HomeMy WebLinkAbout19-22131 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22131
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22131 Address: 39203 5TH AVE
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: 12-26-21-0030-00100-0160
Improv. Cost: 7,100.00 OWNER INFORMATION
Date Issued: 12/04/2019 Name: FELIX, DIANA E CANO
Total Fees: 80.00 Address: 39203 5TH AVE
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/04/2019 Phone: (813)325-0404
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 80.00
DRY IN ROOF INSP 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.
CONT CTOR SIG URE PERMIT OFFI R
PERMIT E 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
`813-78ta2o City of Zephyrhi#ts Pemnit Application Fax-sly-7so•oazl
. Building Department
Date Received ::]'Phone Contact for pennitima ft 7613 8"a _ j_S+
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Ownm'a Name 1 tl r� Owner Phone Number �'
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7?M5_
Owner'$Address � �.3 �.I•e Owner.Phone Number 1
�� # }
Zvi r���� r-------� Owner Phone Number 4 l
.kos ADDRESS 3 �`' �� L �s`�'a- L�T#
SUBDIVISION PARCEL IDO '�3 I'�4)d_001 06-- ,6 0
(08=1110 FRW PROPERTYTAII ROTtcE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT �, SIGN p p. DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 13LOCK Q FRAME STEEL Q C
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ .- .
Q � iy VALUATION OF TOTAL CONSTf2uCT16N ;
MELECTRICAL IS AMP.SERVICE p DUKEENERGY p W.R.E.C.
pPLUMBINti ``01
L
C,JMECHANICAL $ VALUATION.OF MECHANICAL INSTALLATION
pGAS p ROOFING SPECIALTY = . OTHER
FINISHEWFLOOR ELEVATIONS FLOOD._ZONE AREA QYE$ NO
If A
BUILOEft:;:.' COMPANY
SIGNATURE RmSTEWD I Y/ N I W CURM fY/N
Address License# (R'
ELECTRICIAN COMPANY
SIGNATURE 4;1
E6aStEREDI YINJ SEE CUR'REn'' Y/
Address License# 1
PLUMBER COMPANY
SIGNATURE REt3ISTERED Y/ N FEE CurtM Y 1 N
Address License# � - I
MECHANICAL COMPANY
SIGNATURE REGISTERED I YIN FEE CUR'Rh+
ens "E t Y!N
Address Lice# i(
OTHER COMPANY
SIGNATURE fWGISTERED I Y! N FLEE CURREn #Y!N
Address �J `/ e r k - ' 3��d- Ucense# �Ci- t 3 31`?6 S
RESIDENTIAL Attach(2}Pioi Plarhsi(2)seta of 8utldtng lrlans:.(1)set of Energir Fan» ft-0-W Pen»lt for new corisbudi
intirsiirn ten(10)wading days after submittal data. Required onwte;'Construation Plans,Stormwater Pla�s w/Silt Fence.instaded,
SanlMry Fadiides&i durhoster:Site Work Permit for subdlvislonsltarge projects
COMMERCIAL Attach(2)oomplete sets of Building Plans pica a Ufa.Safety Page.(1)set of Energy Forms,R-O-W Perm'for new construction.
Minimum ten(10)working days after.submittatdate. Required onsite,.Constntcdon,Plans,.Stwmwater Plats w/Silt Fence Installed,
SaNtary FacIfides.A 1 dumpster.Site.Work Pwmlt,for ail now,projects.Ali commercial requirements must meet Compliance.
SIGN PERMIT Attach(2)sets 4)f F.ngtneered Plans.
*"PROPERTY-SURVEY required for all NEW construction.
----------------
Directions: " I
Fill out appitoadon oompletely.
Owner$Contractor son back of application,notarized
If over$2600,a Notice of Commencement is required. (A/C upgrades over$711(14)
9
Agent(far the contractor)or Powerof Attorney(for the owner)would be someone-with notarized letter from ownerau"W"o some
OVER THE COUNTER PERMITTING (copy of Contract required) 1
Remofa if shingles Sewers Service Upgrades:A/C Fences(Plot/Survey/Footage) '
Driveways-Not over Counter If an public roadways..needs ROW
a
WTICE 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 contractors) 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 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 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. 9 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 l
certify that 1, the applicant, have been provided with a copy of the °Florida Construction Llen 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.
CONTRACTOWS/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. 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 1 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,WaterMastewater 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 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
construction, I certify that fill will be used only to fill the area within the stem wail.
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 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 1 rdL1D TO OBTAIN FINANCING,CONSULT
WffOU RD G OU CE COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed and mom to(or ed)before me this
by by
Who tsfare personally known to me or has/irave produced Who rsfare personally known to me or hasfhave produced
as Identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed.printed or stamped
INSTR#2019206427 ORBKIOO17 PG163 Page lofl
12/04/2019 03:47 PM Ropt:2114212 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
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%WKNG TO OWNER: ANY PAYMENTS MAW BY TM OWNER AFM THE S(PMTION OF IM NOTICE Of=WNICEII6NT
III&PROPIER PAYMgNTS UNDER CWTER 713 PART I SECTION V3.113, FLORIDA STATUTES AMNQ PIN
NIPT 1610YESIRMPAY161131 WVICE FOR RPROWNENTS TO YOUR FWOP�W. A NOTICE OF d%i&96diM BE
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wnm YOUR LHNDM AN ATTORNEY 8820M OOMNIENCIW WORK OR RZOORDIIING YOUR NOME OF COMMENCEMENT.
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ME OF
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