HomeMy WebLinkAbout13-13809 CITY OF ZEPHYRHILLS
5335-8TH STREET
° (si3)�so-oozo 1 809
BUILDING PERMIT
Permit Number: 13809 Address: 6404 SILVER OAKS DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0201
Improv. Cost: 2,400.00
Date Issued: 1/29/2013 Name: MACAYA, RUBEN &TRINITA
Total Fees: 50.00 Address: 6404 SILVER OAKS DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/29/2013 Phone: (813)782-3646
Work Desc: REROOF SHINGLE 30YR DIMINSIONAL SHINGLE
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TAPE JOINTS ROOF INSP
FINAL � -(C/-( �
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 property. 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 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
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--— �a Q�II z,�� Page No. of Pages
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Gavin Roofing ocoo� -�Za�
Quality Roofing Since 1984
,� - P.O. Box 1363 116 7
� Dade City, FL 33526
,�- 352-567-5034
' Lic # RC 0046241 5 Year Leak warranty
PROPOS L SUBMITTED TO
� PHONE DATE '
G� �I�4-�
STREE� �� � � � �
��L G/�7[,,, ��-J�� / )�/ JOB NAME
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CITY STATE and ZIP CODE
� ��,l L� �s� JOB LOCATION
ARCHITECT DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for
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y a W,/� G�}e�L E, iV'�e.D l.�.��,�tt � /�� ���� -- T2f�S�� t�r�-�/1�:�
� �P �CO�IIISP hereby to furnish material and labor—complete in accordance with above sp�ecif' tions, for t� sum of:
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Payment to b made as follows: dolla�s;$ � �Q„ �
CO�If'�T<�,� �,� ,�6�'.
All material is guaranteed to be as specified All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authorized ��`
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control Owner to carry fire, tornado and other necessary insurance. Note:This prOpOSaI may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within
— days.
,�rre�tttnre vf �ropos�l —The abo�e pr;�eS, specifications
and conditions are satisfactory and are hereby accepted You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance �
Signature
e�s-�aa-oo2c� City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Rec�i4ed
Phone Contact for Permittin
Owner's Name �C N fl'��T G/� Owner Phone Number �
Owner's Address a �f LI�L f� D � S � pvmer Phone Number �
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Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS p ��7 S%LL��� L)�'J�S .��L ��
LOT#
SUBDIVISION PARCEL ID# � � `a�i ' �l — O I D �'0 0�4 O —(�,Z�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN O I� DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM �� OTHER �—
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI Q
DESCRIPTION OF WORK L��fli'�- ?� ���u0i j,t/[`7j� 3� �� � `,(,I�,r/f��y�j�L ��;�LL.�,
BUILDING SIZE SQ FOOTAGE�� HEIGHT �
�ItDING
$ �y(j '� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.0
�PLUMBING $
-� 1��6�
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
L]GAS Q� ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
,
OTHER ' �;,� COMPANY �i�U��''' �QO-=/fi��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �ax ,��� �C ,�,s,f License# ���� ����
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 Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrnit 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.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'"PROPERTY SURVEY required for all NEW construction.
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Directions.
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is requfred. (A/C upgrades over a7500)
" 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 Qnly)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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" restrictt��na"
which may be more restrictive than County regulations. The undersigned assumes responsibitity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or
contractors fo 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�oPyiolation
under state law. 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERY�nEES{ion of neweb 9de gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buitdings, or expansion of �xisting 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. (f the project does not involve a certificate of occupancy or
f in a l 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 applicab le Pasco Coun ty or din a n c e s.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the appticant, 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 ce�tify that I have obtained a copy of the above described document and promise in good faith to
delive�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 ce�tify 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 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 mate�ial 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 fili material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. 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 unde� 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�truction!S I'u de�stan'd that a�sepahat permit may be�requ9ed for'elect�cal work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed chn cal codesenor shall ss a'ncehof a pe mitprevent thehBu ding Off ceal from therteafter
set aside any provisions of the te
requiring a correction of errors in plan er�o'{Ss�c tmmenced�within s za onths of perm t pss alnce, o aif wo'rk authorized by
u n l e s s t h e w o r k a u t h o r i z e d b y s u c h p
the permit is suspended or ab from the Build ngl0�ial fosa per ohd not to excleed tn nety r(90) days and will demo strate
may be requested, in writing,
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandone .
WARNING TO OWNER: YOUR FAILURO YOUR PROPERTI(.TIF YOU INTOE D TO BTAINnF NANC NG C'ONSULR
PAYING TW�CE FOR IMPROVEMENTS
WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOT C OF COMMENCEMENT.
FLORlDA JURAT(F S 117.03 � � C.�'
� CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or afflrmed)before me this
Subscribed and sworn to or affirmed)bef�re me this by
bY Who is nally known to me or haslhave produced
Who is/are personally known to me or has/have produced as Identification.
as identification.
-,
� Notary Public
Notary Public
„ . AC�EUNE BOt'ES
Commis ' '
Commission No. *' Expires Recembe�12'�io�9
em�
ed, rinted or stamped Name of o
Name of Notary typ P