HomeMy WebLinkAbout19-20784 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20784
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20784 Address: 39313 9TH 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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0060
Improv. Cost: 2,412.00 OWNER INFORMATION
Date Issued: 2/08/2019 Name: GRACE DONNA
Total Fees: 55.00 Address: 39313 9TH AVE
Amount Paid: 55.00 ZEPHYRH ILLS.FL33542
Date Paid: 2/08/2019 Phone: 513-650-3779
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 55.00
I1 � -
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS ROOF INSPI�I
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
M� ................TTM....
Owner's Name Owner Phone Number 695 C)
Owner's Address
9�FF Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT 0 SIGN 0 0 DEMOLISH
-NSTALLPrREPAIR
PROPOSED USE SFR Q COMM OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME u STEEL
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY LN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_LLN J
Address License#
HHHH! I
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/Slit Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for subdiVisionsAarge 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
`fdqbIr0dL.', (AIC,40guldes over$7500)
If over$2500,a Notice of Commencement"is-11
Agent(for the contractor)or Power ofX•Q6 �6uid:-66 someone with notarized letter from�own6rAutfi6dzina same
OVER THE COUNTER PERMITTING,'.-v,'::'.-.,(cooy:df contract-required)
Reroofs if shingles Sewers"-, ServicerUpgrad6s-A1C'F6"h' (PlottSurvey/Fo6tage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED The undersigned understands that this permit may ba subject Uo"dmmd"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: If the owner has hire
' a oon8nactor or
oontnachorotoundmrtahexxork. theymaybaneqUimyJhobe ||mansedinaonondanoawithobabaand |ona| rmgu|atkons. If the
contractor in not ||menaod as required by |oxv both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. If the owner o, 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 Divimion—Licenai� S��n�����
QOOQ. Furthermore, � the owner has hired m 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
oontnactmr, that may be an indication that he is not properly licensed and is not entitled bo permitting phVUeQme in Pasco
County.
TRANSPORTATION UMPACT/UTULITUESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply bo the construction mf new buildings, change of
use in existing bui|dinQm, or expansion of existing bui|dings, as specified in Pasco County Ordinance nunmber89-07 and
GO-O7. aaamended. 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 o "certificate mf occupancy" or final power release. |f the project doemnot |nvp|vmaoedifioatmof000upancyVr
final power na|eaoe, the fees must be paid prior to permit issuance. Furthermona, if Pasco Counb/VVohar/Smvwer Impact
fees are due,they must be paid prior bo permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, FUorida Statutes, asemmemded): |f valuation of work im $2.5OO.ODmr more, |
certify that 1, the appUcant, have been provided with a mm9y of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department ofAgriculture and Consumer Affairs. |f the applicant kysomeone
other than the"oxvner"^ | certify that ( have obtained a copy ofthe above described document and promise in good faith to
deliver itbu the"owner prior bmcommencement.
CONTRACTOR'S/OWN ER"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. | 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 |mvxo regulating
construction, County and City codes, zoning regulations, and land development naQu|abono in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may | to the intended work, and that itis
rny responsibility bo identify what actions | must take tabeimcompliance. Such agencies include but-are not limited to:-
- Department ofEnvironmental Protection-Cypress Bayhaado, Wetland Areas and Environmentally Sensitive
Lands,VVaterMashamaterTreatment.
- Southwest Florida VVobor Management Distrint4WeUo, Cvomame Boyheada' VVmd|mnd Areme, Altering
Watercourses.
- Army Corps mfEng|neeno-SeaxwaUs' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. '
- Federal Aviation Authnhb+Runwa
1understand that the following restrictions apply to the use offill:
- Use of fill ia not allowed io Flood Zone^V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it in understood that a dnaina! e plan addressing m
"compensating volume" will be submitted at time mf permitting which is prepared by professional engineer
licensed bv the State nfFlorida.
- If the fill material in to be used in Flood Zone ^A" in connection with a permitted building using stem xvaU
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 gcUooant
properties. /f use of fill is found to adversely affect adjacent pnopertios, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one M\
acre which are elevated by fill, an engineered drainage plan inrequired.
If| emthe 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 a separate permit may be nsqu|nad for electrical mmrk,
p|umnbing, eigns, meUs, pmo|o, air conditioning, goo, 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 pr violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit iosuonce, or if work authorized by
the permit io suspended mrabandoned for a period mf six(M)months after the time the work imcommenced. An extension
may be requootmU, in writing, from the Building Official for period not to axmsmd ninety (9O) 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 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 JNQTICE OF COMMENCEMENT—.
N CONTRACTOR
Subscribed and swom kDr affl,7d b-fo�r�ethis Subscribed and sworn t ied)bef9re me this
Who istare personally known to me or has/have produced Who-Is/areIrsollally k to ryie or has/have produced
sidentification. as identification.
Public
TOP - W-0RK ' . ; .
By order'of the Building Official: WiffiamA. Burgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
Address: 39313 9 +L-
Date: 1 9
Code Enforcement Officer: A-Ca
Contact.the
Zephyrhills Building Department
5335 - 8th Street
813-780-0020
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.
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 re-cm ations.
OWNER'S SIGNATURE DATE
ADDRESS C7
PHONE
WITNESS PERMIT #