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Home My WebLink About07-7194 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7194 Permit Number: 7194 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 1,500.00 Date Issued: 11/14/2007 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 11/14/2007 Work Desc: REROOF - 30 YR SHINGLES Address: 38315 SOUTH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18900-0050 Name: HENDRICKS, PATRICIA Address: 38315 SOUTH AVE ZEPHYRHILLS, FL. 33542 Phone: 813838-5143 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 rding your notice of commencement." I~G~ . NT C OR SIGNA TLJRE PERM IT OFFI 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 Fax-813-780-0021 Date Received Owner Phone Number~ ) 'S - 8':> ~ - S Owner Phone Number I q /) Owner Phone Number I Owner's Name . \e Owner's Address ) J Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I 1-s<J> \S I SO"-\\' Avt. LOT # NEW CONSTR INSTALL SFR BLOCK 1 B D D PARCELlD#1 \'....2(,.2.1 - 60\0-. I~~OC:> ~ IL~o5b (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION WORK PROPOSED c=J PROPOSED USE ~ TYPE OF CONSTRUCTION IZI DESCRIPTION OF WORK 10---(-00\ 30- 9)\~lr....D BUILDING SIZE I SQ FOOTAGE I HEIGHT I 11111111111"'111"""1111111111""1""111111111111111111111""11111111111111111111111111111111.11.111111111111111"'1111111111111111111111111 ADD/ALT REPAIR COMM FRAME D D D DEMOLISH OTHER STEEL I D OTHER I 1$ { roOD, 0-0 1 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1I11II111III III L>>llltIlIUtl'l III~ 111I1111I111 1 II 1 111I 1 1 1 111111I1111I 1 1 1 III 1 I11II 1 1111I111II11111I111111I1 1 1 1111111I1 1 1 111II1 1 1 1111111111111111111 , BUILDER " L i ;~ .) ! j.,:) . -- { _'.. ., COMPANY I ~~ I SIGNATURE . -~ II / ~. L L L. L ' . REGISTERED I Y / N I FEE CURRENT Y / N ~ D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.RE.C. VALUATION OF MECHANICAL INSTALLATION i '. Address \i -c:. License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N License # 111I111111111II1111I111II11111111111I111I1111111111111I11I1111I111II11111II1111I1111111I1111111111II11111III111111111111111111111I 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 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 on site, 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 Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Di~~~ti~~~':' , . . , , . . , . , , . . . , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , , , , . . , . . , . , , , , , , , . . , , , . , , , . , , . , , , , , , , , , , . , , , , , , , , , , , . , , , , . . , , . . . . . . , . . . , , . , , . , , . , , . , , . . 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 NC Fences (Plot/Survey/Footage) Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT 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 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) mo~ths after the time th~ work is commenced: An extension may be requested, in writing, from the Building Offjcia~ for a penod not t~ exceed nln~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 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. FLORIDA JURAT (F.S.f17.0:P /) , _ - i /.::>.' i . .. r . OWNER OR AGENT f '-{ ~ . , " , C L CONTRACTOR ,- L L i 1 t' l. -' .. p '~ s~"'ib'" ,n<! ...,~(o(.;(,+;$)b';:';';;';;;"'" O. SubjOrl.... ,"d ''''''oHh (m, ",,'d) _m~' . . I\l1yJ07 by <...{lV(\ . Ae.-vv\nrl<") Illj4/c7 by ~~ (). ~~n.cl<~ Wbo is/are p. ersonally known to me or has/have produced \IY!1.o Is/are personally known to me or has/have produced n l>Q.va L.l (! as Identification. Fe j)l2.1J {> Ll c- as identification. , .....-r::;-~ <~ "")J.~ Notary Public Commission No. .~~~~~~ Karen L. Miller =J: "J\ Coml1ll'ssion # 00609664 :*: :*- Name of Nota ~"iIt~, In" 800-385-7019 Name of Notary typ '. , . ,If,~ Bonde<! Troy F"'" - Insurance, Ino 800_385-7019 Timberline 30 Shingle Page 1iM7/ERLINE~ff ..!~ Premium Arch/teetu,.", ShingloS\ru Need a Factory-Certified C ontr actor? "Value & Performance In A Wood Shake Look" The unique "Shadow Accent" effect results in maximum dimensionality depth ,...-:""'""i';; ~ ".trI1n . JrltJ ~"=~ - on.,... Click image above to view Timberline 30 shingles on a house. for HOMEOWNERS · Attractive Appearance... Features the distinctive Shadow Accent™ effect. · Great Value... 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Approx. 64 Pieces/Sq. (Metric) . Approx. 78 Pieces/Sq. (English) . 3 Bundles/Square . Approx. 264 Nails/Sq. (Metric) . Approx. 312 Nails/Sq. (English) . 5 5/8" Exposure (Metric) . 5" Exposure (English) *Product is manufactured to meet or exceed ASTM 03462; values from subsequent testing may vary depending on storage conditions. For Distinctive Ridge Cap Shingles, use matching TlMBERTEX@ or PaciflcRIDGETM Ridge Cap Shingles . App';", to Z , Timberline 30 White Shingles Only. - http://www.gaf.com/Content/GAF /RES llROOF IRS _ T30.html 13-1/4" x 39-3/8" Metric 12" x 36-15/16" English Timberline@ 30 shingles are available nationwide Page 2 of2 11/14/2007 DISCLOSURE STATEMENT FOR OWNER CITY OFZEPHYRHILLS - BUILDING DEPARTMENT ) I I ,'~ /f /~ ,,": ~rb:isi~~ '~f~hi:'i~~t~~~~~t. 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: have read and fully understand and agree to the 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 COd~s~ ClIJQ)oning r~gulations. , ..' ...,' I ,,~ ' , I 7 ~~::~~S~~~WRE~,~r~--C(X_~ DATE II/IL! /e PHONE -\5 - ~:rr-,--' _/l/_ ..... WITNES~~ PERMIT I1Masterforms/OwnersAffidavit/Nov07 NDV-14-2007 15:42 From: To:813 780 0021 P.1/2 c.ITY OF ZEPHYIUHLLS TO WHOM 11' MAY CONCERN 11/14/07 Ryan P. Hendrick;s is my son. He has my pennission to sign papers regarding any certificate needed for home repair. Thank you for your assistance in this matter, tJ~c:J,/L~ Patricia J Henhi~ks 3831 5 South Avenue ZephyrhHls. FL (Attached is a copy of my driver's license) My Cell 'It is 813..838.5144 f,4( 7 g() -o~1