HomeMy WebLinkAbout12-12791 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (813)780-0020
� 12791
BUILDING PERMIT
Permit Number: 12791 Address: 39209 7TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Townshi
Proposed Use: NOT APPLICABLE p� Range: Book:
Square Feet: Lot(s): Block: Section:
Est. Value: Subdivision: YINGLING ADDITION
Improv. Cost: 42�� Parcel Number: 12-26-21-002A-01300-0020
Date Issued: 2/14/2012 Name: OBERHOLTZER, WILLIAM
Total Fees: 90.00 Address: 39209 7TH AVE
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/14/2012 Phone: (813)505-0645
Work Desc: REROOF RUBBER REPLACEMENT FLAT)
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TAPE JOINTS 00 S
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 2 c when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)�ndemned work resu�Iting
from faulty construction c) repairs or corrections not made when ins
inspection when calied e) permit not posted on job site �ons called d)work not ready for
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 ro
may be found in the public records of this coun and there ma be additional p PertY that
ty� Y 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
Complete Plans S �fO��0���9 Your notice of commencement."
, pecifications Must Ac;company Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ON TOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit A lication
Pp Fax-813-780-0021
• Building Department
Date Received a — � .--
P ne Contact for Permitting
� —
Owner's Name
Owner Phone Number
Owner's Address -- �"
Owner Phone Number L
Fee 5imple Titleholder Name � r
Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS � ��
LOT#
SUBDIVISION , PARCEL ID#
WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEw CoNSTR ADDlALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM C� OTHER �
TYPE OF CONSTRUCTION � BLOCK � FRAME �� STEEL �
DESCRIPTION OF WORK
BUILDING SIZE SQ OTAGE C]
HEIGHT C�
OBUILDING $ �
VALUATION OF TOTAL CONSTRUCTION
QELECTRICA $ AMP SERVICE
� PROGRESS ENERGY � W.R.E.C.
CJPLUMBING $
�,;' -'r '
QMECHANICAL $ % '
VALUATION OF NIECHANICAL INSTALLATIO �� -'
� /�..
QGAS Q ROOFING SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
C]YES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License# C
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURREA Y/N
Address
License# C �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# C
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
^ License# C
OTHER �
SIGNAT COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# C
RESIDENTIA� 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 fnstalled,
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 construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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.
"*"PRQP.fRTY SURVEY required for all NEW construction.
Dtrections:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required." (A/C upgrades over 57500)
'* 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(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" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliancP 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 misdemYan�oP yiolation
under state taw. If the owner or intended contractor are uncertain as to what licensing requirements ma a i 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 understan s
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. tf the project does not involve a.certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthe�more, 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 anct 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 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" wi�l 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 filt, 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 d strate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considere a ed.
WARNING TO OWN OUR FAILURE TO RECORD A NOTICYOU INTEND TO BE I NANCINGTCONSULT
PAYING TWICE F PROVEMENTS TO YOUR PROPERTY. IF
WITH YOUR L OR AN ATTORN Y BEFORE RECORD NG YOUR NOTICE F C ENCEMENT.
FLORIDA JU .S .
OWNER CONTRACTOR _ __ ,
Subscrib rn to r a e this Subscribed a sworn to affi )before
Y by
Who isfare p �r' ave pro uced
Who ! � rsona o me or has/have produced as idenGfication.
as identlfication.
Notary Public
Notary Public
Commission No. Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
@
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
0
' - � -
�ontractor omeowner: � �
Date Received: ;� -�� ' �� -
s�te: � ��-� ����`� �'� ,
,
, �Permit Type: ( �- _�,.�.�_...- �
Approved w/no comments: Approved w/the b lo comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
� r
� �
Kal in Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� �Type of Identification Produced _ Name(print) �r y ����� ',, ,✓''.
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowiedge and belief.
NOTARY PCBL�C-STATE OF FLORIDA
FORMS/NOC,rvsd2007 g`��������' R�hard C. BflI'�@tt Signature ofNatural Person Signina ati���>
�j.Comt�,ission#DD878490 au�a s o'NEIL,Ph D PASCO CLERK & COMPTROLLER
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saxnmr��n�n.�.�-ncao��n�vaca,n�c. OR BK ���� PG 3���
STATE 0€� FLORt�A. GOUNTY�;� pqSCO
THIS IS TO CERTIFY THAT THE FOREGOING iS�,
TRUE ANp CORRECT COPY OF THE DQCUMEN7
ON FiLE JR OF PUBLIC RECORD IN TNIS UFFl�E
1�ITNE,SS MY HAND AN�OFFICIAL SEAL THIS
�DAY OF /l.0 i��u. � L� I�
PAI�LA S O'NEiL, `
RK& C0131PTROL�ER
B � �,�,� �
` �=��!___ C;:_-Gl;v CLERK
�. ��rtrett �.00fi�g �f ��t�tr�r ,�'Yortb�, ��cc.
� C/O Richard Bartlett
38408 3rd Ave.
Zephyrhilis, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE �
Roofing Companies,in Central Florida PHONE !'
Specializing in Mobile Home JP Stevens White Rubber Roofs (g 13) 782-5585 �
& InsulatedAluminum Roof Overs (g�3� 973-7737 �
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523-1944 �
LICENSED - INSURED - BONDED
• MEMBER OF THE CHAMBER OF COMMERCE• Lic. #CCC 1325499 '
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 loca!leading roofing companies combined. '
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President& Owner A. Bartl�tt Roofitig of Central FL, Inc. ',
Sign: � � ,. - �
' +- - ! �- 73�a�`6 aan+eR�.
` T NK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner
All anangements contingent upon strikes,accidents or delays beyond our conhoL Owner to carry lire,tomado and other necessary insurance.
Our workers are fu8y covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in co!lecting this bill. x�
Roiten wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. �.�ta� ! � `f � } -- '
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R�I���W D�7'� '����
• • ��__..____
' ��`1`�`QF ZEPHYRHILLS
PL�4NS EXAMINER_
_.____ �__--
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�.�i RaoQvar ALL WORK SHALL COMPLY WITH ALL
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