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Home My WebLink About11-11996 CITY OF ZEPHYRHILLS � -� 5335 - 8TH STREET � (si3)�so-oozo 11996 BUILDING PERMIT Permit Number: 11996 Address: 6208 10TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0080-00200-0270 Improv. Cost: 750.00 Date Issued: 6/13/2011 Name: LOMBARDI, (KENNEDY) CAROLINE Total Fees: 40.00 Address: 6208 10TH ST Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/13/2011 Phone: (813)779-1444 Work Desc: REROOF SHINGLE � �� i ,. � TAPE JOII�FTS R�QF INSP FINAL (Q � � < < 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 � 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." � (,�1��-�� 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 � .. � Phone Contact for Permittin — Owner's Name � l, 1��-1� (� �r�! Owner Phone Number � 1 � �'1 ' `1 Owner's Address C� ao � 10� S� z,h.c � Owner Phone Number I�� a q�'j g) S� �. Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS J ' f � V ��"I � LOT # � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE� HEIGHT BUILDING $ '— OU VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� l� � �GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER �f j COMPANY ' SIGNATURE /��V REGISTERED Y/ N FEE CURRE� Y/ N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y I N FEE CURREA Y/ 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 afte� submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCtAL 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 wl 5ilt Fence installed, Sanitary Facilities 8 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 constructlon. Dlrections: Fill out application completely Owner & Contractor sign back of application, notarized If over $2500, a Not(ce of Cofnme�tcem@ntls"'requtred. (A/C upgrades over 57500) ** Agent (for the contractor) w Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSunrey/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 wi"rh 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 Iocal 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 tv receiving a"certificate of occupancy" or final power release. If the project does not involve a. certifiicate 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, Flor(da 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 C�nsumer Affairs. If the appiicant 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 khat all work will be done in compliance with ali 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 inciude 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 AGENT� l��Z' �'�/Y u�YG�'l CONTRACTOR � \��r"'' �" "" -� S bscribed and swo tR �o ffirm ) before me t Is Subscribed and swom to r affirmed) befo�e_ me thi - 1 3-I f bY �w1 ��11�1Q �u ��al � I �j .�i3_ l( by o� ��l.l'C� � l V�l l.0 i�Y��GL �'� I Who islare personally known to me or has/have produced Who is/are qersonally known to me or has/have produced (� � c�� as identlflcatlon. �+��`�-�-� as identification. r �" o a ublic Notary Public ' _•; :.= Commis ' # EE 040520 - ::= Gonunission # EE 040520 Commi sfon N:�' '� Commis n No. = - ._.. ��'•?.��!t.•� BordedThNiroyFahMa�air,s800�385�7019 E '' BadedThruTmyFain4atance80fF3�r1079 P i Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped P � DISCLOSIIRE S't'a'�'�'*�'NT .FOR OW1�R CITY OF ZEPfTYRSTT'T.' BVILD�TG DEPARTD�N'�' , have read and fully understand aad 1, - agree to the psovisions of •this instr��'t' The undersigned.states and affirms that he or she is desirous of constructing, r �, o � a 4-in g, adding to or seroofing his or her ovrn domici.le, that he or she 1as or xi11 occupy �'Y said domici:le, asid same is not for actually occup� , 1 with the followiiig coaditions: •rent, lease or sa1e. That he or she s2�a7.1 comp y 1_ That the owaer assd _ he or she alone sha11 act as the builder fo=' �7-1 P�ses of construction. of Ze h hi1:1s 2 Tr,a,t t2,e owz,er wi11 comply with al'1 provisions of �the City P Y=' ordinances and aodes pertiaen't to 'the buildiuJ- g_ That in the event vasious phases of constsucti.on ase subc sonall te s l ne 13 p� qaqe oril,y •prOPET1y lice�sed subcontractors and will pEr Y uP��' such work. 4. That in the event the Building Iaspector shall rec� corrections to be ma e, the owner vrill assume full responsi}�ility to iasure •they ase made, and upon ,n�etiori before proceedirig with the building. completion will ca11 for a re r for the construction and wi11 5. That the owner sha11 assume fv11 res'Po��ity not Expect_ supex'vision of his wor3� from 'tlie Ca-t1' of Zephyrhills Building Departm�t . ction 6. That prior to final inspection aziy additios�a]- fe�s ��u�'ng =�nspe fees , must be paid in fu11. A written requ�s't f='om this office shall constitute an official notice - to pay additional fees • 7. T2�at the o�aner sha11 comply with a11 City, 5tate asid Federal laws in regasd to social sec.-urity, warkman's compeasa'tioa. liesi 1aws, etc., where applicable. B. That the owner sha11 comply with a11 the safety codes issued by the Florida Industrial Com�ission. 9. State 1aw re� coastruction to be done by licensed contractors. You have applied for a permit under asi eaemPtioa to that law. The exP�ption allows you, as the owner of your property, to act as your own contractor with certaia restrict�.ons even though you do not bave a licesase. You must direct onsite supervision of the construction yourself. You may build or improve a one-family or tvvo-family resid�ce or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,D00. T'he buildi.ng or resideaee must be for your own use or occupancy• St may not be built or substantially improv�d for sale or lease. If you sel:l or lease a bui.ldiag you have built or substantiallY improved yourself arithin 1 year after tbe constriiction is complete, the 1a�v will pres�e •that you built or substantially improved•if for sale ar laase, which is a violation of this exemption. You may not hire ari unlic�ssd Person to act as your coatsactor or to supervise people wosking on your building. It is your responsibility to make sure that people e�ployed by you have liceases rec� by state law and by county or muziicipal licensing ordissaaces. You may not delegate the responsibility for supervising work to a liceased contractor who is not. licensed to perform the �oork bes.ag dnae- Aay Person working on yovs buildiag w3zo is aot licensed must work unc1er your direct supervisiori and must be P�Ployed by you, which means that you must deduct E.I.C.A. and withholding ta�c and provide werkers' coa��ation for that employee, all as prescribed by law. Your constrtiction must camply with a11 applicable 1aws, orditiances, building codes, and zoning regulations. �R, S S= � I► � C�l 13l � � .�Dx�ss o PHONE WITNESS �•Q�'T #