HomeMy WebLinkAbout08-7668
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7668
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:
7668
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38776 VUL AN CI LOT 51
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: VILLAGE GROVE
Parcel Number: 02-26-21-001 D-00000-051 0
1,800.00
3/25/2008 Name:
60.00 Address:
60.00
3/25/2008 Phone:
REROOF METAL MASTER RIB SYSTEM
JONES, WILFRED
38776 VULCAN CIRCLE
ZEPHYRHILLS, FL. 33542
813 782-1365
TA'pIiJOINTS ROOF INSP ,
~~~-/ Or( 1~ (
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 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."
tV1J-i#...4r a ~
C RAC OR~ATURE PERMITOFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
01(&cI~
3- Z/ ---08
2; f3 77 ~ I/u/ ~ Citk
AJttU /W-kf /~
Date Received:
Site:
Permit Type:
Approved wino comments: ~
Approved withe below comments: D Denied wIthe below comments: D
This comment sheet s
~
Date Contractor and/or Homeowner
(Required when comments are present)
Installation Instructions for MasterRibrl?
Stor~~
If metal is not to be used immediately, store inside in a well ventilated dtY location. Condensation or other moisture can form between the sheets
during storage causing water stains or white rust which detract from the appearance of the product and may affect the product's useful life. Tr.qlped
moisture between sbeets of painted metal can cause white rust to form underneath the paint. This can cause the paint to f)"Jcp off
the panel immediately or several years . later. To prevent white rust and staining, break the shipping bands on the material. Store the material
on end or on an incline of at least 8" with a supporting board nndemeath to prevent sagging. Fan the sheets slightly at the bottom to allow for air
circulation. Keep the sheets off of the gronnd with an insulator such as wood. Any outdoor sto~ is at the customer's own risk. If outdoor storage
cannot be avoided, protect the metal using a canvas cover or waterproof paper. Never cover the metal with plastic as this will cause condensation to form.
Some Safety Precautions
Always wear heavy gloves when working with steel panels to avOid cuts from sharp edges. When cutting or drilling steel panels, always wear safety glasses
and sweep off any metal shavings immediately to prevent eye injury from flying metal fragments. If you must walk on a metal roof, take great care. Metal
panels can become slippery, so always wear shoes with non-slip soles. Avoid working on metal roofs during wet conditions when the panels can become
extremely slippery. Walking or standing on a metal roof which does not have a plywood or other deck beneati;J. it i~ not recommended. However, if you
must do so, always walk on the purlins, never between. Do not for any reason walk on a roof made of material less thick than 29.gauge.
General Installation Information
I n.rure that the .rtnIcture is square and lnIe bifore beginning panel installation. If the .rtnIcture is not square, the panels wiff not properfy seal at the side laps.
Green or damp lUmber is not recommended. Moisture released from the damp lumber may damage the metal panels. N~ installed in green or damp
lumber may back out.
The prevention of steel debris staining is the responsibility of the installer. The recommended tools for on site cutting are profile shears, hand shears,
or electric nibblers. Friction saws and abrasive discs should not be used to cut panels..
Remove any loose metal shavings left on roof surface immediately to prevent corrosion. After installing roof, remove any debris such as leaves or dirt
to prevent moisture from getting trapped on panels.
Fastening
If you wish to predrill fastener holes, use a cover sheet to prevent hot shavings from sticking to panels.
Screws - For best results use a 1-1/2" doublewa.~hered wood screw in the flat of the panel as shown in the illustration bel~ Fasteners should be applied
at every purlin. Drive the fastener so that the washer is compressed securely against the metal. Do not over drive the fastener as this will form a dimple
that can collect water and cause leakage. Do not leave any loose fasteners that have missed the purlin. Use a #14 stitch screw or caulk to fill the hole.
Nails - If the panels are nailed, use 1-3/4" ring-shanked neoprene washered nails. Nail into the crown of the major ribs of the panel as
illustrated below. (See Figure #2). NOTE: H rigid insulation is used directly under the panel, the fastener length needs to be increased to allow
a minimum of I" penetration into the wood. General installation instructions listed above for screws also apply to nails. Do not apply nails into flat
area of panel.
F~ure #1 - Fastening Patterns for MasterRib@
RE~MENDED FASTENING PATTERN FOR1...1/.Z" SCREWS
Figure #2 - (Nails only)
ALL ~p~~rL OVER DRIVEN
PRE.. VAILING.m.OD...... .,F......L.~.. RI. DA.. IL.D.r.";.C'.i.. ........... .
CODE, NATION ..' . },~~..~.
Cl'fY OF ZEp. LS RDINNCES ~ ..1 '"
~ _.,.A..,. -'-' ~ .~ ~ _ ~
. -~ --. ........-. - --.. .
SCREW FASTENER$- EAVE, RIDGE & ENDLAPS
~,..-
_..A. _ --....:;I"'- - - ~ - ~
- - -. .- - "- ,- - -
SCREW FASTENERS ....;INTERMEDlATE.SUPPORTS
Figure. #3
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UNldIi~~~,
CORRUGATING COMPANY
Fayetteville, NC
www.unioncorrugating.com.
ORANGE STEEL ROODNG PRODUCl5 UNICO MEI'AL PRODUCl5
ORANGE, VA OCAI.A, Fl.
CVEmllZ:O
- .o\NTIS PHONING
CH.r.NNEL
FASTENING PATTERN FOR 1"'314- NAILS
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SPENCER STEEL SUPPLY
SPENCER, Ne
ANDERSON STEEL SUPPlX
ANDERSON. SC
TIFJ'ON STEEL PRODUCl5
TIFrON. GA
V1C1lS11URG MEtAL PRODUCl5
VICKSBURG. MS
IlAYI'ON IIEIl\lS
PIQUA, OH
GIlEAT PLAINS IIEIl\lS
YUKON,OK
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:I 3/4"
Coverage 36" --
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Description
An industry leader in strength and
durability, this popular and versatile
panel features classic looks and is used in
a wide range of applications including
residential, commercial, and post-frame
buildings. MasterRib was designed with
extra-wide ribs to increase strength and
ease handling and installation. In
addition, the oversized anti-siphoning
channel on the under-lap rib provides
extra leak resistance in the presence of
extreme wind and rain loads.
Gauges
· 26,29
Finish Options
· 18 Paint Colors
· Energy Star Certified Colors
Available
. Unpainted Galvalume
· Unpainted Galvanized
Approvals and Certifications
· Metal Construction Association
Certified
· Miami-Dade Approved for Wind Uplift
· Florida Building Code Approved
· Energy Star Certified
· Texas Department of Insurance
Approved
· Highest UL Ratings for Wind Uplift, Fire
and Impact Resistance
..
1;11~;{:j'f,'t!'1;1
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CERTIFIED EBiR
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NOTES
I, 'lhl'llr: Ii,d i1,lc,\'\.',;blc l:d::sar.:~IJd~,l.':lcrl
:1,1 hew,: i<:i1 i1:1l1\"',lb'lc 1:>.:1 I: S dft2 t)d~,ecl c r ,:1 'I III I
3. FO["J'):i)arwl,<k'dllc'~iefwei9htfori.t'. I! "II.:
,1. Th(~:.,~ odd:;, el['" lur pall:.1 :,tl'en(~th. hCllr" i :< Ii" :1
5, Ched IJocali:,uildrIl9 cod,'s ifpallel te~;ti1:j ;
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~rr:;~::~:t: ~j'-'-'.~,"._. _j~-- .,--.f /J".-C\1;:___--r-'-_"_-"--~_.~':f:,,1-
(;Cf~E\IVFASTENERS- [,1"1 1::III:::I'I:,MNIJt,\,li :,
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Ilfthe pcHlE'ls are not to be used immedia'll~i, ~j,tOI"';! inside 11I",1,'\'1; 11I1 VI;!'" 1:1:':, dll 11:11
!Form between the sheets durinq storaqE' ClI15ini.JI,vater stair' ; 0'1 Wllit: '1,1~;,1 ','ill'I,1
may effE~c1: the product's useful life. Trapp~ 'd rno,I,:~,II:ure bE' tWE':! II iJI<E'I:'I:: ) I :tIn I;' C In, I ' I
the paint. This can emse the paint to flakE: (Iff ol:he f:',Hllel irI111:clliatl:! ))1" ;I~" :I J"
the following prec:autitons shouk:l be taker:
I. Break the shipping bands on the In'l~tal':lnd v"ipe 'thl' sheets c "Y
2. Store metal on end or on an inc:lir e of ,:tit: least 8" 'Nitlll ~,l.,pporl b,lnds 1'ldE'"'' ,,,
3. Fan sheets sliqhtly at the bottorn:o allow for <'Iir circulation.
4. Keep the sheets off of the ground v"lith an insulator,IJC"1 aSWK d,
Any outdoor sWrage is at the customer's OVI,n rhle If out::lom storagl:::am:Jt 1'1:' aVUl1 I'
cover or waterproof paper. Never cover the mete'll with plastiC ai. this '.Jil fau::,' con :1, II
:I iI: ell:',,' il: ., iii J I
'I "il>P' r,'" I.'; :11
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BEFORE BEGINNING INSTALLAT/ONI OF irH/S jIli"~llJIrDV'CJ;, jl~ir.I::,rl/"~:I' ':ll{,III,I~ I 'IiI;!: :1/l,IU!"ArH::::.j'IIIIII',I~I'5 I':ii ,I
H For moreinfOlrmation, call (BE8) IMTL-HOOF (IIF visit ::lI.H \N'l~b:;it(~" I ',I. ''''', r ilollmlll::1]III'Uofll I: ,'.
...._IIIIII.~_.IIIIIII.,1I'..._.~I_~~_.,...,_IU"~.,II...t_.___I.,III'".,,~"., 111'1'.' ",."",..,;"" .,,,...,,,.,..._.. ..'"" "'II'" .'," "'I' """ . .",.""""" "" "'" "'''"'' . II~' II
Installation Instructions for MasterRib~'(
Roofing
Slopes of less than 3" on 12" are not recommended. For slopes of 3" on 12" or greater, end lap panels 6".
Side laps should face away from the prevailing wind. Lay the first sheet along the eave at the down-wind side of the roof, farthest away from the
direction of the prevailing winds. (See Figure #4). Install sheets in the sequence shown in Figure #4.
Figure #4 Figure #5 - Installation Options
4 Prevailing Wind
2'
CENTERS
Maximum purlin spacing for
roof 2' on center
Install Metal Directly
To Wood Frame
.Use Maximum 2' Purlin Spacing
. Install Metal
*DO NOT USE THIS OPTION
FOR HEATED SPACES
*Proper ventilation and vapor barrier protection recommended for heated spaces.
Allow an overhand of 2" at the eave to provide for a drip edge. Use inside closure at eave to prevent insect or bird infestation at openings.
Install Metal
On Solid Deck
.Lay Plywood Deck
.Apply 30 lb. felt paper
. Install Metal
Install Metal
Over Existing Shingles
.Apply 30 Ib. felt paper
. Install Metal
To protect against uplifting winds and to provide a finished appearance, apply rake trim or other standard gable trim. Apply fasteners every 6-10".
14" ridge roll or ridge cap is recommended to prevent leakage. Seal off ridge and panel using outside closure strip.
Use of 3/8" side lap tape is recommended. Apply the tape as shown in Figure #6 along the top of all lap ribs. Do not block the siphon
chatmel with the tape. For best results, apply a 7/8" lap tek screw into the crown of the rib to secure the side lap.
Figure #6 - Proper Application of Side Lap Tape
Siding
For best results, start siding at a door, window or other opening in the wall. Use comer trim, base molding, eave trim, and other trim to improve the
weather-tightness and appearance of the structure.
ALLOWABLE UNIFORM LOADS PER SQUARE FOOT
Maximum purlin spacing for roof 2' on center and maximum girt spacing for sidewall 3' on center.
Place fasteners in the pan of panel for best results.
(Three Spans or More)
LIVE LOADING WIND UPLIFT LOADING
Span (inches) 18" 24" 30" 36" 48" 60" 72" 18" 24'" 30" 36" 48" 54" 72"
29 Gauge 200 112 72 50 28 18 14 281 158 101 70 40 25 18
26 Gauge 268 151 97 67 38 24 24 368 207 132 92 52 33 23
NOTES:
The pane! weight has heen deducted from the allowable stress values.
The wind uplift stress values have been increased by 33-1/3%.
The properties and load tables are for the panel alone.
The panel section properties have been calculated in accordance with the 1996 AISI Specification.
Steel pane! material conforms to ASTM A446-85.
MasterRib@ UL Ratings: U1.2218 Impact Resistance Class 4 --- UL790 Fire Resistance Class A
26Ga MasterRib@ Miami Dade County Product Control Approved NOA #02-0726.06 Exp. 9/05/2007, Florida Code Approval #FL72
and ASCE 7-98 Compliant (meets FL Bldg Code); 29 Ga MasterRib@ Florida Code Approval #Fl.2287
It is the users responsibility to vemy all applicable code requirements for the area, check all measurements, and determine suitability of product for job. IMPUED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE ARE DISCLAIMED. Copyrigh~' 1998 by Union Corrugating Company. All rights
reserved. No part of this document may be reproduced or distributed in any form whatsoever without prior written authorization.
Rev 5/05
813-780-0020
City of Zephyrhills Permit Application
Building Department
*/~~g
Fax-813-780-0021
Date Received
/~ (-,
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P;
Owner's Address 13,? 77 t- f/ u / c " IV
Fee Simple Titleholder Namel hI / / F j. e ("(
Owner's Name
I
C J rL >~
?.-. ::rc, /v \' J
3 g ~) 'I "
t/v/cc/V
Fee Simple Titleholder Address
ADD/ALT
REPAIR
COMM
FRAME
LOT # Ih1
PARCELlD#1 02- 2/n.qJ - ~l /)-r:rocm--- Or/a
(OBTAIN~OM PROPERTY TAX NOTICE)
D SIGN D MOVE D DEMOLISH
D
D
I' ,
{ , "...<I-e...
, I
JOB ADDRESS
/ I
I (
OTHER I
STEEL D
N2 W /V\ ~~-&,L ~~)c., -r- IJ~ ~~
- ,-....-- .
BUILDING SIZE I /'/.oj,x ~ () I SQ FOOTAGE I HEIGHT I .
'.11...1111....11............11.'.11...111.....11,.......111...11.....11...11111........,..'.........,.......11111,........,11.....................
D c::7 1$ ;t!/?? (){),() 0
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS [Z]
J,/;//",,) -e
f1j
PROPOSED USE Q
TYPE OF CONSTRUCTION d
DESCRIPTION OF WORK I
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
l~ r ,,' ~, e I
E3
D
D
SUBDIVISION
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
~ /Yl-eev ~C. d""rt
....... J(U1JJ Sf::.4un
ROOFING
D
~CIALTY D
{J~DZONE AREA
OTHER
FINISHED FLOOR ELEVATIONS
DYES
DNO
BUILDER
SIGNATURE
'\
;,::-!(,"V .
h () /J1 e.- (J W'rver
YI N I FEE CURRENT I Y/N I
Address
Ie"'
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
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 I1111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111II111111111111111111
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 wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
--"PROPERTY SURVEY required for all NEW construction.
11111111111111111111I111111111I11111111111111111111111I1I1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
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 author/zing 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, 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 "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 authon~y ~o vlolat~, 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) da~s and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the.)ob 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.
FLORI RA .S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No.
\~" ..~....f Expires December 12, 2010
Wt;. \;~" 1lo_ Thr\l rr\'l'l ffr;n InoOOIl\8O 800481-1019
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
,.._.._<....,"~...".~.~~,,~--.~...-------~-,...,-
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS.:.... BUILDING DEPARTMENT
I, W / I f=-re) K ::rcvve__s
provisions of this instrument.
have read and fully understand and agree to the
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 actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only'
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows 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 yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must compiy with all applicable laws, ordinances,
building codes, and zoning regulations.
DATE :5 'J2- DE?
PERMIT
IIMasterforms/OwnersAfiidavit/Nov07