HomeMy WebLinkAbout11-12461 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis)�so-oo20 12461
BUILDING PERMIT
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Permit Number: 12461 Address: 5200 8TH ST HISTORIC
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-18300-0180
Improv. Cost: 2,370.00 : y..�.,.,
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Date Issued: 10/17/2011 �Name: ELLIS, BETTY/GEORGE
Total Fees: 50.00 Address: 5200 8TH ST -HISTORIC
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/17/2011 Phone:
Work Desc: RE-ROOF SHINGLES OK'D BY BEV DUE TO EMERGENCY SITUATION W/LEAK
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TAPE JOINTS R OF 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 inspeK,tions 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.
"Warning to owner: Your failure to reoord a notiae of wmmencement 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 reoording your notice of commencement."
Complete Plans, 5 ifications Must Acoompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONT R SIGNATURE PERMIT OFFI R
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
Date Received �� J� � hone Contact for Permittin __
♦ �
Owner's Name Owner Phone Number
Owner's Address S��' "� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS LOT # ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME ST L Q
DESCRIPTION OF WORK �_ �
BUILDING SIZE SQ FOO C� HEIGHT
QBUILDING $ �7 VALUATION OF TOTAL CONSTRUCTION
C
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI � '��V �
J!' / /
OGAS Q ROOFING Q SPECIALTY �] OTHER � �-'"
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YE NO '
BUILDER COMPANY
SIGNATURE REGISTERED Y I 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/ N FEE CURR � Y/ N
Address License #
RESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W PeRnit for new construction,
Minimum ten (10) working days after submittal date. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary FaciNtles 8 1 dumpster; Site Work Permit for subdivisionsAarge 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 constructlon.
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 (21 sets of Enaineered Plans.
TRANSPORTATION IMPACTIUTiLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uncferstands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan�e 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 t, 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'S10WNER'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. 1 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 unde�stand 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 ServiceslEnvironmental 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.
I# 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 �II 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. �as�o installatons sp cifi ally bncl ded he appl ati n�
plumbing, signs, wells, pools, air conditioning, g
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 ph � ermit S s r commenced l within si a months of perm t P s a uor�if wo authorized by
unless the work authorized by suc p
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) ays and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is onsidered abandoned.
WARNING TO OWNER: UR FAILS TO YOUR PROP R NOTIC YO �INTE M O gTA1N NGTCON ULT
PAYING TWICE FOR I OVEMENT
WITH YOUR LENDE AN ATTORNEY BEFORE RE DING YO N IC MENCEMENT.
FLORIDA JURAT ( S. 1 - ) ,,.- ' �
OWNER OR A CONTRACTOR ��
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Subs bed ' ��
l Who Islare pe a�ly kno t� e as/h' e P
Wh is/a e o m or has ave p uced , as flcation.
s identlficado .
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, Notary Public
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Commission No.
Co iss No.
� "'� Name of Notary , ��SWETLAND
Name of Nota _ , i � � �3,q� :; ;�: Commission DD 734406
:� �� Expires February 22, 2012 ;?� �xpires February 22, 2012
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C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companie$,it�.Gentral Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs
& lnsulated Aluminum Roof Overs �813) �82-5585
(813) 973-7737
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523-1944
LICENSED - INSURED - BONDED
• MEMBER OF THE CHAMBER OF COMMERCE • Lic. #CCC 1325499
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Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas �
We have re-roofed or repaired more roofs (16,000) in the past 38 years, than fhe four /ocal leading roofing companies combined.
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President & Ow�ier /�. B,,artlett F� ofing of Central FL, Inc.
Sign: c-�-. �� : �.� s /'�---.—...'"
� ' RicFi d C. Bartlett
� THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner
All arrangements contingent upon strikes, accidents or delays beyond our conhol. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensatron Insurance. Customer is /iable ior any charges incurred in co!lecting this bi//.
Rotten wood is an e�ra $35.00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot.
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.-1. �r��� 5 �` f�`��'� � APPLICSATION FOR A HISTORIC DI TRICT���tfs C hC�' �S
_� , "CERTIFICATE OF APPROPRIATENESS" � �. l� ct,°�? � �%5
� x � L!-U a .
ey sta� Application # Contributing: Yes / No Date Submiited:
(Applicant, P/ease provide information beiween fhe double lines) (� /
Property Address or Location:
s � o o--�-�- t < < ��
Owner's Name: , C.XxI - Pho e:
AppiicanYs Name 8� Company (ifdifferenf): q,o... /N
ApplicanYs Mailing Address:� ��t- � �—�
App. Contact �info: Phone• � 10 Z� S� F�; Emai1:
Type of Properiy: Residential Commerciai Public or Other
PROPOSED RESTORATION / RENOVATIONS / REPAIRS / RELOCATlON / ETC:
Exterior Wails Signage
Exterior poors Lighting
Windows New Main Building orAddfion to Existing Building
Porches New Accessory Bldg. (garage, carport, shed)
Awnings or Canopies New deck, ramp, p26o, etc.
Fencing . Building, Demoi'�ion or Relocation •
�� Ex#erior Painting & Color Changes General Repairs (describe be(ow) '
___ � Roofing Other'(describe below) / /
De led descripfion Df proposed rk: attach other ets if n ssary) !' `� � �� Cs ` ` `� �`! `� r ��
The Historic Preservation Board requires that the foilowing i rmafion MUST be included with an appficafion prior to the
apptication being accepted by s�aff:
• Detailed Plans, inciuding a site �lan and elevafion(s):
• Color and material sam�les;
• Manufacturer's sales literature:
• Photoqraohs: and
• Any other su�QOrtinq documenta6on to show that the proposed work is consistent with the adopted Department
of interior Standards.
SIGNATURE OF THE OWNER and/or APPLICANT
(Applicanf do NOT write BELOW this rne)
ACTION TAKEN: Date:
❑ By Staff: Approved Denied Reason for Denial:
❑By HPB: Approved Approved with modifications noted below* andlor on attached sheets
Denied ' ,
' ) '` HPB Condition(s) of Approvai:
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Signed: Date: