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HomeMy WebLinkAbout13-14056 CITY OF ZEPHYRHILLS 5335-8TH STREET - �sis)�so-oo20 14056 BUILDING PERMIT Permit Number: 14056 Address: 38544 12TH AVE 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: 11-26-21-0010-05200-0011 Improv. Cost: 2,200.00 Date Issued: 4/05/2013 Name: MCKELVEY MICHAEL Total Fees: 75.00 Address: 36124 PINE BLUFF LP Amount Paid: 75.00 DADE CITY FL 33525 Date Paid: 4/05/2013 Phone: 813-997-0153 Work Desc: REROOF STEEL PANELS 75. �r� a�°�'�' ' r �' � � � � � � � - � , TAPE JOINTS OF IN FINAL � "� _ 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 Cod and Ordinances. NO OCCUPANCY BEFO C.O. c CONT CTOR SIGNA RE PERMIT OFFI R PERMIT EXPIRES I MONTH ITHOUT APPROVED INSPECTION CALL FOR INSP HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 11-26-21-0010-05200-0011 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, March 30, 2013 Parcel ID 11-26-21-0010-05200-0011 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value MCKELVEY MI-�Fta�k C✓ �y� � Ag Land �o 36124 P�YNE BLIJ�F LP �' �t` Land $i5,izo DADE CITY FL 33525-9526 Building �29,s4s � Physical Address ��-- Extra Features $ios 38544 Y2TH AVE ZEPHYRHILLS FL 33542-3748 Just Value ;45,076 Le9al De5C1'iDtion (First 4 Lines) ASSeSS2Cl (Non-School Amendment 1) $45,076 See Plat for this Subdivision TOWN OF ZEPHYRHILLS PB 1 PG 54 Taxable Value ¢45,076 WEST 1/2 LOTS 1 2 3 & 4 BLOCK 52 OR 3593 PG 327 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value 1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120 Additional Land Information Acres 0.19 Tax Area 30ZH FEMA �Residential Code ZHLHLP2 Code Buildinq Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1966 Stories 1.0 E�cterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring i Terrazzo Monolithic Flooring 2 Carpet Fuel Electric Heat Forced Air- Duded A/C Central Baths 1.5 Line � Description �—Sq. Feet �Repl. Cost New 1 BAS r 1,037 ��—$37,643 2 FOP 198 $1,815 3 �— UST 48 $690 4 FCP � 143� $1,307 Extra Features (Card: 001 of 001) Line Description Year Units �—Value � 1 DWSWC 1966 222 $108 Sales History Previous Owner WILSON ROBERT F Month/Year Book/Page Type C de Condition Amount 06/1996 3593 / 0327 Warranty� Improved $50 000 Deed ' Q��t 1�11-�1 http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&bl... 4/4/2013 � �� //, --,i 1 ' �I Force Enginee�i-ing& Tesdng Ine. ,`� 19530 Rnmblewood Drive Humble,TX 77338 Product Evaluation Report STEEL ROOFING SYSTEMS, LLC. Min. 29 Ga. AG Roof Panel over Ix4 Wood Purlins over 15/32"Plywood ,�(�� �,/} Florida Product Approval # 15837.2 Florida Building Code 2030 •'� i... t�' �5� Per Rule 9N3 ✓ Method:1—D Category:Roofing ' - , . � ,. ' ' ' , ;�`.�,� , Subcat };,,, � „� � . � � ` , � . , - :, �; �� egory: Metal Roofing �� � Compliance Method:9N-3.005(1��(d) '� � � � NON HVHZ � ' ; ' , ` ' � Product Manufacturer: Steel Roofing Systems, LLC. 3517 Century Boulevard#102 Lakeland,Florida 33811 f'_ �. . , IJ�-.i t_. -- / `� EneineerEvaluator: ���1' C��=� ��p�{����.��� t_� Terrence E.Wolfe,P.E.#44923 �j ��j c, �•,��p������, ( Florida Evaluation ANE ID:1920 � `_ Validator: Shawn G.Collins, P.E. 2250 Massard BLVD Tampa,FL 33619 Contents: Evaluation Report Pages 1—4 ����t�s�rti���� ,�����N.0 E,� �,j,o i� i r :w' L � � � NSF ���� �� ; �• .��r� �!/ � �� � . No.4�9� / ' L-� � � `�,�/�!��---� n �,�'( �In R A� *�.. �� i -��,. ,� �--. : _�, � '°' STATE Of • �• � .a.. a� F �„ • . � �..� ' f �O R I �A �,, i� ,''��S j-. . . .��1?� '���O+�i 1�s ti t���� FL# 15837.2 August 10, 2012 f'' _"�� � �� 1 � I ' Foree Engineering & Te�ting Inc. ' 19530 Ramhlewood Brive Humble;l7�7733R Compliance Statement: The product as described in this report has demonstrated compliance with the Florida Building Code 2010,Sections 1504.3.2,1504 7 Product Descriptton: AG Roof Panel, Min 29 Ga. Steel, 36" Wide, through fastened roof panel over Sx4 wood purlins over one layer of asphalt shingles(optional) over min. 15/32" APA Plywood decking.Non-Structural Appiication. Panel Material/Standards: Material: Min.29 Ga Steel,conforming to Florida Building Code 2010 Section 1507 4.3. Paint finish optional Yield Strength: Min.80.0 ksi Corrosion Resistance.Panel Material shall comply with Florida Bui�ding Code 2010,Section 1507.4.3. Panel Dimension�s): Thickness: 0.015"min. Width: 36" Rib Height: 3/"major rib at 9"O.C. Panel Rollformer• A.S.C.Machine Tools Panei Fastener: #10-15 x 1-1/2"HILO Woodgrip with sealing washing or approved equal '/."minimum penetration through plywood Corrosion Resistance:Per Florida Building Code 2010,Section 1506 6,1507 4.4 Substrate Description: Min.lx4 No.2 SYP wood purlins over maximum one layer of asphait shingles/feit paper(optional)over min.15/32"thick,APA Rated plywood over supports at maximum 24"O.C. The 1x4 wood purlins shall be fastened to the plywood with (1)8d x 2%"Ring Shank Nail at 4"O.C.. Design of lx4 wood purlins,plywood and plywood supports are outside the sCOpe of this evaluation. Substrate must be designed in accordance w/Florida Building Code 2010. Design Uplift Pressures: Table"A" Maximum Total Uplift Design Pressurc: 78.5 psf 101.0 psf Fastener Pattern: 9„_9„_9„_9,• 6••_3•,_6•,_3,•_6»_3,•-6,• Fastener Spacing: 24"O.C. 24"O.C. 'Design Pressure includes a Safety Factor=2.0. `,��{Ifltl��t,, `�����C E,�. � �i� i� :�Q'y �.0 E 1V S��'n�i � � � �. IVo.419� .� ���—� � ��l,�,�'�fn�-- *�� {J�*� `, �� � -e' STATE QF � �� � :a� :p� F r" � �„�; LORI �4' �``� �� ''�f����NAI� F'�G�,` ��t�t��t�Nt♦ FL#15837.2 August 10, 2012 �� jT� � 1� � Force Engineering&Testing Inc. I�� 19530 Ramblewooci Drivo Huinhle,TX 77338 Code Compliance: The product described herein has demonstrated compliance with The Florida Building Code 2010,Section 1504.3.2,1504.7. Evaluation Report Scope: The product evaluation is limited to compliance with the structural wind ioad requirements of the Florida Buiiding Code 2010,as relates to Rule 9N-3. Performance Standards: The product described herein has demonstrated compliance with: • UL 580-06-Test for Uplift Resistance of Roof Assem6lies ■ UL 1897-04-Upiift Test for Roof Govering Systems • FM 4471,Section 4.4-Foot Traffic Resistance Test Reference Data: 1. UL 580-06/1897-04 Uplift Test Force Engineering&Testing,Inc.(FBC Organization ti TST-5328) Report No.476-0160T-12 2. FM 4471-10,Section 4.4 Foot Traffic Resistance Test Force Engineering&Testing,Inc.(FBC Organization q TST-5328) Report No.476-0160T-12 3. Certificate of Independence By Terrence E.Wolfe, P.E.(No.44923)@ Force Engineering&Testing,Inc. (FBC Organization#ANE ID� 1920) Quality Assurance Entity: The manufacturer has estabtished compliance of roof panef products in accordance with the Florida Building Code and Rule 9N-3.005(3)for manufacturing under a quality assurance program audited by an approved quality assurance entity. Minimum Slope Range: Minimum Slope shall comply with Florida Building Code 2010,including Section 1507.4.2 and in accordance with Manufacturers recommendations. For slopes less than 3:12,lap sealant must be used in the panel side laps. Installation: Install per manufacturer's recommended details. Underlayment: Per Manufacturer's installation guidelines per Florida Building Code 2010 Section 1507.4.5. Roof Panel Fire Classification: Fire classification is not part of this acceptance. Shear Diaphragm: Shear diaphragm values are outside the scope of this report. ,`��1�t��r��ir��i ���`4;��'C E•�'�� 'l�i � Q�•y ► CE /YS� l�i, � � � • No.4�9� ..��Q��L-�! `yfJ� �*•^1^� .*� �',�,*.`z j%,-e� i '�Tf ;,'°' STA7E OF ;�,�.�� iP�' '� � %a�: FZORI �A ?``� �iY"' ,��i�S��kAI E�G��� ,,���1/11�<<t`, FL# 15837.2 Augus t 10, 2 012 � ,� � � ► ` U� Force Engineering& Testing Inc. �J 19530 Ramblewood Dri��t Humblc,'I7C 77338 Design Procedure: Based on the dimensions of the structure,appropriate wind loads are determined using Chapter 16 of the Florida Building Code 2010 for roof cladding wind loads.These component wind loads for roof cladding are compared to the allowabie pressure listed above The design professional shall select the appropriate erection details to reference in his drawings for proper fastener attachment to his structure and analyze the panel fasteners for pullout and pullover.Support framing must be in compliance with Florida Building Code 2010 Chapter 22 for steel,Chapter 23 for wood and Chapter 16 for structural loading. .���,'N`��E'�'I,,���: ♦ t�. - .._,I,bo i :,tv�'��' 1.C � N S F <'��,� = �� �.� . '� • L�/ � _ ra.•�� ,. {'.���--'�-f�� � ��(�,�,� �rL--� _�� r `�� r% �'O' STA7'E dF :4�` i0� F �� :..� '�F- LORIp�' �``� caa �i�`1',S'• , •��(�t�� r� �� �OkAL � ,,���l/llti1���, FL#15837.2 AuguS t 10, 2 012 MIN. 29 GA. AG PANEL OVER 1 X4 WOOD PURLINS TYPE 1 FASTENER PATTERN AT 2L' O.C. g' 9- 9. 9. tafllMwu6 W'E 5GL fOR IRE ON St01+6 1F55 11E11 3:72 #10-15 x 1 1/2" HILO WOODGRIP W/ SEALING WASHER lx4 WOOD PURLINS 2 24' O.C. ATTACHED TO PLYWO�D W/ (1) 8dx2 1/2' RING SNANK NAILS @ 4' O.C. ONE LAYER �F ASPHALT SHINGLES/FELT <�PTIDNAL) ❑VER 15/32' PLYWQOD TYPE 2 fASTENER PATTERN AT 24" O.C. 6' 3' 6' 3` 6' 3" 6" 3' pp�qK L,pf s�. raR usE oa ann[5 �tss tn[s+x�: #10-15 x 1 1/2" HILO WOODGRIP W/ SEALING WASHER lx4 WQOD PURLINS @ 24' �.C. ATTACHED TQ PLYW�❑D W/ (1) 8dx2 1/Z' RING SHANK NAILS e 4' ❑.C. ❑NE LAYER OF ASPHALT SHINGLES COPTIONAL) OVER 15/32' PLYWOOD ��.`Y�a����'�ti t4° '��`�C,,�,' ���'�i lllb Of F�ri� ,!1 �ae" � . � .,.�..�: �. �� � a$� ;';>�t ` � .� ':.�� � .,� : �,�: ii�e � � :� .'4'�� _.t�1o�.�i=::>�:� � As ::�:..- �� :,�r �;. , �� •-. •: :.. ; .;: . « � ���� ,~•''�`,� , � �1 � 1M • .: ��F_' : . . i •=.•• A • f + al;���5��,�Y_�i�,.��i '���•a�r+ t�NAt-�'�.�... ���..,,Q��fl 12 �uG � _. _ -� MIN. 29 GA. AG ROOF PANEL STEEL ROOFING LOAD TABLE OVER 1 x4 WOOD PURLINS SYSTEMS, LLC. Buildings having a Roof Mean Height_< 20'-0'; Roof Siope: 2"/12"-6"/12"Gable or Hip Roof Wind Speeds 130-160 mph, Exp C, Risk Category II, Enclosed Bldg. based on FLORIDA BUILDING CODE 2010 MIN. 29 GA. AG PANEL FASTENER SPACING WIND SPEED ZONE ZOnrE FASTENER SUBSTr�aTE 130 140 150 160 ON CENTER ON CENTER ON CENTER ON CENTER SPACING SPACING SPACING SPACING ZONE 1 #10-15-1-1/2" 1x4 WOOD 24" 24" 24" 24" PURLINS TYPE 1 TYPE 1 TYPE 1 TYPE 1 ZONE 2 #10-15-1-9l2" �x4 WOOD 24" 24" 24" 24" PURUNS TYPE 1 TYPE 1 TYPE 1 TYPE 1 ZONE 3 #10-15-1-1/2" �x4 WOOD 24" 24" 24" 24" PURLINS TYpE 2 TYPE 2 TYPE 2 TYPE 2 PANEL DESCRIPTION: MIN 29 GA. GRADE 80,36"COVERAGE,3/4"TALL. PANEL ROLLFORMER: A.S.C. ROLLFORMER. PANEL FASTENER: (1)#10-15 x 1-1/2"HILO WOODGRIP Wt SEALING WASHER. MAXIMUM ALLOWABLE PANEL UPLIFT PRESSURE: 78.5 PSF @ 24"FASTENER SPACING TYPE 1 FASTENER PATTERN, 101.0 PSF @ 24"FASTENER SPACING TYPE 2 FASTENER PATTERN BASED ON TAS 125, UL 580/UL i897 TESTING. SUBSTRATE: 1x4 WOOD PURLINS OVER ONE LAYER OF ASPHALT SHINGLES/FELT(OPTIONALj OVER MIN.15/32"THICK APA RATED PLYWOOD. WOOD PURLINS ATTACHED TO PLYWOOD W/MIN (1)8dx2 �'RtNG SHANK NAILS AT 4"O C MAX. PURLINS AND PLYWOOD MUST BE DESIGNED IN ACCORDANCE WITH FBC 2010 ROOF SLOPE: ON ROOF SLOPES LESS THAN 3:12,LAP SEALANT MUST BE USED IN PANEL SIDE LAPS. LOAD TABLE BASED ON WIND PRESSURES CALCULATED PER ASCE 7-10(Kd=0.85) MULTIPLIED BY 0 6 PER FBC 2010, SECTION 1609.1.5. LOAD TABLE DOES NOT INCLUDE OVERHANG ZONES 1YPE t FA5TENER PATTERN ix4 WODD PURLINS 2 24' O,C. ATTACHED T❑ PLYWOOD W/ Cl) 8dx2 1/2' RING SHANK NAI�S 2 4' �.C, - TYPE 2 FASTENER PATTERN lx4 WO�D PURLINS e 24' �.C. ATTACHED TO PLYWOOD y10-15 x t i/2' HILO wOODGRIP W/ <1> Bdx2 1/2' RING SHANK NAILS 2 4' O.C. 9'-9'-9'-9' FASTENER PATTERN 2 24' O.C. SHINGLES/FELT (OPTIONAL) OVER t5/32' PLYWOOD - � ZONE 2 ��o-is x i �/2` HILO WOODGPoP 6'-3'-6'-3'-6'-3'-6'FASTENER PATTERN Q 24' D.C. -�- ---- -------------------------- a � ---------------- , sH�n�s/�r�oPnowu.) � ' � °v�t��p.�s �t'?w�p¢� i �b .n.,: :.; � � 4.4 �,:•..r:._. �.,,'�f � � - ,r �' Rid9e � od t�io�dE �y4 •����o�a � . ah �- _�. �A�� �+,+ i •���•Y 90 �+ ���s i � a b . „ �------------"-�------�----------------------------t- �a � '•. f9$� ��.'ia.d � JC a�i � � � � T � A � � f"^.'�••r�� °� a%�� V � � �i•+":L�.! : i.�c.� � ZONE 1 ; : �:'J: Q� � � Gable �♦~ •,•'l`���,����'�!'•;��r � a + a: � Note:Dimension a is de R ;--- -------------------------------------------�- 9 �ol � t� � h of the buildin or 40/ of the m� �rr ' h ver is smaller,however, (a)cannot be� ����4°��e ZONE 3 Eave minimum width of the building or 3 feet. � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department � �r�^ � r D� ��„� ll Date Received � Phone Contact for Permittin � � �� _ � L Owner's Name /� � '�T�1 �1 y�t f�`� Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name �- � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ��,��� � Z ry � LOT# �� SUBDIVIStON �- PARCEL iD# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEw CoNSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �'e �� Z r �,N � `1 � � BUILDING SIZE � $Q FOOTAGE� HEIGHT �� UILDING $ /��LD� VALUATION OF TOTAL CONSTRUCTION � I ,(n j� 1� /��'t� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /� � �PLUMBING $ �� G .rl � �� L� G� _�,9c�y.:- ���'-��G�G� � � �)�,0 rs 1��, �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j� � ' �e�e( �c�� �ac QGAS Q ROOFING Q SPECIALTY � OTHER � ����F� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � " a� ��� h � BUILDER . `�� COMPANY J'I P� 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 � COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Addreas 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)wo►king days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence i�stalled, Sanitary Facilities&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 constructfon. Minimum te�(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "*'PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over E2500,a Notice of Commencement is required. (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 Only) 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" restrictions". which may be more restrictive than County regulations. The undersigned assumes �esponsibility 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 IMPACTIUTILITIES 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 fu�ther 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 appiicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Ftorida 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'SIOWNER'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 pertormed 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 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 fil{ material is to be used in F�ood 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 1he 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 wo�k 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR PAYING TWICE DER OPROV ORN T� EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT WITH YOUR LEN FLORIDA JURAT(F.S. 11 �) OWNER OR AGENT CONTRACTOR Subscribed and s d thi Subscrfbed and swom to(or afflrmed)before me this b � by s are ers nally known me or haslh pr d e Who islare personally known to me or has/Fiave produced �,� �'j� ,�, ' as idenUfica6on. � as identification. � �, � I' � Notary Public �. 7 6ta -�� ;�'� :'- Cpmmission# E 14070196 Commission No. Comm � Cvn, :: ��a ��7MU Troy FaM Inourance 80�'�S'70/9 ��..�a ed, rinted or stamped Name of Notary lyped,Printed or stamped Name of Notary typ P DISCLOSURE S'T'n'►''G•*�=NT .FOR OWNER CITY OE ZEPHYRH=I�I,S BIIII.DING DEPARTMENT _ �`FC 11�� 1F` y(,(' I� 7 have read and fully understand and , - agrae •to the provisions of �this instrument• The undersigned states and affirms that he or she is desirous of constructing, r�ovating, adding to or seroofing his or her own domicile, �that he or she actually occupies, or wi11 o�cupy by said domicile, axid same is not for •rent, lsase or sale. That he or she shall comply Frith the following conditions: 1. That the owner and_he or she alone sha11 act as the builder for al1 phases of construction. - 2. That the owner wi11 comply with aZ1 provisions of the City of Zephyrhills ordiriaaces and codes �*-�-;nent to the buildiug. 3. fihat in the event various phases of constxuction are subcontracted, he wi11 engage only •properly licensed subcontractors and will personally supervise such .work. 4. That in the event the Huilding Inspector sha11 rec�"se corrections to be made, the owner wi11 assume full responsibility to insure •they are made, and upon completion will ca11 for a reiaspectioa before proceeding with the building. 5. T2zat the owner shall assume fv11 responsibility for the construction and wi11 not eapect_ supervision of his work from the Ci�.y of Zephyrhills Building Depar�ent. 6. That prior to final inspection any aclditional fees, including reinspection faes, must be paid ia fu11. A written request from this office sha11 constitute an official notice to pay addi.tional. fees.. _ 7. That the owner sha11 comply with a11 City, State and Federal laws in regard to social security, warkman's compensati.on, lien 1aws, etc. , where applicable. B. Tha-t the owner sha11 comply with all the safaty codes issued by the Florida Industrial C�*�+�ssion. 9. State 1aw rec�,;*-ss constrtiction to be done by licensed contractors. You have applied for a ppT+�+�t under an exemption to that law. The exemption allows you, as the owner of your propPSty, to act as your own contractor with certain =estrictions even though you do not hane a license. You must provide direct onsite supervision of the construction yourself. You may bvild or improne a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The builcling or residence must be for yovr own use or occupancy. It may not be built or substantially improved for sale or lease. If you se1.l or lease a building you have built or substaatially im�roved yourself withia 1 year aftES the constructioa is complete, the law will presume •that you .built or substantially improved •if for sale or lease, which is a violation of this EXemption. You may aot hire aa unliceased person to act as your contractor or to supervise people working on yovr building. 2t is your responsibility to make sure that people employed by you have licenses re�+,;red by state law and by county or mun.icipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is aot licensed to perform the work beirag doaa. Any pesson working on yovs building who is aot licensed must work undar your diract supervision and must be P�ployed by you, which means that you must deduct E.I.C.A. and withholding tax and provide workers' compensatiaa for that empl�yee, a11 as prescribed by law. Your construction mus y with a11 applicable 1aws, ordinances, building codes, and zo re a ' ns. OWNER'S S2GAIATL7RE DATE � -Z�" ( � ADDRESS "� " PHONE �'r 1"3 S�c-S�'7 �+ �t G, Z w2TNESS PERI�IIT # �<'fl�'`^`_._'""'��''�, � <i��� �c`J� ��' � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS -- - . - �=a Contra tor omeowne • Date Received: _��6���(j s�te: ti.�s������'�1 Permit Type: � - " Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the pennit andlor plans. -� �,�'' �-i Kalvin Switzer-Plans ' er Date Contractor and/or Homeowner (Required when comments are present)