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Home My WebLink About06-6178 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6178 Permit Num er: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6178 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 6130 LARK ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: OAKSIDE MHP Parcel Number: 0':;' O1-6.,Qt ov;:W ~OgOD i!)c)/o 2,420.00 10/17/2006 45.00 45.00 10/17/2006 RE-ROOF Name: BROWN, JOHN Address: 6130 LARK ST ZEPHYRHILLS, FL. 33542 Phone: f;/Vii ud f!3 / vi 8/(J~ REINSPEcnON 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. . ~-~ OR 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 Name Owner's Addres Fee Simple Titleholder Name Foe Slmpl. Tld,hold.. Addres. ttt.~i/ tt -; JOB ADDRESS I _ SUBDIVISION I I PARCEL ID#I B D D Owner Phone Number n Phone Number I wner Phone Number I LOT # WORK PROPOSED B D D ADD/ALT REPAIR COMM FRAME NEW CONSTR INSTALL SFR BLOCK PROPOSED USE TYPE OF CONSTRUCTION DESCRiPTION OF WORK BUILDING SIZE D BUILDING 1$ D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL D GAS ROOFING FINISHED FLOOR ELEVATIO D D D 10BTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I STEEL D OTHER I HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION D VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE D SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N Y/N Y/N License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ''''PROPERTY SURVEY required for all NEW construction. 1111111111111II11111111III1111I111111111111111111111111111111111111111111I1111I11111111111111111111111111111111111I1111111II111111111111II11111I11 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 Ale Fences (PloVSurvey/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, WaterlWastewater 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 "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 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 ~nstallations not specifically in?luded. in the application. A permit issued shall be construed to be a license to proce?d With the work a~d not as authon~y !o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, n?r shall.lss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or vlolatrons of any codes. Every permit Issued. shall become. Invah~ unless the work authorized by such permit is commenced within six months of permit issuance, or If work authonzed by the permit is suspended or abandoned for a period of six (6) mo~ths after the time th~ work is commenced: An extension may be requested, in writing, fro~i1ding Officia~ for a penod not t~ exceed nln~ty ~90) da. an I demonstrate J'ustifiable cause for the exte(lSk:ril. Jf.WOrk ceases for ninety (90) consecutive day the Job s ed abandoned. / / ~ WARNING TO OWNER: UR FAILURE TO RECORD A NOTICE OF ENT MAY RESULT IN YOUR PAYING TWIC FOR MENTS TO YOUR PROPERTY. IF YO INANCING, CONSULT WITH YOUR R OR A TIORNEY BEFORE RECORDING Y MMENCEMENT. FLORIDA JURAT . 117.03 Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped A. illartlctt itnnfiug (@f QtcutrallJilnriila, ]Jut. c/o Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of the Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home JP Stevens White Rubber Roofs & Insulated Aluminum Roof Overs RESIDENTIAL. COMMERCIAL. MOBILE HOME LICENSED - INSURED - BONDED · MEMBER OF THE CHAMBER OF COMMERCE · OFFICE PHONE (813) 782-5585 (813) 973-7737 (352) 523-1944 Lic.#RC 0031769 Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Area~ We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years. I I / r; , I ! j Date Name /1 /.. ~!:'-/t. ,,/ ,/' ---,l~. ; , _, i /' I~ / 1----.., , I ! .L-~,--- / , /r " /e:' . 'I. ( I .!_:J ;' .. ,f, /'1' f Ij Address "/-,"-'J I /\..~ - Phone .~i 1"' (. .. ) DESCRIPTION /'-' ! . if , .' i / --1...../ ( / _.'( ,F \ / k,-- , ; "if '- f I.. ./ ;' -. .j { ,1._ /\ L.t:..--/-. .. r.L l. ./. (L ./ i( : - / ( /; c. .,.., . i I /' / 7-- I. I L/~/ / / \ (p, " ( {/ ; '. / .....- /" ',./ ._____~L~ /_.' {~~-{'----" . .n'_" ------., President & O,?,ner A. aartk~tt.Roofing of Central FL, Inc. (:, -7 . Sign: ... '. /-. -.-. Richard C Bartlett THANK YOU Your Business is Appreciated. Payment upon completion unless previous arrangement made. Warranties pertain to original owner All arrangemenls contingent upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill. Rotten wood is an extra $35.00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot Total I ./ ./ ;' c l.() >< AMOUNT ) / c