HomeMy WebLinkAbout07-6837
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6837
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:
6837
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38552 PIEDMO AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number:
4,200.00
7/06/2007
55.00
55.00
7/06/2007
RE-ROOF
HOLM S, TIM
38552 PIEDMONT
ZEPHYRHILLS, FL. 33542
Phone:
.. -"" ./,.~,'~
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.
~.
CTOR SIGNATURE PERMIT OFFI
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,
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Address
JOB ADDRESS
LOT #
I PARCEL ID#I
NEW CONSTR B ADD/ALT D
INSTALL REPAIR
SFR D COMM D
BLOCK FRAME D
SUBDIVISION
MECHANICAL
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
I
D
OTHER I
BUILDING SIZE
HEIGHT I
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
D
D
D
AMP SERVICE
D
PROGRESS ENERGY
D
W.REC.
ROOFING
ATION OF MECHANICAL INSTALLATION
PLUMBING
D GAS
FINISHED FLOOR ELEVATIONS
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
BUILDER COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT
Address License #
ELECTRICIAN I COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT
Address I License #
PLUMBER I COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT
Address I License #
MECHANICAL I COMPANY
SIGNATURE REGISTERED
Address
OTHER
SIGNATURE
Y/N
Y/N
Y/N
Address License #
111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111
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 onsite, 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.
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 . . 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 A1C 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, 1
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 offill 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 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 Officia~ for a period not t~ exceed nin~ty \90) ~s and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job onsldered abandoned.
Who isfare
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
'. ". ...; '.' .'~ '.,. '.'
A.. 18artfutt iUtnfing ~f Qtentral1J1lnri~a, lint.
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 Roo~
. & 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 Q'Lakes and Surrounding At
We have reroofed or repaired over 15,000 Homes and Mobile tlomes in the last 33. years.
Name
Address
Phone
'':
Sign:
ar C. B tt
. THANK YOU
Your Business is Appreciated.. .
Payment upon complation unless previous arrangement made. Warranties pertain to original OINl'\er.
All arrangements contingenlllpon SlliKes, accidents or delays fJeyona our cont/ol. Owner 10 carry fire, lornado and olhel necessarY InslJrance.
OUI workers ale fully covered by Workmen's Compensarion Insurance. ClIStomer is liable (01 any Chal(J8S inculfed In cOHecbng this bill
. Ronen wood ls.an extra $35.00 Der sneer (4-l!IY).ROllen fascia is $2.00 pcr linear fool. . Total
013 39t1d
9NI~OO~ ~~3l~~t18
91381138LE18
P0:91 L13130/913/L13
NOTICE OF COMMENCEMENT
State of
Florida
County of
Pasco
TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
and III accordance wIth Chapter 713, FlorIda Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No.X 3'S - 2S-Z 1- 00 SO-~..O%'8'()
/
(Legal description of the property and street address if available)
2. General Description of Improvement
Reroof
1111I1111111111/11111I11111111111111111111111111111111111111
2007112514
~S~jt002: .ljl0l71417 RIr ~ ~~ 0~0
07 Dpty Clerk
3. Owner Information: Name
Tim Holmes
Address
38552 Piedmont
(Alpha Villiage)
City Zephyrhills
State Florida
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
~~90~J~~~:~SCOICO~~Tl CLERK
OR BK 755~ PG 1236
Address
Contractor: Name
38408
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
A Bartlett Roofing - Richard Bartlett
3rd. Ave.
Zephyrhills
City
Florida tj~)
State :;
City
State
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. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is .. cified.)
i
Signature of
2-::; day of
,20 01
Notary Public:
My Commission Expires.
PC93053048/A