HomeMy WebLinkAbout19-21306 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21306
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21306 Address: 38750 4TH 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: 11-26-21-0010-17900-0010
Improv. Cost: 600.00 OWNER INFORMATION
Date Issued: 5/29/2019 Name: BARRIENTOS, OSCAR & EVANGELINA
Total Fees: 45.00 Address: 7205 FORT KING RD
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/29/2019 Phone: (352)521-4947
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 45.00
C
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS ROOF I SP
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.
C TRACTOR 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 --Owner's Name CA.) ^ 5
- Owner Phone Number 3saJ a.L ' 1V/7
l
Owner's Addres R I�d Owner Phone Number b o 3O�
ZeoLit-hAEL 5:3�9- Owner Phone Number
JOB ADDRESS (� 9r?5'0 `141" e LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION
r = 13LOCK/ Q FRAME = STEEL
DESCRIPTION OF WORK / R112- Y6O{r--CK S Ifl IVICie
BUILDING SIZE F SO FOOTAGE HEIGHT
=BUILDING Is(000.oe> VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPAN'�_ Ron e Ow 1
SIGNATURE U REGISTERED Y/ N J FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
i
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
i
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 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. (AIC 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 PERMITT(NG. ,J„ . (copy of contract required)
Reroofs if shingles Sewers'." Service,Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on 66blic,roadu4ays..needs ROW
NOTICE OF DEEDRESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may ba more restrictive than County regulations. The undersigned assumes responsibility for compliance with 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 law, both the owner and contractor may be cited for a misdemeanor violation
under state |ovv. 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 contrao(orn, he in advimed�ho 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
cmntnoctor, that may bmon indication that hg 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 Faam and Recourse Recovery Fees may apply to the construction ofnew'bui}dingo. change of
use in existing bui|dinQa, or expansion of existing buildinge, as specified in Pasco County Ordinance nunnberGg-O7 and
90-07. as amended. The undersigned also understands, that such fees, as may bedue, will be identified at the time of
permitting. It in 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 re|eeoo, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVaher/Sevvar Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chmptmr713. Florida Statutes, assmnended): |f valuation of work io $2.GOD.00ormore, |
certify that |, the oppUoent, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" pnspnnod by the Florida Department of Agriculture and Consumer Affairs. If-the applicant is someone
other than the^ovxnnr^. | certify that | have obtained m copy ofthe above described document and promise in good faith to
deliver|tho the"owner" prior bocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application in accurate and that all work
will be done in compliance with all applicable |avvo regulating oonatnuciion, zoning and land development. Application is
hereby made to obtain m permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meat standards of all |emm regulating
construction, County and City codes, zoning nagu|oUono. and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply bothe intended vvorh, and that it is
my responsibility b»identify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress 8ayheadn. Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVobor Management Oiatrint-VVmUa, Cypress Boyhoada, Wetland Ansao, Altering
VVobarcounomo.
- Army Corps of Engineers-Seawalls, Doohm. Navigable VVabanxaya.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit4WeUs, VVostevvabar Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authodb+Runvmaym.
| understand that the following restrictions apply to the 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". D is understood that a drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed Uy the State ofFlorida.
- If the 0| material is to be used in Flood Zone ^A^ in connection with o permitted building using stem vveU
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 adjacent
properties. If use of fill is found to adversely affect adjacent pnnpertias, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots !eoa than one U\
acre which are a|mvaWad by fill, an engineered drainage plan is required.
If{ am the AGENT FOR THE OWNER. | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical vvork,
p|umbing, nignm, vvoUm, poo|o, air oonditioning, goo, or other installations not opaoiOooUy included in the application. A
permit issued shall be construed to be o license to proceed with the work and not as authority to v|o|ote, cancel, o|bar' or
set aside any provisions of the technical oodes, nor ehoU issuance of 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 imsuance, 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 o period not toexceed ninety (@0) 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 TORECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T0 OBTAIN FINANCING,CONSULT
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
have read and fully understand and
I
agree�toe Met 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 Zephyr];ills-' Building
Department.
6. That prior to finciW inspection any,additional fees,- including reins'pection
fees, must' be paid in full..- "written,request from this. ,o.f fice I shall
cons ti tute-an 6ffic"kal' 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, Commibsi6n.-
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 resideU*66,br 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 'donei 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 la s, ordinances, building
codes, and zoning ress4tions.
WNER'S SIGNATURE DATE
ADDRESS 3ff250 44h r4t.,e
r7
WITNESS PERMIT #