HomeMy WebLinkAbout07-6722
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6722
Permit Number: 6722
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 2,000.00
Date Issued: 5/18/2007
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 5/18/2007
Work Desc: REROOF - SHINGLES
Address: 39352 6TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0040-00100-0020
Name: ERRICKSON, WARREN L
Address: 39352 6TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTlON 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 aswater 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 comm~ncement."
NO OCCUPANCY BEFORE.C.O.
r~ . ~~
SIGNA URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED -.-
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-Q021
Owner's Name .
Owner's Address I J q J ,7- ~ a ,.,f~
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
- JOB ADDRESS
Fee Simple Titleholder Address I
I Jtf,,'J U a.~
I
LOT #
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I /4 z,. f
.
BUILDING SIZE I SQ FOOTAGE I HEIGHT I
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NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
PARCEL ID#II;;> -~(p .~ I - 6b~1-6. 00 I 0(') . CX)a-C'JI
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOliSH
OTHER
STEEL
I
o
OTHER I
,D BUILDING 1$ l
I
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I
I
I
D
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AMP SERVICE
D
PROGRESS ENERGY
o
W.R.E.C.
tl CJ (~'1
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
ONO
BUILDER
SIGNATURE
COMPANY"" ~ HI....,..
REGISTERED Y / N
tfJ Pv 11 -/ v-
I FEE CURRENT
License # I
Y/N
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111
RESIDENTIAL
License #
111111I1111I1111I111111111111111111111111111111111II11111I11111I1111111I1111II1111111111111111111111111111111I11I111I1II1I11111111
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 onslte, Construction Plans, Storm water Plans w/ 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 on site, 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
Attach (2) sets of Engineered Plans. -
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Di~~~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 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 NC Fences (Plot/Survey/Footage)
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. 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 properti~s, the.ow."er 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 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 In~luded. 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. Eve'!' permit Issued, shall become. invalid
unless the work authorized by such permit is commenced 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 comm~nced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nrn~ty <.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for nrnety (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. 11 :03) .~
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Notary Public
Commission No.
Name of Not
Name of Notary typed,
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
0..' ?
I, n\,e.n L G::.(c\c.Ks~
agree to the provisions of this' instrument.
have read andfu~~y understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e, that he or she
actua~~y occupies, or wi~~ occupy by said domici~e, and same is not for
rent, ~ease or sa~e. That he or she sha~~ comp~y with "the zo~~owing conditions:
~ . That the owner and he or she a~one shall act as the bui~der -for a~~ phases of
construction.
.2 . That 'the owner wi~~ comp~y wi th a~~ provisions of the City of Zephyrhi~~s
ordinances ~d codes pertinent to 'the bui~ding,
3. That in the event various phases of construction are subcontracted, he wi~~
engage on~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise
such work.
4. That in the event the Bui~ding Inspector sha~~ require corrections to be made,
the owner wi~~ assumefu~~ responsibi~ity to insure they are made, and upon
comp~etion wi~~ ca~~ zor a reinspection before proceeding with the bui~ding.
5. That the owner sha~~ assumefu~~ responsibi2ity zor the construction and wi~~
not expect supervision of his work from the City of Zephyrhills Bui~ding
Department,
6. That prior to final inspection any additiona~ fees, inc~uding reinspection
fees, must be paid infu~~. A written request from this office sha~~
constitute an officia~ notice to pay additiona~ fees.
7. That the owner sha~~ comp~y witha~~ City, State and Federa~ ~aws in regard to
socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e.
8. That the owner sha~~ comp~y with aJ.~ the safety codes issued by the F~orida
Industria~ Commission.
9. State ~aw requires construction to be done by ~icensed contractors. You have
app~ied for a permit under an exemption to that ~aw. The exemption a~~ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a 2icense. You must provide direct
onsite supervision of the construction yourse~f. You may bui~d or improve a
one-famil.y or two-fa.mi.l.y residence or a farm outbui~ding. You may a~so bui~d
or improve a commerciaJ. bui~ding, provided your costs do not exceed $25,000.
The bui2ding or residence must be for your own use or occupancy. It may not
bebui~t or substantiaJ.~y improved for sa~e or ~ease. If you se~~ or ~ease a
buil.ding you have bui2t or substantia~2y improved yourse~f within 1. year after
the construction is comp~ete, the ~aw wi2~ presume that you bui~t or
substantia~~y improved if for sa~e or ~ease, which is a vio~ation of this
exemption. You may not hire an un~icensed person to act as your contractor or
to supervise peop~e working on your bui~ding. It is your responsibi~ity to
make sure that peop~e emp~oyed by you have ~icenses required by state ~aw and
by county or municipaJ. 2icensing ordinances. You may not de~egate the
responsibi~ity for supervising work to a ~icensed contractor who is not
~icensed to perform the work being done. Any person working on your bui~ding
who is not ~icensed must work under your direct supervision and must be
emp20yed by you, which means that you must deduct F.I.C.A. and withho~ding tax
and provide workers' compensation for that emp~oyee, aJ.~ as prescribed by ~aw.
Your construction must comp~y with a~~ app2icabl.e ~aws, ordinances, bui~ding
codes, and zoning regu~a ions.
OWNER'S
ADDRESS
PHONE
DATE
rl;f7b 'r
I
WITNESS
PERMIT #
Page 1 of 1
Jacqueline Soges
From: Jacqueline Boges
Sent: Tuesday, August 07,20072:23 PM
To: Monty Errickson
Subject: Building Dept about the Reroof
Hello Monty
Jackie here at the building Dept. just wanted to know if you have finished the reroof at 39352 6th Ave.
Wanting to know if we could come out and do an inspection?
Let me know Jackie Boges
8/7/2007