HomeMy WebLinkAbout12-12767 CITY OF ZEPHYRHILLS �
5335-STH STREET �'°�
. � (sis)�so-oo20 12767
BUILDING PERMIT
Permit Number: 12767 Address: 39218 5TH AVE
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00600-0220
Improv. Cost: 2,000.00
Date Issued: 2/03/2012 Name: PORTER VICKIE
Total Fees: 45.00 Address: 11102 CRESCENT LAKE DR
Amount Paid: 45.00 RIVERVIEW FL 33578
Date Paid: 2/03/2012 Phone: (813)677-7218
Work Desc: REROOF SHINGLE
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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 fl 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 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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• , DISCLOSiJRE S'�'a'►'F•*�•NT .FOR OWI�R
CITY OF ZEPHYf2Fi22+I+S BVII�ING DEPAR'►'�•NT
2� ` J�C�� T� ��`(_��� have read and fu11y uxiderstand and
agree •to the provisions of �this instrument•
.The undersigned states and affirms that he or she is desirous of constsucting,
renovating, adciing to or reroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by said domici:le, and same is not for
•rent, lease or sale. That he or she shall comply with the following condi.tioas:
1. Z'ha.t the owner aad.he or she alone sha11 act as the buil.der for a11 phases of
constrnction. �
2. That the owaer wi11 comply with a1:1 provisions of �the City of Zephyrhills
ordinances and codes �*-t;nent to the buildiag.
3. That in the event vasious pha.ses of construction ase subcontracted, he will
engage only •properly licaased subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector sha11 rec�T�Te corrections to be made,
the oamer wi11 assume full responsibility 'to insure •they ase made, and upon
completion will ca11 for a reinspectioa before proceeding with the building.
5. That the owner sha11 assUme fu11 responsibility for the construction and wi11
not expect_ supervision of his work from the Cif.y .of Zephyrhills Building
Department.
6. Ttsat prior to final inspection any additl.onal fees, including reiaspection
feas, must be paid ia full. A written raquast from this off'ice sha11
constitute an official notice -to pay additional fess. _
7. That the owner shall comply with a11 City, 5tate and Federal laws in regard to
social securi'�y, warkmari's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with a11 the safety codes issued by the Elorida
Iadustrial C�+�+*+�ssion.
9. State 1aw rec�,;res construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption all�ws
you, as the owner of yovr proppsty, to act as your owa contractor Frith eP*-+�a�*+
restrictions evea though you do not have a license. You must .provide direct
onsite supervision o� the construction yovsself. You may build or i�prove a
one-family or two-family resideace or a farm outbuilding. You may also build
or improve a commerci.al building, provided your costs do not exceed $25,000.
The building cr r�sideace must be for yovr o�an use or occupancy. It may not
be built or substautially i�proved for sale or lease. If you sell or lease a
building you have built or substaritially improved yourself within 1 year after
the constsuction is complete, the law wi11 pres�e •t�at you built or
substantially i.mproved if for sale or lease, which is a violation of this
exemption. You may not hire aa unlicensad person to act as your contractor or
to supervise people working on your buildiag. It is your responsibility to
make sure that people employed by you hane liceases re?,;red by state law and
by county or mun.icipal licensiag ordiaances. You may not delegate the
responsibility for supervising work to a licensed contsactor who is not.
licensed to perform the vsork beiag done. Any p�rson working on your building
who is not liceased must work under yovr direct supervision and must be
P�ployed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with a11 applicable laws, ordivances, building
codes, and zoniag re ations.
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ADDRESS
PHONE
W2TNESS PERMIT #
Pasco County Parcel: 12-26-21-0030-00600-0220 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, January 28, 2012
� Parcel ID 12-26-21-0030-00600-0220 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
PORTER VICKI E Ag Land $0
11102 CRESCENT LAKE DR Land $14,431
RIVERVIEW FL 33578-4511 Building $61,145
Physical Address Extra Features $3,104
39218 5TH AVE
ZEPHYRHILLS FL 33542-7621 )ust Value $78,680
L@Qal D@SC�IDtlOf1 (First 4 Lines) ASSeSSed (Non-School Amendment 1) $78,680
See Plat for this Subdivision�" Taxable Value $75,680
ZEPHYR HEIGHTS
PB 5 PG 50 LOT 22 BLOCK 6
OR 3587 PG 1182
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OORl 7,000.00 �F $1.91 1.00 $13,370
�2 0100 SFR OORl 3,930.00 � $0.27 1.00 $1,061
Additionai Land Information
Acres 0.25 Tax Area 30ZH FEMA Code �Residential Code ZHL LP
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1974 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Eiectric Heat Forced Air- Ducted
A/C Central Baths 1.5
Line Description Sq. Feet Repl.Cost New
1 � BAS � 1,344 $66,528
2 �? 168 $4,158
3 Q 114 $1,436
4 F R 476 $9,405
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWC 1974 234 � $193
2 LFENCE 1987 410 $145
3 PO L- V 1987 220 $2,343
4 LFEN E 1991 1,200 $423
Sales History
Previous Owner MANIS EILEEN LEILE
Year Month Book/Page Type Amount
1996 r- 06 3587/ 1182 WD � $73,500
� 1982 03 1180/0689 $55,000
1974 O1 0750/0767 �p
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0030&bl... 2/3/2012
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Rec�ived Phone Contact for Permittin -
Owner's Name r� C, �X� Owner Phone Number ��`/Q�.��
Owners Address 3�a i �S . � f��r�, Owner Phone Number �
Fee Simpie Titleholder Name Owner Phone Number � —1
Fee Simple Titleholder Address
JOB ADDRESS � 1�� � � i �l�C`? LOT# ��
SUBDIVISION ����� ��� � PARCEL ID# � �t0-" ��"���--��- a�ao
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e �NSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �Q QCe- (^C'C�C��" `,I //Z
BUILDING SIZE SQ FOOTAGE I JC�C� HEIGHT
�BUILDING $ �G��, VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER \� t n COMPANY ►� IV� W��Q.-�
SIGNATURE Y`�-���`� ��k.'� REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA 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 CURRE� 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 after submittal date. Required onsite,Constructlon 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 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(2)sets of Engineered Plans.
"'""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Comme�cament is required. (A!C upgrades over;7500)
'" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized leKer from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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" r�strictions"
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
portivns 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 IMPACTIUTILITIES 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'SIOWNER'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 a�e 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 8� 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 ihe 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 wilf 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 IMPR N ATTORNEYO EFORE RECORDING YOUR NOTICE O COMMENCEMENT.' CONSULT
W I T H Y O U R L E N D E O R A
FLORIDA JURAT(F.S. 11 .03) � _
T� �_, CONTRACTOR � '� � '�'
OWNER OR AGENT� Subscribed and swom to(o affirrned),�fo me`t�h,i�.
Subscribed and swo 0 or a(flrm d) re e this Z_ 3_(Z by � \�t!'�ki 'r� �b r , ��''r
Z 3`r2" bY ���'�� � ����� Who Is natly knawn to me or has/have produced
Who �lare personally known to me o r h a s/h a v e p r o d u c ed L��p�y� as i den ti f i c a t i o n.
!��.��__ as identification.
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