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Home My WebLink About07-6720 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6720 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: 6720 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 6039 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0180-00000-0590 2,000.00 5/17/2007 40.00 40.00 5/17/2007 Phone: REROOF - SHINGLES 5% WOOD REPLACEMENT IN VALLEY Name: GRAFFAM, ANTHONY Address: 6039 17TH ST ZEPHYRHILLS, FL. 33542 fA~1D-(f 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. ~ ~~~ ATURE PERMIT OFFI LL FOR INSPECTION -8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 OWner's Name Date Received r Owner's Address Fee Simple Titleholder Namel Z .-h,1l 3' ~:5I/J- Owner Phone Number Owner Phone Number I Owner Phone Number I SUBDIVISION J- hI 'IIJ~ IZ 3.i 5'i;')- I D NEW.CONSTR E1 ADD/ALT D D INSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I DESCRIPllON OF WORK /' I ,fttntrl: -1J 5% '" c.,v\, -"'-(>Ij ~o ""~ ~ ',,, "'" \~ ~ l"., I BUILDING SIZE I SQ FOOTAGE I _ HEIGHT I I 11111111"1111"11111'1111111111"111"'11111'111111111111'1111'1111'11111"11111'1111'111111111'11111'11111111111"111'1111"111'111111"11"1111 Fee Simple Titleholder Address ".. JOB ADDRESS ~(}]1 /711 sf-- LOT # PARCEL 10#1 001 -a~ ~ ~ \ - 6\<tS-O - COCoa ~ os=1o (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D WORK PROPOSED DEMOLISH r-l BUILDING / 1$1 L-J . 1-1700 ",0 . D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO II111I11111111111111111111111111I111111111I111111111111111111111I111111111111111111111111111111111111I11111111111111111111111111111111111111111111 BUILDER ./! j JI~)k ~_ d COMPANY /1 SIGNATURE . /1>1~'-V'1 / (( ""0'''''.'0 Address . VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION /lcm-e I Y I N I t1wn~~ FEE CURRENT Y/N License # COMPANY REGISTERED ELECTRICIAN SIGNATURE MECHANICAL SIGNATURE YI N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address COMPANY REGISTERED Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N COMMERCIAL License # 11111111111I11111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111I1111111111111111111111111 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 onsile, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects 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 onsite. Construction Plans, Stormwater Plans wi Silt Fence installed. Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. DI~~~ti~~~': ' . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . , . . . . . . . . . . . . . , . , . . . . . . . . . . . . , . . . . . . . . . . . . , . . . . . , . . . . . , . . . 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) Address 111111111111111 RESIDENTIAL SIGN PERMIT Driveways-Not over 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. 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, 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 "N 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 perm~t. may ~e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not speCifically In?'uded. In the application. A permit issued shall be construed to be a license to proceed With the work a~d not as authorl~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. Every ~ermlt 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 nln~ty ~90) da~s 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. 117.03) OWNER OR AGENT t--r7,,~ /~ ~n~ ~lJ,scriQed and sworn to (or affir d) befor e this 0L17L07 by on Who Is/are personally known to me or has/have produced 8 j)€.uQ..... L\ C- as identification. n: YY\ .1I ~.......,...... ~~otarypubllc ~........a.....~ o~ Notary Public ",,"U'I K <",!''i.~~ .ren L. ~lIer Name of NO~~~'1 i*~' 0609664 ~;?i......~~ Expires October 29,2010 ,p'"..~ Bonded TOO)' FIIn . ,_. Inc. lIO().385.7018 Commission No. .:-%:.f'i.i!~ Karen L. Miller :"'AE~ ~ Fio # DD609664 .1 . I II Name of Notary type~......' ~es October 29, 2010 ,Sfor,\ Bonded Tror Foin .In...._. In. 1ICI04II-701. Commission No. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, / agree have read and:ful.l.y understand and this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actual.l.y occupies, or wil.l. occupy by said domicil.e, and same is not for rent, lease or sal.e. That he or she shal.l. compl.y with .the :foll.owing conditions: 1.. That the owner and he or she al.one shal.l act as the buil.derfor al.l. phases of construction. 2 . That the owner wi'll. compl.y with al.l. provisions of the City of Zephyrhil.l.s ordinances ~d codes pertinent to .the buil.ding. 3. That in the event various phases of construction are subcontracted, he wil.l. engage onl.y properl.y licensed subcontractors and wil.l. personal.l.y supervise such work. 4. That in the event the Buil.ding Inspector shal.l. require corrections to be made, the owner wil.l. assumeful.l. responsibil.ity to insure they are made, and upon compl.etionwil.l. cal.l. for a reinspection before proceeding with the buil.ding. 5. That the owner shal.l. assumeful.l. responsibil.ity :for the construction and wil.l. not expect supervision of his work :from the City of Zephyrhills Building Department. 6. That prior to final. inspection any additional. fees, incl.uding reinspection fees, must be paid inful.l.. A wr.i:tten request from this office shal.l. constitute an official. notice to pay additional. fees. 7. That the owner shal.l. compl.y withal.l. City, State and Federal. l.aws in regard to social. security, workman's compensation, l.ien l.aws, etc., where appl.icabl.e. 8. That the owner shal.l. compl.y with al.l. the safety codes issued by the Fl.orida Industrial. Commission. 9. State law requires construction to be done by l.icensed contractors. You have applied for a permit under an exemption to that l.aw. The exemption al.l.ows you, as the owner of your property, 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 yoursel.f. You may buil.d or improve a one-famil.y or two-famil.y residence or a farm outbuil.ding. You may al.so buil.d or improve a commercial. buil.ding, provided your costs do not exceed $25,000. The buil.ding or residence must be for your own use or occupancy. It may not bebuil.t or substantial.l.yimproved for sal.e or l.ease. If you sel.l. or l.ease a buil.ding you have built or substantial.l.y improved yoursel.f wi thin 1 year after the construction is compl.ete, the l.aw will. presume that you buil.t or substantial.l.y improved if for sal.e or l.ease, which is a viol.ation of this exemption. You may not hire an unl.icensed person to act as your contractor or to supervise peopl.e working on your buil.ding. It is your responsibil.i ty to make sure that peopl.e empl.oyed by you have l.icenses required by state l.aw and by county or municipal. l.icensing ordinances. You may not del.egate the responsibil.ity for supervising work to a l.icensed contractor who is not l.icensed to perform the work being done. Any person working on your buil.ding who is not l.icensed must work under your direct supervision and must be empl.oyed by you, which means that you must deduct F.J:.C.A. and withhol.ding tax and provide workers' compensation for that empl.oyee, al.l. as prescribed by l.aw. Your construction must compl.y with al.l appl.icabl.e l.aws, ordinances, buil.ding codes, and zoning regu1..tions~~ =~~ OI; I-;f-!f;Z ,~FL ?M'l/J DATE 5/7/n PHONE gr? 7 7'1 ~.:).c, l{l r WITNESS PERMIT #