HomeMy WebLinkAbout07-6838
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6838
Permit Number: 6838
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,990.00
Date Issued: 7/06/2007
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 7/06/2007
Work Desc: RE-ROOF
Address: 39136 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: HUFFMAN, CHUCK
Address: 39136 5TH AVE
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.
~RSIGNATURE ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A. ~artlett ~nnfing (@f <!rentral1l1nribat 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 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
Name
Address
Phone
DESCRIPTION AMOUNT
President & Owner A. Bartlett Roofing of Central FL, Inc.
Sign:
Richard C Bartlett
THANK YOU
Your Business IS Appreciated
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry tire, tornado and other necessary insurance
Our workers are lully covered by Workmen's Compensation Insurance Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35.00 per sheet (4-ply) Rotten fascia is $2.00 per linear foot. Total
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address
JOB ADDRESS
LOT #
PARCEL ID#I
SUBDIVISION
DESCRIPTION OF WORK
NEW CONSTR
INSTALL
SFR
BLOCK
(OBTAINED FROM PROPERTY TAX NOTICE)
ADD/ALT D SIGN D MOVE D DEMOLISH
REPAIR
COMM D OTHER
FRAME D STEEL D
~
WORK PROPOSED
BUILDING SIZE
HEIGHT
PROPOSED USE
TYPE OF CONSTRUCTION
D BUILDING 1$
D ELECTRICAL
D PLUMBING
D MECHANIC 1$ ( r rcJ
D GAS D ROOFING
FINISHED FLOOR ELEVATIONS
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
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(jlnia~
DNO
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
Address
Y/N
MECHANICAL
SIGNATURE
OTHER
SIGN
Address
COMMERCIAL
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 wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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.
RESIDENTIAL
SIGN PERMIT
DI~~~ii~~~': ' , 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 (PloUSurvey/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 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y ~o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall.lss~ance of a permit prevent the B~II.dIn9 OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or vlolat~o~s o~ any codes. Eve~ ~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 Official for a period not t~ exceed n1n~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 COM MEN
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEN
WITH YOUR LENDER 0 ATTORNEY BEFORE RECORDING YOUR N
FLORIDA JURAT (F.S. 117
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Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped