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Home My WebLink About06-5794 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5794 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: 5794 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 39716 MEADOWOOD LP ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: MEADOWOOD ESTATES Parcel Number: 13-26-21-0140-00000-0180 2,000.00 5/16/2006 40.00 40.00 5/16/2006 RE-ROOF SHINGLES Name: WALTERS, JOHN B. Address: 39716 MEADOWOOD LP ZEPHYRHILLS, FL. 33542 Phone: 813788-1535 (:~AkD Lu /2-:)) LJ[P 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. ti uJ. ~-. CONTRACTOR 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-51 ~-7/jU-UU:.!1 ,/ Date Received - :N)O& !AlA t"r6. Mf5AOCJIAJ CJCJlJ t-()CJP ,/ Owner's Name iJ{:J H;J /' Owner's Address I 3 f 7/ (.:, Fee Simple Titleholder NamJ Fee Simple Titleholder Address I / JOB ADDRESS '3AMG- LOT # I I i I r-- -- WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I 8' o o PARCELlD#1 \~-a<o.a \ - 6\'-\-0- QOOO() - n\ ~O (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 SUBDIVISION ADD/ALT REPAIR COMM FRAME D D D DEMOLIsH B PROPOSED USE D TYPE OF CONSTRUCTION D ./ DESCRIPTION OF WORK I ;8.e ,8oCJP BUILDING SIZE I I SQFOOTAGE I 'I HEIGHT I ,I . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . , .. . . .. . .. . : . . . . . .. .. .. .. , .. .. .. . .. . .. . , .. . .. .. . , .. , .. .. .. . .. . .. . .. . .. .. . .. .. . .. .. .. . . .. . , . . . . .. .. .. . .. . .. . . . .. .. . / D BUILDING 1$ 1-0 00 dj' VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS ~ FINISHED FLOOR ELEVATIONS I OTHER I STEEL D I I' I OTHER I AMP SERVICE o PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING o 1 SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO 11"""""""'1""""""""""""""""""",."",."",.,..".".".".,..,.".""..",;""...,."..".........,.......,.......... COMPANY /1 +-'ca:::ne ~"--- REGISTERED I Y IN' I FEE CURRENT I License # I /:~~~~~RE ! riJ, ?LJ~ Address ELECTRICIAN I. SIGNATURE Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I Y/N COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N 1111'11111111111111111'1111111'11111111111111111111,111111111111111111111111111111111111111111111111111111111111111111'1111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslle. 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 onslle. 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 conslruction, , 111111111111111111111111111111111111111111. . 111I11111 . . '1111111.11111111 III 1 I . I i 111111111 i i i 11111 i II i I111 i I i 11111 i I i I1111111I i III i II i i II i i jj II i Iii i , 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 conlractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner aUlhorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Driveways Fences (PloUSurvey/Footage) 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 r~strlctlons. .' " " " ' l!NLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired, a contractor or contractors to undertake work, they may be re,quired to be licensed In aCcordance wltli state and local tegulatlol1S, If the contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanor violation under state, law, If the <?wner or jntended contractor a~e uncertaih as to what lI~enslhg reqUirements may apply ,for the . intended work, they are advised ,to contact the Pasco County Building Inspection Dlv!slori-Ucensl~g Section at 727-84"'- 8009, Furthermore, If the owner has hired a contractor,or contractors, he Is advised to have the conlratlor(s) sigh ' , portions' of the "contractor Block" of this ~ppllcatlon 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 hot entitled to permitting prlvllege~ In Pasco County" ' ,.' ' ' . " TRANSPORTATION I,.,PACTJUTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned understahds that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge of . use In, existing buildings~ or expansion of existing buildings, as specified In Pasco County Ordinance hllinber 89-07 and .." 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified al the time of permitting. 'It Is further understood, that Transpo~atlonlmpact Fees and ResourCe Recovery Fees Inust be paid pi'lor to , receiving a "certificate of occupancy" or final power release, If the project does hot Involve a certificate of occlipahcY or filial power. release, the fees must be paid prior to permit Issuance, Furthermore; if Pasco CountY. WateriSewer Impact , fees are due, they must be paid prior to permit Issuance In accordance w,ith applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter.713, Florida $tatu~es, 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 taw-HomeoWner's Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant is sorneone , other than, the "owner", I certify thlilt 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 donEt In compllanqe with all applicable laws regUlatl!lg construction, zonlhg and land development. 'AppUcatlOr1ls.. hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has commenced prior to Issuance' of a permit and that all work will be p~rformed to meet standards of all laws regulating construction, County' and City codes, zoning regulations, and land development regUlations In the jUrlsdlctioh, I also , . certify that I understand that th~' regulations of other government agencies may apply to the Intend~d work, and that It is my responsibility .to Identify what actions I must take to be In compliance. S,:!ch agencies hlclude but are hot 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,' Wetlahd Areas, Aiterhig Watercourses.' , " " .' . '. Army Corps of Engineers-Seawalls, Docks, ,Navigable Waterways., .. " . Departm'ent of He~lth & RehabllitatlveSerVlces/Envlronmental HE;talth 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 "N, It Is understood that a drainage plan addressing a "compensating volume" will be, submitted at time of permitting which Is prepared by a professional englheer ,licensed by the State of Florida. ' " , ' If the fill material Is to be used in Flood Zone "N In connection With a permitted building using stem wall , construction, I certify that fill will be used only to 'fill the ar~a within the stem wall. ' . If fill, material Is to be used in' any area, I certify that use of such fill will hot adversely affect adjacent properties. if use of fill Is found to adversely affect adjacent properties, ,the owner 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 fo~h In this affidavit prior to commencing. construction. I, understand that a separate permit may be requited for electrical wor~, , . . plumbing, signs, wells, pools, air conditioning, gas,' or other Installations 'not specifically Included In the application. A . permit issued shall be construed to be a license, to proceed with the work and not as authority to violate, c.ancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~e~ea~er requiring a correction of errors In plans,cQnstruction or violations .of any code!;. Every permit lssu~d, shall become Invalid unless the work authorized by such permit Is commenced within six months of permit Issua~ce, or If.work authorized by the permit is suspended or abandoned for a period ofSlx (6) months after the time t~e w~rk is commenced, 'An extension 'may be requested. In wrltlng,from the Building Official fora period not to exc~ed ninety (90) days"and will,~emonstrate justiflai:lle cause. for the extension, If work ceases for ninety (90) consecu~lve days, the Job Is considered abandoned. , ' WARNING TO OWNER: YOUR FAilURE TO RECORD A NOTICE OF COMMENCEMENT MAy RESULt IN YOUR. . PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND TOO.BTA~N F~NANCINGj OONSULT WITH YQUR LENDER OR AN ATrORNEY BEFORE RECORDING YOUR ,NOTICE OF COMMENCEMENT. . FLORIDA JURAT (ES. 11?,-03) " ' CONTRACTOR' ' , " ' . OWNER OR AGENT . , ' ' . tho Subscribed and swom to (or amrm~d) before me 'this, Subscribed and swom to (or amrmed) before me Is , '~ " , ' ~ , ' Who Is/a~ personally known tb me or haslhave produced ' Who Is/are personally known to me or haslhav,:, produced , , as IdenUflcaUon. ' as IdenUficaUon. Notary Public NolarY Public Commission No. Commission No. Name of Notary typed. printed or stamped , . ' Name of Notary typed, printed or stamped :I, 131 D:ISCLOStl'RE STATEMENT FOR OWNER. CITY OF ZEPHYRB:ILLS BTJ:ILD:ING DBPARTKBN'l' have read and ful.1.y understand and provisions of this instrument. The undersigned states and affiJ:1llS 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 ful.l responsibility to insure they are made, and upon completion wili call for a reinspection before proceeding with the building. S. That the oWner shall assume ful.l 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 ful.l. 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 own,er 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 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 seJ.l;or' lease a building you have built or substantially imp~oved 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 ~icensed must work under your direct supervision and must be emp~oyed by you, which means that you must deduct F.:I.C.A. and withho~ding tax and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comp~y with all applicable ~aws, ordinances, bui~ding codes, and zoning re tions OWNER'S ADDRESS PHONE DATE .5 -I '=' -06 r WJ:'rNESS PDKIT #