HomeMy WebLinkAbout19-21479 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 21479
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21479 Address: 6101 9TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: DUPLEX Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 02-26-21-0160-00100-0080
Improv. Cost: 2,400.00 a - OWNER INFORMATION
Date Issued: 7/10/2019 Name: MULTIOPLY LLC
Total Fees: 55.00 Address: 14138 CURLEY RD
Amount Paid: 55.00 DADE CITY, FL 33525
Date Paid: 7/10/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 55.00
Ins ectio', fired '
DRY IN ROOF IN P
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.
CONTRACTOR 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 a 1Q Owner-Phone Number
Owner's Address �1 - Owner.Phone Number
Owner Phone Number.
JOB ADDRESS [ D ' LOT#
SUBDIVISION PARCEL ID# 0 --14 J1 ® . �®^ 61101po
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL H REPAIR
PROPOSED USE 0' SFR = •COMM = OTHER .
TYPE OF CONSTRUCTION 0 BLOCK = ,/F`RAMEOrL/ STEEL Q
DESCRIPTION OF WORK la®� G�L`�j� 3� 7/1��'I�� �`� 2 ®/vl—
BUILDING SIZE SQ FOOTAGE HEIGHT
U39-6-11-DING $ // VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 7 AMP SERVICE Q DUKE ENERGY Q W.R.E.C.
=PLUMBING $ ,^^
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 07:1
�
=GAS 0/ ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/. N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY,
SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N
Address. License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL . COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
. SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
/ c, !J
Address do l ®� Ll�� License# 00 y6L7
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. (A/C 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 PERMITTING (copy of contract-required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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
understate 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)I 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=dersigned 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 occupancyor
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 71-3, Florida Statutes,as��almended): 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: 1.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-arid -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; Falso
certify that I understand that the regulations of other government agencies may-apply to,-the intended 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 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 Agericy=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"V'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. i
- If the-fill, material is,to be used in Flood-Zone "A" in-connection with a permitted building using stem wall
construction,-1 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.withAhe 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 implans, 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 beases.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 FOWIMPROVEMENTS TO'YOUR PROPERTY. IF YOU1NTEND TO OBTAIN FINANCING;CONSULT
WITHYOUR LENDER OR AN"ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
,OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or Affirmed)before me this Subscribed and swom-to(or affirmed)-before-me this
by by
Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as Identification. as idehfification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or,stamped
�
City of Zephyrhills
'. 5335 8th St
Zephyrhills FL 33542
(813)780-0020
•
ROOFING INSPECTION AFFIDAVIT
Permit No.:
licensed under Chapter 468, Florida Statutes as a(n):
Contractor v Engineer_Architect_Building Inspector
License No..
On or about. �. �/' did personally inspect the:
Check: Roof.Deck Nailing y Dry in Flashing and Drip edge I/
Check which was used: 30#felt_Peel and Stick Other(List)
At the following
address: 6/0/
Based upon that examination, I have determined the installation was done according to the Hurricane,
Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY:
r� cr
Notary Public State of Florida
KAYLAKBEDELL
:,• *; MY COMMISSION#GG 338087
EXPIRES:May 23,2023
of i 4• ,Bonded Tin Notary PW*UndelMi b,