HomeMy WebLinkAbout13-13942 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�8o-oozo 13942 �
BUILDING PERMIT
Permit Number: 13942 Address: 5947 9TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00700-0010
Improv. Cost: 4,790.00
Date Issued: 3/04/2013 Name: HART, CHRISTOPHER J & KATHERINE
Total Fees: 60.00 Address: 5947 9TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 3/04/2013 Phone: (813)713-0104
Work Desc: RE-ROOF WITH METAL
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TAPE JOII�S I�OOF INSP
FINAL `��j�-( �
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 t) 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 ords of this county, and there may be additional permits required from other governmental
ntities such as water management, state agencies or federal agencies.
"Warni o owne . Your failure to record a notice of commencement may result in your paying twice for
imp ements t our property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Co let la , Specifications Must Accompany Application.All work shall be pertormed in acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ONTRACTO SIGNATURE ���-- PERMIT OFFI R
� IT EXPIRES IN 6 MONTHS WI � UT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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,�IHomeowner: �' �
Date Received: . .— /�',.► �
Site: +.� ' � ,
Permit Type: _ � �
Approved w/no comments: Approved w/the below comments: ❑ ' d w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
3��- -i
Kal ' Swi —Plans Examiner Dat Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �- � � _,.. _) � � �
Phone Contact for Permitti� y
Owner's Name ~ Owner Phone Number
Owner's Address ..� "'" � Owner Phone Number �—
Fee Simpie Titlehoider Nam Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NO710E)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � ST L Q
DESCRIPTION OF WORK ^—
BUILDING SIZE SQ TAGE� HEIGHT
QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS EN�ftfY �] W.R.E.0
�PLUMBING $ „ �
l� ! �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � f
,
`\.,�..._.._-----''"/
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y I 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 Lice e#
�
OTHER a4NY
SIGNATURE REGISTERED Y/ FEE CURRE� Y/N
Address 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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacfllUes 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 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Englneered Plans.
"`"'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely. '
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (A/C 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 PERMIITING (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" restrictions"
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 io 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 Buitding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advlsed 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 RECOVERY FEES: The undersigned understan s
that Transpo�tation 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, wiil be identified at the time of
pe�mitting. 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
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 issuance 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 "Flo�ida 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", 1 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'S/OWNER'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
construclion, 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 ServiceslEnvironmental 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 p�ofessional 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�II 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 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 O�cial 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: R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F�OR O R N ATTORNEY BEFORE RECORD �F YOU INT ND TO O OMMENNEMENT.' CONSUL7
WITH YOUR LEN
FLORIDA JURAT(F.S .03 i_--� "
OWNER OR A '� CONTRACTO __
Subscrlbed d affirmed)be me this Subscrlbed �
b bY
Who is/ e per ally know me or has/have produced Wh are personall o me or ha as de tifca6on.
s identlficadon.
Notary Public
Notary Public
Commisslon No. Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
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� 2013028328 ___
Rcpl:1497048 Ree: 10.00
DS: 0.00 IT: 0.00 I
Perm�t No�2�14/13 D. Bonl l la, Dply C►erk J� parcel ID No /I'��I'1�'�j�'60]������0
NOTICE OF COMMENCEMENT
State o1 CouMy ot
THE UNDERSIGNED hereby glvea ratice fhat improvement wUl be made to eeRaln reat property,aM in accoreanee with Chapter 7�3,Florrde Statutes,
the fotlowfng in(ortnatlon Is proWded in lhla Notice of Commencement:
t Descripfion of Property� Parcel Identmcatfon No.
streetnddress: 5947 9th Street Zephyrhills FL 33542
2. GeneralDescriptionoflmprovemeM reroof HOUSe 3 tab ehinglPc
3. Owrrer Infortnation or Lesaee infortnation if the Lessee contracted for the improvement:
Ratherine Hart
Name
5947 9th S rePr ZeDhvrh�71G� FT. �4SL.9
Address Cily State
Interest in Praperty:
Name of Fee Simple TlUeholder
(I1 differeM from Owner Iisted above)
���y State
nddress A Bartlett Roofing
� Contracta: --
Name
9ALl1R ��i e � 7.�R]1„vrhi_ '7 1 c�_Fi. 4�S/.2
Address City State
813-782-5585
Conlractora Telephone No..
5. Surety�
Name
PHULR S 0'NEIL,Ph D PRSCO CLERK 6 COMPTROLLEh SIaIB
Addresa I 02/l4/1$ 1:4 a 1 of 1 . �
nmount ot eond: S � OR BK �8�� PG 182'3 J, � * *
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6. Lender , •
Name �
Address Cfy Stale ���
Lender's Telephone No. • � ,��� •
7 Persans within tAe State of FloAda designateC by the owner upon whom notices or otF�er documeMs may be served as provided by � �
Sedion 713J3(1)(a)Q),Flodda Statutee: � � •
.r •
Name O� � � ,� �
� g
Address Ciry State
Telephone Number oT Oealgneted Person: �'�s � �
8. In addition to hfmself,the owner dasignates of_ �' • *
to receive a copy of tha Lienors Nodce as providetl in SecGon 713.13(1)(b).Flo�da Statutes. Q z U �
Telephone Number oi Person or Entlry Deaignated by Owner: o � � � �1 W U
g. E�Iretion dale of Notke of Canmencemerrt(the expiration date may not be before the compleBon oi consWdion and final payment to the Q O U � � O �
contrador,bul will be one year Irom Ihe date of recoMing unless e dHferent date Is speciBe�:
WARNING TO OWNER: ANY PAYMENTS MADE 9Y THE OWNER AFT E R T H E E X P I R A T I O N OF THE NOTICE OF COMMENCEMENT �- C� Q� W H. W
ARE CONSIDERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES. AND CAN iJ�, W
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUS7 BE � � Z � �' G
n 2 -- J �
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT O � � �
VNTH YOUR LENOER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � w � � U O
Under penatly of perjury,I dedare tfret I have read lhe foregdng noUe f eommencement and al the facts slated llxrein are tnie to the best Z = O O � �
af my knowledge and beNet. � � a � �`� Y
STATE OF FLORIDA V a O �4��
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COUNN OF PASCO
Signature of Ovmer or Lessee,or r's w Lessee's Ault�orized Q ~ �-- —� Q J
Na1'ARY PIJBLiCS7ATE OF FLORIDA L> >- U OD p � V
�'"�'"� RiChard C. Baz'tlett ��'�DirectodPaAnadManager � °J- W � Z O �
=Commission�DD878490 h�(1Q OlDf1Q� — p � � a = Q W
�o., ••=.Expires' JULY 31,2013 Signatory's TitldOtfica -� ul C3 p p Z
BONDFD TFIRC AM\TC SO�LL�G[0..C7C. ��/J �� �» �,_) � � �" O
The forcgofng inatrument was acknovAedged before me this�day oj;��"_ _ I�Y �- O U �
as (type M auMority,e.g.,officer,truslee,atlomey in tacq tor t� �-- z � U)� uj
(name of p beh If of enl was executed). � U} w J W Q
Persona4y Known❑Qg Froduced Identificatian❑ Nota
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Type ot Identifleation Produced
Name(Print) � � ~ ~ O � a �
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