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Home My WebLink About06-5520 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5520 Permit Number: 5520 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 2,000.00 Date Issued: 3/03/2006 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 3/03/2006 Work Desc: RE-ROOF Address: 5853 9TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-01400-0070 Name: ROBERTSON, GLADYS Address: 5853 9TH ST ZEPHYRHILLS, FL. 33542 Phone: 813783-9272 REINSPECTION 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." NO OCCUPANCY BEFORE C.O. 44~<l) /r7d<~ .;> ~ ~ C TRACTOR SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CIrry OF ZEPHYRHILLS PERM.!'!' A!'!'.LI.LL;,f\.J:.LUJ.-. BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~-3 PHONE GONTACT FOR PERMITTING JOB ADDRESS /)'i'"!;- ~ Roh e,h -t- 5//1\/ 96hl S;f- "") fI- PHONE ~!:..~ -7 ~ "3 927--:> - OWNER'S NAME (.;J... A f) Y '\ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 it l,--a(P-~\ _60\0- 01'-+00- DOLO (OBTAIN FROM PROPERTY.TAX NOTICE! WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL Os I GN o MOVE 0 DEMOLISH PROPOSED USE: BSGL FAMILY DWELLING OMULTI-FAMILY D. OF UNITS o MOBILE HO~ o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL ;(1.2 ;for) .;: 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 ~ t2 ()O, 00 $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progres5 Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO ,_ -,'-----Il-"'-~~ -,. -- _ . _ "...--~--.--,.....,-I -t...,.--- _ _ -" -"- .....--~-- ~~,.-.-.-.------- ---~ - --1- - -- -- -- -- -- - - ~,- ,,---- -i"""-'-- --;7-"''''''''1- ~' J I I' I I / ( I I f I , 1. I 11'lf! I" I 11 I I j I I I' ~ - , t > I I' I , 'I I I I' pi) J ~.....,~-1.....~__ ~_______~__l"'-'- ~_.....:..-......---~~----~--~------- - - ----~~~-- ' COMPANY jj i'f'"'h... (l J dl ~.J/'1l ./lh STATE CERT OR REGIST it ****************************************************************** ELECTRICIAN COMPANY SIGNATURE - STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST * ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIGE OF DEED RESTRICTIONS Th~ undersigned understands that this p~rmit may be subject to. ftde~d restrictians" which may be mare restrictive than city regulatians. The undersigned assumes respansibility far campliance with any applicable deed restrictians. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES If the awner has hired a cantractar ar contr~ftars to. undertake wark, 'they may be required to. be licensed in accardance with state and lacal regulations. If the cantractar is no.t licensed as required by law, bath the awner and contractar may be cited far a misdemeanar vialatian under state law. If the awner ar intended cantractar are uncertain as to. what licensing requirements may apply far the intended wark, they are advised to. cantact the City af Zephyrhills Building Department, 813-780-0020. Furthermare, if the awner has hired a contractar ar cantractars, he is advised to. have the cantractar(s) sign pa~tians af the ftCahtractar Sectians" af this ~pplicatian far which they will be respansible. It you, as the awner signs as the cantractar,yOu are indicating that you, rather than the cantractar, are respansible far the wark.If the cantractar wishes you to. sign as cantractar that may be an indica~ion that he is nat praperly licensed and is nat entitled to. permitting privileges in the City af Zephyrhills. C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES . D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, hay~ been provided with a capy'af ftFlarida's Canstructian lien Law _ Hameawner's,protectian Guide" prepared by the Flarida Department at Agriculture and Cansumer Affairs. If the applicant is sameane ather that the "awner", I cerify that I have abtained a capy af the abave described dacument and pramise in gaad faith to. deliver it to. the ftawner" priar to. cammencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infarmatian in this applicatianis accurate and that all wark will be dane in campliance with all applicable laws regulating canstructian, zaning, and land develapment. Appliqatian is hereby made to. abtain a permit to. do. wark and installatian as indicated. I certify that no. wark ar installatian has cammenced priar to. issuance af a permit and that all wark wiil be perfarmed to. meet standards af all laws regulating canstructian, City eades, zaning regulatians, and land develapment regulatians in the jurisdictian. I also. certify that I ,understand that the regulatians af ather gavernmental agencies may apply to. the intended wark, 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 af 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 Carps of Engineers-Seawalls, Dacks, Navigable Waterways *Department af Health & Rehabilitative Services, Enviranmental Health Unit-Wells, Wastewater Treatment, Septic Tanks . *U.S. Enviranmental Pratectian Agency-Asbestas abatement I also. certity that, if fill material is to. be used in Flaad Zane ftA" ar ftA,etc.", it is understaad that a drainage plan addressing a;:'campensating valume" will be submitted which is prepared by a prafessianal engineer registered in the State af Flarida priar to. permit issuance. ~ A permit issued shall.be .canstrued to. be a license to. praceed with the wark and nat as autharity to. vialate, ,cancel, alter, ar set aside any pravisians of the technical eades, nar shall issuance af a permit prevent the Building Official fram thereafter requiring a carrectian af errors in plans, canstructian, ar vialatians af any cade. Every permit issued shall became invalid unless the wark autharized by such permit is cammenced within six manths af issuance, ar if wark autharized by the permit is suspended ar abandaned far \a peri ad af six manths after the time,the wark is commenced. One 90 day extensian af time may be allawed far the permit with fee charge af $15.00. The extensian shall be requested in writing ta'the Building Official. An appraved inspectian must be lagged during each six manth periad, ar the project will be considered abandaned. 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 faregaing instrument was Befare me this _____day af by STATE OF FLORIDA COUNTY OF The faregaing instrument was acknawledged Befare me this _____ day af , 2Cl..- by (name' af per san acknawledged) D who. is persanally knawn to. me, . ar Dwha has praduced (type and whaD did D did nat acknawledged '.1 20_ (name af persar acknawledged) [1ha is persanally knawn to. me, ar af identificatian) take an aath. Dwha has praduced (type af identification) and who. Odid [):lid not take an oath Signature af person taking acknawledgment Signature af persan ta.king acknawledgement Name typed, printed or stamped Name typed, printed ar stamped DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPlIYRBILLS BUILDING DEPARTHENT Z, JJ 1/7~, fr?"'t/~A~ . have road and fully underotand and agree to t e 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 relit; 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 fram 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 officia~ 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 permi t 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 farm 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 seal :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 regulations. OWNER'S SIGNATURE ADDRESS 5 S? I). ") PHONE V I j - '1 s:;:... 1/1tj;f;A~ ~AV~ ~ - 92-'1-:> DATE t7~~3 /O? r WITNESS PERMIT #