HomeMy WebLinkAbout12-13572 ' CITY OF ZEPHYRHILLS �
5335-8TN STREET
(sis)�so-oo20 13572
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
Permit#:13572 Issued: 10/29/2012 Address: 38905 9TH AVE
Pe�mit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: pa9e;
Cost: 3,750.00 Total Fees: 55.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 55.00 Date Paid: 10/29/2012 Parcel Number: 11-26-21-0010-07900-0125
Name: HERNANDEZ ROOFING SOLUTIONS INC Name: ZAMBRANA, MATTHEW
Addr: 8501 PITT RD Address: 38905 9TH AVE
PLANT CITY FL 33567 ZEPHYRHILLS , FL 33542
Phone: (813 433-3300 Lic: Phone: 813-713-5661
Work Desc: AFTER THE FACT RE-ROOF INSPECTION
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees wi11 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) oondemned work resulting
from faulty conshvction 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.
"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 and Must Acxompany Application.All work shall be performed in accordance
with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
/ � �
CONTRACTORS SIGN TURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�'s-��W10 Cit�of Zephyrhills Permit A lication
� . Build(ng Department pp Fax-813-780-0021
Date Received C!� Z C _�L
Phone Contact for Permittin
Owner's Name 6�
Owner Phone Number
Odmer's Address 9�
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simpte Titieholder Addreas
JOB ADDRESS � q�s /� I/�. z�
LOT A� �
SUBDNISION
PARCEL ID�k
WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
IPROPOSED USE � SFR COMM �
TYPE OF CONSTRUCTION OTHER
BLOCK �] FRAME [� STEEL [�
DESCRIPTION OF WORK r �-- , '
�
BUILDIN(3 SIZE SQ FOOTAGE�
HEIGHT
UILDING s � �
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS EN
_ I� W.R.E.C.
OPLUMBING a ,
� ���
QMECHANICAL s VALUATION OF MECHANICAL INSTAL TION 1 �
QGAS ,� ROOFING Q SPECIALTY �_] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER � COMPANY l/7xj Z, '
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address /�� �Q/ �r � , ���
Llcense#
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Addresa
License#
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas
Ucense#
RESIDENTIAL Attach(2)Plot Plans;(2)seta 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/Si�t Fence installed,
Sanitary Fadlitles 81 dumpster;Site Work Permlt for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction.
Minimum ten(10)working days after submittal date. Requtred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles&1 dumpster.Site Work Perm(t for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERYY S,11l�VE�'reyulr'ed fe5r all NEW construcUon.
Directtons: ' a �
Ftll out application completely.
Owner 8 Contractor sign back of appHcallon,nota►ized
If over i2S00,a Notice of Commencement is required. (AIC upgrades over s7500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTIN(i (Front of ApplitaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage "'~'�'�■�rr.�,,,�
T.�d1AM�9J1 A�xt''�lAK� ....a",n;•�,
�►ivewaya-Not over Counter if on public roadways..needs ROW tMiMi io�tg. �,.Q�,a�•,r,1t.N ��!��'�'�'..
�/0� �S hUl�3�u A, tt�^i, �� "F �• •
s��'t�� y� v � ' `��1 . i; �► )•
M� :r.�;;� a "`�N?'% .
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OTICE OF DEED RESTRICTIONS: The undersigned The undersigned a�ssumes espons bilbty for compl ance w!th any
which may be more restrictive than County regulations.
applicable deed restrictions.
UNUCENSED CONTRACTORS /►ND CONTRAe�TOo e ECe��ed$iBaacoEdancef with state and local Fegul tonsc Ifrthe
contractors to undertake work, they may be reqw � for the
contractor is not licensed as requi�ed by law, both thare uncerta n as t awhat licensingte quiremenits maY aPP Y'ol 847-
under state law. If the owner or intended contractor
intended work, they are advised to contact the Pcontractor or aontractors, he1OS advised ot I have tthe conUactor(s) sign
8009. Furthermore, if the owner has hired a �iyile es in Pasco
ortions of the "contractor Block" of this application ro e licl censed'land'i enot entit{ed 't°yPermitting p Wn 9 sign as t e
P ..
contractor, that may be an indication that he is no p p
County.
TRI+►►NSPORTATION IMPACTIUTILITIES IMPACT AND R eeOmay aP ECOVh RY�ns Es��o of nedw b ude gsnchange�o�f
that Transportation Impact Fees and Recourse Reco ry
use in existing buildings, or expansion of existing b a�nais9{nat such ees,'as may be due, willdbe identffied at he_tme of
90-07, as amended. The undersigned also underst ,
permitting. It is further understood t�hat Transportati Q1ea ea�lf the p ojecRdoesrnot�involve a certificate of occ pancy o�
receiving a "certificate of occupancy or final power
ff Pasco County Water/Sewer tmpac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they musl be paid prior to permit issuance in accordance with applicable Pasco Counly ordinances.
500.00 or more, I
CONSTRUCTION LIEN LAW(Chapte�713, Florida�Statutes, as�e aF orida Construction L en Law—Homeowner's
certify that I, the app lican t, have been provided with a copy
Protection Guide" prepared by the Floride obta ned ancopy of thetabove described docum'ent and promPse ntgood fa'1h to
other than the"owner", I ce�tify that I ha
deliver it to the"owner" priar to commencement.
CONTRaCTOR'SlOWNER'S AFFIDAVIT:ble laws regulatingeconstruction!zon'ing an'd la d developmentn A plicaltion is
wi l l be do n e i n c o m p l i a n c e w i t h a l l a p p l i c a
hereby made to obtain a permit to e�W and that'alltwork wila be perfoemed t meet tstandards of all laws l'e tgulating
commenced prior to issuance of a p
construction, County and City codes, ?°ns ofrot eat'overnment ag nc es may pply to the ntended�work! and that at is
cer ti fy t h a t I u n d e r s t a n d t h a t t h e r e g u l a t i o 9
my responsibility to identify what actions � P otecCon Cyp ess Bayheads SW tland nAreas a d Enviro ment'a ly t Sensitive
- Department of Environmental
Lands,Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp
Watercourses
Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Frotection Agency-Asbestos abatement.
Fede�al Aviation Authority-Runways.
I understand that the fol�owing 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 �� itted at�me ofpermitti g wh ch�s p eparedrby agprofessionalreng neer
"compensating volume" will be subm
licensed by the State of Florida.
- If the fill material is to be used in Flood Zo to filAthe area w'thin thetstem w m�tted building using stem wal
cons truc tion, I c e rt i f y 1 h a t f i l l w i l l b e u s e d o n y
_ If fill material is to be used in any area, i affe�adjacent propert'es f Ithe'lowner may�be l cit d for v�o at ng
properties. If use of fill is found to adverse y
the conditions of the building permit is eered dr�a nage p an se equ red application, for lots less than one (1
acre which are elevated by fill, an engin
If I am the AGENT FOR THE OWNER, I promise �� aefstan1d thatna�s parat permit may be requi�red for'electr cal work�,
this affidavit prior to commencing construction. I un
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed to be a license to shall ssua'ncehof a pe mitprevent thehBu ding fOfficfal from therteaftl�r
set aside any provisions of the technical codes, nor
requiring a correction of errors in plans, conssrcommenced within si amonths of perm t P sua'nce, or�if wolrk a thorized by
unless t he wor k a u t h o r i z e d b y s u c h p e r m i t da s and will demonstrate
the permit is suspended or abandoned for a period of six(6) months a f ter t he t i m e t h e w o r k i s c o m m e n c e d. An extension
may be requested, in writing, f�n►n ifhWOrk 1celase�for ininety(90)rcon ecutive days,the job is�cons dered abandon e d.
justifiable cause for the extensi
WARNING TO OWNER: YOUR FAILURE TO RECORPE�T�F YOU INTOEND TO OBTAIN�FINANC NGTCONSULR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO T,
WITH YOUR NDER R AN ATTORNEY B FORE R ORDI G Y UR OT F
FLORIDA JURAT(F.S. 11 03) �
CONTRACTO ,
OWNER OR AGEN Subsctfbed and swor to � �� �b�� �,
s
Sub b and s n t or aHi d)befor me this t� _��_bY,, �fy�. p Ntr�no.�e�* L '�'
Lq L by �� yy�o�� ersonally knovm to me or has/have produced
o is(�ar�ersonally known to me or ave produced � , � ���� as identification.
� as Idendficadon.
' ' Notary Public
blic s.�� : •,, ACQUELINE B ES
. N,„w, fp�IgCA I�M� Comr�Lss a•: '" F�cpires December 12,2014 �;
Commissio P�.aq�a
�. • .= NaKy �'� .�,`�'� a«�o„�T F .m
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Name of No ,
ted�pRlp/ldN EE 20e963 Name of Nota
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