HomeMy WebLinkAbout19-21738 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21738
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21738 Address: 5306 SATSUMA DR
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00300-0130
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 9/11/2019 Name: MORALES,BENJAMIN J
Total Fees: 50.00 Address: 5306 SATSUMA DR
Amount Paid: 50.00 ZEPHYRHILLS, FL 33542
Date Paid: 9/11/2019 Phone: (352)834-4536
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 50.00
Ins ections Required,
DRY IN ROOF INSP
TAPE JOINTS RO F INSP
FINAL LD-
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.
- &_-
NTRACTOR 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 Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name MVI my) - nuk Owner Phone Number
Owner's Address Q ) Owner Phone Number
Owner Phone Number
'l
JOB ADDRESS 1 q r (,,` LOT#
SUBDIVISION _ PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q = . DEMOLISH
e, INSTALL REPAIR
PROPOSED USE Q SFR Q COMM C= OTHER
TYPE OF�CONSTRUCTION [ f BLOCK 0 FRAME = STEEL :Q
DESCRIPTION OF WORK
BUILDING SIZE . L, t SQ FOOTAGE HEIGHT. .1 2. � .
miivvii
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C:
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS E3,- ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS -= 1--� FLOOD ZONE AREA =YES N
BUILDER COMPANY
SIGNATURE . t REGISTERED Y/ N FEE CURREN Y:/N
Address t �t License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURREN Y/N
Address License#
PLUMBER COMPANY'
SIGNATURE REGISTERED Y/''N FEE CURREN Y/N
Address License# F-
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
n SIGNATURE REGISTERED Y/'N FEE CURREN
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',Construcfion 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.
14
directions:
1111111111144-
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 PERM,IITTtNG,., _.,,•..,(popy of,cgntract,required)
Reroofs if shingles, Sewers.,;,.,. .. 5gry1ce;UpgradeS.A/C,' Fences(Plot/Survey/Footage)
Driveways-Not over Counferjf 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
appi.icable.deed.restrictions.-.
UNLICENSED CONTRACTORS,AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to,undertake work, they maybe required to be licensed-in accordance with state-and local-regulations. Itthe
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 contr6ctor'are uncertain as-A-o-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 hag hired a contractor or contractors, he is-advised-to have'the contractor(s) sign
portions of the "contractor Block" of-this application-forwhich 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 iin existing buildings, or expansion of existing buildings,.as.specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The uffdersigne6 alsq. understands, that such fees, as maybe 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" orfinal power release.- If thee-p1701 does"not-involve a certificate of occupah cy or
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 priortol.permit issuance in accordance with applicable Pasco County ordinances..
CONSTRUCTION-LIEN LAW(Chapter 71.3, Florida Statutes,-as amended): If valuation of work'is$2j500.00 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:- 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. 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.' -1 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 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 Pe6tedtion'Agency
Asbestos abatement
- Federal Aviation Authority-Runways.
I understand�that.the.following restrictions apply-to the-use of fill:
Use.offill.-is not allowed in Flood Zone-W"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.prepored-by,-a professional engineer
licensed by the State of Florida.
If the-fill matenaListo be used in Flood Zone "A" in connection with a permitted building using stem wall
construction; I certify that fill will b6 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.we elevated:by fill,!an,engirieered drainage plan.is required.
If I arn'the AGENT FOR THE OWNER, I promise in.good faith to.inform the-owner of the permitting.conditions set f6rth'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-includdd 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 provWons-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 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-requestedi--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 ceases for ninety,(90)consecutive days,the job.is considered abandoned'.
WARNING'TO:-OWNER: YOUR FAILURE TO RECORD A-NOTICE-OF-COMMENCEMENT MAY RESULT KYOUR
PAYING TWICE FOR IMPROVEMENTS TO'YOUR PROPERTY. IF YOU,INTEND TO OBTAIN:FINANCING;CONSULT
WITH YOUR LEND R-ORAN ATTORNEY BEFORE-RECORDING YOUR NOTICE-OF COMMENCEMENT:
FLORIDA JURAT(F.S. .0 Ah
OWNEKOR.AGENT CONTRACTOR
Su scribed and sw (or affirmed)bef e a this Subscribed and' affirmed),beftrerX.,thls
Q7-1 / by )A ML Y(A by
Who Ware personally kno -to me or hasthave produced Who is/are personally known)tome or hasftve produced
s ide .I ton. as identification:
Notary Public �"Z� Notary Public
Commission No. Tj Commission No.
Name of N Name,ofNotary type
pe pe Fpn
Vt p 0 fto 9 mbd W 6 0 RPYRW44ff�s'�Mg MALDONADO
Commission#GG 346275 Commission#GG 346275
E e%une Expires June 18,2023
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Bon ded YF.1nIu,.,8 Bonded Thru Tjoy Fain insuraneg 800.38&7019,1
DISCLOSURE STATEMENT FOR OWNER
CI Y OF ZEPHYRHILLS BUILDING DEPARTMENT
I INA DA have read and fully understand and
agree�"t h el,, 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
consf-tuciion.
2. QXC46 "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 i ohi properly licensed subcontractors and will personally supervise
Alp!'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
thp construction is complete, the law 42'.11 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 pedpl6' 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 pli able laws, ordinances, building
codes, and zoningations.
OWNER'S SIGNATUREA--9
-W- .-Z_-i- -
/A DATE C/.
ADDRESS
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PHONE
WITNESS PERMIT #