HomeMy WebLinkAbout07-6416
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6416
Permit Number: 6416
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,980.00
Date Issued: 2/01/2007
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 2/01/2007
Work Desc: REROOF
Address: 5846 GREEN RIAR CT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0120-00000-0600
WATS N, HENRY
5846 GREENBRIAR CT
ZEPHYRHILLS, FL. 33542
Phone:
h no_lad)
5 -'d-3-07
i~
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.
~~
TOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Date Received
Owner's Name
Owner"s Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Phone Contact for Permittin
LOT #
PARCELlD#1 iO. ~lo J~I. DidO. bC>OOO. O(oOD
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
D
D
DEMOLISH
ADD/ALT
REPAIR
COMM
FRAME
OTHER I
STEEL D
OTHER I
HEIGHT I
VALUATION OF TOTAL CONSTRUCTION
-llllllt'tllllllllll""'IIIIIIII'11111111111111'111,11IIIIIIlrlllllllllllllllll"'IIIIIIII,,"11111111111111""'11111111"11111111111111111111111
1$ J-t'i9;O,(5u 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
11111111111111111111111111111111111I11111111111111111111111111111111111111111111I1111111I1111111111111111111111111111111111111111111111I1111111111
D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
AMP SERVICE
D
D
W,R.E.C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
FEE CURRENT
Y/N
Y/ N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Y / N
FEE CURRENT
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address License #
111I1111111111111111111111111111I1111111111111111111111I1111111111I111111111I1111111I11111111111111I1I11111111111111111111111111111111111111111111
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 w/ Silt 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 onsile, Construction Plans, Stormwater Plans w/ Silt 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.
i:il~~~ti~~~': 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
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 Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
N<j>TICEOF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed~restrictions"
\,y~ic.hill1~K~E!rnore ~e~trictive than County regulations. The undersigned assumes responsibility for compliance with any
apphcl:lgle.deed.restrlctlons. '
UNL.lp~~~E~CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If ,the ow~erhas hired a cOhtr~ctor .or
c?htr~d?~S~o.undertake work, they may be required to be licensed in accordance with state andloc~ltegulations. . If the
c?htractori~\ngt licensed as required by law, both the owner and contractor may be. .cit~d for a misdemeanor ~Iolation
~np~rstat~da~,. .If the owner or intended contractor are uncertain as to what Iicensin~ requirements mar applyfor the
int~nded:\,yorl(rJ~ey are advised to contact the Pasco County Building Inspedion Division-Licensing Section.at]27-847-
80p9. .Fu.rth~.trnore, if the owner has hired a contractor or contractors, he is advised to have the cOhtractor(s) sign
~o,Hi?ns?H~~.Gontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
. co:ntractor, that may be an. indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSP()~~AtION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
th.t Transpo~~tion . Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
us~ in existi9g~uildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amehd.ed. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. ILls Jurther 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, thEl}' 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, 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 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, 1 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,
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 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 Building Official from thereafter
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 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.
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 L.ENDER 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
Subscribed 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
1\.. lGartlett itnnfing (@f <ttentralltlnriba, 11nt..
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL. COMMERCIAL. MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE .
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years.
Date / - 30 - 07
Name
Address
8/-
Phone
..
/\
fi~ij~l! ~~II 1111111111 11111 1111111"'1"" 1111 11/1
~("fYrICB, 01' COMMENCBMENT ?
State of ~ County of +~o--
THE trnDERSIGNED hereby gives notice that improvemen)ill be made to c2rtain
real property, and in accordance with Chapter 713 Florida Statutes, the
following information is provided in this Notice of onunenccmcnt:
1. Description of Property: Parcel No. (0 - 2- -,,2-( - 0/ LO -_
o () oao '-Oq; fI1J-
(Legal description of the property and s if available)
2. General Description of Improvement
3.
Owner Information: Name ~
Address g'f~- ~~'(IVl;
State
?:i- ')
Interest in Property:
-
Name of Fee Simple Titleholder:
(If other thsn owner)
Address
Rept: 1069584
DS: 0.00
01/31/07
Ree: 10.00
IT: 0.00
Dpty Cle,.k
State
City
4.
I~."~~
:",
,
,'. '
Contractor: Name
Address
ta e ff5lfL.
5. Surety: Name
Address
City
State
Amount of Bond: $
JED PITT"AN~ PASCO COUNTY, CLERK
01/31/07 0~: 10am 1 100216
OR BK 7367 PG
6.
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. E:xp.lrat.ion date or NotIce or Commencement (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Owner:
day of
Sworn to and
~::J/1Jo.7
Notary Public:
My Commi.ssion Expires:
BcncIed Thtv Notary Public VncMrwrlllrO
'PC93053048