HomeMy WebLinkAbout20-22319 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22319
BUILDING PERMIT
PERMIT INFORMATION
LOCATION INFORMATION -
Permit Number: 22319 Address: 4852 17TH ST
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: MOORES FIRST ADDITION
Est.Value: Parcel Number: 14-26-21-0010-02200-0160
Improv. Cost: 5,168.00 OWNER1NFORMATION-_
Date Issued: 1/17/2020 Name: KIRKMAN JOAN &WHITE SUSAN EL ATr
Total Fees: 70.00 Address: 4852 17TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-6024
Date Paid: 1/17/2020 Phone: (813)782-6832
Work Desc: REROOF SHINGLE
.CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 70.00
c�
r�
Ins ections Re• ired
DRY IN ROOF INSP
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.
ONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES N 6 THS WITHOUT APPROVED INSPECTION
CALL FOR ECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jan.22.2030 10:50 AM A BARTLETT ROOFING OF CEN 18137801805 PAGE. 1/ 1
City of Zephyrhills
5335 V St
2ephyrhllls Fl.33542
(813)78040020
ROOFING INSPECTION AFFIDAVIT
Permit No.: 4P-P"31 -9�
I, n h licensed under Chapter 468,Florida Statutes as On):
Contractor Engineer Architect,,,,_,Building inspector„
License No. d�Cr, / U
On or about. ../�/�� did personally inspect the:
Check; Roof Deck Nailing Dry in v- Flashing and Drip edge
Check which was used: BON feh,_,_Peel and Stick,,,,,Other(Ust)_ L c4,e
At the following
address: - -A/_9--6 a L '7%9
Based upon that examination,I have determined the installation was done according to the Hurricane
Mitigation Retro anual(Base on Section 553,844,Florida Statutes).
Signature;
STATE OF FLORIDA
COUNTY OF PASCO
swo o and ubscrlbed re this day
c
BY:
Notary Publk of Florida
;y GINTH! JEWELL
I My COMMISSION 0 0=5898
'•„ ,• EXPIRES August 29,=0
813-TSM20 City of Zephyrhills Permit Apptica#an Fax-813.78M21
Building Department
Date Received Phone Camtactfor Perml
�T- t ,
Owner's Name `J r ����r1 Owner Phone Number 6 b
Owner's Address - 7 Owner.Phone Number
17a ,LIL E1 sj,':)L Owner Phone Number 1 s
{
JOBADDRESS �J�- / T4 SA-r-C�' 1OT#
SUBDIVISION PARCEL IDS ! '()U G6-QC ;k>w
(OWMIEDff"PROPSRWTAX KOVCE)
WORK PROPOSED NEW CBNSTR r-I ADD/ALT r--j SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE p SFR Q COMM p OTHER Ii
TYPE OF CONSTRUCTION p BLOCK Q FRAME p STEEL
DESCRIPTION OF WORK
BUILDING S12E SQ FOOTAGE LL�..- r i HEIGHT
t
=BUILDING 3 .. � VALUATION OF TOTAL CONSTRUCTION
=IELEemeAL is AMP SERVICE DUKE ENERGY W.R.M
=PLUMBING 1$ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS p ROOFING [n SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS F FLOOD-ZONSAREA =YES. NO .
..
BUILDER`,::.' COMPANY
SIGNATURE IO318TERlrD Y/ N I FEE Ct><iREE Y I N
Address Uc:emse# ( ( 1
ELECTRICIAN COMPANY
SIGNATURE REGIS RIM Y/ N FEE'CLIMB Y/N
Address License# ! 1
PLUMBER „ COMPANY
SIGNATURE RhR:STERaD Y/ N FEE WR'RE:'+'
Address License#
MECHANICAL COMPANY
SIGNATURE REGIS'CEIFtED Y/ NJ FEE CWUM i Y/N
Address. license# I I 1
1
OTHER COMPANY
SIGNATURE I Y1Kj FEE Ct1RREN f Y N
Address A.e. . / 'Ic License#
RESIDENTIAL Attach(2)Prot Plans;(2)seta of Sulfding Plans;(1)set'of Energy Forms:R4I W-Permit for new cans ,
Mlnirnumi ten(IO)working days after subrr RW*date. Requited onstts,Constmrotion Plans;Stomhwater Plods w/SRI Fence.1natalted,
Sanitary Facilities&.I dumpster.Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2j complete sets of Building Plane plus a L11e Safety Page:(1)set of Energy Forms::R-0-W Perm• construction.for newconstruction.Minimum ten(10)working days after submittal date. Required onsite..Construotlon-Plans,.Slorrawater P"w/Sift Fence Installed,
Sanitary Facilities&1 dumpster:.Sfte.Work Permit for all crew;prajecta.AD cornmercfa requirements must nest ccommpltance:
SIGN PERMIT Attach(2)sets.of Engheered Proms.
—PROPERTY SURVEY required for all NEW construction.
Directions: i
Fill aat_spplication completely. `
Owner&Contractor sign back of application,notarized
9 am$2600,a Notice of Commencement is required. (AFC upgrades over s7 W8) ;
Agent(for the contractor)or Powerof Attorney(for the owner)would,be someone with notarized letter from owner autho some
OVER THE COUNTER PERMITTING (copy of contract required)' !
Remofs ff shingles Sewers Service.Upgrades r A/C Fences(PWSurvay/Footage) '
Driveways-Not over Counter 9 an public roadways..maeds 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 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. 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 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. ff 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.
CONTRACTOWSiOWNER'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 Jurisdictlon. 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 ident fy what actions i must take to be in compliance. Such agencies include but are not limited to:
Depertment of Environmental Protection-Cypress Sayheads, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Carps 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"V"unless expressly permitted.
If the fill material Is to be used In Flood Zone pX, 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 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.
[f 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 wont 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 erodes. 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(B)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. ff 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 IDITEND TO OBTAIN FINANCING,CONSULT
OUR DER OR AN AIXORNEYRDI Y U CEO O MEN NT
FLORIDA JURAT(F.S.117.03) '
OWNER OR AGENT CONTRACTOR—
Subscribed and swam to(or affirmed)before me this Subscribed and to r a me this
6y
Who Were personally known to me or hasMove produced Who ware own me or ha
as identification, 88 tifiCa
c
Notary Public ry Public
Commission No. Comm t No. .» -
Marne of Matary typed,printed or stamped Name of Notary typ .114 ar ,,Troy Fab BOa38S�0f9
//F/)A. BARTLETT
ROOFING & CONSTRUCTION SERVICES, LLC
38408 3rd Ave. I Zephyrhills, FL 33542
(813) 782-5585
Email: Coreyh@abartlettroofing.com Lic. #CCC 1331965
RESIDENTIAL • COMMERCIAL • MOBILE HOMES
LICENSED - INSURED - BONDED
Date
Name ®�`h yt v'-►u�.
Address
Phone 7® 7f
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Your Business is Appreciated / " ry moo"r`
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.d �c �00. al
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. S .�
1.5%process fee will apply to all credit card transactions. Total
1'tIF1ed
_M'Ce
Sign re Date
Weather StopperRoofing Camractar -