLE
188? BY. DEPUTY CLERK