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Home My WebLink About08-7673 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7673 Permit Number: 7673 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 9,000.00 Date Issued: 3/26/2008 Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 3/26/2008 Work Desc: REROOF Address: 38438 9TH AVE ZEPHYRHILL5, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILL5 Parcel Number: 11-26-21-0010-10200-0190 Name: CHAMPAGNE, DONALD & VELMACELlA Address: 224 E 2ND 5T 05WEGO NY 13126-3105 Phone: 813782-8547 0(~ ~ou TAPE JOINTS ROOF INSP FINAL 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." zJ-d/Yf\(;LA\1~J ~~~~fL- CONTRACTOR 51GNATU E PERMIT OFF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department 41 ~ 7 3 Fax-813-780-0021 Fee Simple Titleholder Name Date Recelved Owner's Name Owner's Address Fee Simple Titleholder Address I 1.1gif~~g I SUBDIVISION 9 tA f){) e... f. -16~ Pi ..j.!IS<l:l I PARCEL ID#I D NEW CONSTR ~ ADD/AL T D D INSTALL D REPAIR PROPOSED USE ~ SFR 0 COMM D OTHER TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I DESCRIPTION OF WORK Ili>1JAQP 7JfJ1JJ-' A,..tr-&f tJ-1HJJ hn~~) i~'l.L(Jt, of f)<{~) Ir..~ - &Mt?U ~ BUILDING SIZE I SQ FOOTAGE I J J 0 <!' I HEIGHT I I ."11...11.....'11..111..11...11...11...."....................11.....11....'.11...111...11...1111..........11........11,.......11.1111.11.111.11111. JOB ADDRESS LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED D BUILDING 1$ q I D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ DGAS D FINISHED FLOOR ELEVATIONS I ROOFING I I I I o I AMP SERVICE o PROGRESS ENERGY ~ .I\~ D W.R.E.C tJd 0 VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO "IP.p'III....""'II..'II""...II..'IIII"..'...11111'""IIII,tllll....",I'I"I""'IIII,I'lll",,"'111"11"11"""11"'1'111111"111111'" !. . I BUILDER - SIGNATURE . -zJ4w.,<t. (!.O~ i21Jr:u.<fI1~ Address ELECTRICIAN I SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N License # COMPANY REGISTERED I Y/N FEE CURRENT Y/N License # Address PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y/N Address COMPANY REGISTERED Y/N MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 1I11111111111111111111111111111111I11111111111111111111111111111111111111111)11111111111111111111111111111111I111111111111111111111111111111111111 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) 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 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. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: Fill oul application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000) Agent (for the cqntractor) 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 (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 compriance 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.ner 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 permittin~ conditions s~t forth in this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e reqUlr~d for elect~lca.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n~luded.1n 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. Everr ~ermlt 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 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,)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. FLORIDAJURAT(F.S~J~~ CD,~~ . OWNER OR AGENT J e- /1Yl A C. tD. / ; A r. ~ A cu> e- CONTRACTOR 7J ~ aA..I~ (I ~ ~f a ~ fL/ ~~t~n~ swom to (or affirmed) before me his s~~~~nd ~;o~t~~f~ffi~;d~~jfC!:,:e ~~AA- m r A 9 ,rJ f!.J Who isfare pers~nallY known to me o~ has.lhav~ produced Who is~~re personally known to me or has::~~:rft[g::: L--,u...",,~ as Identification. !..!~ Notary Public Name of Notary typed. printed or stamped . "-;;,~..t~.,, JAC ELINE BOGES Com slon /f.A~"~ Gom Is lor 00 ~B~~~ ~:~ ::~ ' December 12,2010 '''''J! Ex~~1 L."__~g~." Name of Notary typed:~' . ed om11l pea CITY OF ZEPHYRHILLS IINOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS DATE PERMIT ." I 3'6i~<( "}4 1-7-o'{ 7(,7:3 . THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections sholl be mode before the job will be accepted. ~ 1b/~ ~~ ~ b~r(~_ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring. lath, earth or other material, until the proper inspector has had ample time to approve the installation. AFTER CORRECTIONS ARE MADE CALL 780-0020 FO R -INSPECTION OFFICE HOURS 7:30AM -4:30 PM MON.-FRI. INSPECTOR v STOP WORK By order of the Building Official: Wi{{iamjI. (]Jurgess All Building, plumbing, electrical and mechanical work shall cease at the below m~ntioned property. Address: ~ X'l./ 3 5( ;]-2&-00 qh- 4-v~ Date: Code Enforcement OffIcer: ;-:::;- (~ J Contact the Zephyrhills Building Department 5335 - 8th Street 813-780-0020 'OISCLOSURESTATEMENTTFOROWNER CITY OF.ZEPHYRHILLS.:- .BUILDING DEPARTMENT 11 '?)1~CUt~L':-, f31t. ~ Bd::J/It L- have read and 'fully understand and.agree to the provisions of this instrument. . . '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. Thatthe owner and he or she alone shallact 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 a~e 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 Zephyrhifls 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 on&-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 notdelegate 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 providework~r's compensation for that employee, all as prescribed. by law.. . Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. ~!~~~ Sl~~~ri"~t'f:Fp~~~~t DATE J..j J d 0 "'0 fI WITNESS PERMIT lIMastcrfOIDlS/0wnersA:ffidavitINov07 NOTICE OF ,COMMENCEMENT ' 11111111111111111111111111I111111111111111111111111111111111 2008045165 Rcpl : 1169960 Rec: 10. 00 OS, 0.00 IT: 0.00 03'/26/08 _'___ Dpty Clerk ~~92G~~lM~~: PASC01CO~TI CLERK OR BK 77~!' PG ~98 .._----_._--_........:......_-".._-,-_.~--_.._._-"_._._---~.".__._-- " , .-#:-- Permit No. '7 b 73 PropertyIdentificationNo.l(-2~ -Zl- 0010 -I0200-Dl9(:) . THE UNDERSIGNED hereby give' informs you that the improvement will be made to certain real property, and in accordance with '. Section 713.13 of. the Florida Statutes, the following information is provided in this NOTICE OF CO~NC~50 ptJ 5t, 0 I.Description of property (legal description: -'- . , ~ q c'c.4- ~ ') CfJ ~ tJ 82k. I d :;., . a) Street Address: ? 2.General description of improvements: 3 . Owner Information a) Name and address: b) Name and address offee simple titleholder (if other than owner) . <;:.). Interest in property . ' . 4.Contractor Information a) Name and address: tJ.-u,)-yt.JAl b) Telephone No.: . 5..Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: Fax No. (Opt.) .' Fax No. (Opt.) . . " Phone No. 7. Identityofperson within the State of Florida designated by owner upon whom notices or other documents maybe served: a) Name and addiess: b) Telephone No.: Fax No. (Opt.) . 8.In addition to hiinself, owner designates the following person to receive a copy of the Lienor's Notice as provided'in Section 713.13(I)(b), Florida Statutes:' . a) Name and address: b) Telephone No.: . Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date ofrecording.unJess a different date is specified): . . WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPmATIONOF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713. PART I, SECTION 713.13. . FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMl\{ENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TIlE FIRST INSPEC'PON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING youR NOTICE OF COMMENCEMENT. . STATE OF FLORIDA COUNTY OF PASCO ljpj~-"pL./ Mn~~ . . , ,Signature of Owner or Owner's AirthllriZCC1OfficcrlDircctorlPutncrlManager u~Jmf.HLe J/Il ChAIr] f n 'd nJ :e...- PnntName .. .'. , The foregoing instrument ~ acknowl~dged before me ~.2 '" day of _Ma.r ck.., '. 2()~ by' ~~~ ~~~ as ~~cH.;UY\~ . '(type ofauthortty, e.g. officer, trustee, attorney . m fact) to, , (name of party on bobalf of, 0 fustmment,.., 'Tl' Personally Known _ OR Produced Identification ~ Notary Signature . 4- P;3 ~ of Ideotifiomion Pro"""'" /..i Wt Se- Nom. (print) ::fa ~ u ~ Ii "e. . Verification pursuant to Section 92.525, Florida Statuies.U~der penalties OfPezjury"~I1""~'t.... oeMGCjlJ'iL,l~~~foregoiIig and that th fa ts. stat d" tru th b f 1m 1 d 'd b l' f g..:' :..a 'COmmission 0'0621833 e c emIt are eta e est 0 my owe ge an e Ie.. ;~'. /~.r Expires December 12, 2010 ' . "~iif.,\hlf.;; IlonllH nllll r,.. Foln f:\........ 8QO.38i-7019 . Signature of Natural Person Signing Above FORMSINOC,rvsd2007