HomeMy WebLinkAbout06-6219
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6219
Permit Number: 6219
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 11/06/2006
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 11/06/2006
Work Desc: REROOF
Address: 4944 18TH ST.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MOORES FIRST ADDITION
Parcel Number: 14-26-21-0010-00200-0140
Name: PANZER, FRANCIS W & EVELYN
Address: 494418TH ST
ZEPHYRHILLS, FL. 33542
Phone:
," ~ u
~~~~\~
\ ~......'
\,-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. n
NO OCCUPANCY BEFORE C.O.
~~~~~ ~.
CONTRACTOR SIGNA URE PERM IT OFF I
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
. '"
Date Received
II - (p - () ~
w' 7 Il-,'f )..&
1%-f1 8 T,
Fax-813-780-0021
~~V~
./
Owner's Name r1{ IV ~
Owner's Address Ilf 9 J.j <-J
Fee Simple Titleholder Namel
:3 t? JVI l!!-
Owner Phone Number
Owner Phone Number I S- /;, ',~ f Y
Owner Phone Number 18/ 5 - &C) 9 - l{ 04 /
Fee Simple Titleholder Address
JOB ADDRESS
'790/.::.-/
! <zt t, &T
2 ~f h j V' \" ll~
I PARCELlD# I
B
D
D
rL,
33 ~l[ "'2-
LOT #
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
B
D
D
I
NEW CONSTR
INSTALL
SFR
BLOCK
f2~~hu~
I
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
,
OTHER I 1<oo-f : Uv Cf
STEEL D OTHER I
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
I HEIGHT I I
II . . . . , II1I I , 111 , . . I , II111 , III . . , , , " II I r , II . I , . , 111111 . I . 1111' . , III . I IIIII , r I , IIIIII . . I I , r I , , .. . , III . r rill' I I , I " 111111 r" r II' . IIIII . I . III fll . , I ,
o BUILDING 1$ J,..c-......,O , or-L--I
. _ C--/ (./ ~. VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
o PLUMBING 1$ I
o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS 00 ROOFING D SPECIAL TV D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
::::~~ t ~ """,-G~ I ~~~:= ~t#ie~~;,'.~", V/N
License # I
SQ FOOTAGE I
BUILDING SIZE
D
W.R.E.C.
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address 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 onslte, Construction Plans, Stormwater Plans wi Slit 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 wi Slit 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.
...1111111111.....11,1111....1111......11111111....'"11...................1111.........11.....1111.11111...............11....1.1111111.11111..111
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 NC 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"
whic6 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
und~r state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
inten~ed work, they. are advised to contact the Pasco County Building Inspecti~n Divi~ion-Licensing Section at 727-8~7-
8009. Furthermore, if the owner has hired a contractor or contractors, he IS adVised to have the contractor(s) sign
porti6ns of the "contractor Block" of this ,application for whic~ they will be .responsi~le. If you, ~s.the o~~er si~n 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 IMPACTJUTILlTIESIMPACT 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
perniitting. 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
feeslare due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CO~STRUCTION 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.
CO~TRACTOR'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
her~by 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:
Dep!'lrtment 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,
plu~~i~g, 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 fiside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unl~ss 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 ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WA~NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PA'(ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ORAN 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 Is/are personally known to me or has/have produced
as Identification.
O~ER OR AGENT
Sub~crlbed and sworn to (or affirmed) before me this
by
Whollslare personally known to me or haslhave produced
! as identification.
Notary Public
Notary Public
I
Commission No,
I
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
I
DISCLOSURE STATEMENT FOR. OWNER.
CJ:.TY OF -ZEPRYIU3:ILLS BtT.I:LDJ:NG DEPARTHENT
I,
agree to the provisions of th:i.:s instrument.
have read and fuJ.~y understand and
The undersigned states and affirms that he or she:is desirous of construct~g,
renovating, adding to or reroofing his or her own domicile;, that he or she
actually occupies, or ~ll occupy by said dam:ici~e, and same is not for
rent, ~ease or sale. That he or she shall comply w:ith the following conditions.:
1..
That the owner and he or she alone shaJ.l act as the builder for all phases of..
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordi:c.a:a.ces and codes pertinent to 'the building.
That ~ the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and w:ill personally supervise
such work..
That :in the event the Building Inspector shaJ.l require corrections to be made,
the owner will assume fuJ.l responsibility to insure the.y are made , . and upon
completion wili call for a re:inspection before proceeding w:ith the building.
That the oWner shall assume fuJ.l responsibi"lity for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in fuJ.l. A written request from this office shall
. constitute' an officia~ notice. to pay additional fees.
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.
That the owner shall comply with all the safety .codes issued by the Florida
Industrial Commission.
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 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 farm 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 sell ;or' lease a
building you. have built or substantially improved you:i:-seif 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 build~g
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.J:.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by iaw.
Your construction must comp1.y with all app1.i.cab1.e l.aws, ordinances, building
codes, and zoDing regu1.at10ns.
OWNER'S sm....= S r'~ ~..G """'IJ~^
ADDRESS t./q L/ <-f I" ..... T ." .
:E'HONE 8:/3 - <0 Olq " If () LI J
2.
3.
4.
5.
6.
7.
B.
9.
DATE
II I f9 / die,
r
WJ:TNESS
PERMJ:T.. #