HomeMy WebLinkAbout19-21841 CITY OF ZEPHYRHILLS
` 5335-8TH STREET
(813)780-0020 21841
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21841 Address: 5853 9TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01400-0070
Improv. Cost: 1,689.00 OWNER INFORMATION
Date Issued: 10/29/2019 Name: SALZGEBER BEN&CHARLES CHRISTIN
Total Fees: 75.00 Address: 5853 9TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/29/2019 Phone: (813)325-0911
Work Desc: REROOF TPO
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 75.00
DRY IN RIN 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.
COrRACTOR SIG TURE PERMIT OFFI R
PERMIT PIR 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 Jim
W ..............
Owner's Name
Owner Ph- one Number *
Owner'sAddre ss Owner Phone Number Owner Phone Number. F
ILI , P _3`5S_q LOT#
JOB ADDRESS
SUBDIVISION PARCEL ID#1. 60-6076
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW-CONSTR ADD/ALT E_ SIGN, DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK V-0 c,0 e"
BUILDING SIZE C_ SO FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE = DUKE ENERGY Q W.-R.E.C.
PLUMBING $
I
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0J
=GAS ROOFING SPECIALTY OTHER RX 191�_
FINISHED FLOOR EL I EVATIONS FLOOD ZONE•AREA =YES -NO
.....KKK
BUILDER < COMPANY f324,_,�j
SIGNATURE REGISTERED Y['N FEE CUR I Y[N
Address Sire( License# I 6CC J�/%,5—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F_
PLUMBER COMPANY
SIGNATURE REGISTERED Y1 N FEE CURREN
Address License# F_
MECHANICAL COMPANY
SIGNATURE REGISTERED YVN FEE CURREN
Address License# F—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F_
+
RESIDENTIAL Attach.(2)Plot Plans; 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 6nsite,Construction Plans;-Stbrmwater 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:4
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 PERMITTING (copy of contract.required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions"
which may be 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 hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. ]f 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 Iresponsible. 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. 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 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 release. If the project does not involve a certificate of occupancy 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 prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work•is$2,500.00.or more, I
certify that I, 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/OWN ERIS'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. I 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, WaterM/astewater 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 Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to 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 in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting ��vhich 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 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 permit issued 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
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 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 requested, in writing, from the Building Official fora 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 OF1COMMENCEMENT MAY.RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: IF YOU INTEND TO OBTAIN FINANCING;CONSULT
WITKYOUR-LENDER=OR AN ATTORNEY BEFORE RECORDING YOUR_ IN_OTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this' Subscribed and sworn to(or•affirmed)before me this .
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public I Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I
///A, BARTLETT,
ROOFING & CONSTRUCTION SERVICES, LLC
t
38408 3rd Ave. ( Zephyrhills, FL 33542
(813) 782-5585
Email: Cbreyh@abartlettroofing.com Lic. #CCC 1331965
RESIDENTIAL - COMMERCIAL - MOBILE HOMES
LICENSED INSURED - BONDED
c� H0
Date
Name ✓�5 "! � e ✓
Address
Phone /5—3
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THANK YOU depos;* 040 `...'
Your Business is Appreciated ¢�
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. otalF-1
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