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Home My WebLink About12-13768 CITY OF ZEPHYRHI�LS ., - 5335-8TH STREET ��$ (813)780-0020 BUILDING PERMIT Permit Number: 13768 Address: 5731 18TH ST 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: 11-26-21-0010-08000-0040 Improv. Cost: 700.00 Date Issued: 1/14/2013 Name: EHRLICH, LARRY Total Fees: 40.00 Address: 5731 18TH ST Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/14/2013 Phone: (813)312-5808 Work Desc: REROOF GARAGE AREA ONLY 950 SQ FT � '�� " TAPE JOINTS OOF INSP FINAL �` � -I � 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� 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 properly. 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 performed in acwrdance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. t ___________.._._ _._.-- _�� < CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 " Building Department : Date Received ( �� Phone Contact for Permitting 13 �� — -��V O Owner's Name c. �" � Owner Phone Number � 'J/-�� C� Owner's Address ( ��re� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple TitleholderAddress JOB ADDRESS � �� "`� SPE.� �'�fI�S� � - LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � CL/�C�c BUILDING SIZE ��32 SQ FOOTAGE .S HEIGHT �BUILDING $ �Dr VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ ��/�� ( �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS � ROOFING Q SPECIALTY [� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � BUILDER / k COMPANY ��'i �P �(,(J�� SIGNATURE � ��r L ' �t � '/�I�G 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 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 FoRns;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 fo�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&1 dumpster.Site Work Permit for all new projects.AI�commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '*"*PROPERTY SURVEY required for all NEW construction. �n�ri�� lil i 1 1 iiJJ11 J.LLI J l i IJ� � Directions. Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) '" 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 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" rES�'h�ictions" 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 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 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 finat 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'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 Waterways. - Department of Health & Rehabi�itative Services/Environmental 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 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 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 pe�mit 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 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOI�E RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03 _ -- " OWNER OR AGENT�- --'` CONTRACTO --.-�-- - - �--�'" R� � ��A�— Subscribed and s rn affirmed)bef r me�is Sy�bscrfbed and swo �o(or affiRned)before me this j-1�--r-3 by ., /�l'/.� (-��{-(3 b� ��l'sur✓'�e, �� i l'�J Wh�s/ar�personally known to me or has/have produced Who is/ar�ersonally known to me or hasJhave produced �C, 1 k. t.i cnst 5.� as identlficatfon. '�C, t . L� Certi�,2 as identification. (^ � � , otary Public - � ��'-'� Notary Public ; -J �..uK, Co m sion o. Cor,�imis n o • t ;•: :� Commission#EE 04p - �N�Y�� JAC4UELINE BOGES � Name of Not • �� 2,Zp14 Name of Notary ty d, O Faqiyy��018 '=+ '�°' eo,d,am„rmyFe�nMwrtanceeaaaasao�s � ^4% ��tt•• • DISCLOSURE S'�'A't'F•*'�•NT .FOR OWNER CITY OF ZEPHYRHII+LS SV2I�DING DEPARTMENT _ • have read and fully understand aad agree �to the provisions of �tt�is instrum�t• The undersigned sta.tes and affirms that he or she is desirous of constructing, resiovating, adding to or reroofing his or her owri domicile, •that he or she actually occupies, or wi11 occupy by said d'omici:le, and same is n�t £or •rent, lease or sale. That he or she sha11 oc-mply with the followiing conditions: 1. That the ownar and.he or she alorie shall act�as the builder £or al1 phases of construction. 2, Ttiat the ovPSSer wi11 comply with a11 provisions of �the City of Zephyrhil'ls ordinances and codes �+*'�;nent to t-he build.iag. 3. That in the event various phases of construction are subcontracted, he will engage only properly liceased subcontractors and will personally supervise such work. 4, That in the event the Building Inspector sha11 re�T�'Te corrections to be made, -the owner will assume f'ull responsibility �to insure •they are made, and upon completion will ca13 for a reiaspection before proceecling with the building. 5. That the owner sha11 assume fu11 responsibilitY fcr the constructioa and wi11 not axpect_ supp.rvision of his work from the City of Zephyrhills Building Depas�esit. 6. That prior t� final inspect�.on aay additional fees, including reiaspection fees, must be paid ia ful1. A written rsquast £rom this of£ice sha11 constitute an offici.al riotice -to pay additioaal fees• 7. That the ovPner sha11 comply with a11 Ciiy, 5tate and Federal laws in regard to social security, workman's compensation, lien 1aws, etc. , where applicable. 8. That the owner sha11 co�ply with a11 t�e safe.ty codes issued by the Florida Industrial C��ssion. 9. State 1aw rez+,;res constxziction to be done by licensed contractors. You have applied for a �r+^;t under ari Bxemption to that law. The exemption allows you, as the owner of yovr property. to act as your own contractor with ce�+-=�*+ restrictions evea though you do not ha.ve a license. You must provide direct onsite supervision of the constructioa yovrself'. 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, providad your costs do not exceed $25,000. The building or rssidence must be for yovr own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a buildi.ng you bave bvilt or substantially i�proved yourself within 1 yeaz after the constructioa is complete, the law wi.11 presume .that you built or substantially improved •if for sale or laase, which is a violation of thi.s exempt3.on. You may not hire an unlicens�d person to act as yovt contractor or to supervise people working on your buildiag. It is your respoasibility to make sure that peaple P�FJloyed by you have licenses re�,;red by state law and by county or municipal liceasing ordiriances. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licensed to pesform the work bei.ag dnaa. Any pgrson working on yous building who is not licensed must work uaiie= your direct supervisioa and must be employed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compensati.on for that employee, a11 as prescribed by law. Your construction must comply with all applicable laws, ord�siaaces, building codes, and zoning ragulatioris. DAr.L'E+ ' �y �� 3 OWNER'S S=C�IATURE ` ADDRESS � � PHONE W2TNE55 PERMIT #