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HomeMy WebLinkAbout09-9752 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9752 BUILDING PERMIT ...,^k ;�.... 7: � � � ' ... � a � <<.. �.: .V'., Permit Number: 9752 Address: 38047 12TH AVE 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 -21- 0010 - 03100 -0130 Improv. Cost: 2,400.00 �� `" a 7 7.a �'�..... -, 0: ... Date Issued: 11/10/2009 Name: HAMMONS, LORENA J Total Fees: 45.00 Address: 38047 12TH AVE Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/10/2009 Phone: (813)783 -3864 Work Desc: RE -ROOF W/ SHINGLES ,x m AVI R• • IN RER• •F RE IDE TIAL 45.00 f (( f OrgNi RW4 0; 4 ft ' D IN :•• N - 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." rir 444 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 Building Department Date Received r fC7 Phone Contact for Permitting -- • Owner's Name -- o01C�v,� !d / /P Owner Phone Number Owner's Address 3 3 '2 j2 4 k 2741 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address g JOB ADDRESS 3 f1 '2 / i /9i6--- LOT # SUBDIVISION PARCEL ID# ! � Z / 00 /O ^ 03/4V _ ©/J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION I 1 BLOCK / FRAME II I STEEL I I OTHER I DESCRIPTION OF WORK k6". / % sh11 ` . Y BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ }�D0 VALUATION OF TOTAL CONSTRUCTION ( I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY - 1 1 W.R.E.C. PLUMBING $ (7 / 9 I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION to V I I GAS 41 ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # I OTHER / �� - COMPANY 6 it' OP A/6 SIGNATURE /I�� REGISTERED I Y/ N I FEE CURRENT 1 j� Y / N I Address / 0 /0 i36,3 pffQ� CIF /v License # I / oD 7 6 Y/ 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 of Environtit S agencies mental Protect on- Cypress Bayheads,W tlad A eas and Environmentally a ly De Sensitive Depart 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, oo structi n. I l understan i d that permit the may be required for conditions electrical this affidavit prior to commencing c plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued p v i s io construed ns of the technical o codes, nor shall proceed ssuance of a permit prevent the Building Official from thereafter requiring set aside any proiio unless the cor wor k aut of errorhorized by s u clans, h permit is within six any months of permit issuance, permit or issued if work authorized by unless te k auty sc m a p r is es ted, spend in d or g, from the Building i Offi Official for a months after not to e exceed the ninety days and will demonstrate may be requested, in the w from justifiable cause for th extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE INTEND OBTAIN N FI MAY U TCNNS R YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF , - COMMENCEMENT. WITH YOUR LENDER O �' r' TTORNEY BEFORE RECORDING YOUR NO TI • FLORIDA JURAT (F.S. 117.0 r OWNER OR AGENT fi r► CONTRACTOR and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has/have produced Who Is /are personally known to me 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 r i Vropo5a1 Page No. of Pages i_ 2 --2- / E 6 1 6 Gavin Roofing Quality Roofing Since 1984 N _ 012 9 2 0 3) 90 C l30 j P.O.Box1364 Dade City, FL 33526 ' _ 352- 567 -5034 Lic # RC 0046241 2 Year Leak Warranty PROPOSAL SUBMITTED TO PHONE DATE 9 Q &�� h�M D / / V STREET JOB NAME CITY, STATE and ZIP CODE , JOB LOCATION ---- Pltl / k A ikGS G ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 7 lL. $i f /2.6. er r/6,t £'cm ti t! /f icr 3 -- /40e L itSS ' $ //J ev e - % / 7 —f. /6- Ohl %� / J f� �5�/ - Ti2 �s �- ) AI c r/7 k-i--z-A , /1 1 -Z - - /1 ///?1 7- 0 We propose hereby to furnish material and labor — complete in accordance with above t,...-- rte' specifications, for the sum of: TIV6- 1 P" 0 Wt._ N-14 d19, 4— dollars ($ al 9 )- Payme t to be mad as follows: C® 0h -1—i'(0 ,,' (0, r a 4 All material is guaranteed to be as specified. All work to be completed in a workmanlike /� 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, tomado and other necessary insurance. Note: This proposal may be \\\ workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. Acceptance of Proposal._ The above prices, specifications r and conditions are satisfactory and are hereby accepted. You are authorized Signature - ._Ighga/i to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature City , of Zephyrhills BUILDING DEPARTMENT RE: Permit # 9 2S2— 9/17/07 Inspection Affidavit I � 4 M///;-/ ,licensed as a(, ontracto /Engineer /Architect, (please print name and circle Lic. Type) - - ' , ; : uilding Inspector* License #; GC0 y64y On or about / > , I did personally inspect the roof Kate & time) deck nailing and /or secondary water barrier wor at 3 30 y B / z t/ . circle one) (Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane 't ation Retrofit Manual (Based on 553.844 F.S.) Signature STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this day of . 200 By Notary Public, State of Florida (Print, type or stamp name) Commission No.: Personally known 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. •