The URL can be used to link to this page

Home My WebLink About06-5689 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5689 Permit Number: 5689 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 1,500.00 Date Issued: 4/13/2006 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 4/13/2006 Work Desc: RE-ROOF- 30 YR Address: 5422 23RD T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0040-00500-0020 Name: Address: Phone: ~ov (/' .:>.. / ?t~/ ,iii' 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." NO OCCUPANCY BEFORE C.O. ~~~ ~coQCVQ~ ~. CONT cfo SIGNATURE \ PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Address Fee Simple Titleholder NamJ Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name JOB ADDRESS Fee Simple Titleholder Address I I ~Li 2. d-. I d~\d ~-\- I B D D LOT # PARCEL 10#1 SUBDIVISION 1111...11...111..111..111.....111....111..1111...111..111.....111.........1..............111111................11........111...................... B D D I e.e ~o~ 30 '-\{L I SQ FOOTAGE I ADD/AL T REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK D D D WORK PROPOSED OTHER STEEL I D OTHER I DESCRIPTION OF WORK HEIGHT I BUILDING SIZE 0 BUILDING 1$ )500. I VALUATION OF TOTAL CONSTRUCTION a-u 0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. 0 PLUMBING 1$ I 0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION 0 GAS ~ ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO 111..111..111....'.........11.............11.......................11.11.....11111..................11......1111...........11.........,.......11.. BUILDER i \ SIGNATURE' <::I ~ Address W-~ ~~ I Y / N I FEE CURRENT I Y I N ~€~~~ t COMPANY REGISTERED License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED Y/N MECHANICAL SIGNATURE Address COMPANY REGISTERED Y/N OTHER SIGNATURE Address III1III1III1111 "'lllr'IIIIIIIIIII""IIIIIIIIIIIIIIIIIIIIIIIII'111111111"111111111111111111111111111111111..111111111.1"111111111111'111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) wDrking days after submittal date. Required Dnsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW constructiDn. 1IIIIIIIlll~lljIIIIJIIIIIIIIIII~1111111111111111111111IIIIIIIII~I~IIIIIIIIIIIIIIII~IIIIIIIIII~IIIIIIIIIIIIIIIIII~~~IIIIIIIII~IIIIIIIIIIIIII~~IIIII Directions: Fill out application cDmpletely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be SDmeone with notarized letter from owner authorizing same OV~~TER PERMITTING (Front of Application Only) ~ Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs 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 complianc~ 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 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 obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'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 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 I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, 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 offill 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 properti~s, the. ow~er 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. If 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n~luded. In the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlolat~, cancel, alter, or set aside any provisions of the technical codes, n~r shall. iss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or vlolat~o~s o~ any codes. Every ~ermlt Issued. shall become. Invalid unless the work authorized by such permit is commenced within SIX months of permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed nln~ty ~90) da~s 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 INYOUR 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. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by WhD Is/are persDnally knDwn to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped D:ISCLOStJRE STATEMENT FOR OWNER. CITY OF ZEP!lYRB:ILLS Btr:ILD:ING DEPARTMENT :I d~ 2=1 i~ 0....., ~ ~ have read and ful.ly understand and a~ee to the ~rovisions of ills instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing h:i.s 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 Zephyrh:i.lls 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 wili call for a reinspection before proceeding with the 'building. 5. That the owner shall assume ful.l responsibi"lity for the construction and will not expect supervision of h:i.s 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 pe3:1l1i 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 improve a one-family or two-family residence or a f~ 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 s~l :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, wh:i.ch 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 regulat'ions. OWNER'S S:IGNATURE ADDRESS PHONE ~ OJV\.M , A.~~o.....~ a-- . . , DATE 4 - J '3- 0 <.:, r WITNESS PERMJ:T #