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Home My WebLink About20-742 City p Y PERMIT NUMBER �� ►� N `� C i of Ze h rh i I Is .y , � `. _. 5335 Eighth Street ,.. , _ Zephyrhills, FL 33542 BGR-000742-2020 Phone: (813)780-0020 Fax: (813) 780-0021 Issue Date: 09/18/2020 Permit Type: Building General (Residential) P,ropert,Number ;_ S#�,eet,dAzddre"ss , » 1126 21 0010 10700 0120 5630 16Th Street 0wnerinf6rmation Permit-Information; .xCon`tr c_orinformation Name: MELINDA RODRIGUEZ Permit Type:Building General(Residential) Contractor: HOMEOWNER Class of Work:Reroof(Shingle Only) Address: 5630 16Th St Building Valuation:$5,000.00 _ e '_ , /�. ^)VIP r ZEPHYRHILLS,FL 33542 Electrical Valuation: �VitrtC� Phone: (813)377-7887 Mechanical Valuation: n Plumbing Valuation: Total Valuation:$5,000.00 Total Fees:$65.00 Amount Paid:$65.00 r Date Paid:9/18/2020 2:19:59PM •�//l / Project;Descrption 4 y REROOF SHINGLE Application:Fees Building Permit Fee $65.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. CONTRACTOR SIG TUR PE IT OFFICE PERMIT EXPIRES I MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application 'L5 /YA Fax-813-780-0021 BuildingDe^artment V4#Jl70 Date Received Phone Contact for,permitting - Owner's Name Irl C� ( l - Owner Phone Number Owner's Address Owner Phone Number. eaaFee Simple'Titleholder'Name [ I it, ` i Owner Phone Number Fee Simple Titleholder Address cS r'"�^'" JOB ADDRESS S l LOT# SUBDIVISION PARCEL,ID#I 1t� nCl -GoLo (OBTAINED.FROM PROPERTY TAX,NOTICE) . WORK PROPOSED NEWCONSTR- ADD/ALT = SIGN 0. Q DEMOLISH _ R INSTALL REPAIR PROPOSED USE _ — - SFR--� ..OAIM--- ,ram OTHER_ _ TYPE OF CONSTRUCTION- = BLOCK _ 0 FRAME = STEEL DESCRIPTION OF:WORK %Q T' 14 O 1 BUILDING SIZE SQ FOOTAGE HEIGHT " a+r+! =BUILDING $ 00 ..VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE. = PROGRESS.ENERGY = WA.E.C.: =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA` '=YES, NO BUILDER �� (� _C COMPANY SIGNATURE �C�IX REGISTERED I' -N FEECURREN - N / Address `_ � license ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N`. FEE CURREN -•Y/N. Address License PLUMBER COMPANY .tIGNATURE REGISTERED Y.[. N. FEECURREN: : J:N Address License7. # MECHANICAL COMPANY SIGNATURE REGISTERED Y/'N FEE CURREIN Address License OTHER COMPANY SIGNATURE REGISTERED Y/'W, - FEE CURREN- Address, :License#. RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building•Plans;(1)set of Energy:Foirns;R=O=W`Permit for riew::construction, " Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W/Silt Feh6ee,Installed;: Sanitary Facilities&1 dumpster;Site Work Permit for.,subdivisions/large projects _ _ nttacnr`npTeie sets ouildln`g Piansptus a;Lire Satety (1�set of Energy Fornis..R;O-W_Permlt for new cons6uction. Minimum ten(10)working days after submittal date. Required`onsite,Construction Plans:Stormwater Plans w%Silt Fence installed; Sanitary'Faoilities&'1':dumpster.Site Work:Pemiit,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$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) � � +A • =-- . Driveways-Not over Counter if on public roadways..needs ROW t ,,. NOTICE-OF DEED RESTRICTIONS: The undersigned"uriderstands 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.r-estrictions.- UNLICENSED CONTRACTORS`AND-CONTRACTOR"RESPONSIBILITIES:, -If the:~owner:=has•hired a contractor or contractors-to undertake work,.they maybe=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,intendedcontractor,�are uncertain as to what-licensing.requirements may apply,for.the intended work, they are advised to contact the Pasco County-BuildIIng,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. portionsof-the °contractor. Block".of.this.application for which.they will.be responsible. if you, as the.owne'r 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 underslgned 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 specifiedin;Pasco'County Ordinance-number 89-07 and 90-07��as-amended. The-undersigned.also.understands,.that-such'fees,-as maybe-due, will be identified-af the 4ime,-of - permitting. _It is further understood"that Transportation:Impact Fees and Resource Recovery Fees must be paid.prior to receiving a "certificate of.occupancy" orAinal 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 lmpact fees• f!$_tjlle;..tl?Aunt►tCt: o_nai�l.rr}fi�tr_,�n-r ':':: ;Butt^a;;v`+:�n v .^ti{iuiii:@ vdi'ihizjlpiit:d[7i4 Yt SC;tt tiOUrlt�f Or IftanceS CONSTRUCTION,LIEN-LAW(Chapter 713,Florida Statutes;as.amended): 1f valuation of work is$2,5.00.00 or more, I., certify-that-1; the applicant;,have -been-provided ..with a-_copy..of.the-."Florida.`Construction,Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs. If the applicant is someone other than the"owner",I certify-•thdUl-have obtained a copy-of-the above described document-and-promise in good-faith to deliver it to the"owner.prior to commencement. . CONTRACTOR'$/OWNER'S:AFFIDAVIT:�.1`certify that all the:information in:this-application is accurate-and that4l.�work ' will be done in compliance with all applicable laws regulating-construction, zoning,and."Iand.development. Application is hereby made to obtain a permit to do :work:and vin'stallation :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°Citycodes, zoning regulations, and:land;-development-regulations.irfJhe jurisdiction:. 1-also: certify that.t.understand that the regulations of other government agencies may.apply tp'the intended work, and that-it is my responsibility to identify what actions I must take to:be in cs:Tipliance. Such'agendies:include-but are not limited to: - Department of,Environmental .Protection-Cypress iayheads, Wetland Areas and'Environmentally'Sensitive ..-Lands,Water/Wastewater,:-Treatment. Southwest Florida Water : Management Disttict-Wells,' Cypress Bayheads, Wetland Areas; Altering Watercourses. Army Corps of Engineers-Seawalls Docks,:Navigahie Waterways. - Department of Health & Rehabilitative Sdovices/Envir-onmentai Health Unit=Wells, Vt/astewater. Treatment, . Septic Tanks. - US:EnvironmentalProtection.Agency_Asbestos.abatement., r - Federal Aviation Authority�Runways.. I understand.that the following restrictions apply to the use of,.:fili:. , Use of fill is not allowed=in'-Flood.Zone"V"Unless:expressly permitted. — -=---=lf toe91i�rzya+Fri ite�P "G¢ in_Fioad.Zpcxe U�►" .is understood that.-.a_drai_nage.plan;addressing.a "compensating volume7.-will-be.submitted•at time of permitting-which-is prepared by.a_pr6,esstt siai-engpise` licensed bythe State of Florida. _ 1f.the filLmaterial is,to be, used,in Flood.Zone:•"A" in connection with a permitted building, using stem.-wall. construction,-1 certifV;thaf-fill will.be:used�onlyto-.#ill.the.area•within the stem wall. - It till material is-to be used' in any. area, I certify.-that use of-such-fil -will not-adversely--affect.adjacent -propertiess;---if use-of'fill'is:found to-adversely affect:adjacerit properties, the owner maybe 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 fiill,.an.engineered drainage plan-js required. If I am-the AGENT.FOR THE'OWNER, I promise:in:good faithto'informi:the owner of the-permitting:conditions set forth.in thiscaffidavlt prior to commencing construction. 1 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:applicatiort ..A permit-issued shall be construed to be a license to proceed with the workand not as authority to.•violate;-cancel; alter, or set aside any-provisions-of-the-technical-codesi:nor•shall.Issuance of.a permit prevent the Building Official from.thereafter: requiring p corredtion of-err-om.in plans, construction or violations-of any.codes.•-Every-permit,issued..shaii-.become invalid Era unless the work authorized by such..permit is commenced within'six months of permit issuance,or if"work authorized by ; the.permit Is suspend`ed-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 foe;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 JN YOUR PAYING TWICE,FOR41MPROVEMENTS 3'O YOUR,'PROPERT.Y.:',iF YO.0 iNTEND:TO;OBTAiN:FINANCINGy;CONSULT Wt`TH�YOUR LENDER,OR:AN:ATTORNEY-BEFORE=.REC ORDING.YOUR,NOtiCE OF-GOMMENCEMENT.: FLOR#D*JURAT+(F:S:-147.03), —C. __ OWNER OR<AGEN _ __ `�GOiN`o RA6'6R It S� s ' ed-and:swa .o( r affi ed = re: .this- Subscribed.and.sworn.:to"(or affirjned)-before me this r by__ ci by who s/are ersonaRy known to me or has/have pro u d Who istbre'persohally known to me or haslhave prdduced L. ntification. as identification. - - 5 / Notary Public Notary,Public, Commission No. "Commission No.. Name of No qfarwe&L Name of Notary typed,:printed or stamped MARIA MAE SANTOS Notary Public-State •ciorida },� Q Commission#GG 27 My Comm.Expi—s Jar.23,2021 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT I. have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile,that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding,with the building. 5. That the owner shall assume'full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc.,where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as.your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S RE"IM9% DATE ADDRESS PHONE — 2,11 — WITNESS PERMIT I/Masterforms/OwnersAffidavit/Nov07