HomeMy WebLinkAbout20-22484 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �2484
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22484 Address: 39054 10TH AVE
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: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-002A-02800-0021
Improv. Cost: 4,257.00 OWNER INFORMATION
Date Issued: 2/17/2020 Name: FAIRCLOTH, MICHAEL DARREN
Total Fees: 65.00 Address: 39054 10TH AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-4429
Date Paid: 2/17/2020 Phone: 813-436-4257
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 65.00
fin
12/111-
G�
Ins ections Required
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.
_0110 ........... &___ ?�
CONT TOR SIGNATUR PERMIT OFFI R
PERMIT EXPIRE -:MONTHS MONTHS W HOUT APPROVED INSPECTION
CALL FOR IN OUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Feb.17.2030 01:39 PM A BARTLETT ROOFING OF CEN 18137801805 PAGE. 1/ 1
'Bi8.780 0020' ICO of'ZephyrhiNs Permit Applicatlon 1`0-813-780.0021
•Buuding Oeparoneht
RateRecetved Phone ConlaclforPannktin� -SS
Ovmer'e.Name ' ' '9!�erPHoRo'Nlrmbel�',:J"";,, '�''(d•,
owner's AddrluR G7 Z,,OK+ttpr,Phone Number
Fee Simple Titleholder Name ": Owner P►iotie Numper '.! .. W I
PoetRmpleTltta)ioldsr'tiddreee .. •.. :,: �'
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SUBDIIIISiON PARCEL 00 �' !
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WORK PROPQ8E0 ;.l NSW COrtSTR ADD/ALT :'.SIGN.. 'A''• ] DEMOLISH
o INSTALL• REPAIR
PROQASWUBE Q.. ..,SF.R•. �]., Co.AM [��,� •_OTHER•:
TYPE OFdONS,TRUCTIOtJ SLOGK'
DE8CRIRTION OF WORK. /
BUILOI�fO SfZt St2 FOOTAGE Q8 NEWT !
-rrtt'rs'x-c+tt'ss'�•s's'�•a-s°>�!s�-cr�-ccs•, r -cE,r"ft=Es=rcr
BUILDING-' 1 �/ + �•°i1' VALaf ioN OF TOTAL CONSTRUCTION
r-JgLE�TRIC!AL S ,,, , r;: ., ANIRi3�iil�iCE, C]• P,ROORESS ENERGY,. ;M. W.RE,C.
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QPLUMBING $ "
[MMECNANICAL S VALUATION OF MEQHAmcAL M31'ALLA'ndN;
ft00FItSG. SPECIALTY, (MNER •r,
FNISNEO FLOOR ELEVATKIN8 FLOOD ZONE AREA Miss • "•'NO•'•
BUiLpER�- - ---------- - - .. � �COMRANYu !� +� • � • • �� -f��fJtQE'S
SICj1ATURE REGISTERED• Y IT' •-•;',PEEcurjRE, Y N.-
Address ,. ¢, ;, Llcgnse#�. f�J+3' � 9
ELEOTRICIAN'• 'COMPANY !
SIGNATURE I YIN
FEHC1rRRHN J Y
Addneio
PLUMBER COMPANY --�_�--�—
SIGNATURE FtRGIBYERW I ._+4J FEECUnNEN.- . IN
AUdresi' ' 'Li6tMbf{
MECHANICAL COMPANY :'+
SIGNATURE R'E01MR.Eo LILN FEeoU(R�RH'N'`''" Y I Nr
Address �LlcelmoS I
OTHER v COMPANY
SIGNATURE REGISTERED I Y/N FEE QWWN Y 1
Ad*m Llaenae f►
alaaaaalaa sage aalaiaaaa Igloo 88oleateG88tiaesse 8lalaaHBa[Ber8aillNAPAAA..
RESIDENTIAL. Attach(2)Prot Plenty(2)sera of Bonding Piano;(1j'ist df Erieigy Forma;ROAN Permltfor new Construction, "
Minimum tan(10)wroddng days after submrilel date.Required wafts,Constructlon Plans,Stormwater Plena w/Silt Fence Installed,
-Senftery FaclHtles 81 dpmpetpr,$Its Work Parma fpr eubdlvNionellarge pro)ecls
COMMERCIAL Attach(2)complete sets of Buliding Plena plus d Llfe SaW Page;(1)set of Energy Forme.R-O-W Permit for now construetIm.
Minimum tan(10)wofking days after oubrrtittet date.Required onff te,Construallon Plans.Stormwater Plane w/Slit Fence Installed,
Sanitary Feoilltles 8,1 dumpster.Site Work Permit for all new projects,All commerdal requirements must meal oomptlance
SIGN PERMIT Attach(2)aetn of Englnesred Plana.
*PROPERTY SURVEY requlmd for all NEW construction.
Dlrec c"
e Go Go 66 as Go
Fin out apolkwPon completely.
Owner 6 Contractor sign back of eppiloation,notarized
If over$=0,a Notice of Comrnencement Is required,(AIC upgrades over$7100)
°• Agent(for the contractor)or Power of Aftomey(for the,owner)would be someone with notarized totter from owner euthorwria same
OVER THE COUNTER PERMITTING (copy of contract required)
RM00%Iehingtes Sewers Service Upgrades A/C Fences(PlonwaylPootage)
Driveways-Not over Counter If on public roadways-needs ROW
'I31'3-760-0020"" City d-Zeiphyrhills' Per'mit'`Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin
a s 1,E E E all.
Owner's.Name Owner Phone Numbe['..., p. �� ,j�a'`'
Owner's Address n(t f b2: Owner Phone Number
Z
Fee Simple Titleholder Name Owner Phone Number
Fee Simple-Titleholder Address -
JOB ADDRESS (J.fz a 'Z LOT#,_
SUBDIVISION ' PARCEL ID# -a o QQ _
y ', r•.; :- ,: - (OBTAINED,FROM PROPERTY TAX NOTICE)
WORK PROPOSED.'-- NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL' e "REPAIR'
PROPOSED USE, ;; :., SFR., a COMM .. • _ ,, •.OTHER:; ;
3
TYPE OF CONSTRUCTION BLbCK' 0,...' FRAME' �� STEEL. 0 L
DESCRIPTION OF WORK 1!c• �'. J1_ j-� !. R o
...ir,,•..
BUILDING'SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL,•..; $. MPiSERVICE,", :PROGRESS ENERGY:' , W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION
=GAS; ;: ROOFING._ .0 SPECIALTY. ; OTHER
' . .
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES _NO-' :
BUILDER, .„ COMPANY
SIGNATURE; REGISTERED J. Y./N r FEE CURREN: Y/.N:_. •• �_
Address 3 1 if License#
ELECTRICIAN`;. .•.::. : .: "COMPANY
SIGNATURE''':' REGISTERED" I Yy'N FEE CURREN Y/N'
Address. - , License.#
: .
PLUMBER COMPANY
SIGNATURE REGISTERED _Y/N FEE CURREN LY/.N-
License
.Andress
# '
MECHANICAL COMPANY
SIGNATURE ;, REGISTERED- Y/N FEE CURREN
Address _ . License#
OTHER COMPANY.
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address ;
,�. . ,License#
iiiiiii.iii fill iiii.iiiii 1 filial 'gill le.g`,jlti.ffIaalIEfElEI f111.111a # i111l11Elf
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,Construction Plans,Stormwater Plans w/Slit 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:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement Is required.(A/C upgrades over$7600)
" 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
813-780.0020.. City of.Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned-understands that this permit may be;subject to"deed restrictions"which may be more.:re'strictive
than County regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNUCENSED.CONTRACTORS AND.CONTRACTOR RESPONSIBILITIES:If the owner,has:hired_a contractor or contractors.tovndertake 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-oited for a misdemeanor violation under state law.If the owner or intended contractor ere 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-$009.
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'owne�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 oonstruetion 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 ordlnances: ' - ' ' - - - - -
CONSTRUCTION LIEN LAW(Chapter 113,Florida atatubas',as amended):If valuation of work is$2,600.00 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_:obtalned a copy of the above described
document.and promise.in good faith to deliver.it to-the"owner"prior to commencement.
CONTRACTOR'SfOWNER'S AFFIDAVIT:Lcertify.thatall 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 thatno.work or.in his commenced prior to issuance of a permlt and that all work will be performed to meet standards of all
laws regulating construction,County and ICity 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 complianoe..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 Bayfieads, 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"V"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 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 applications 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,1,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,.aiter,or set aside any provisions of the-techniial.codes,nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plane,constriction 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.slx.(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.INy YOUR
PAYING TWICE FOR IMPROVEMENTS10 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"EhGEMEtiT
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 islare personally known-to he or has/have produced - - Who Istare personally known to me or has/have produced
as identiflcatlon. as Identification.
Notary Public Notary Public
Commission No: Commission No.`
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
i
„
® City of Zephyrhills
r 5335 81h St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
licensed under Chapter 468, Florida Statutes as a(n):
T
Contractorx Engineer_Architect_Building Inspector_
License No.: C' ,-�L96
On or about c7-. - � C did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge /\
Check which was used: 30#felt_Peel and Stick_Other(List)
At the following , /^
address: go s
`
4 J
Based upon that exa ation, I have determined the installation was done according to the Hurricane
Mitigation Retrofit - a ual (Based on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn o nd sub ribed before is day
BY:
Notary Public State of da
CINTHIA M JEWELL
:* = MY COMMISSION#GG025698
EXPIRES August 29,2020
',