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HomeMy WebLinkAbout07-6527 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6527 6527 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5426 8TH ST HISTORIC ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-12000-0170 1,500.00 3/07/2007 40.00 40.00 3/07/2007 Phone: SHINGLE REPAIR AND SOME REPLACEMENT PEMBEL T J OGER HUGHES 5426 8TH ST HISTORIC ZEPHYRHILLS, FL. 33542 1- \ () oJ.e d ?;-7-0, ~ REINSPECTI N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are nece sary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty c nstruction c) repairs or corrections not made when inspections called d) work not ready for inspection w n called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In ad lion to the requirements of this permit, there may be additional restrictions applicable to this property that may be found i 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 0 ner: Your failure to record a notice of commencement may result in your paying twice for improvemen to your property. If you intend to obtain finanCing, consult with your lender or an attorney before recordi g your notice of commencement." NO OCCUPANCY BEFORE C.O. ~~ ~~ CTOR SI ATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills Permit Application Building Department Date Received / Owner's Name / Fee Simple Titleho der Name Fee Simple Titleho der Address Fax-813-780-0021 Owner Phone Number Owner Phone Number I If Owner Phone Number I / JOB ADDRESS 5~ If,;} ~ g-rfrS--/- 7-r pf,yrWJ, n. 33S-'7/a- LOT # SUBDIVISION I PARCELlD#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSE B NEW CONSTR E3 ADD/AL T D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTR D BLOCK D FRAME D STEEL D OTHER I / DESCRIPTION OF I R~(f~ '-S~7U5 ~ /c f1/~ LJ/d/ , , BUILDING SIZE I SQ FOOTAGE I I HEIGHT I D BUILDIN /1$ / SOU I D ELECTRI AL 1$ I D PLUMBIN 1$ I D MECHAN CAL 1$ I D GAS D ROOFING D FINISHED FLOOR LEVATIONS I I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION W.R.E.C. D D PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES Y I N FEE CURRENT License # COMPANY REGISTERED Y/ N FEE CURRENT License # Y/ N FEE CURRENT License # / BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address RESIDENTIAL ttach (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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects ttach (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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, anitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance ttach (2) sets of Engineered Plans. "'PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT DNO 1 Y/N FEE CURRENT Y/N License # Y / N FEE CURRENT Y/N License # Y/N Y/N Y/N Directions: Fill out applicati n completely. Owner & Contra tor sign back of application, notarized If over $2500, a otice of Commencement is required. (AlC upgrades over $5000) Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTE PERMITTING (Front of Application Only) Reroofs Service Upgrades AlC Fences (PloUSurvey/Footage) Driveways-Not ver Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. Tfie 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 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 proce~d with the work a~d not as authori~y !o violat~, 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, c~n~truction or violat~o~s o! any codes. Every ~ermit 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 th~ work is commenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed mn~ty (.90) da~s and will demonstrate justifiable cause for the extension. If work ceases for mnety (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 . 7.03) ~ U L~ ~- u<" C '---'- OWNER OR AGENN .... L L( '-...-' CONTRACTOR I . su.tls.. cribed and swo .. t or ffir. med) before e this Sub,scr1tled and m 0 (or ffirmed) before me thiS ;,:{;"""7 bY::)C1--jl"P- ~mhle+u.,la.p<j~" ,=3L7.L07 b. ~o""(c.e_ D"v"V\blp-+-ov....\o..e~ev Who Is/are personally known to me or has/have produced Who Is/are personally known to me or haslhave p~odu~ed R~ De.,H2 u c . as identification. 1=1 De \J~ L,,~ as identification. " ~~ d. ~ Notary Public ~~ cl ~~_ Notary Public Commission No. Name of N APPLICATION FOR A HISTORIC DISTRICT "CERTIFICATE OF APPROPRIATENESS" By s ff: Application # Contributing: Yes / No Date Submitted: Appli ant's Name & Company (if different): nt's Mailing Address: /6 So7 /-//9A/N.4 ~~, t. i{ -f'L rL :.r .:r S-S/9 App. ontact Info: Phone:8/.? -Slb'7/.2?as- Fax: Email:/ S~-'lrk'.di) Vo/'ll 7MJ . /V<:" / (Applicant, Please provide information between the double lines) Prop rty Address or Location: 5 C( 2 ~ ?? +t..... ST Z epA y rA.I m F~ I::r S-rr z- f?oge,( ~/1lk/-Io/v Phone: 8/.J'~ SILl Sf -Z'78~ f Property: Residential / Commercial Public or Other PRO OSED RESTORATION / RENOVATIONS / REPAIRS / RELOCATION / ETC: Exterior Walls _ Signage Exterior Doors _ Lighting Windows _ New Main Building or Addition to Existing Building Porches _ New Accessory Bldg. (garage, carport, shed) _ Awnings or Canopies _ New deck, ramp, patio, etc. Fencing _Building, Demolition or Relocation =z- Exterior Painting & Color Changes _ General Repairs (describe below) ~ ooting , .:...- Other (describe below)" . description of P.I~O~~?,' ;:or.k: (attach other eets if ,nec~ssary), /?f2/::t2/.u-l ""(..1/ F/ '-,,~ ~ I / P Kod'~ s: ,r', A"'A; , F",,,,' ".f. l 'Ii' eo. . 0/1) .FKh" '1M ~ ~ /../0 K S-E:.. The Hi toric Preservation Board requires that the folloWing information MUST be included with an application prior tD the applica 'on being accepted by staff: · Detailed Plans, including a site olan and elevation(s): · Color and material samOles; · Manufacturer's sales literature; · Photoaraohs: and · Any other suooortina documentation to show that the proposed work is consistent with the adopted Department of Inte' S dards. RE OF THE OWNER and/or APPLICANT A licant do NOT write BELOW this line Date: Approved _ Denied Reason for Denial: Approved _ Approved with modifications noted below* and/or on attached sheets Denied ondition(s) of Approval: tI'D UL--H Date: 3 -7- DT 1+. Nf3 ~ DJ:SCLOSURE STATEMENT FOR OWNER CJ:TY OF ZEP:EY1UIJ:LLS BUJ:LDJ:HG DEPARTMENT J:, have read and fully understand and agree 0 the provisions of this instrument. 1. t the owner and he or she alone shall act as the builder for all phases of struction. 2 .. t the owner will comply with all provisions of the City of Zephyrhills 'nances and codes pertinent to the building. 3. t in the event various phases of construction are subcontracted, he will age only properly licensed subcontractors and will personally supervise h work.. 4. t in the event the Building Inspector shall require corrections to be made, owner will assume full responsibility to insure they are made, and upon letion will call for a reinspection before proceeding with the 'building. S .. t the oWner shall assume full responsibi'li ty for the construction and will expect supervision of his Work from the City of Zephyrhills Building artment. 6.. t prior to final inspection any additiona~ fees, including reinspection s, must be paid in full. A written request from this office shall stitute an official notice-to pay additional fees. 7.. t the owner shall comply with all City, State and Federal laws in regard to ial security, workman's compensation, lien laws, etc., where applicable. 8.. t the owner shall comply with all the safety codes issued by the Florida ustrial Commission. 9.. te law requires construction to be done by licensed contractors. You have lied for a peDnit under an exemption to that law. The exemption allows , as the owner of your property, to act as your own contractor with certain. trictions even though you do not have a license. You must provide direct ite supervision of the construction yourself. You may build or impr~vea -family or two-family residence or a farm outbuilding. You may also build improve a commercial building, provided your costs do not exceed $25,000. 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 bu' 1 ding you have built or substantially improved yourself wi thin 1 year after th construction is complete, the law will presume 'that you built or stantially improved if for sale or lease, which is a violation of this tion. You may not hire an unlicensed person to act as your contractor. or supervise people working on your building. J:t is your responsibility to e sure that people employed by you have licenses required by state law and county or municipal licensing ordinances. You may not delegate the ponsibility for supervising work to a licensed contractor who is not ensed to perform the work being done. Any person working on your building is not l.icensed must work under your direct supervision a:c.d must be loyed by you, which means that you must deduct F.J:.C.A. and withho1.ding tax provide workers' compensation for that employee, all as prescribed by 1aw. construction must comply with all applicable laws, ordinances, building es, and zoning ~lations.~ , S SIGNA(\ f1l-L ( CL.-r C7 L--4 DATE 3 -7 () C(,.C> ~-;; '. .J ersigned states and affirms that he or she is desirous of constructing, ing, adding to or reroofing his or her own domicile,. that he or she y occupies, or will occupy by said domicile, and same is not for ease or sale. That he or she shall comply with the following conditions.: PERKIT # TTAJ .' /(;;reJrJ. /illeR !?;nhe /rt./U Qfr7 \' I Q fl///J'1 ~~,c e /~Q(e/~ .17 J J - L- ( ;:e;-. /7l, S s/ d/J - 70 OcT I A.J l3eAA /F d /' mys-e/r; 70 S/>~ /9A.J JJocunte/\J--/.S , j oR. 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