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Home My WebLink About06-5895 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5895 Permit Number: 5895 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 1,700.00 Date Issued: 6/23/2006 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 6/23/2006 Work Desc: RE-ROOF Address: 5701 13TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-08400-0080 C S IGAN, LARRY 5701 13TH ST ZEPHYRHILLS, FL. 33542 Phone: 813788-2002 JJoll / ~CY ~/ 'y'\ C\",O-- \c!y 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. J/-J '1Z_. L...-/ / , ~ /1 ~~~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 Phone Number Owner Phone Number ~ e13) Owner Phone Number I 913) ,Bg "200).. 71 3> -:20 I Q, I I I I I Owner's Name Owner's Address Fee Simple Titleholder Namel I 3 Sty' -ee-+- Fee Simple Titleholder Address JOB ADDRESS 5701 I 3 ~t r-ee.J. LOT # PARCEL ID#/ NEW CONSTR INSTALL SFR BLOCK I ~ D rg] D D D I D OTHER I WORK PROPOSED B PROPOSED USE ~ TYPE OF CONSTRUCTION D DESCRIPTION OF WORK IRe V" oo.c BUILDING SIZE I y.;-5< '30 / I SQ FOOTAGE I 15 50 HEIGHT I I go I 111111111"11111"1111111111"""111111111111111"'""1"'1"".1'1111111111111111"1""1'1""11'11111111IIIIIIIIItlllllllllllllllllllllllllll ADD/ALT REPAIR COMM FRAME 11- 2(0-2.; - 00,,0-08400-0080 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION OTHER STEEL 1$ J I 10 ( ) . u ( , I v 1$ I 1$ I 1$ I D GAS ~ ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111I111111111111I11111I111111111111111I111111111111I111111111111111111111111111111111111111111111111111111111111111II1111111111111I111111I1111I111 BUILDER ~'..-/.. .~/~ /' COMPANY 1-10"" e.. Ow -"\ e.r I SIGNATURE _ - / /'1 ~ "'GIS""ED I Y I N I ,., CUM'" Y IN Addre;; _ / .' License # I I I I I I I I License # I 1I1111111111I111111111111111111III111111111I1111111111111111111111I11111111I1111111111111111111111111111111111111I1111111111111111 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 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. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. IIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111II11111111I1111111111111111111111111111111I1111111111111111I1111111111111I111I1I11111II11 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 THECPUNTER PERMITTING (Front of Application Only) <.. Reroo~~) Sewers Service Upgrades NC D BUILDING VALUATION OF TOTAL CONSTRUCTION D D D PLUMBING ELECTRICAL AMP SERVICE D PROGRESS ENERGY D WRE.C. MECHANICAL VALUATION OF MECHANICAL INSTALLATION ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT 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 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 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 forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, 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, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from the~eaft~r requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become Invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced: An extension may be requested, in writing, from the Building Official for a period not to exceed nin~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 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. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who isfare personally known to me or haslhave 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:ISCLOSlJRE STATEKENT FOR OWNER CITY OF ZEPEEYRB:ILLS BU:ILD:ING DEPARTMENT :I, _LARRi COSTI bAN" have read and fuJ.~y understand and agree to the provisions of this instrument. The undersi9%.1ed states and affixms that he or she is desirous of constructing, renovating, adding to or reroofing his or her ow:a. dom:i.ci~e" that he or she actua~~y occupies, or wi~~ occupy by said damici~e, and same is not for rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions.: ~. That the owner and he or she a~one sha~~ act as the bui~der for a~~ phases of construction. That the ow:a.er wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s ordinances and codes pertinent to 'the bui~ding. That in the event various phases of construction are subcontracted, he wi~~ engage on~y proper~y ~icensed subcontractors and wi~~ pers~~y supervise such work., That in the event the Bui~ding :Inspector sha~~ require corrections to be made, the owner wi~~ assume fuJ.~ responsibi~i ty to insure they are made, . and upon comp~etion wi~i ca~~ for a re~spection before proceeding with the bui~ding. That the ow:a.er sha~~ assume fuJ.~ responsibi1.ity for the construction and wi~~ not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding Department. That prior to fina~ inspection any additiona~ fees, inc~uding reinspection fees, must be paid in fuJ.~. A written request from this office sha~~ .constitute an officia~ notice. to pay additiona~ fees. That the ow:a.er sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e. That the owner sha~~ camp~y with a~~ the safety codes issued by the F~orida :Industria~ Commission. State ~aw requires construction to be done by ~icensed contractors. You have applied for a permit under an exemption to that law. The exemption a~lows you, as the ow:a.er of your property, to act as your own contractor with certain. restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourself. You may build or impr~e .a one-family or two-family residence or a far.m outbuilding. You may also build or improve a commercia~ bui~ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be built or, sUbstantia~~y improved for sa~e, or lease. :If you se.ll';or' lease a bui~ding you. have bui~t orsubstantial~y imp;z::oved yoW:.seif within 1 year after the construction is comp~ete, the law wi~~ presume .that you bui~t or substantia~~y improved if for sa~e or ~ease, which is a vio~ation of this exemption. You may not hire an un~icensed person to act as your contractor or to supervise people working on your bui~ding. :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 de~egate the responsibi~ity 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 l!".:I.C.A. and withholding tax and provide workers' compensation for that emp~oyee, a~l as prescribed by iaw. Your construction must comply with a~l app~icab~e laws, ordinances, building codes, and zoning regu~~ns. ( _ OWNER'S S:IGNATURE~~ ~ ADDRESS 5701 4:-'/:rr " ,2' . . FL. ';;;354 2- PHONE bl~ }7~~ 2.002- t:ll ~ l /J 3 2DI S" 2. 3. 4. 5. 6. 7. 8. 9. DATE (::) -2?-o6 r W:ITNESS PElUI:IT #