HomeMy WebLinkAbout07-7147
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7147
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:
7147
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5407 4TH
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-09300-0090
2,400.00
10/29/2007
45.00
45.00
10/29/2007
REROOF - 25 YR 3-TAB SHINGLES
Phone:
. J
Wrb- tf1J! t., 01
. (I"W
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TAPE JOINTS ROOF INSP
FINAL
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."
~L<^Q(l~. ~-y~"
C NTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received !.12.....:.'?:t:L:?J. Phone Contact .f?r Per~itting. .1~~I,...I.~~:~'.:~.j:!:~.':t} J
~:~er:s~a::18E~ + t<()5~.I'N~ CH'~Nl. I owner~honeNumber I ~-St..~ 0378
Owner's Address jll,li,S PO.J~e.'-I~.. l2oA.o f DADE I Owner Phone Number I
Fee Simple Titleholder Name I IC(~~:r ~:~~mber I
813-780-0020
"
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
D BUILDING
D ELECTRICAL
D PLUMBI NG
0 MECHANICAL
0 GAS
City of Zephyrhills Permit Application
BUilding Department
Fax-813-780-0021
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SO FOOTAGE I I HEIGHT I
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FINISHED FLOOR ELEVATIONS [
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VALUATION OF MECHANICAL INSTALLATION
SPECIAL TY 0 OTHER
FLOOD ZONE AREA DYES DNO
COMPANY J
REGISTERED ~ FEE CURRENT I Y/N I
License # I
COMPANY 1
REGISTERED ~ FEE CURRENT I Y /N I
=:J License # J
COMPANY J
REGISTERED ~ FEE CURRENT L:0~
license # 1
COM"I\NY I
FE.:';I~;TE~~L:[ ~ FlE CURRENT ~/N I
license #
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
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PROGRESS ENERGY
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WR E ('
BUILDER
SIGNATURE
Address
ELECTRICIAN I
SIGNATURE .
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
O'/HER
SIGNATURE
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
License #
Attach (2) Plot Plans: (2) sets of Building Plans: (1) set of Energy Forms
Minimum ten (10) working days after submittal date. ReqUired onsite. Construction Plans. Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans. (1) set of Energy Forms.
Minimum ten (10) working days after submittal date Required onsite, Construction Plans. Sanitary Facilities & 1 dumoster
All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans
*u*PROPERTf SURVEY required for all NEW construction.
Fill out application completely.
Owner & Contractor sign back of application notarized
If over $2500, a Notice of Conlmeneement is required. (A/C 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 Ale
Driveways-Not over Counter if on public roadways needs ROW
Fences (Plot/Survey/Footage)
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) sig,"!
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 IMPo.CT/UTILlTIES 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 va:uation 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.
/ 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 condition!> of the building permit issued under the attached permit application, for lots less than one (1)
acre which ar3 elevated by fil" 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 Official for a periOd not to exceed ninety (90 da s and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th IS consi d abandoned.
'"'
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
PAYING TWICE FOR IMPROVEMENTS ~O YOUR PROPERTY. IF Y IN N
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING 0
FLORIDA JURAT (F.S
ESUL T IN YOUR
CING, CONSULT
MENT.
CONTRACTOR
ubscribed and swom 0 (0 r me lhi%?
by , -;x:...~ r-
\Nho is/are personally me or ave produced
C7-?;4h~"""
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Commission No.
Commission No
Lula M. Britton
Notary Public, State of Florida
My Common Expires September 28, 2010
Com. No, 0D586703
Luis M. Britton
Name of Notary IYp'ed, pri~~IC, ~1ate of Florida Name of Notary typed. printed or stamped
My Commission Expires September 28, 2010
Com. No, 00586703
Bob Larkin Construction, Inc.
P. O. Box 1474 - Dade City, FI . 33526-1474
(352)567-5143 - (ell:352-279-1906 - Fax 567-2716
October 24, 2007
Zephyrhills Building Department
Re: Anything permit related
To Whom It May Concern:
This letter is to inform you that Jimmy Miller, Dean Gray and Gordon R.
Larkin are authorized by me to handle anything permit related with your
office.
any questions please do not hesitate to call my office.
Cc: file
State of Florida
County of Pasco
Sworn to and subscribed before me this
Larkin who is personally known to me.
25th day of October 2007, by Gordon R.
~
Notary Public
My Commission expires:
Lula M. Britton
Notary Public, S1ate of Florida
My CommssiOn Expires SeJ*ember 28, 2010
Com. No. 00586703
11/B5/~B~7 Bl:51
13525672716
BOB LARKIN CONST.
PAGE B2
.Jl]RfSDICTlONOF' YOUR ~CHOICE
" :,BUIDD~G1>EP.AR1:'MENT
RE: Pemrit# '7 i 1./7
9/17107
hSOectiOD AffidaVit'
."
.I Ge -=.t>, "" LA Il.t<. u...
(plcue priDt JUUDe and circle Lie.. Type)
,li~eti"as a(~2~to~eeriArchitect,
" 'FS 468 Building Inspector:*
License #;
On or'about
ID/30jot'J
" (Date. tUne)
, I did peno~y inspect'the rJ!2f "
deck nailinttandlor secondarv ~me,. barrier work at
(drc:le OM) ,
5'+0'7 r./+k. ~-r--, '
(Job Site AclQn:ss) "
no e detemiined the installation was done according to the
t Mmual (Based on 553.844 F.S,)
STATE OF FLORIDA ,
COUNTY OF' -.-1 f .
Swam to and subscribed before Ine this 1-/ day,of n n)-i'r?~ .200L
BY~~~". '" ,",
. . N~~S~. of Florida
:~/~
. (Print. type or stamp name)
Personally known J or
Produced Identification
Type of id.cD:tifieatian produced.
CommissiOll No.: Lula M. 8Ib>>n
NOllry Ptac. Sma of Florida
My Comnission Expires Se"r28, 2010
Com, No. DD586103,
~ Gc:a~. liuitdiDJ, lU:sidallial, or~ CoJltrBl:lDr or lID)' iDdMc:IwI1 =rQtied 1DIdcr ~8 F.S. UlIII8ke sw.::b lID
lDSpeCIIcm. lDduotle pAaiD~ of each plae otthe roofwitb De pemait t/. or addnBs '# gc:arly *Y/Ji ~ OIl the
cicek. far each ilUlpllCticm. '