HomeMy WebLinkAbout10-10777 (CITY(OFZEPHYRHILLS
5335 - 811H STREET
(813)780 -0020 107.77 -.
BUILDING PERMIT -- -
;y ... .mot , 7 t of 1. f , a bJ y ,k -. 5 t , T N � s , '„ �.
Permit Number: 10777 Address: 4847 16TH S T
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:
Improv. Cost: 2,495.00 rz ;,77a : 4 ;z . 3 L.,. ..
Date Issued: 7/29/2010 Name: TORPY, GARY
Total Fees: 45.00 Address: 12400 WILSHIRE BLVD STE 400
Amount Paid: 45.00 LOS ANGELES, CA 90025
Date Paid: 7/29/2010 Phone:
Work Desc: PARTIAL RE -ROOF WITH SHINGLES ON DUPLEX
�HCLx etwrk, icoof it zt.e R R• • RES I 1 IAL 45.00
') ilk
OP
DR IN R• • N P
TAPE JOINTS ROOF INSP
FINAL - 3 °- / b
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 re • rding your notice of commencement."
i /
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%NTRACTOR 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
Building Department
Date Received Phone Contact for Permittin! —
n
Owner's Name ITC�.rj t U f o i ,� Owner Phone Number 3 0 `j $ 1. Z 8
12'- -OO W � � s h t �r£ ►:>��x l � � � Owner Phone Number . 0 E>Z.C� 01 8 U
Owner's Address �
L Qt �k r
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address C ` r
JOB ADDRESS L 8% 4 7 ` EE3 - 2p ht, r h L t 1 S 1� I LOT #
SUBDIVISION PARCEL ID# 1 L 2 co a 1 O O l b 0Z+000 0 O 30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I I NEW CONSTR
INSTALL ADD /ALT n SIGN n MOVE n DEMOLISH
REPAIR
PROPOSED USE 1 I SFR I 1 COMM n OTHER 1
TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL f I OTHER
DESCRIPTION OF WORK P c►.r-�►a l t roc{ 61.. y Q
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I 1 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C.
PLUMBING
1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION
1 1 7 ROOFING 1 1 SPECIALTY OTHER
ER
GAS // ROOFING
FINISHED FLOOR ELEVATIe FLOOD ZONE AREA 1 IVES n NO
;
BUI COMPANY Pt S Gh C q- 00 / t V 1.0
� - -
' TURE • REGISTERED I Y / N 1 FEE CURRENT ICY) N I
Address %O q Grc..t gkvcl - Z eoh►. c h►A1 s fl License # CCC O S 3 13 `t
ELECTRICIAN COMPANY
SIGNATURE REGISTERED J Y/ N 1 FEE CURRENT I Y / N I
Address 1 License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED - I Y / N [ FEE CURRENT I Y / N 1
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) 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 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 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, or if work authorized by
the permit is suspended or abandoned for aperiod 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 vyofk ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YO ' FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMP' ' EMENTS TO YOUR PROPERTY. IF YOU INTE D TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O' AN A ORNEY BEFORE RECORDING YOUR ICE OF C MENCEMENT.
FLORIDA JURAT (F.S. 117.' ',
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (• affirmed) before me this Subscribed and swom to (or affirmed) before me this
Z -Z.4 • to by - 1 . Z4 - ljby
Who Is/are pers y know_ t me or has/have produced Who Is /ar personally known to me or has/have produced
as identification. / as Identification.
Notary Public — Notary Public
Commissi. step! DOUGLAS -ALLEN
o �.� ....... C s ; °. e of Florida
SUZANN E Del ? r o c My ri Commission Ex es Oct 25, 2011
�P'ecy. Nota Public - State of Florida :. .
o. o : o ., : :.•. Pi • , Nam �f ;� � '. ; d 't`t:
Name of N � res � 1e , r Notar yAssn
<if Commission # DD714319 ;Tip e
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furnish materials au i! i A et ex. essaiy for the Lt 0:
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protect the bliildin and the Ian cl-apirt.!- Eit the deck and te.= the exigin deck in.!-Triati.i" •-,•
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materials r -- ked ilp at a
nercent 2,7 ontracror :,:. fee.
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3, Iti 4 MI / c., (;), ear',.'eS drip With all edges: sealed with plastic c ern ent.
4. Install C) I a '?,:ri :1 ) 0 j‘ ST.A1 15 -lb a'74ph .-Ilt. shit-lc'? '-- un dzi ; 4t
Vac s .
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5. In .'it ail P alvanized valley n -et al fo. the len qth of aki. ',7.7.211 2 1 `, 7 n li , ; .- 'Y =z Wil 1 1 7 (A C.7 5: e 1.
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6. In Fat all new le boots c'2 vent pipes and replace metal -,. with new
7 Chalk lines sh.:111 bf- fl tO as proper f ex
2 in si :11, P‘ :) / - e -/- , rr) Ye a -;- :3 T ---- '61.4ss, a .2elf_f- ilin2:1 .1-. fita,92.-- :as s shit
ir2e i/fr CIA I
Sj 1-1 2:too n reF4stant natif4 2 ail be in st 211 ed per In , 'WETS itiStAltV 47..:! e /4" /
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Hunicav=2-rizAl the dc.,:ri4.: in the r. tt, tr 77! f :::-.11 r- 1 SP, ciclI
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feet_ i7.t. ki c'_... c '7,..C.-,-„..) /- .- ;., - ai inn inum. ridge yens_
See Pricing Sectit_m
c .••:::, 3.2---y SHITT'air: :F C..71
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Schap et' Roo fin 4, Com ;ail tin en t to (Alai/ ty
* A 1 I WOlt= 7h211 '`'''' c.:; C si . : 4 .f1111 r Of' tn. i ! IP h': Woil 1 ; krio7.71 r abl 'T.: in tre7..thrAS azeried t
prompae tilian vain) Wiitri..
The job. .7i t-2 , -74.1:Fli. be 1,-t51-ft rifr±..i-LI ii3q7.7 cot- th 1.17.:f3tiern of t lob atyl the g Ine1.1: be tgti al Ent] of 211 -Ici.:_f tTlathil.
ch s - after , . -- .c.‘..tnpleti. Oil
Di E - vard ' rcvept -, , , - - ;ith a magnet.
The. coutzfAil...- --,...rio. pi-ovid e. immiii. wetimmii cot mftPn. - and Feneval habnoty 1.m.
authot 61211 E. f31 iet, zr.ti 'work, whi eh 11±:tfiet the 7:117V2 -, -, 5Litatifted b.-u6r.,_ shall bq
performed ri n :?: tine and MA tet jai basis unless otherwise agreed upon.
MANUFACTURER & C ()AIR A.CT OR VST.A RP A. NTY (SI.
trwiti r:orapl Eli on E, f the - work and par-went of L=11 monies owed Contracit or shall ir- „
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1. A ,..5 yf - , .,,v-sell,,i, , rzAi."Air, brnited to: leak eztilaed v' ?r: aoMp AlieiteitlatAte. C:
2 . F4h2tigie4 2c tufer Ettau pff.rVit.:112 -- :, (7) . 7 ..::,.t- litititat1w2fraft.ty.
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CONTRACT PRICING
Visible T A.11
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1 TOTAL A(_- UPON i CT PRIOE:,. L*R Aril) itAATERTAL----------------- $ i - •
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Cone11(n ; irt if any, together with jilt erefi. shall be -; 10 the ;::.r.7..ntra.ct pe if payment. g 11 ocruz s. •
c. i-' I I a 1 on :r7t. the contiffict ;--:ftr the 7I'--holtr gtare yen , ' - ::T %i: ',Ai ai 1 ill CIO' a
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City iof .Zephyrhills
B . .: e , DING DEPARTMENT
RE: Permit # 1G - 1. - 1 1 9/17/07
Inspection Affidavit
I � � 1 Vc,h Jetr ,licensed as a(n) Contractor* n ' eer /Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; C �: f �� : 1 3 _ •
.
On or about._ta- L1-- t.._ -._ _3 at, l 0 , I did personally inspect the roof
(Date &
tune)
- i - h „--..
,ck nailing and/or secondary water barrie wo iat 4 c Li - 1 1 (0 ,
7c?rels atiel . (Job Site Address)
._._ .__.. - -.. -. Zcip iThL1 r ht 11 S {- I
Based lit o. that examination I have determined the installation was done according to the
Hurric. i - ∎ itigation- Retrofit Manual (Based on 553.844 F.S.) •
_____-- il l 1, •. \ -
•
Signs tr `
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•
STATE OF FLORIDA .
COUNTY OF Q..0 1 o
Sworn to and subs« •1ped before me this - day of L, .'200-
By
- ilk• . ' .
0 ' ' Notary Public, State of Florida
•
(Print, type or stamp name)
) -
Commission No.:
Personally known OT 7
• Produced Identification
Type of identification produced. •
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 .S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address cl ly shown marked on the .
deck for each inspection.
.SUZANPE D00State 0LAS -of ALLEN
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ry :Ni. -d an ;
(`/�j )„,:::::i.;,),:.2 t+t NolaY Commiion Expires Oct 25.20
.d -u� \M 1 {f�
;, %�o� � Commssion blic # DD714319 Flori
"%4; ,,, Bonded Through National Notary Assn. ,-
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