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Home My WebLink About12-13413 CITY OF ZEPHYRHILLS 5335-8TH STREET �' (si3)�so-oozo 1 413 BUILDING PERMIT Permit Number: 13413 Address: 39052 5TH AVE 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: 12-26-21-0030-00300-0050 Improv. Cost: 400.00 Date Issued: 9/04/2012 Name: FRANKS, KEITH Total Fees: 40.00 Address: 39052 5TH AV Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/04/2012 Phone: (813)715-9738 Work Desc: REROOF SHINGLE � �� , TAPE JOINT ROOF I P FINAL Z(p�� 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�nrork resulting from faulty construction c) repairs or wrrections 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 wunty, 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notiae of commencement." Complete Plans, Specifications Must Ac.company Application.All work shall be performed in ac:oordance with � _Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. �� .-,.-�/� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER nis-rau-uutu t;iry ot Lephymilis Permit Application Fax-813-780-0021 Building Department iJate Received g� —�Z Phone Contact for Permittin -- Owner's Name ��, `�/��--.� (C 5 Owner Phone Number �/3 `- 7C� -�� =� Owner's Addresa 3 �O-S,� �'�" � v'� Owner Phone Number �— � Fee Simple Titleholder Name Owner Phone Numbar � Fee Simple Titleholder Address JOB ADDRESS � �U �°� S � � ,� �'� � �� 'h. ��S 3 3 S `-I-G� LOT# � SUBDIVI310N PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROP03ED e NEW CONS7R e ADD/ALT Q SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DE3CRIPTION OF WORK `�c_� �'��=' � � � BUILDING SIZE � SQ FOOTA(iE HEIGHT �� BUILDING E �y�� VALUATION OF TOTAL CONSTRUCTION (.'�' QELECTRICAL a AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING a ��%� �(� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS Q� ROOFING Q SPECIALTY � OTHER FINISHED FLOOR E�EVATIONS FLOOD ZONE AREA QYES NO LDER � COMP� � ��.�..�� S GNATURE 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# � IMECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreas License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new conshuction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles d�1 dumpster;Site Work Pertnft 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 Pians,Stormwater Plans w!Silt Fence installed, Sanitary FaciliNes 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 construcdon. DirecHons: Fill out applicatlon completely. Ovmer 8 Contractor sign back of applicaHon,notarized If over 52500,a Notice of CommencemeM is required. (A!C upgrades over ST500) '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicatlon,OMy) • Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footagej Drivewaya-Not over Counler if on public roadways..needs ROVY. 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 responsibiiity 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 1(censed 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 Ifcensing 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 cont�actor, that may be an indication that he is not properly licensed and is not entiHed to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of new buildings, change of use in existing buiidings, 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 p�ior to �eceiving a "certificate of occupancy" or final power release. If the project does not involve a cert�cate 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 tssuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florfda Statutes, as amended): If valuation of work is$2,500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Const�uction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agricuiture 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 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 Watervvays. - Department of Health & Rehabilitative Services/Environmental Health Unit-Welts, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictfons apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressty 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�II the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill wil) not adversely affect adjacent prope�ties. If use of fitl 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 pe�mit 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 YOUft 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 COMMENCEM�L�lL. FLORIDA JURAT(F.S. 117.03 � /LS OWNERORAGENT(� � �-•'�� ' �`-� r�` CONTRACTOR � /��`� �� S scribed and swom to a e b fo e me thls Su�iscribed and swo�to(or i��1 i1��e th�s - -(Z by ^ 1-4_►� by T�� "" � Who�larg personally kn�own to me or has/have produced Who f personally known to me or has/have produce �, ✓e r �,'�y,,�.� as Identlficatlon. ��-+� ��«� as idendfication. ,1 �� (`• ,. '� �� Notary Public \ � ary�, blic t �"�•' JACQUELINE B Co sslon �� ' �� #EE 040520 ' Commiss N =� ES ;�: '•A��,,. BordedllvuTmyFelnYruance804385-7C•9 A =?� �a: Expires DeCember 12,2014 , .....i...��....mo,r�o...: ` ' �0�9 Name ot Notary typed,p�lnted or stamped Name of Nota , Y • � DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS — BUILDING DEPARTMENT �, /��-{�. ��v.� �LS have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all 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 will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shalf require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6 That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien taws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or tease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. > ;' � OWNER'S SIG ATURE ` � DATE "� ��'� � ADDRESS �g�S�-2 S'✓- / Z-�„ S 33s"'Y PHONE 8'/'3 - �o/ - /// WITNESS PERMIT UMasterforms/OwnersAffidavit/Nov07