HomeMy WebLinkAbout19-22167 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22167
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22167 Address: 6606 6607 GREEN 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 01-26-21-0010-12000-0011
Improv. Cost: 17,256.25 OWNER INFORMATION
Date Issued: 12/17/2019 Name: ZEPHYRHILLS RRH LTD C/O DIMENSIO
Total Fees: 130.00 Address: 7865 SOUTHSIDE BLVD
Amount Paid: 130.00 JACKSONVILLE, FL 32256-0416
Date Paid: 12/17/2019 Phone: 813-783-2275
Work Desc: REROOF SHINGLE DUPLEX
CONTRACTORS APPLICATION FEES
FOSTER ROOFING ENTERPRISE INC REROOF RESIDENTIAL 130.00
DRY IN ROOF IN P Ins ections Required
TAPE JOINTS 3 INSPz�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.
CONTAA&6R IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
513-780-0020 City of Zephyrhills Permit Application Fax su 78°°°21
Building Department n TT
r — Q ..�
Sate Received Phone Contact for PennMn
Owners Name Owner Phone Number
owners Address
Ica e. V barn P&t t..
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address T y� `
JOB ADDRESS Old O91 !�� 1 1 l +1 S LOT It
SUBDIVISION PARCELIDB O�-�� o6I- -taDOO-Doll
(OBTAMM FROM PROPOMTAY HUnCE)
WORK PROPOSED a NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOuSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Qnn r�BLOCK Q FRAME Q STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE® HEIGHT
=BUILDING s 1—y s 1 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL s 1 1 oG, AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING s
=MECHANICAL Is..,e, VALUATION OF MECHANICAL INSTALLATION=GAS --Hf—t ROOFING Q SPEGALTY Q OTHER 8 /,/,
�f
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REMST RED I YIN FEE CURREt Y I N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURDK Y/N.
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURit£T. LILN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Ly/N
Address A
License# L
OTHER COMPANY
SIGNATURE RECUST�RED I YIN FEE CtmREr //--Y/N
Address � QX M%(� � �' L;cer�e# C Cl. �0-
1111111111111111111111111111111111111011111111.IIIIIIIIIIIIIt1111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulkling Plans;(1)set of Energy Forms;R-PW Permit for new constrttction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SM Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects -
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fors R-C-W Permit for new construction,
Minimum ten(10)working days after submittal date. Require m
d onsite,Construction Plans,Stornwater Plans w/Solt Fence installed,
Sanitary Faolities&1 dumpster.Site Work Permit for an new projects All commercial requirements must meet compliance
SIGN.PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction..
Directions. .
Fig out application completely.
Owner&Contractor sign back of application,notarized
�1 If over S2500,a Notice of Commencement encemertt 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 auttwrmng same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter i/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 .
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. 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 Bloch'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 is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTMiLRiES 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 WateFiSewer 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law=-Homeowners
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 With to
deliver it to the"owner"prior to commencement
CONTRACTOWSIOWNEWS 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. 1 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 1.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,. Wetla_nd Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health 8r Rehabilitative Services/Environmental.Health Unit-Wells, _Wastewater,Jreatment,
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"\F 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 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
constructioni)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 fora period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,front 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 IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENQJdR OR AN AirToRmEy BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 7.03)
OWNER OR AGENT CONTRACTOR
-Ak
Subscribed and swam or a ) ore thLs Su rnbed nd swo (ar a e me Otis
1,1 by
Who' are person ly known to me or hasfiteve produced o is/are onalty known ive AracTuced
as identification.. . as iaenvfiration.:
otary Public Notary Public
�..
Commission No. Commissiari No. - .-
Name of Notary typed,printed or stamped _ Name of Notary typed,printed or stamped ,
HEATHER D HOSFELD..
HEATHER D HOSFELD _��' : Notary Public-State of Florida
A `.
Notary Public-State of Florida Commission=GG 18'298
c Commission=GG;8'298 MyComm.Expires Mar 21,2022 _
My Comm.Expires Mar 21.2022 Bonded through National Notary Assn.
"'Bonded through National Notary Assn.
INSTR#2019209273 QR BK 10019 PG 2840 Page 1 of 1
12/10/2019 10:34 AM Rcpt:2115729 Rec:10.00 DS:0.00 IT:0.00
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THIS IS TO CERTIFY THAT THE FOREGOING IS A
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ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
► ®+ WITNESS MY HAND A O F CIAL SEAL THIS
NIKKI ALVA W S,CLERK&COMPTROLLER
O� L0 BY DEPUTY CLERK
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City of Zephyrhills ,
5335 8t'St {
Zephyrhills FL 33542
f (813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
l j �) cum.e� licensed under Chapter 468, Florida Statutes
as a(n):
,
i
Contractor Engineer Architect Building Inspector
I
License No. C t b LID
i
On or about 2- " did personally inspect the:
Check: Roof Deck Nailing_ Dry in Flashing and Drip edge
W n�
Check which was used: 30#felt Peel and Stick Other(List) ,� Q +1 C
At the following address: �� D � a rt to Dr
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
I
,
Signature:
STATE OF FLORIDk
COUNTY OF PASCO,
Sworn to and subscribed before this day
EP
HEATHER D HOSFELD
/) Notary Public-State of Florida
BY: LNX� O \l'rJ �f J � Cammissicn=t-, r2-.2MyComm.ExaFresVar2'.202i
ded through National Notary Assn.
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1
Notaryid
Public State of Florida
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roster' Roofing: Ent
P:O: Box 633`::.
: $rooksvi Ile;f FL 34.6:05
:Fax;35Z-5-44 003•; -.- :
tic#`CCC1330166:._ ;
: I;.James Faster.;:owner/license:#older:of:Fosfier's Roofing-authorize
Hector Monies; Heather..Hosfeld Tara Figuero4 to':ripply;:sign, andxeceive,
permits: City of Zephyrhills-Building.•Department.:Tf where':are any
-questions;:please.contact;me.at.th. number.above.
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