HomeMy WebLinkAbout13-14417 CITY OF ZEPHYRHILLS
. 5335-8TH STREET
' (si3)�so-oo20 �4417
1
BUILDING PERMIT
Permit Number: 14417 Address: 5512 10TH ST & 38528 8TH 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: 11-26-21-0010-11800-0170
Improv. Cost: 2,400.00
Date Issued: 8/07/2013 Name: GILLIARD , LINDA
Total Fees: 50.00 Address: 5512 10TH ST
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-4114
Date Paid: 8/07/2013 Phone: 813-778-1933
Work Desc: REROOF SHINGLE SINGLE HOME W/TWO ADDRESS
5 .
�_;���►��
� j
��1
TAPE JOINTS ROOF INSP
FINAL� R,•-Z`�-`�
REINSPECTION PEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necess�ary 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 f) 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 acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACT IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�eo-oo2o City of Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received g (p /j Phone Contact fo�Permfttin � a y3 __ � 3
Owner's Name L//�Q /u�A Owner Phone Number ��� ' ?! � � l�3 3
Owner's Address S�� �D ��E� Owner Phone Number �—
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
J06 ADDRESS S�f a / �Y �`tY�' , JV�� 8 � LOT# / �� °t �
SUBDIVISION PARCEL ID# �/"a� " � � �d�� ` f O Q� " Q�?D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK RD6flW �~�� � ' -SlNbca` �� p�j�cJ CQD �f�/6 ��Nb(-�
BUILDING SIZE � SQ FOOTAGE a T 0� HEIGHT ��� �J��� � �
QBUILDING S Z �� � VALUATION OF TOTAL CONSTRUCTION
v<J�
QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
�PLUMBING $ �j, i,/��
�f
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER //��/� COMPANY l��!Z� ���`tlsr D �
SIGNATURE �(—� REGISTERED Y/ N FEE CURRE� Y/N
Address 7 �2 l3 �-C' �� � � ��f � License# ` �� 2
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)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimwm ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllitles&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►it for new construction.
Minimwm ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""'PROPERTY SURVEY required for all NEW consVuction.
Directions:
Fill out application completely.
Owner&Contractor Sign back of application,notarized
If over 52500,a Notise of Commencement la requlred. (AIC upgradas over 57500)
•' Agent(for the contra¢tor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER P�RMITTING (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/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 rest�ictive 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 Divisfon—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 entitied to permitting privileges in Pasco
Counry.
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
�eceiving 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, 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 ConsUuction 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 perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regu�ations, 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 A�eas 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 flll:
- 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 Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill wilt 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 enors 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 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
PATH YO R'LENDERMR AN ETTORNEY BEFORE REPORDING YOUR NOT C OF OA'N NCENENT.' CONSULT
WI A�
FLORIDA JURAT(F.S. 117.03) /� ��{/
OWNER OR AGENT CONTRACTOR —''�'tX
Subscribed and swom to(or affirmed)before me this Subscrlbed and swom to(or aflirmed)betore e this
6-( 3 b 8 -6-c b
Who is/are rsonally kno to me or haslhave produced Who Is/ e ersona ovm to me or haslhave produced
as Identlficatlon. as identlfication.
�
Notary Public Ck'ur"Q Notary Public
Commission � Com Is n ^,
�R�:.��� Commission EE 040520 .� :�= Commission#EE 040520
;� •.:,,: � _
Name of Notary typed �S Name o f No t a � eoa3esTO�s
�4 �;�,. i Troy Fan hwramz 800 385-1019
Proof of Coverage Page 1 of 1
.. • ,'>�`�x,
WC Home WC Databases CFO Home
Exemption Detail Page
This database was last updated Tuesday,August 06,2013 12:12 AM.
Exemption Details
Name Title Effective Date 'Termination Date Exemption Type "Business Activities Employer Name
Click Here to View ADVANCED
KEITH MELADY PR Feb 13 2008 Feb 272009 ConsWCtion Activities Listed on PROFESSIONAL
6cemption ROOFING INC
Click Here to View ADVANCED
KEITH MELADY PR Nov 5 2005 Nov 5 2007 ConsWCtion Activides Listed on PROFESSIONAL
EzempUOn ROOFING INC
Click Here to View ADVANCED
KEITH MELADV PR Jan 23 2004 Nov 5 2005 ConsWCtion Activltles Listed on PROFESSIONAL
6cemptlon ROOFING INC
Click Here to View ADVANCED
KEITH MELADY PR Nov 6 2003 Dec 31 2003 Conswctlon Activities Listed on PROFESSIONAL
6cemption ROOFING INC
Click Here to View ADVANCED
KEITH MELADY PR Od 31 2001 Od 31 2003 ConsWCUon Activities Listed on PROFESSIONAL
ExempUon ROOFING INC
� ��i Y
KEITH MELADY PR ,A�6�1013; - �6.�D'1$,,.., . '4 ;;.,�YqwOn. � �`��`.^�,
� ° ' ' Exempfion
Click Here to View KEITH MELADY
KEITH MELADY PR Feb 28 2011 Feb 27 2013 ConsVUCtion Activities Listed on ROOFING INC
E�cemption
Click Here to View KEITH MELADY
KEITH MELADY PR Feb 27 2009 Feb 27 2011 ConsVuclion Activities Listed on ROOFING INC
Exemption
Click Here to View MELADV
KEITH MELADY PT Nov 23 1999 Nov 22 2001 ConsVuction Activities Listed on ROOFING
Exemptlon
'Termination may be through the revocation of the exemption,or expiration of the exemption.
"*The exemption only applies to the business activities listed on the exemption.
�p����.�
https://apps8.fldfs.com/proofofcoverage/ExemptionDetail.aspx?pr�erson_id=000126864 8/6/2013