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Home My WebLink About06-5748 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5748 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 5748 RE-ROOF ROOF NEW NOT APPLICABLE Address: 39021 3RD AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0000-03400-0000 1,800.00 5/04/2006 60.00 60.00 5/04/2006 INSTALL METAL ROOF 30x60 Name: WORKMAN, LARRY Address: 39021 3RD AVE ZEPHYRHILLS, FL. 33542 Phone: 813782-2140 \J~ <7 / "ff'fJ:yy '< \ ~/ 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. "e payment of inspection fees shall be made before any further permits will be issued to the person owning same Yarning to owner: Your failure to record a notice of commencement may result in your paying twice for 'rovements to your property. If you intend to obtain financing, consult with your lender or an attorney ~ recording your notice of commencement. n NO OCCUPANCY BEFORE C.O. ~-~ OR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhllls I-'erml! f\ppllCCllIUII Building Department Date Received Owner's Name C" OWner's Address I 3 7 0 l).f Fee Simple Titleholder NamJ ' Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I I 39'0 a I I ~3 @ f)t/.c I ~ CJ D DESCRIPTION OF WORK I me.. fA L to IJ J"::' BUILDING SIZE 130 ~ I ~ 0 I SQ FOOTAGE I /;{ OCJ Stj ,::-11 HEIGHT I ~ F 1- I ...........,.................,.~~.........:...................................:................................................,................. D BUILDING 1$ 1 Roo. (JO D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ DGAS ~ FINISHED FLOOR ELEVATIONS I JOB ADDRESS SUBDIVISION WORK PROPOSED B .0 ~ NEW CONSTR INSTALL SFR BLOCK PROPOSED USE TYPE OF CONSTRUCTION z ~p;/ iedlL L '- LOT # PARCEL ID#I tz.- ~-Zl ~ row -()3lf6D ." 0000 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D AD DIAL T REPAIR COMM FRAME D D D DEMOLISH OTHER STEEL I D OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D D W.R.E.C. PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION ROOFING D I BUILDER SIGNATURE .OU,- Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE SPECIALTY D FLOOD ZONE AREA COMPANY REGISTERED COMPANY REGISTERED Address MECHANICAL SIGNA lURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address OTHER DYES DNO ~IL YI N I () OJ J..) q. FEE CURRENT Y I N License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Y/N Y/N Y/N 1111 11111111111 111111111 11111111111111111111111111111111111111 . 1111 . 11111 . III . 1111111 . III . 111111 , 111111111111111111111111111111111111111111111 'II RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, 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 onsite, 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 construction. IIIIIIIII ~ II . 1IIIIIIIIIlII .11111111 II 111111111111 U 11111111 d II . 111111111 U 1111111. III . III H .. . 11111 H III ~ II i I . HI. III H II . 1111111111 &11111 i IIIIII Directions: Fill out application completely. 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 someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC 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 compliance 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 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. addressl~g 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 ",,:all. , If fill material is to be used in any area, I certify that use of such fill Will not adversely, affect a?Jac~nt properties. If use of fill is found to adversely affect adjacent properti~s, the,ow,ner 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 ~f the permlttln~ conditions s~t forth In this affidavit rior to commencing construction. I understand that a separate perm~t may ~e requlr~d for elect~lca.1 work, plumbing sicins wells, pools, air conditioning, gas, or other installations not specifically 1n?luded.1n the apPllcab~n. A ermit is~ued shall be construed to be a license to proceed with the work a~d not as authon~y ~o vlolat~, cancel, a er, or ~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng ~ff~I~11 ~om the~eaftl~~ :~~~n~: =~~~;:"~lz:';'~~ ~u~~::;~:r::~::~I~:~~~ ~~a;;;;,;:t..~ :;~ r~~:.u.; : .:,~ =F:~~~d~ ~ E:r~~:EI~n\~::\~;s:~~~;:5J::~~:~~l~~:~:~~a :i\~~i~;:;;r.~:n~~~~~;t~~~ NOTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNE~p~g~::~~~~~ ~~~:~~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ~J~N';O-:I~~:g:R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or amrmed) before me this by Who is/are personally known 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:ISCLOStlRE STATmmNT FOR OWNER C:I.TY OF ZEPHYIm:ILLS BU:ILD:ING DEPARTHENT :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 er rereefing his er her ewn domicile" that he or she actually eccup~es, er ~ll eccupy by sa~d domic~le, and same ~s net fer rent, lease er sale. That he er she shall cemplywith the fellowing conditions.: 1. That the owner and he er she alene shall act as the builder for all phases ef. censtructien. 2. That the ewner will comply w~th all provisions of the C~ ty ef Zephyrhills erdinances and cedes pertinent to "the building. 3. That in the event varieus phases ef construction are subcontracted, he will engage only properly licensed subcontracters and ~ll personally supervise such werk.. 4. That in the event the Building :Inspecter shall require cerrectiens to be made, the owner will assume full respo.nsibili ty to. insure the.y are made, 'and upo.n completio.n wili call fer a reinspectio.n befo.re proceeding with the .building. 5. That the owner shall assume full respo.nsibi~ity fer the co.nstructio.n and will net expect supervisio.n o.f his Work from the C~ ty o.f Zephyrhills Building Department. 6. That prior to final inspectio.n any additio.nal fees, ~ncluding reinspect~on fees, must be pa~d in full. A wr~ tten request from this o.ffice shall ,censtitute. an o.fficial no.t~ce"to pay addit~o.nal fees. 7. That the owner shall comply with all C~ty, State and Federal laws' in regard to so.cial security, wo.rkman' s compensat~o.n, lien laws, etc., where applicable. B. That the owner shall comply with all the safety cedes issued by the Flerida :Industrial Commissien. 9. State law requires cOIl.struct~o.n to be do.ne by licensed co.ntracters. Yo.u have applied for a permit under an exemptio.n to. that law. The exemptio.n allows yo.u, as the owner ef yo.ur property, to. act as yo.ur own contractor ~th certa~n. restrictio.ns even tho.ugh yo.u do. net have a license. Yo.u must provide direct o.nsite superv~s~o.n o.f the co.nstructio.n yo.urself. Yo.u may build or impr~ea ene-family o.r two-family res~dence o.r a farm o.utbuilding" Yo.u may also. bu~ld er improve a co.mmerc~al building, providedyo.ur Co.sts do. net exceed $25,000. The building o.r residence must be fer yo.ur o.wn use o.r occupancy. :It may net be bu~lt o.r sUbstantially improved fer sale o.r lease. :If you seJ.l;or" lease a building yo.u, have built ersubstantially improved yo.urself wi thin 1 year after the co.nstr'\1ctio.n is complete, the law w~ll presume.thcLt yo.u built o.r substant~ally improved if fer sale er lease, which is a, v~o.latien o.f this exemptio.n. Yo.u may net hire an unlicensed perso.n to. act as yo.ur co.ntracto.r er to superv~se peo.ple werking en yo.ur building. :It is yo.ur respo.nsibil~ ty to make sure that people employed by yo.u have licenses required by state law and by co.unty o.r municipal licensing o.rdinances. Yo.u may net delegate the respo.nsib~lity for supervising work to. a l~censed co.ntracto.r who. is net licensed to. perfo.rm the wo.rk be~ng do.ne. Any perso.n werking en yo.ur building who. is net l~censed must work under your direct supervis~en and must be empleyed by yo.u, wh~ch means that yo.u must deduct F.:I.C.A. and withho.lding tax and prev~de wo.rkers' compensat~o.n fer that employee, all as prescribed by 1aw. Yo.ur censtruct~o.n must comply ~ th all applicable laws, erdinances, building cedes, and zoning regul~o.h~ A OWNER'S ~1t'1'~ DATE ;;;-- ~ -OU r ADDRESS ILL (" PHONE WJ:TNESS PERM:IT #