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Home My WebLink About06-6296 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6296 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: 6296 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 6020 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0180-00000-0500 800.00 12/06/2006 35.00 35.00 12/06/2006 Phone: REROOF -SHINGLE - FRONT ROOF ONLY COOK, K E 6020 17TH ST ZEPHYRHILLS, FL. 33542 813 783-7608 (~~\ 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 ~ 0d r~ ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zepnyrn,"s t-'ermlI APfJlI(ji::lllUII Building Department ~ / 7 T/! Date Receiived 11111111111 OWner's Name Owner's Address 16 6 ~ Fee Simphl Titleholder Namel Fee Slmplll Titleholder Address I <:; A-- 1--/1 F' I 1$ ff'66~ 6 <0 I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO t , . . . I I I I I I I , I I I I I . . . . , I I , I , , , , , . , . , I , I I , . I I . , , , , I t II , , I , II , . . . I . III , , , I , , , I 111 r I I , . . I , , . I I I II I , , , , , . . I , , , . , ~ I I I I . I , I . . I III , , I I I II I , II , , , t I I . , . II , JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK D ElUILDING D ELECTRICAL D PLUMBING D MECHANICAL ()cDZ .---- 51 Owner Phone Number OWner Phone Number I Owner Phone Number I LOT # PARCELID#IC)'a-~<.o. ~\ ~ O\~ - 60000 - 650<::> (OBTAINED FROM PROPERTY TAX NOTICE) ADD/ALT D SIGN D MOVE D DEMOLISH REPAIR COMM D FRAME D ;::-IZQ~ B D D Iftb- NEW CONSTR INSTALL SFR BLOCK OTHER I STEEL D R 0 ()h- OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D o W.R.E.C, PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION ~ ~ I f~{~4 I I I I I I I I I I BUILDER SIGNATURE 11:/Md COMPANY REGISTERED ;5)w;V~ FEE CURRENT . Y I N Address License # ELECTRICIAN SIGfiATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # YIN FEE CURRENT Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # 1I111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge projects . 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 onsile, 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 Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i i 11111111111111111111111111 i 11111111111111111 i 111I1111 Directions: Fill out ;~pplication 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 COMMERCIAL SIGN PERMIT Driveways-Not over Counter if on public roadways..needs ROW Fences (Plot/Survey/Footage) NOTICE OF OEEO RESTRICTIONS: The undersigned understands that this permit may be Bubjec' (0 'ceec' 'ost"ol'o"" Which may be more restrictive than County regulations. The undersigned assumes responsibility for GOmpl",nce ,,,Ih any applicable deed restrictions. . . .' . . UNLlCENSEO CONTRACTORS ANO CONTRACTOR RESPONSIBI~ITIES: If the owner has hrred a ",mln,ctor or conlraclors to undertake work; they may be requtred to be licensed In accordance With ~Iateand ,Iooal r"90Iahon", 'I f Ilhe contraotor is not licensed as required by law, bolh the owner and contractor may be cited for a ""sdemeanor ,,,olahon under slate law. lithe owoer or Interided contractor are uncertain as 10 what IicelUllng requtrem,Ms may appll' for the Intended work. they are advised 10 contact the Pasco Counly Building Inspecll~n Dlvl~lon-Ucensll!l Sedion al 7;07"B47- B009, Furthennore, IIlhe owner has hired a GOntractor or contractors, he IS advised 10 have the conlractor(s) sign portions of the 'GOntractor Block', of this application for which they will be responsible. If you, as ,the own"r sign as Ihe contractor, thatmay be an indication thai he Is not properly licensed and Is not entitled to permltlln9 priVileges m pasCO County. . ... j . d . TRANSPORTATION IMPACTIUTILlTIES IMPACT AND RESOURCE RECOVERY rEI'S: Theundersigneo un erslands that Transportation Impact Fees and Recourse RecoverY Fees may apply 10 the constrttctlon of neW buildings, ohange Of use In existing buildings, a. expansion o!"exlstlng buildings, as specified In Pasco County Ordiriance humber B9.o7 and 90-07, as amended. The undersigned also understands, Ihat such fees, as may be due, will be ,identllied allhe lime of pennltling. It is further underslood that TralUlpprtatlon Impaot Foes and ResoUrce Recovery Fees musl be paid prior 10 reoelvlng a 'oertllioale of occupancy~ or final power release, ,If tbe project does not Involve a oerUflcale of oocupanoy or 'final power reiease, the, fees must be paid, prior to perintl lsOuance. Furthermore, If PasGO Counly Water/Sewer Impaot fees ere due, they must be paid prior 10 penn it Issuance In accordance with applicable Pasco County, ordinances, CONSTRUCTION LIEN LAW (Chapler713, Florida Slalutas, aa amanded): If valuallon of work i~ $2,500.00 or more, I cerllfy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners protection Guide' prepared by the Florida Departmenl of Agrloulture and Consumer AlIalrs. If Ihe applicant Is someone olher than the 'owne", I cerllfy that I have obtained a copy of the above described document and promise in good falih to deliver it to the "ownerft prior to commencement. . ' : CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify thai all Ihe Information In this eppilcatlon is accurale and Ihal all work will be done In oompllance wlih all applloable laws regulating oonstruotlon, zontng and land development. Appllcalton Is hereby made to obtain a penn Ii 'to do wdrk and Installation as Indlcat.,d. I oertlfy that no work or Installalton has commenced prtor to Issuance of a' pennlt and that all, work will be perlormed to meet standards of all laws regUlating 00 nstruction , Gounty and Cily codes, zoning regulations, and land development regulations In the jurisdiction. I also certify thai I understand that the regulations of other govemment agencies may apply 10 the Intended work, and that it Is my responsibility to Identify what aotions i inust lake to be In compliance. S~eh agencte.lnclude bul are not limited to: Deparlmenl of Environmental Protecllon-Cypress Bayheads, WeUand Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment.' . Southwest Floride Water Management DiStrlcl-Wells, Cypress Bayheads, Weiland Areas, Allering watercourses.' . . Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' Department of Health & Rehabllitetlve servk:eslEnvlronmenlal Health Unit-Wells, WasteiNater Treatment, Septic T-anks. .. . US Environmental Protection Agency-Asbestps abatement. Federal Aviation Authority-Hunways. . 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,I it is understood that a drainage plan addressing a "compensating volume' will be submltled at time of ~nnllllng which Is prepared by a profe.sional engineer licensed by the State of Florida.' ' If the fill malerlal is to be used in Flood Zone "1\', in connection with a permllled building using stem wail 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 oarllfy tha,l use of such fill will not adversely affeel edjacenl ' properties. If use of fill is found to advelSelY affeet adjacent propertie., the owner may be oiled for Violating , the oonditlons of the building permit Issued under the attaohed pennit eppUcatlon, for lots loss 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 permllllng conditions sel forth In this affidavit prior to commencing construetion. I undelStand that a separate permit may be requtred for electrical work, plumbl~g, signs, wells, pools, air oondittonlng. gas,'or olher Installations hot spacllically Included In the application. A permit ,ssued shall be GOnstrued to be a IlcelUle to proceed with the work and not as authorlly to vlolale,cancel, alter, or set aside any provisions of thelechnlcal codes, nor shall Issuance of a permit prevent the Building Offlclal irom thereaiter requiring a correction Of errors in plans, construction or violations Of any codes. Every permit Issued shall become Invalid uniess the work authorized by such permllls commenced within six months 01 permli Issuance, or If work authortted by the permit Is suspended or abandoned for a period of six (ti) mOflths efter thellmli the work Is commenced. An extension may be requested, in writtng, from the Building OIlIolal for a period not to exceed ninety (90) days and will domonstrate lustlllable cause for the extension. If work oea.es for ninety (90) cons_ttve days, the job Is conslde",d abendoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 'COMMENCEMENT MAY RESULT IN YOUR PA YINGTWICE FOR IMPROVEMENTS TO YOult PROPERTY. IF YOU INtEND TO OBTAIN FINANCiNG, CONSULT WITH YOUR LE DER OR A A 0 E BEFO E RECO D NG OU OTICE OF COM CEiAE. FLORIDA JURAT (F.S. 117.03) .'.,' /. /) OWNER OR AGENT .;t- ~ c;!- ~/ " CONTRACTOR Sub cri ed and swornTto (or affirmed) before me this Subscribed and swom to (or affirmed) before me this 1'2- " O(P by ~?l.Y'\\~ b. ('00\<" . by ,'i!l>O '''':'''' p."on"~ known 10 m. '" h,"""ve prod"""" Who 1sI", p"",""~ """"'" to m. 0' ha"""ve prod",,'" J:::b, S~ \)~\Jf S \...\~.c; as. Identification. as Identification. Commission No. Notary Public Commission No. ,. Name of Notary typed. printed or stamped Name of Notary typed, j DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYlUIILLS B'D'J:LDING DEPAR'l'KEN'l' I, y::-;OX\.,~ b. {l05r::>(,C' have read and fully understand and agree to the provisions of this instrument. The undersi~ed states and affirms 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. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. That the oWner shall assume full responsibi~ity 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 full. A written request from this office shall constitute an official 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. '!'he 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 impr~vea 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 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 licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and prOvide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. ~~~~ ~ 2.. 3.. 4. 5. 6. 7. 8. 9. DATE /~/b' / c>;:;;, r OWNER'S SIGNA'l'URE ADDRESS PHONE 'WI'l'NESS PERMIT #