HomeMy WebLinkAbout07-6362
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6362
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:
6362
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 6015 11TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0080-00100-0140
2,400.00
1/11/2007
45.00
45.00
1/11/2007
REROOF SHINGLES
Name: HUSAR, KATHY
Address: 6015 11TH ST
ZEPHYRHILLS, FL. 33542
Phone:
hn0--Lod)
S-a-3-07
(~
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 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.
~ ~-~
CONTRACTOR SIGNATURE PERMIT OFF I
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
Owner Phone Number l
OWner Phone Number I
Owner's Name
2, /-J .
JOB ADDRESS
Fee Simple Titleholder Address
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'I <;: A-J! C- ,
, Address
, ME,CH,ANICAL I
SIGNATURE
Address I
OTHER
SIGNATURE
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I PARCELlD#1 0 L L ~ '2-/ () V Y 1j (') 0/ fJ'() & J ~ ()
(q8T AINED FROM PROPERTY TAX NOTICE)
~ NEWCONSTR 0 ADD/ALT 0 SIGN 0 MOVE 0
o INSTALL u::J..-' REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D
DESCRIPTION OF WORK I ~ IlO()~/;J i-- ) s: '9 ,<;/J /~/?c- C-S
~U1LDlNG SIZE SQ FOOTAGE I I HEIGHT I . I . ..
...........................'................;........,..................................:..........................................................1
LJ BUILDING 1$:2 L/ PO, % I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
o PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
o GAS ~ ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111
:::J~~~RE . I ~~:= I Y I N FEE ctJRRENT Y I N I
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LOTti
SUBDIVISION
DEMOLISH
WORK PROPOSED
OTHER I
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D
W.R.E.C
Address
License #
ELECTRICIAN
SI~NA TURE
COMPANY
REGISTERED
Y/N
, FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
PLlJMBER
SIGNATURE
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
YI N
FEE CURRENT,
Y/N
License #
COMPANY
REGISTERED
~ftl/! ~
KYI N I
f (Fo;CJ;;'~
FEE CURRENT , I C.~I N I
License # I f L 0 tJ cJ bL LJ I
Address
OfT})&- C if;,
COMMERCIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsile. Construction Plans, Sanilary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsile. 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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 sarnl'l
OVER THE COUNTER PERMITTING (Front of Application Oniy)
, Reroofs Sewers Service Upgrades AlC
l'
I
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RESIDENTIAL
SIGN PERMIT
Driveways
Fences (PlotJsurveY/Footag~f
NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthls permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any.
applicable deeo '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.llcensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
understate law. If the owneror 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 h""s 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/UTI~ITIES IMPAcT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse ReC?overy 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 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! 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 hot 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 fllI.w1ll 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 i,ssued 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 s,eparate perm!t may be required for electrica,l work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installatrons not speCIfically In?luded, 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 aside any provisions of the technical codes, nor shall issuance of a permit prevent the BUil,ding Official from the~eaft~r
requiring a correction of errors In plans, construction or violations of any codes. Every permit Issued. shall become. invalid
unless the work authorized by such permit is commen?ed within six months o,f permit issu~nce, 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 Official for a period not t~ exceed nrn~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
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.m.o;r? / /J c ~ <-
OWNER OR AGENT ~C:Lt------ CONTRACTOR v - L--
Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
by , ' by
Who Isfare personally known to me or hasfhave produced Who Isfare personally known to me or hasfhave produced
as Identification; as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
r. Name of Notary typed; printed or stamped
Name of Notary typed. printed or stamped
~. . .
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/ rap cz - J.I - Z 1_ 00 "10- f)~ IDO- 01'10::-
,
- I: Gavin RoofinC
Quality Roofing Since 1984- 1081
P.O, Box 1363
. ~ Dade City, FL 33526
/ 352.567.5034
/" Uc# RC 0046241 2 Year Leak warranty
PROPO~r;UBMITTEDTO PHONE l'DATE j I
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STREET / ......hi JOB NAME
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CITY, STATE and ZIP CODE JOB LOCATION
:2 clilf/I/,JJ/.LLI 1 JOB PHONE
ARCHITECT / I DATE OF PLANS
We hereby submit specifications and estimates for:
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mtlr'rnp.osr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
I ~ '~/rlf/ rt7. ,/1 hi I '1 /f/'t'.€. cf /~ ~ ~- /) t/".~ &~
, ,. C:: / ' fAIt:- ," ./, JI/ - y/ 1- r 0- ..- dollars ($ "(;ic/,, ).
Payment to be made as follows: 7
~ II /'-7 rt'-~7/C~ p1';- JOQ
All material is guaranteed to be as specified, All work to be completed in a workmanlike ~7~ iJ;J/J
manner according to standard practices. Any alteration or deviation from above specnications Authorized ~,' ?-
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate, All agreements contingent upon strikes, accidents No!.~: This proposal may be till
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
~ Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if riot accepted within dayS~
? Acceptance nf'rnpnsal- The above prices, specifications ./!fd%j 11~/ ~
and conditions are satisfactory and are hereby accepted, You are authorized Signature
to do the work as specified. Payment will be made as outlined above, '/
i...
~ Date of Acceptance: Signature ~
,
asal
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