HomeMy WebLinkAbout19-21619 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21619
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION:
Permit Number: 21619 Address: 6818 OAKCREST WAY
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0250-00000-0100
Improv. Cost: 4,000.00 ` OWNER INFORMATION
Date Issued: 8/08/2019 Name: HALL, JAMES
Total Fees: 60.00 Address: 4941 4TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-5799
Date Paid: 8/08/2019 Phone: 813-713-0661
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 60.00
f ` n
_ � f
DRY IN ROOF IP 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.
/,,-R6NTRACTOR SIGNATURE PERMIT OFFIfL,.xVR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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 $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning re lat"o S.
OWNER'S SIGNATURE DATE
ADDRESS f s 4. W-v 2e i US rL 3
PHONE 3 - 713 -(W
WITNESS PERMIT #
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
-LL'I................ ::]..Phone Contact for Permitting....F
jj
11 M3;0=0M3=
Owner's Name J64,iies Owner Phone Number 7/' _OM/
Owner's Address 04kc,-e.5� Wu v Owner Phone Number
w- Owner Phone Number F_
JOB ADDRESS LOT#
SUBDIVISION PARCELIDJ
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION E2r BLOCK FRAME STEEL
A DESCRIPTION OF WORK e/,00-P Al, �,/,f
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING 'VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS W ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER �� U� COMPANY
SIGNATURE� REGISTERED Y/ N FEE CURREN
Address +/ License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY�N J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address —1 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J
Address License#
OTHER COMPANY -=
SIGNATURE REGISTERED Y/ N FEE CURREN LYLIN J
Address License#
HHHH!
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 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 wl Slit Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all newj� ects.All commercial requirements must meet compliance
proi
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 applicatioln,notatized
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. (co py.,of-contract,required)
Reroofs if shingles Sewers Servic ;Upgrades /C,,: Fences{Plot/Survey/Footage)taga),
Driveways-Not over Counter if on,pUbI?,Toadways..neiitas ROW::')
NOTICE OF DEED S: The undersigned understands that this permit may be subject bm"demd"restrictions"
which may ba more restrictive than County na'u|o1k/na. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. ' "
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
contractors to undertake work, they may be requited 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 ot727-847-
8000. Furthermore, if the owner has hired a contractor or cnntnoctorn, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. |f you, ms the owner sign aathe
contnaohor, that may bmmn indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION DMPAWCTIUTKL0[UESIMPACT AND RESOURCE RECOVERY FEES: The undersigned undmnabando
that Transportation Impact Fees and Recourse Recovery Fees may apply bo the construction of new bui|dingo, change of
use in existing bui|din8m, or expansion of existing buildings, as specified in Pasco County Ordinance nunnber89-07 and
Q0-D7. asamended. 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 a "certificate of occupancy" or final power na|000e. If the project does not involve o certificate of occupancy or
final power release, the fees must be paid prior bo permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees aredu they must ba paid prior ho permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,-as amended): |f valuation of work io $2'5O0.00or more, |
certify that |, the applicant, have been provided with e copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant insomeone
other than the^mwner". | certify that { have obtained a copy ofthe above described document 'and promise in good feithto
de|ivmritto the^mvvner"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 laws regulating construction, zoning and land development. Application is
hgoabv made to obtain o permit to do work and |noboUabon as indicated. | certify that no work or installation has
commenced prior to-issuance of permit and that all work will be performed to meet standards of all laws regulating
oonmtruction. County and City codae, zoning regulations, and land development regulations in the jurisdiction. | also
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 ofEnvironmental Protection-Cypress 8ayhemdo, VVed|ond Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVohar Management District-Wells, Cypress Bayheada, VV«d|ond Areas, Altering
Watercourses.
- Army Corps ofEn0ineeno-SeowaUm. Oooha. Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Un|t-WmUa, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Auhnrb+Runvmaye.
| understand that the following restrictions apply tm the use offill: '
- Use nf fill io not allowed in Flood Zone Wp unless expressly permitted.
- If the fill nnateho| is ho'be used in Flood Zone ^A°, it is understood that o drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State mfFlorida.
- |f the fill material is to be used in Flood Zone "A^ in connection with e permitted building using stem muaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill nnobarim| 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 pn»pert|es, the owner may be cited for violating
the conditions of the building.permit issued under the attached permit application, for |o1m less than one (1)
acre which are elevated Uy fill, ah engineered drainage plan iarequired.
If| emn 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. | understand that separate permit maybe required for electrical work,
plumbing, aigns, xxel|s, poo|s, air conditioning, gao, or other inoboUoUonm 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, after, 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 or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within mix months of permit imeuonce, 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 naqumateU' in wridng, from the Building Official for o period not toexceed nineby (9D) 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 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 ATJ,0RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER wm AGENT cOmrmeCrm --~
_ __ ib ed)-be ore me this s
-Vho is/are'personall wn to me or has/have produced W4q is/are persona knoy!n to me or has/have produced
"."""","°""". � as identification.
_ .
Notary Public -Notary Public
corrusion 00 Com4s,/n No.
Name of Note Name of No ri
EXOres DMmber 12,20220
INSTR#.2019134337 0R sic 9953 PG 362 Page 1 of 1
08/08/2019 01:59 PM Rcpt:2079596 Rec:10.00 DS:0.00 IT:0:00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller,ad Interim
NQTICT OF CO1VMENMMENT
Permit No.
Pw"Ideoti>u.aonNo 68-Z6-z.l—OZSD -G .00—brda
THE UNDERSIGNED hereby give fnfoams you that the improvem mt_will be made to oertafa real pmpaW.tad in accordance with
Section 713.13 of the Florids StgbAoa;the fbllowlog h0mmt$on u provided fn this NOTICE OF COMMENCEMENT.
1.DescrlptIonofpmpet tWderc*nlG55PCScaf h i SeeE:ur02 Z6ioN4ti ,n e2l aJ-tvPAle- & -Iy,&
2.Oeaeral daaiption of improvememta:_}��� .S'h,�,!/G _ -
3.0waer Information i
a)Nuaemtdaddrw: t/�~a !-raH 6$r'Znr,kL•refj w' .•yl.�r/�irl1► 6433Sc/Z
b)Name and a�of fee simple titleholder(if other than owner)
o)Interact m property -
4:Coatactotlnformation U$r� � F Vffl
3 )(/a)Namz.dsddmw .'.ysS Hr l
b)TalephonoNo.: , 7 C
Fax Nor.(
S.Surety Io&—fiml
a)Name and address:
b)Amami of Bond:
e)Telephone No.: FtxNo..(Opt.)-
61eader
a)Name and tddreaa:
PhonsNo.
7.Ideality of person within the State of Florida deaignated by owner upon whom notices or other doamsents maybe served:
a)Name and address.
b)Tc1ghoaeNo.: Fax No.(Opt)
S.Im addition to himwt(owner designates the following person to receive a copy of the Lianoes Notice As provided in Section
713.13(l)(bl Florida Stab :
a)Name and addrna:
b)Telephone No.: 1� Fix No.(Opt)
9.Explratioa date of Notice of Carnmencement(this e:tplodon date It one year from the data of recording unless a diffeimt date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY.TEI:OWNER AFTER TEE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CEAPT'ER_713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND.POSTED ON 111E JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF IIM.
STATKOFFLMIDA
COUNTY OF PASCO
of0+wertlrl fAnrhorimd
Fr6+rbTame
The foreggjgg hrfrMC9 t coat acknowledged before me ft0 day of�� 20_lL by
Nis.Ll as I]1+a/ljr (typeorsuawrity ag of ccr.trustee,suamey
in fact)for----:— (name of party on behalf of instrument was executed).
Personally Known_OR Produced Identification Notary SlDrrtlne
7Wc of IdeatifieaHon Produced M_W1&L';ftA't'_ N.(pant)
0.
Verification pursuant to Section 92.525i Florida Stabrtea.Under penalties ofpcdog,I deoh m that I have read the foregoing and drat
the facts staffed In B are true to the best of my knowledge and ballet
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