The URL can be used to link to this page

Home My WebLink About11-12064 CITY OF ZEPHYRHILLS 5335-8TH STREET i, • (813)780-0020 12064 BUILDING PERMIT Permit Number: 12064 Address: 4852 18TH 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: 14-26-21-0010-02300-0150 Improv. Cost: 2,000.00 Date Issued: 6/27/2011 Name: KUMMER, WILLIAM & DORIS Total Fees: 45.00 Address: 4852 18TH ST Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/27/2011 Phone: (813)977-2778 Work Desc: REROOF SHINGLE � 4 . � , . "--1` , �,�� , �_ ,. TAPE JOINTS� OFG1f�S� -� / 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� 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 properly 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commenceme " ,� CONTRACTO 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 � ' � �, ° Owner Phone Number $1 �� ! C 7 ��i Owner's Address ` ��'7 `'��; � �y Owner Phone Number Fee Simple Titleholder Name Owner Phone Number �— Fee Simple Titleholder Address JOB ADDRESS � � / `� �I^ Qj, 'r � Q LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE ' SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK � J� A,Z _ BUILDING SIZE SQ FOOTAGE�� HEIGHT OBUILDING $ , �j� v VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` ' � /n ��! � OGAS Q R�OFING Q SPECIALTY '� � � �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY �I� SIGNATURE REGISTERED Y/ N F E 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 CURREA Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Worlc 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 consVuction. 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 Ptans. "*'PROPERTY SURVEY requlred for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over:7500) "' Agent(for the contractor)or 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(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 complian,r,e 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 Buiiding 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'SlOWNER'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 instailation 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 ail 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. tf 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 Iots 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�MP AN ATTORNEY B FORE RECORDING YOUR NOT CE OF COMMENCEMENT.' CONSULT WITH YOUR LEN�ER�R FL�RIDA JURAT(F.S.�7.03) , OWNER OR AGENT • ,�� CONTRACTOR O � � Subscribed and sworP to(or afflrm ) e re me hls Subscribed and bworP to�a flrmed)�fqre me this bY p� M (7> / ��.,n.m �7 °Z Who islare personally nown to me or haslhave produced Who is nally known to me or hasas ide tification. as idenNficaHon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ' DISCLOSIIRE S'►'a'r�•*�•tJ'►' .FOR OWNER C2TY OF ZEPH��SLS BV2T�2NG DEPARTMEIJT 1, ' _ have read and fully uriderstand and agree �to the provisions of -this instrumerit. The undersigned .states asid affirms that he or she is desirous of constructiag, resiovating, addiag to or seroofing his or her o�vn domicile, that he or she actually occupies, or rPi11 occupy by said do�icile, and same is not for xent, lease or sa1e. That he or she sha11 comply with the foll.ovring conditions: 1. That the ownes aad_he or she alone sha11 act as the builder for a11 phases o£ construction. 2. That the owner wa:ll comply with al1 provisions of �the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he vrill engage only •properly licensed subcontractors and will personally supervise such work. 4. That in the everit the Building Inspector sha11 re�+,;*-e cortections to be made, the awner will asst�e full responsibility to iasure •they are made, and upon completion wi11 ca13. for a r��n-�ctioa before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the constsuction and wi11 not expect supervision of' his work from the City of Zephyrhills Building Depart�ent. 6. That prior to final inspection any adrlitional fees, including reiaspe�tion fees, must be paid in �full. A writtea request from this office sha11 constitute an official notice -to pay additional fees. 7. T�at the owner sha11 comply with a11 Ciiy, State and Federal laws in regard to social secutity, wor}cman's compensation, lien 1aws, etc. , where applicable. B. That the owner sha11 comply with a11 the safety codes issued by the Floricia Industrial Coma�ission. 9. State law re�+,;res construction to be doae by liceased contractors. You have applied for a �*�+�;t under an exemption to that law. The exe$ption allows you, as the owner of your property, to act as your own contractor with certairi restrictions even though you do not have a license. You must .provide direct onsite su�ervision of' the coastzztction yourself. You may bvild or improve a one-family or tivo-family residence or a farm outbuilding. You may also build or improne a commercial building, provided your costs do aot exceed $25,000. The building or residence must be for yovr own use or occupancy. It may not be built or substaatiall�, 1,mp=oved for sale or lease. If you se1:1 or lease a building you have built or substantially improved yourself within 1 year af'ter the constraction is complete, the laov �vill pres�e .that you built or substantially improved zf for sale or laase, which is a violation of this examption. You may not hire an ualicensed pe'cson to act as your contsactor or to supervise people workiag on your bui1�;*�q. It is your responsit�ility to make sure that people employed by you Y3ave licenses ree+,;red by state law aad by county or m„r;c�,p� licensing ordisiances. You may aot delegate the responsibility for supervising work to a liceased coatractor who is not. licensed to perform the �vark being doae_ Aay pargon working on your buildiag who is aot licensed must work uacier yous direct supenrisioti aud must be employed by you, which means that you must deduct F.I.C.A. and v�ithholding tax �sd Provide workers' compeasatioa for that �ployee, a11 as p=escribed by law. Your constrti,iction must comply ocith a11 applicable 1aws, orcliaances, bvildzng codes, a,zid zoning regulations. � OWATER'S S2C�TL7f2E �.�1� � �� z D`'4't'E (n� `� � � 7�► � ADDRESS PHONE WZ'TNESS PERL�IIT #