HomeMy WebLinkAbout19-21395 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21395�
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21395 Address: 38703 38653 B 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: MOORES FIRST ADDITION
.Est. Value: Parcel Number: 14-26-21-0010-02000-0091
Improv. Cost: 9,600.00 OWNER INFORMATION
Date Issued: 6/19/2019 Name: ZEPHYRHILLS MM LLC
Total Fees: 90.00 Address: 595 STEWART AVE STE 550
Amount Paid: 90.00 GARDEN CITY, NY 11530-4736
Date Paid: 6/19/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
ATLANTIC SEAMLESS GUTTERS/NEMETZ REROOF RESIDENTIAL 90.00
DRY INROOF INSP Ins ections geguired
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.
T CTOR 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
A Building Department
Date Received Phone Contact for Permitting
Owner's Name AZzV I-Z(f Owner Phone Number
Owner's Address l /i/e- Owner Phone Number
Owner Phone Number
JOB ADDRESS o"I", Al'zl LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONITRR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING I$ e/�� CfJ I VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C.
=PLUMBING 1$
=ME CHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 11K ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS I /.�—/ 7 FLOOD ZONE AREA =YES NO
.... ......
..........
BUILDER COMPANY
SIGNATURE �r REGISTERED Y N N
/,4,?
Address
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LjjLN�j
Address —1 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_LN_j
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. (A/C upgrades over$7500)
Agent(for the contractor)or Power dfAttbmey(fot the owner)would be someone with notarized letter from owner authorizing same
4
OVER THE COUNTER PE q
" (6op -of contract-re uIred)
Reroofs if shingles Sewers.' ice- pgrpdqs,A Fences(Plot/Survey/Footage)
Driveways-Noiover cqunter if oh p4biic'-r667dways..666ds ROW
NOTICE OF DEED RESTRICTIONS: The undelrsigned understands that this permit may be subject to"dAeed"i-estrictions"
which may be more restrictive than County regluiations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. I
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
under state 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) 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 isl not properly licensed and is not entitled to permitting privileges in Pasco
County. I
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 undersigned also un�erstands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpolrtation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final p�wer release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prio� 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 713, Fl?rida Statutes, as amended): 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 Dep rtment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtai pled a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.I
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�ify 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. I certify that no work or installation has
commenced prior to issuance of a permit and ,ihat 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. I also
certify that I understand that the regulations of 6ther 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 Proteption-Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatmen .
Southwest Florida Water Manag, ment District-Wells, Cypress Bayheads, Wetland Areas, Altering
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilita ive Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runway
I understand that the following restrictions apply I o the use of fill:
- Use of fill is not allowed in Flood Zone W"unless expressly permitted.
- If the fill material is to be used inj Flood Zone "A", it is understood that a drainage plan addressing a
.compensating volume" will be sub itted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. nI
- If the fill material is to be used in lood Zone "X in c*onnection with a permitted building using stem wall
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, 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 permitlissued 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 with the work and not as authority to violate, cancel, alter, or
'
requir
ng
.set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
i~ - ___n - --r- - __— _--_-
t t on 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 marequeoteo writing, from the Building
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 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 COMMgNCOAF
__ __
CONTRA
OWNER OR AGENT N�AC
scr
Subscribed and sworn to(or affirmed)before me this S b n and oraffirmed efore ethis
Who is/are personally known to me or has/have produced W o I rsona y knn�qwn to me or_has/havi�`produced
'ro SO— as identification.
as identification.
Notary Public� Notary Public
Commission No. Commislgono.
Name of Notary typed,printed or stamped Name of Notary typ �Pr' ct4r n#GG276W