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Home My WebLink About09-8814 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8814 BUILDING PERMIT Permit Number: 8814 Address: 4929 16TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-0050-0050 lmprov. Cost: 2,275.00 OWNER INFORMATION � Date Issued: 2/11/2009 Name: MOODY, JACK& ENID Total Fees: 45.00 Address: 239 SOUTH ROW RD Amount Paid: 45.00 TOWNSEND MA 01469 Date Paid: 2/11/2009 Phone: Work Desc: REROOF CONTRACTOR(S) APPLICATION FEES A.BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 45.00 tL 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 own : Your failure to record a notice of commencement may result in your paying twice for improvemen ur perty. If yo nd to obtain financing,consult with your lender or an attorney before r ice of mencement." o'er N CTO SIGNATURE PERMIT OFFI R RMIT 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 Building Department Date Received Phone Contact for Permitting -- Owner's Name J \/ Owner Phone Number.1 Owner's Address - /ØiI , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1 V "1 JOB ADDRESS I LOT# I SUBDIVISION I PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = MOVE = DEMOLISH B INSTALL e REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = OTHER DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE I HEIGHT CI BUILDING $ rJJ • OF TOTAL CONSTRUCTION LIII ELECTRICA $ ( AMP SERVICE = PROGRESS ENERGY = W.R.E.C. = PLUMBING = MECHANICAL $ VALUATION OF M CHANICAL INSTALLATION LIII GAS = JROOFIN SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS)7 FLOOD ZONE AREA =YES =NO BUILDER COMPANY SIGNATURE REGISTERED f Y/ N I FEE CURRENT I Y/N Address I 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 I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ Address Licen # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT N Address License# 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&I 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 s may be ect to NOTICE OF DEED RESTRICTIONS: The undersignedassumes ty for comp)a'nce restrictions" with any which may be more restrictive than County regulations. The undersigned responsibility applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR to be RESPONSIBILITIES: licensed siBacicordancef w with state and localed a regulations. tlfrth or contractors to undertake work, they may be required contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor lviolation r the under state law. If the owner ort contractor co County Building Inspection s to what licensing reL cens ngtSection at 727-847- intended work, they are advised to conact the Pas con8009. Furthermore, if the owner has hired for which they will be espons ble contractor contractors, eaf you, as the to have the owner t sign as sign the portions of the "contractor Block" of this application contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The of new undersigned b n undderstands of that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction use in existing buildings, or expansion of existing that such fees, as may be due specified i Pasco t'Oll dbe identified at the time and of 90-07, as amended. The undersigned also derstands permitting. It is further understood that Transportation i a If the project ct Fees and R does not rce Recovery nvolve a certificate must of occupancy o� receiving a "certificate of occupancy" final owee release.power 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 with a tes, as amended): If copy of the "Florida Couation of work is nstruction uction Lien Law—Hmeowner's 2,500.00 or more, I certify that I, the applicant, have been p 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'SIOWNER'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) 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 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 LEND AN ATTORNEY BEFORE RECORDING YOUR NOTIC 0 COMMENCEMENT. FLORIDA JURAT(F.S .0 OWNER OR E CONTRACTOR e this Subscribed a d s r d)before me this Subscribed and sworn to( e by Who is/are r e or has/have produced Who is/are pers k e or has/have produced as identification, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped A iu' t ## ittunfing (Of Cnin#rat 1'turi a, dint, C/O Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of the Largest,. Oldest,,Most Dependable Roofing Companies in Central FloridaHON OFFICE P Specializing in Mobile Home JP Stevens White Rubber Roofs PHONE & Insulated Aluminum Roof Overs (813) 782-5585 (813) 973-7737 RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523-1944 LICENSED - INSURED - BONDED Lic.#RC 0031769 • MEMBER OF THE CHAMBER OF COMMERCE • Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surr9tJndiig Areas We have re-roofed more roofs (16,000)in the past 35 years than the four local leading roofing comp nies,combined Date _ _/ 4- / , Name r'j I � Address --� Phone fj OECR1PT1ON_ AMOUNT President&1 nor Bartl tt Roofiri ntral FL, Inc. Sign: Richa C Bartlett THANK YOU Your Business is Appreciated. Payment upon completion unless previous arrangement made.Warranties pertain to original owner. All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry tire,tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable forany charges incurred in collectingthis bill. Rotten wood is an extra$35.00 per sheet(4-ply). Rotten fascia is$2.00 per linear foot. Total 03/09/2009 13:30 8137801805 BARTLETT ROOFING . PAGE 03 1BugJiDrcmPARrMENt R. BPiIth1 9mro7.? ihOxOt aed s*O(�I ,pdutaimosddrclsr ,' > : 'FS a6$8n duag?asp cQS on or abaft c - -O- 01 .zdutrs ( [IEG� �4�' �acin„ rr}►wdf®'bier W*jd �1 Z°� —,• (Wrdoa , • d I edctvEmincd the�ths aü01rw88d010a000rding W t STATE OF FLORIDA : • Swemtod bOf3rCme •,___d* • 2?AO! Notary Public,State of Fladda cPslut,type or n Iiie) Par$anally known' :or. 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