The URL can be used to link to this page

Home My WebLink About09-9552 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9552 BUILDING PERMIT Permit Number: 95 Address: 5843 17TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 04900 - 0090 Improv. Cost: 1,500.00 � b. & , = �. Date Issued: 9/17/2009 Name: GAMLEN, RICHARD & KAREN Total Fees: 40.00 Address: 5843 17TH ST Amount Paid: 40.00 ZEPHYRHILLS, FL 33542 Date Paid: 9/17/2009 Phone: (813)469 -0777 Work Desc: REROOF SHINGLE HAM •WNER RE - ESID NTIAL 40.00 F YYAQ z , DRY IN - •OF I S' TAPE JOI S ROOF INSP FINAL Z5 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." / 4' CONTRACTOR SIGNATURE PERMIT OFFI FR 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 Building Department „ ! 9 5 y 2 Date Received Cj ( 09 Phone Contact for Permitting '169 -- ° 7 77 Owner's Name 1<4 -/ E t ` - Owner Phone Number k / 3 `/ - 7 ? 7 77 Owner's Address b `( 3 ►t c Z 1 yf�<7.'(/s Owner Phone Number 3 35`/ Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR El ADD /ALT I ] SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE al SFR 1 1 COMM 1 1 OTHER 1 TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER 1 1 DESCRIPTION OF WORK �" �-"" d O BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ ( 5-„,c 0 °VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. I ( PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I 1 ROOFING I I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ NO BUILDER ' COMPANY ( ` I G 1 "� "Ft SIGNATURE ` -� . J-" l �' REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # • ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I 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 & 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 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 eny 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) 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENTS CONTRACTOR l fig ^ ? t i� SAoscribedmd sworn to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this 7 U`7 by k 4 rz -/ 7- by d- 1 C 4-A er le lee - Who is(are personally known to me or has /have produced Who is /are � personally known to me or has /have produced L C� as identification. � Cs•L as identification. i J � kd6E. Notary Public Notary Public « : Commission DD 621833 „ Corneni ior3 i i ; Expires December 12, E(110 Commissi No ` P�'Pa� JACQUELINE BOGPS p a Commission DD 621833 0andsd Tim Troy Faro Insurance R p p. 30¢T019 « f !? • . . typed, printed or stamped Name of Notary " Expires December 12, 2010 Name of Notary tyP P ry tyki +. ¢ mntArrlit>eds urance eoo- sec -TOis DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I V'e rC EA 0-1 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. 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 $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you 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 workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE ( —to DATE 9/ t '7 It ADDRESS j � 3 ( r 7 i �� e e. L ( t -4- 3 3 5 y z? PHONE d ( 3 - 16`Y -O 7 - 7? WITNESS PERMIT # Pasco County Parcel: 11- 26 -21- 0010 - 04900 -0090 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections L Data Current as Of: 0 Weekly Archive - Saturday, September 12, 2009 I L Parcel ID II 11- 26 -21- 0010 - 04900 -0090 (Card: 001 of 001) Classification I 01 - Single Family I Mailing Address Property Value GAMLEN RICHARD A & KAREN R Ag Land $0 5843 17TH ST Land $14,033 ZEPHYRHILLS, FL 335424475 Building $52,333 Physical Address Extra Features $200 5843 17TH ST ZEPHYRHILLS, FL 33542 -4451 Market Value $66,566 Assessed (Save Our Homes) $63,473 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision Non - School Additional Homestead Exemption - $13,473 CITY OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $25,000 PORTION OF LOTS 9, 10 & 11 School District Taxable Value $38,473 BLOCK 49 DESC AS COM AT SE Warning: A significant taxable value increase CORNER OF LOT 11 FOR POB TH may occur when sold. Click here for details and info. regarding the posting of exemptions. r Land Detail (Card: 001 of 001) r Line II Use IlDescriptionll Zoning II Units II Type Q Price II Condition II Value L 1 II 0100 II SFR Il 00R2 II 4,200.00 II SF II $3.06 II 1.00 II $12,852 2 II 0100 II SFR II 00R2 II 3,108.00 11 SF II $0.38 II 1.00 II $1,181 I Additional Land Information I Acres II 0.17 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell ZHLHLP2 L Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1973 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 Line Description I Sq. Feet I Repl. Cost New E 1 BAS I 1,144 I $48,025 r 2 FSA I 240 I $3,526 E 3 FGR I 598 I $10,033 r 4 FCA 520 1 $5,457 L 5 FOA I 88 I $924 L Extra Features (Card: 001 of 001) L Line II Description II Year II Units II Value 1 II DWSWC II 1973 I 222 II $200 Sales History r Previous Owner 11 CONNELL APRIL 3 E Year II Month II Book /Page I Type II Amount r 1998 II 09 II 4015 / 1442 11 WD II $69,000 http: // appraiser. pascogov.com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 9/17/2009