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Home My WebLink About06-6302 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6302 Permit Number: 6302 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 1,700.00 Date Issued: 12/12/2006 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 12/12/2006 Work Desc: reroof Address: 4853 18TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: SMITH, PHILLIP & BONN E 4853 18TH ST ZEPHYRHILLS, FL. 33542 Phone: ~ V'\CL~d) 5-c)3-GI ~ 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. Q, CK. ~~ ONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 -# ro3D~ City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel ~v/le 5:~ ( B :5f.rL -e. f- Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address 1$ /):)0 -fD ~CJ cJ 1$ 1$ 1$ D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE 0 BUILDING 0 ELECTRICAL D PLUMBING D MECHANICAL t.f~ r:;3 /'bin sic~e. f- LOT # PARCELlD#11 tf- 24-2.1- 0010- Ol2-tJ:> - 0 010 (OBTAINED FROM PROPERTY TAX NOTICE) I B D D D D D D MOVE D NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME SIGN DEMOLISH OTHER I re- - roof STEEL D OTHER I SQ FOOTAGE I HEIGHT I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D W.R.E.C D PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION ~(!~ I BUILDER SIGNATURE Address I horn ~ OWn e.y- I Y / N I FEE CURRENT License # I COMPANY REGISTERED Y/N ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N Y/N FEE CURRENT Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT Address License # OTHER SIGNATURE COMPANY REGISTERED I Y / N FEE CURRENT Y/N License # 11II111111I1111I1II11111111111111111111111111111111I11I11111111 i 11I1111111111111111111I111111111111111111111I11111I111111111111111 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. 1111I111111I111111111111111111111I11111111111111III1111111I11III1111111111111111111111111111111111111111111111I1111I11I111111111111111111111111111 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 Driveways Fences (Plot/Survey/Footage) Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT 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 lam 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 proce?d with the work a~d not as authorio/ ~o vlol~t~, cancel, alter, or set aside 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 violat~o~s o! any codes. Ever~ ~ermit issued. shall become. invalid unless the work authorized by such permit is commenced wlthm 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 th~ work is commenced: An extension may be requested, in writing, from the Building Officia! for a period not t~ exceed nln~ty (.90) da~s and WI" 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) '). OWNER OR AGENT fU/s~be~;md ~~ (or affirmed before me this 2 \2- C> by. ('1\'" ::Llft2t1.12. ~~~ WIio Is/are perso.nally known to me or haslhave produced K. STI'l( I \}<L( S L\ (\?~s Identification. CONTRACTOR 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 Commission No. :'1--L",l{(t. KArAn I Miller Commission No. '<10 "~ C .' # D~nftAAA ::: \..: OmmlSSlOn uuu~~ . ~ :. 2010 d . ' Name of Notary typed. printed or stamped Name of Notary type . pnn "'" ..... . 1_"., HI. 100411-701. Notary Public - I, [io--n.h l t/ agree to the previsious of ~s instrument. ~frt l-h, , DISCLOS1JRE S1'ATBldENTp'OR. OWN.Jm. CJ:n OF -ZEPlrYJUIILLS B'D'ILDING DEPU1'!Imr.r ' . have read and ful'ly understand and 1'he undersi~ed states and affirms that he or she is desirous of Coustructing, renovating, adding to or reroofing his or her own domicile;, that he or she actually occupies, or will occupy by ,.'sai.d domicile; and SBIDe is not for rent, lease or sa'le. That he or she shall comply .with the fOllowing conditions,: 'l.:rhatthe owner and. he or she alone shaJ.I act. as the builder 'for all phases of, construction. .2. !'hat the owner will comply with all previE!ions of the City of Zephy.rhills ordinances and codes pertinent to -the building. 3. !'hat in the event various phases of constructi~n are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work., .. ,"",,~in the even~ the "ui1<Ung :tnspec~or .hal1 r.quire .orrac~iODS 1;0 be _, the owner will aSSUDle full' responsibility to insure they are made, 'and upon completion wili call for a reinspection before proceeding with the building. 5. :rhat the oWner shall assume ful.l responsibi'lity for the construction and will not expect SUPervision of his Work from the Ci ty of Zephy.rhillsBuilding Department. 6. !'hat prior to fi.nal inspection any additional fees, inclUding reinspection fees, must be paid in full. A written request. from this office shall ,constitute' an officia2 notice. to pay additional fees. 7. ""'~ the owner shall camp1y .....th "'-1 City, S~a"" """ .....era1 laws. in r.gar,! 1;0 social security, workman's compensation, lien laws, etc., where applicable. a. ""'~ the owner shall camp1y .....th "'-1 the safety co..... i..ue.. ~ the Flori.... Industrial Commission. , 9. S~al;e law r.quires c=S"=~i= 1;0 b. <lone ~ license.. contractor.. You ""ve applied for' a pe.onit under an exemption to that law. 1'he exemption allows you, a. the owner of """" property, ~o ac~ a. your own c=~racl;or .....th certain restrictions even though you do not have a license. You must previde direct ond~e .""ervisio.u of the c=S"=ti"" """"a.'f. You may bui1.. or impr,?,,"a one-fam:i.ly or two-fam:i.ly, residence or a farm OUtbuilding. You may also build or improve a commercial building, provided'your costs do not exceed $25,000. Th. bui1<Ung or resi""=e -.1; b. for your own us. or occ"""""". It; may DOl; be bui1~ or. eUb.~""tia11y imprqve.. for .02. or '"".e, rf you ..U:or" lease a bui1<Ung YOU.""ve bui1~ or ~ub.~anl;io2ly imp<ove.. yourSelf wit;bin 1 year af~er the constX11ction is complete, the law will presUme 'thclt you built: or . SubstantiallY!mprcvedif for sale or lease, which is a violation of this exemption. You may DOl; hire an UDlicenae.. per.on ~o ac~ as """" contrac~or or ~o .""ervi.e people working o.u your building. I~ i. """" responsibili ty ~c make sure tha~ people employe" by you ha.... license. r.quir... ~ .I;a~. law ami by county or municipal licensing ordinances. You may not, delegate the responsibility for supervising work to a licensed contractor who is not license.. to Perfo"," the Work being <lone. Any per.on working on your building who .is not ~.icensed must Work under your d.i.rect superv.is.ion and must be employe" ~ you, whi "" ........ tha~ you mus~ d.duc~ F. I. ".A. and wi _, ding tax. and previ.... WOrker.' campen.ation for that emp1oy..e, all as prescribed ~ iaw. Your construction must Comply with all appli~ab1. law., ordinance.. building Codes, and zoning regu at~ons. OWNER's ADDREss i'BO!n!: DAn / ~ / II!). /0 to . ( f r WI'l':NEss PElUa::r.. #: