The URL can be used to link to this page

Home My WebLink About12-13578 CITY OF ZEPHYRHILLS � � 5335-8TH STREET (si3)�so-oo20 13578 BUILDING PERMIT Permit Number: 13578 Address• 6024 16TH 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: PARK HILL Est. Value: Parcel Number: 02-26-21-0180-00000-0670 Improv. Cost: 2,400.00 Date Issued: 11/01/2012 Name: HAYNES, SELMA Total Fees: 50.00 Address: 6024 16TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/01/2012 Phone: 813-997-0891 Work Desc: REROOF 20 SQ W/30YR SHINGLE � �_.. �� Y� �� ti TAPE JOINTS O INSP FINAL - �� '7/ 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 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 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 witl�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. � � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Nov 01 12 09: 44a Rick Gavin 352-567-5034 p. l ' �r��i II�� pege Pto. of Pages Ga�in Roofing � Qualety Roofing Since 1984 115 9 .� � P.O. Box 1363 . Dade City, FL 3352& �� 352-567-5034 Lic # RC 0046241 5 Year E.eak warranty PROPOSAL SUBMITTED 70 PHONE t1 U 1-�Q n� �.. � 13 ' �(E � � i �0� 1 , STREET JOB NAME ,a , � eet cirv,srnre a�a z�P cooe z� �� r I��`1� -�.. .�8��„� ARCHITEC J DATE OF PLANS JOB PHONE We hereby submft speciflcations and es6mates for. . �.� t�'..��'�� . r t�(�� r.► �.�.h Cs._ 3(� '��.r . :��:.b.e.r_'' �.C��.,�_. ��t�n..�.��1 .�.. ..... .. � . S _� �,c��.� �.�.�..�.�f .... .n l . W�1} . ��r � �.c� ..1�.�. dc��n�. C�S �� Et(�� n� �:rc.�sh t u. �-� l��U I..�� C�.�. ��.�.e d�_c� J .. ., �P �YO�JOgp hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: - �� ^ ' t� �� _ . , �, � �i �0 Payment lo be made as follows; dollsrs($ _� } ;1 - � � � All material is guaranteed to pe as spedlied. All woAc ip qe campleted in a woAananlike manner accorcling to standard practices.My atteredon or deviaifon irom above specificabor�s Authorized � ' involving extra costs will be executed only upon wrHten orders,and will become an exva Sig�atU�e charge over and abwre the estimafe. All agreemeMS contingent upon strikes, aeddents ' , or delays beyond our eontrol.Owner to carry}ire,tomado and o�he,necess�y;nswance. Note:This proposal may be Our workers are luly covered by Workmen's Compensation Insurance. withdrawn by us H not aCCepted w�thin days. �PCP�itA11�P Q� �rQ�YQSHI —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Sfgnature to do the work as spec'rfied. Payment will be made as outlined abovE. � 1� 1� la�l� � . . , Date of Acceptance: ' � '' � � Signalu %-' �� ' � , . '., 813-780-0020 City of Zephyrhills Permit Application �.�� Fax-813-780-0021 , Building Department � —/ 3 r � Date Received Phone Contact for Permittin Owner's Name „�--G �� Owner Phone Number � Owner's Address �'� 16 �— Owner Phone Number Fee Simple Titleholder Name Ovmer Phone Number Fee Simple Titleholder Address JOB ADDRESS �/ I� � S �� LOT# SUBDIVISION PARCEL ID# (QZ — , � _ D D — �a0 �- WORK PROPOSED B (OBT/UNED FROM PROPERTY TAX NOTICE) NEW CONS7R ADD/ALT �� SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK �] FRAME �� STEEL � DESCRIPTION OF WORK CD IlC,� �y 2A ��tD2 � � �, 0 �,,Zi s,�dr✓�¢� � l � � � i BUILDING SIZE SQ FOOTAGE�� HEIGHT QBUILDING a ,� � VALUATION OF TOTAL CONSTRUCTION [�ELECTRICAL $ AMP SERVICE � �g� W.R.E.C. QPLUMBING a 0 �� OMECHANICAL $ VALUATION OF MECHANICAL IN QGAS ROOFING Q SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE 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# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address license# OTHER � j COMPANY G-y�/ },/ 01j,��' SIGNATURE �--�'—� REGISTERED Y/ N FEE CURRE� Y/N Address !� 0� ,3 1i �- G/ License# c�(�o�6 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,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaGlities 8 1 dumpster,Site Work Permit for subdivisfons/large projects COMMERCIAL Attach(3)wmplete sets of Bufiding 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 a�l new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '""'PROPERTY SURVEY required for all NEW constructlon. ,��„��„�. Directlons "' " Fill out application completely. Ovmer&Contractor sign back of application,notanzed If over 52500,a Notice of Commencement is requ(red. (A/C upgrades over:7500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone wtth notarized letter from owner authorizing same OVER THE COUNTER PERMI771�1� " (Front of ApplicaUon Only) Reroofs if shingles Sewers ' �ervice Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The und u at9ons. The undersigned aIS u es esp nsibilbty for c mpl ance tw'th any which may be more restrictive than County reg applicable deed restrictions. UNLICENSED CONTRACTORS AND beNe�ed�o beE ensedSiBacfcoEdance th s ate and local egulationsc Ifrthe contractors to undertake work, they may q cont�actor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlv�fo�t�he under state law. If the owneea to contact the Pasc�o County Buildingslnspection Divis on—L cens ng Section at727-847- intended work, they are advis 8009. Furthermore, if the owner has haedlicationtfor which they will be espo s bleelftyouaas the owneasign assthe portions of the "contractor Block vf this pp rivileges in Pasco contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVh Rconst uStion of new b 9de gsnchange odf that Transportation Impact Fees and Recourse Recovery Fees may app y use in existing buildings, or expansion of existi�nerstalnds9that such fees,'as may be due, w I abe dentified at he�me of 90-07, as amended. The undersigned also un permitting. It is fu�ther understood that Trais�oWe��e1ea ea��f the p ojecRdoes not�involve a certificatetof occ pancy or receiving a certificate of occupancy" or fina p final power'release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac fees are due, they must be paid ha rter 713,iFlorida Stat tes, as amen'ded)p'If valua�tion of workt s$2,'500 00 or more, I CONSTRUCTION LIEN LAW(C p of the "Florida Construction Lien Law—Homeowner's certify lhat I, the applicant, have been provided with a copy Protection Guide" prepared by the Flhave obta��ed ancopy of thetabove descr bed docum'ent nd promPse ntgood fa'th to other than the"owner", I certify that I deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAV'cable lawl s regulatingeconstru tion!zon'ing anld la d developme tn A pl cation is will be done in compliance w�th all appl 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 devetopment 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 & Rehabilitative Services/Environmental Health Unit-Welts, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Fede�al 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 express�y permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" wilt 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, 1 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 adve�sely 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�II, an engineered drainage ptan 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 a�davit prior to commencing construction. asn oe�ther installat onsr not sp c!ifi ally bncluded en t e applicat on�r A plumbing, signs, wells, pools, air conditioning, g 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 techni sal o struct on oa�violat ons of any codesPrE erytpermit iss ed shall be ome inval d requiring a correction of errors in plan , unless the work authorized by sucned for'a'S e od of six(6) mhonths a e�the t me thetworkas co�mmenced. Anhext nsion the pe�mit is suspended or abando P may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstra e the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, � WARNING TO OWNER: YOUR FAILU TO YOUR PROPERT1f.TIF YOU INTENDETO BTA NF I�NANC NGTCONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. FLORIDA JURAT(F.S 117.03) � �� / CONTRACTOR �'��'--" OWNER OR AGENT Subscribed and swom to(or aflirmed)before me this Subscribed and swom to(or afflrmed)before me thls ��y by bY Who is/are personally known to me or has/have produced Who is/are personally knovm to me or haslhave produced as identlfica6on. as IdentlficaBon. � l.� ji,(i� !��C,� Notary Public Notary Public Com ission '" Commission No. : :�'',.jt, � �#EE 04052U � ed, rinted or stamped Name of Notary typeii;p ...,, rnmrnno.eoo�n�e- Name of Notary typ P ,.;.w.-