HomeMy WebLinkAbout18-20620 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20620
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION y
Permit Number: 20620 Address: 38607 38611 NORTH 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: 02-26-21-002A-00000-0010
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 12/27/2018 Name: COYOUR, SHANE
Total Fees: 55.00 Address: 38607 NORTH AVE
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 12/27/2018 Phone: (813)727-8862
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 55.00
DRY I ROOF IN P 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.
C'01qTRACtbR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received PhonwContact for Permittin
Owner's Name Coyo a e_ Owner Phone Number F/3 - 7�7'
Owner's Address �qd l�) 7 "'g�/l g^/J �o�"� 0/2- %���°/1 �-�' Owner Phone Numb-or
Fee Simple Titleholder Name" Sh1-4.Al- P. C-0l0 01/L- Owner Phone Number ?1Y- 7 A
Fee Simple Titleholder Address A /V E,2 6.9 iv p T- l A 19'!-44 3 ?6, y 7
JOB ADDRESS (0 07 AID r74 9V4 z-f dh1 V4A1,Z4d S /eL 3 3 s V Z LOT# C�
SUBDIVISION PARCEL ID# .OA- "7 b'�I- oa�r�J'-�aoc+c� - CEO l o
(OBTAINED FROM PROPERTY,TAX NOTICE) -
WORK PROPOSED NEW'CONSTR ADDIALT �' SIGN" 0 Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED:USE SFR Q -COMM OTHER "
TYPE of CONSTRUCTION' BLOCK FRAME -STEEL Q.
DESCRIPTION OF WORK -- �A 0 o F
BUILDING SIZE' SQ FOOTAGE _� HEIGHT
.,
=BUILDING
rrt. L1 a 0 _o U� VALUATION"OF TOTAL CONSTROCTiON
=ELECTRICAL $ . AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ � VALUATION OF,MECHANICAL INSTALLATION'
ou
=GAS ® ROOFING Q SPECIALTY OTHER -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO
BUILDER CONIOMY, - 1ov✓F 0i~.IVZ/} - "
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN.
Address L''icense.#
ELECTRICIAN;
SIGNATURE REGISTERED Y/ N FEE'CURREh
Address
PLUMBER ' COMPANY
SIGNATURE'' REGISTERED Y./,,N!, •_t FEE:CURREK. L N.Jy
Address _License.# �•
MECHANICAL' COMPANY
SIGNATURE' REGISTERED.. Y,/_N , FEE CURREP, Y%N:• "
Address i Lice nse.#.F
71 .
OTHER � - ;COMPANY .
;.. . :.
SIGNATURE,: *-;,- REGISTERED` Y/ N:.-. 'PEE CURRE� Y/N .
Address F License# F - "
RESIDENTIAL;: Att4ch=(2),Plof Plans;:(2)sets bf:BiiildIhg Plans;°(1)set of Energy i=or�ns;'R`6_W.Permit for new coiastry,ction,
Mlnlmum,.ten,(,1,O)Wgrking days:aftersubihitWi`date.,',:R6qulred onsite,:Constriction-Plans;,Stormw;ter'Plans-w/SIIt Fence installed,
Sanitary Facilities;&;.1;;dumpster;Slte.Work�P ernI!t fbr,sUbdIVIsloniAargp..pr0jocts:`.,
COMMERCIAL Attach(3pcbnrpletesets'of Building Plans plus"a Life Safety Page;(1)set of Energy Farms.R-OW 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 EngineeredrPlans. - .. "
""PROPERTY SURVEY required,for ail.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•Attbrfiey"(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER.PERMITTING -.-(Front of-Applicatlon-Only) -- .. "
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways'..-needs ROW
I
C"
i
NOTICE OF DEED RESTRICTIONS: The undersigned understands that,,this.-permit;may.be,subject to deed*,
which may:beemore•restrictive-thanGoun '-,re uiatlons: The undersi ned-assumes°res rsnsibllt forvcorit'llance"with--eh
tY 8` 9 p ty p Y -
applicable,deed:restrictions. '
UNLICENSED CONTRACTORS AND -CONTRACTOR RESPONSIBILITIES: =If=the'owner has hiredV a"contractor or
contractors to undertake work,-they may,be>rbquired•.,to.;be;iicensed In accordance.with,state:.and.local_regulations.: If the
contractor'is:not�Iicensed,as•requlred',by law, both the owner and:-contractorsmay%be cited for a misdemeanor violation
under state law. If the owner or Intehded°contractor are uncertain as to.what licensing,requirements may apply.for'the'>
Intended'Wdrk,they are'•advised to contact the Pasco County Bulldirig:'InspegtIdn Dii►Ison-
lLicensing Section at 727-847-
8009. Furthermore, If the owner: as''hl'red' a contractor or contractors, he is advised to have the contractor(O.oign
portions of the;,"contractor„Block" of.this;_application..,for-whIch,they;will.bq.responslble.-If.you;:as-Ahe"ownerslgn"as'"the`
contractor, that-may-be..
maybe an indication that'he-is•not:properly°licensed"and is`not entitled to perml tang privileges In Pasco
County.
TRANSPORTATION-IMPACTIUTILITIEsfMPACT"MO RESOURCE RECOVERX,FEES:The undersigned understands .
that Transportation Impact Fees:and.Re_course.Recovery.Fees may;apply:to the constructton.of new butidtngs,.�change-'of`''''
use In existing buildings;-or'Lexpansion,of ezistir%g.buildings;as specified.to Pasco County Ordinance number 89-07 and.
90-07, as amended.,.The undersigned also,:understands, thansuch fees;;;gs,may-bwdue will:}be identified at the'timeof '
permitting. It Is further understood that Transportation Impact'Fees and•Resource.:RecbVdN'Fees,must be paid prior to
receiving.a °cerfificate:of-occupancy" or final-power;re.lease.1f-the.project,,does involve; ..certificafe'of occupancy.'OK=
final,power.releasc_the:fees=::mu be p ild-prior to.permit Issuance. FuAhermore •if:.Pasco;County:Water/Sewer�;impact
fees are due,they,must be paid..priorto,permit> L;ii Iss "In.accordance With.•appllcable Pasco'-County'ordinances.
CONSTRUCTION'LIEN-'LAUN'(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00;or:more,..l"
certify that I, the-applicant, have=been,provided with:-a-copy of.the•"Florida-•Construction"Lien 7.:Law—Homeowner's
Protection Guide" prepared by:the Florida Do—a ant-of Agriculture and Consumer:-Affairs. If the applicant is someone;
other than the"owner", I certify that-1.have.:obtained3a'copy.of..the above.rfescr66 docu ent-and:.promise;in. odd#alth•to.
deliver It to.the'owner"prior;to commencement:'
CONTRACTOR'SIOWNER'S AFFIDAVIT: 1.ceilk that-all the.Information:In,this application Is accurate.and that all work
will'be done to compliance with all.applicable'laws regulating construction, zoning and,land:development. Application,Is
hereby made to obtalm.a.pormit:,to,-do.:.wo[k:,and;installation as Indicated:..-1� certify that- no work'or installation ties
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.=.lValso .
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;ln:;cofnpilance,.,SucK agencl aw.include but-are.not limited to:
Department of Environmental=Protection-Cypress:�Bayheads Wetland Areas and-Environmentally Sensitive
Lands,Water/Wastewater Treatment. _
Southwest Florida Water fuianagemerit District-Wells;'`'Cypress• Bayheads; Wetland Areas, Altering
Watercourses.
Army Corps of Engtneers�Seawalls,`Docks, Navigable Waterways.
Department:of_,Health.::&. Rehabilitatlyw,Services/Environmental..Health Unit-Wells,.:Wastewater-Treatment,
Septic,-Tan4is :"; _
US Environmental Protection Agency-Asbestos abatement.:.:: .
Federal AviatlonAuthority-Runways:- I _
-I understand.that the.following.restrictlons 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::lit. Flood -Zone. "A", it is understood than a drainage plan addressing a
"compensating volume"..will be submitted at time of•.pelxnitting 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 tiiilth a permitted building using stem wall.
construction, I certify..that fill:vidll:be used only-to-fill the.area within.the-stem-wall:
if fill material is to be used in .any area;' f certify that .use. of`;.such_fill vrill.not adversely affect adjacent
properties. if use of fill Is found.-to adversely:affect adJaeent properties,.the owner may be cited forMotating
the conditions-.of the bullding-permit issued�under ttie'attached permit:application,"for.aots.less.,.than one (1)
acre which are elevated by fill;an engineered drainage plan is required:.
If I am the AGENT FOR THE OWNER, 1promise 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 maybe required for electrical'work, •
plumbing;..signs,,wells,. pools;, air conditioning, gals,-..or:other. instaail�tlons not,specifically included-In.the application. .A
permit Issued shall be construed to be-a°license'to l.proceed with`tFie 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 Bulldirig Official from thereafter
requiring a,correction of errors in:.,plans construction..or vioiattons of-any codes.- Every�pon-nit issued shall become invalid
unless the work authdrized:by such permit1s-commenced.'withln six.,months of-permit Issuance, or if work authorized by
the permit is suspended=or:abandoned:for:a;period;of�six(8)montFis:after:the timethe•work is commenced. An extension
may be requested, in writing;,from-th®;•Bullding,Official for a pairiod:not.to exceed*ninety'(90)"days iW will`demonstrate
justifiable cause for.-the extension. If work ceases:for ninety.(90)consecutive,days,-the job ls.considered abandoned.
WARNING TO OWNER: YOUR.FAILURE.-TO.,REC.ORD.A:.NOTICE::OF,•COMMENCEMENT":MAY•RESULT IN•°YOUR
-PAVING-TWICE--FOR-IMPROVEIMIENTS- YQUR;PROPERTY:=II YOU{INTEND'TO=08TAIN_tFANANCING;-CONSULT—
WITH YOUR LENDER ORAN•ATTORNEYMEFOREtRECORDINGIYOUR'NO'TiDE'OF COMMENCEMENT'
FLORIDAJURAT(M-1.17.031.
OWNER OR AGENT •. CONTRACTO
Subscribed and swam to(or o 7ed)before me this Subscdbedand do(c/r aflrm-)'befo a fti§by SAet CoyO G44.. b ,AA-tCoyper Who Islare personally known tome orhaslhaye produced. Who.lsfare personally known.-to me or has/have-produced
as Identlflcetlon, as Identlflcatlon.
Notery Public Notary Public
Commission No: Commisslon.No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I. 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.
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 DATE /a-o27-1 ?
ADDRESS /O,1/y T l i�d o�l4,,q �i ,0� 7; wq FL 3 3 6 7
PHONE g13- 7a7- 8? 6 ,4
WITNESS PERMIT #