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HomeMy WebLinkAbout09-9317 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9317 BUILDING PERMIT i21,07 Permit Number: 9317 Address: 5435 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 -21- 0010 - 14700 -0030 Improv. Cost: 2,475.00 ; Date Issued: 7/06/2009 Name: KUHNS, SANDRA Total Fees: 45.00 Address: 5435 17TH ST Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/06/2009 Phone: Work Desc: REROOF 30 LB REGULAR SHINGLE =s Zoe , A. `BART ETT OOFINFCENTRAL F REROOF RESIDENTIAL 45.00 . -. 6S i yl 1 Alta . .._�- w, � d'ana�` _ �`� 5.. �.�r ... ..,. ,�.. ,.a,l ' � s t � 7 € p, 3 W n � 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 .- - . gement, state agencies or federal agencies. The payme .f insp. ion fees shall be made before any further permits will be issued to the person owning same "Wami to ow r: Your failure to record a notice of commencement may result in your paying twice for imp . , ements . your property. If you inte . to obtain financing, consult with your lender or an attorney bef • - recd . " g your no ice of co , • - cement." Winr f r • :^;OR SIGNATURE PERMIT OFFI � • 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 � �1 Date Received "1– Co ; one Contact for Permitting Owner's NameW 1,4 .f Owner Phone Number Owner's Address Owner Phone Number � Fee Simple Titleholder'A A B E •�v �,� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT II SIGN I 1 MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I SFR I I COMM n OTHER 1 TYPE OF CONSTRUCTION I I BLOCK I. I FRAME 11 STEEL I OTHER I DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ ��' r VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I W.R.E.C. I PLUMBING I I MECHANICAL VALUATION OF MECHANICAL INSTALLATION ( I GAS ME ROOFING 1 1 SPECIALTY pi OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES =NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT l Y/ N 1 Address I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y / N FEE CURRENT Y Address / 1 Lice e : ��/—, OTHER //'/ ice, COMPANY 12�af ` IIV SIGNATURE ft. �, /� REGISTERED FEE URR NT �® 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 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 tq "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 • • ork authorized by the permit is suspended or abandoned for a period of six (6) months after the time the • comme • • -d. An extension may be requested, in writing, from the Building Official for .a period not to excee• • ety (90 = = s and will demonstrate justifiable cause for the e. - •'•lo . If work ceases for ninety (90) consecutive • . fs, the jo• ' considered abandoned. WARNING TO 9 ' W .': Y• R FAILURE TO RECORD A NOTICE O' COM - CEMENT MAY RESULT CONSUL IN PAYING TWI i IMP' • VEMENTS TO YOUR PROPERTY. IF YO ■ • r_ WITH YOU - � � . � � ER; ' AN ATTORNEY BEFORE RECORDIN - ' OUR S � y� =•- - 1 TO OBTAIN FINANCING, OMMENCEMENT. FLORIDA J ' P' (% OWNE - • . A CONTRAC t. y4 Subsc ",• dan• •m ���'-vl••- , eforemethis Subsc '• -d a• � :* to (or - - � or- is i o is /a� '• er /• all • to me or has /have produced Who is /ar= •;on. y kno to me or has/have produced as identification. r as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped �:.� ..: u » .;y •.gym „ .,..... + <. �.vt ;.e�;r .n - .�, ,� A►,. iliartiett flouting Of (Central ilariba, lint. C/O Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of the Largest, Oldest, Most Dependable OFFICE Roofing Companies in Central Florida PHONE Specializing in Mobile Home JP Stevens White Rubber Roofs & 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 0' Lakes and Surro ndi Areas We have re- roofed more roofs (16, 000) in the past 35 years than the four local leading roofing comp ies ombined . f Date 7 �- `� Name i , ;, , � /�' ,�� � � ' Address , ( /` , ` _r,� 7 . r i Phone L ' . _ f A , _ , i SCRIP'ION iT f e ' f .0 _ i ....,--1/\ . . . 4 V '(..../' _ ! . --/ /' 1 fTh 1;1_1 ,14) _ _ ,(1 — (1`t. '1 \ t r , , rt i 1 ("+ A President 4 Ohnlr. B. rtl: g Roofing of Central FL, Inc. / / St -- ...v.: 9 tea,,' f - ich . . C. Bartlett THANK YOU L rL. Your Business is Appreciated. t_ Payment »pon Completion unless previous arrangement made. Warrantiesertain to original owner. r All arrangefents o7r3 Tribes, accidentsordelaysbeyondourcontrol .Ownertocarry f ire, tornado and other necessary insurance. j Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this M. �l Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot. .1a1 "r 1 City iof Zephyrhills B. : o DING DEPARTMENT RE: Permit # 3/ 7 9/17/07 ' :Inspection Affidavit . 101A6 ; ..• 1 � ,licensed as a(n) Contractor* /Engineer/Architect, ,,.lease print n: u e an r 1e Lic. Type FS 468 Building Inspector* License , L1111� On or about 7 , I did personally inspect the roof (Date -' time) deck nailing and /o secondary water barrier work at (circle one) (Job Site Address) Based upon that ex•, +Ig'atio. I have determined the installation was done according to the Hurric i ' 4: .+ . 0 ::.. + • I .r� ' . .) rAPr ..1AL LM STATE OF FLORIDA COUNTY OF Sworn to and subscribed bef oe me this day of 31t(1/ li( f . 2001 By � i1._ Notary Public, State of Florida . 0Y.P .... JACQUELINE BOLES . ,i I 621033 (Print, ty � + 214 ber 12, 2010 0 1 0,740 ThN Troy FMn Insurance &10386'7 Commission No.: Personally known ?C 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.