HomeMy WebLinkAbout06-5493
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5493
Permit Number: 5493
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 1,100.00
Date Issued: 2/24/2006
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 2/24/2006
Work Desc: RE-ROOF
Address: 4709 LAR D
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 15-26-21-0160-00000-0070
Name: STATEN, WILLIAM
Address: 4709 LARCH DR
ZEPHYRHILLS, FL. 33542
Phone: 813610-5671
otP
I \. \A.
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. n
NO OCCUPANCY BEFORE C.O.
~~~ ~~
C NTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~
BUI'LDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
c7-/~fL{ loCo
PHONE CONTACT FOR PERMITTING
OWNER'S NAME /./}' / //.t/IA
~~A'0
PHONE SlY - 61 tJ -S-? 7 I
JOB ADDRESS 'L{? 0 c7
CC.YC:0.
Pr-
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID it 1 t:;-~lc -d\ - 0\ foo- oocx::>o - 00,0
(OBTAIN FROM PROPERTY,TAX NOTICE}
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION ~LTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
DMULTI-FAMILY Dit OF UNITS o MOBILE HOl-!
o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
(2-'2 eco f2-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$ \\bO.oO
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
t~=== ~_~_-~~~~~~_~~_~~~"_'~__~~i--=_~_=_ i=~~-=~-_ -~- _L-_~~~~~~_=3~;~I~';
BUILDER ~
SIGNA;URE 41 _ '. -.
COMPANY flu "" -( 01\ '
STATE CERT OR REGIST it
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A.' NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to. "de~d restrictiens" which
may be mere restrictive than City regulatiens. The undersigned assumes respansibility far
cempliance with any applicable deed restrictiens.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the ewner has hired a centracter er cantr~Fters to undertake werk, 'they may be required
to. be licensed in accerdance with state and lecal regulatiens. If the centracter is not
licensed as required by law, bath the awner and centracter maybe cited fer a misdemeanar
vielatien under state law. If the awner ar intended cantractar are uncertain as to. what
licensing requirements may apply fer the intended werk, they are advised to. centact the
City ef ZephyrhillS Building Department, 813-780-0020.
Furthermere, if the ewner has hired a contracter er centracters, he is advised to. have the
centracter(s) sign po~tiens ef the "Gentracter Sectiens" ef this ~pplicatien fer which they
will be respansible. II you,. as the ewner signs as the centracter, you are indicating that
yeu, rather than the centracter, are respensible fer the werk.If the centracter wishes
yeu to. sign as centracter that may be an indication that he is net preperlylicensed and is
nat entitled to. permitting privileges in the city af Zephyrhills.
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay!;! been provided with a cepy'ef "Flerida's Censtructien
lien Law _ Hemeewner's,protectien Guide" prepared by the Flerida Department af Agriculture
and Censumer Affairs. If the applicant is semeene ether that the "ewner", I cerify that I
have ebtained a cepy ef the abeve described decument and premise in geed faith to. deliver
it to. the "ewner" prier to. cemmencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infarmatian in this applicatianis accurate and that all wark will
be dene in cempliance with all applicable laws regulating canstructien, zaning, and land
develepment. '
Appliqatian is hereby made to. ebtain a permit to. de wark and instaliatien as indicated. I
certify that no. werk er installatian has cemmenced prier to. issuance ef a permit and that
all werk wiil be perfermed to. meet standards af all laws regulating canstructian, City
eades, zaning regulatiens, and land develapment regulatiens in the jurisdictien. I also
certify that I ,understand that the regulatiens af ather gavernmental agencies may apply to.
the intended werk, and that it is my respansibility to. identify what actions I must take to.
be in campliance. Such agencies inolude but are nat limited to.: *Department ef
Enviranmental Regulatian-Cypress Bayheads, Wetiand Areas and Enviranmentally Sensitive
Lands, water/Wastewater Treatment
*Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercaurses
*Army Cerps of Engineers-Seawalls, Decks, Navigable Waterways
*Department ef Health & Rehabilitative Services, Enviranmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Envirenmental pretectien Agency-Asbestes abatement
I also. certi~y that, if fill material is to. be used in Fleed Zene "A" er "A, etc.", it is
understeed that a drainage plan addressing a;~'campensa.ting velume" will be submitted which
is prepared by a prefessienal engineer registered in the state af Flarida prier to. permit
issuance. ~
A permit issued shall ,be ,canstrued to. be a license to. praceed with the werk and net as
autherity to. vialate,cancel, alter, er set aside any previsians of the technical eades,
ner shall issuance ef a permit prevent the Building Official frem thereafter requiring a
cerrectian ef errors in plans, construction, er vielatians af any cede. Every permit
issued shall became invalid unless the wark autherized by such permit is cemmenced within
six months ef issuance, ar if wark autharized by the permit is suspended ar abandened fer \a
periad ef six months after the time. the work is commenced. One 90 day extensien ef time
may be allewed fer the permit with fee charge ef $15.00. The extensien shall be requested
in writing te'the Building Official. An appreved inspectien must be legged during each six
menth peried, er the project will be considered abandened.
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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The feregaing instrument was
Befere me this _____day ef
by
STATE OF FLORIDA
COUNTY OF
The feregaing instrument was acknowledged
Before me this _____ day ef ' 2CL-
by
(name' ef persan acknewledged)
Owhe is persenally knewn to. me, 'er
acknawledged
'-,20_
(name af perser acknewledged)
[1he is persenally knewn to. me, ar
o who. has preduced
(type
and wlieO did 0 did net
af identificatien)
take an eath.
o who. has praduced
(type af identificatian)
and who. Odid D:iid net take an eath
Signature ef persen taking acknawledgment
Signature ef persen taking acknewledgement
Name typed, printed er stamped
Name typed, printed er stamped
M/~'~-
I,
agree to the provisions of this instrument.
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPRYRBILLS BUILDING DEPARTMENT
5)"'1 le.r"\.
15-~Co-~\ - 0\(00- 00000-
O0'7D
have read and fully understand and
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 impr~vea
one-family or two-family residence or a far.m outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building _or residence must be for your own use or occupancy. It may not
be built or. substantially improved for sale or lease. If you sall :o~ lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you 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 workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regul;t7y2 ~__
OWNER'S SIGNATURE .V~ ~>' DATE 2-?L/-C7~ r
ADDRESSr 7 [J '/ L ~.-- '" to .lJ,- .
PHONE 151 _- t 10 - 5?:.... 7/
WITNESS
PERMJ:T #