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08-8582
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8582 BUILDING PERMIT Permit Number: 8582 Address: 38135 5TH AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15700-0120 Improv. Cost: 2,400.00 Date Issued: 12/01/2008 Name: BEDELL, LARRY & TAMARA Total Fees: 45.00 Address: 38135 5TH AVE Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/01/2008 Phone: Work Desc: REROOF SHINGLE GAVIN ROOFING REROOF RESIDENTIAL 45.00 DRY IN ROOF INSP 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 any one 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." CONTRACTOR SIGNATURE PERMIT OFFI R 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 � Fax-813-780-0021 7y Building Department �1i Date Received •nn y Phone Contact for Permitting -- Owner's Name ✓LJL � /�• a ft"4lO- Owner Phone Number Owner's Address !7 6 1 3 S Owner Phone Number I Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5 ' - i&.� LOT# II SUBDIVISION PARCEL ID# 11-2 - 1— oO i0_ 1ç2e0 ©/2 ` (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN Q MOVE DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL OTHER DESCRIPTION OF WORK I 12L 4?OO/Y S i7`/It1e u s BUILDING SIZE I SQ FOOTAGE I HEIGHT BUILDING $ fl Q.O3 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. Ehiil PLUMBING $ 0 MECHANICAL I VALUATION OF MECHANICAL INSTALLATION GAS ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA DYES =NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT IY/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N Address I License# OTHER — COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT n Y//N Address 0 X l �� G— License# 'C 00 lP 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement 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 A/C 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, 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 appli alter, A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, or ll issuance of a permit prevent set aside any correction nsof rf the technin plans, codes, nor construction soraviolations of any codes. Every the Building Official from thereafter perm t issued shall become invalid requiring a correction of errors in plans, 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) days and will demonstrate the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, WARNING TOOWNER: YOUR FAILURE NOTICE IF YOU INTTEND TO OBTA N F NANC NG, CONSULT PAYING TWICIC E FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO C OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03)/71, CONTRACTOR OWNER OR AGENT Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to or affirmed)before me this by by Who by known to me or has/have produced Who Is/are personally known to me or has/have produced as identification. as identification. (\ Notary Public ^Q Notary Public bmmission DD 1883 vim= JACQUELINE GES Com i on Corn sion 3xK m f+n InsurenC96003&S7018 Expires December 12,2010 ed, rinted or stamped ed, rinted or stampe Name of Notary typ P Name of Notary typ P ropos'aI Page No. of Pages Gavin Roofing S o o/,2 o• Quality Roofing Since 1984 N 2 01178 P.O.Box 1364 Dade City, FL 33526 352-567-5034 Lic#RC 0046241 2 Year Leak Warranty PROPOSAL SUBMITTED TO PHONE I DATE C-DcLL, STREET JOB NAME CITY,STATE and ZIP CODE JOB LOCATION 26 ARCHITEC DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: • C 2 OFD o i1?iD w 4 30 /if d c--� . ffl(il4La— 2 e - ti w,—r/ J ,L/ JC d6 ef /r&T c dotvt/Aoa den/'- n-x N c-0D c 7'24-r9 o �kAO, We pruppusr hereby to furnis " labor—complete in accordance with above speci ' tionnss,, for the) m of: u/6i✓T x-d GL/2 y ✓`i %2 dollars($ �J 13 Payment to be ma as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike /J w manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.'All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Workman's Compensation Insurance, withdrawn by us if not accepted within days. Arrrptunrt of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.,Payment will be made as outlined above. Date of Acceptance: Signature City of Zehyrhills BUILDING DEPARTMENT RE: Permit# 9/17/07 Inspection Affidavit I L--At/ /1 ,licensed as a(n) Contractor* /Engineer/Architect, (please print name and circle Lic.Type) FS 468 Building Inspector* License#; On or about S f` , I did personally inspect the roo ( ate&time) ( deck nailing and/or secondary water barrier ork at � j 3 S !• , (circ e o (Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane,h4itigation Retrofit Manual (Based on 553.844 F.S.) Signature STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this day of E' .2001 By Notary P blic, S{�tate o F orida ,, tom,,, MARY M.NIED 1 n �.: MY COMMISSION S DD 547503 � �� EXPIRES:august 10,2010 (Print, a si ' 1L tam name) Bonded Thru Notary Pilo Undeiwriteers Commis 'on No.: Personally known J or Produced Identification Type of identification produced. *General,Building,Residential,or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with the permit#or address#clearly shown marked on the deck for each inspection.