HomeMy WebLinkAbout06-6324
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6324
Permit Number: 6324
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 1,800.00
Date Issued: 12/20/2006
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 12/20/2006
Work Desc: REROOF - SHINGLES
Address: 5437 19TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: RINALDO, JOE
Address: 5437 19TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTION 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 permitl there may be additional restrictions applicable to this property that
may be found in the public records of this countyl and there may be additional permits required from other governmental
entities such as water managementl 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.
~~~
RACTOR 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 - 7 I L( r ~ r G,
OWner Phone Number I &? f 71 - 7 c? () - ~ ~ 5" 0
Owner Phone Number I
Owner's Name 0 e 2. N A (, (}o
Owner's Address I c:;- <-r 7 ( l.~ -;: 1-' ~ {.
Fee Simple Titleholder ~amel
JOB ADDRESS
Fee Simple Titleholder Address I
Is lJ /7
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I PARCEL ID#I
B
D
D
LOT #
SUBDIVISION
(QBT AINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
WORK PROPOSED
B
D
D
I 't2-E- qI,2 b 0
I
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
OTHER I
STEEL D
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
DESCRIPTION OF WORK
c::. - 7 I..{ '2 JI'( C, L..r,: C;
SQ FOOTAGE I
~UILDING SIZE
HEIGHT I
I ~ . I. I . I I I . . I . I I I . . . . . I I . . . I". . . .. . I I.. I. . I I I . I. ~ I . .. I I . I I .. I I . . I . . . I I . . I . . I" I I I . I . . . I I I I . I I I . I . . . . I I . . . . . . I I I I I I I . I I . . . I . . I . I I . I I . I . I I I I . . . I . I I . I . I . I . . I I
~ BUILDING
1$ ~l,u~; OG)c:.
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
BUILDER ----;r /1 COMPANY 1-( 0 ~ €- b ~,....... r /2- I
SIGNATURE / r /' ~ REGISTERED I Y / N I FEE CURRENT I Y / N
License # I I
I
I
I
Address License # I
ME.CHANICAL I COMPANY I
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
Address I License # I
OTHER I COMPANY I
SIGNATURE . REGISTERED I Y / N FEE CURRENT Y I N
Address I License # I
1111111111111111111111111111111111111111111111111111111I111111111111111I1111111 i 111111111I1111111111111111111111111111111111111111111111111111111I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Requh'ed 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.
11111111111111111111111111111111111111111111111111 J 111111111111111111 J 1111111111111111111111111111111111111111111111111111111111111111111111111111
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 AlC
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
Address
<fef ,?
l ~ 7 ff
"7 I,
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
Driveways
Fences (Plot/Survey/Footage)
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
undef state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended wOfk, 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 113, Florida Statutes, as amended): If valuation of work is $2,500.00 Of 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 Distfict-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, , 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 ~hat a s,eparate perm~t, may ?e requir~d for elect~ica,1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorr~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Everr ~ermlt Issued, shall become, invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorrzed, 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 Official for a period not t~ exceed n1n~ty (,90) dars 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
PAliNG 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 Is/are personally known to me or haslhave produced
as Identification.
OWNER OR AGENT
subscrlbed and sworn to (or affirmed) before me thIs
by
Who Is/are personally known to me or haslhave 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 STATEMENT FOR OWNER
C:I.TY OF -ZEPHYRH:ILLS B'D':ILD:ING DEPARTMENT
:I J..-:-"" have read and fu1~y understand and
I -,-,,~"4.,"JNtf)rnf()
agree to the provisions of this instrument.
The undersi~ed states and affirms that he or she is desirous of constructing I
renov.atingl 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 I ~ease or sa~e. That he or she shall comply ,with the ;following conditions,:
~.
That the owner and,he or she alone shall aetas the builder -for all phas~s of
construction.
That the owner ,will comply with all provil:lions of the City of Zephyrhills
ordinances and codes pertinent to -the building.
That in the event various phases of constructi~n are subcoritractedl he will
engage only properly ~icensed subcontractors and will personally supervise
such work.,
That in the event the Building :Inspector shall require corrections to be madel
the owner will assume fu1l'responsibili ty to insure they are made , 'and upon
completion wili 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 ZephyrhillsBUilding
Department.
That prior to final inspection any additional fees, including reinspection
fees I must be paid in fu1l. A written request from this office shall
,constitute' an officia~ notice. to pay additional fees.
That the owner shall comply with all City I State and Federal laws' in- regard to
social security I workman' s compensat~onl lien lawsl etc. I where applicable.
That the owner shall comply with all the sa.fety 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 own,er of your propertYI 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 f~ 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 seJ.l';or' lease' a
building you_have built or ,substantiallY ~roved yourself, within' 1. year after
the construction is cCmplet~, the law will presUme 'that you built or,
substantially improved if for sale or leasel 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 buildi:c.g. 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 wor.k 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 witl::lhold.ing tax'
and provide workers' compensation for that employee, a.ll. as prescribed by iaw.
Your construction must comply with a.ll applicable laws, ordinances, building
:=: S ~:;::: regul.~o~.., ,. I ~ 7- 0 0, ~
ADDRESS Lt-, .'- DATE
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WITNESS ~ 1 Q 1l.A...A.......
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