HomeMy WebLinkAbout13-14441 CITY OF ZEPHYRHILLS
5335-8TH STREET
a - (813)780-0020 �"' 14441
BUILDING PERMIT �
Permit Number: 14441 Address: 6141 RIDGEWAY DR LOT 73
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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0730
Improv. Cost: 4,180.00
Date Issued: 8/12/2013 Name: WHITE, ROBERT
Total Fees: 60.00 Address: 6141 RIDGEWAY DR
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 8/12/2013 Phone: (813)788-3359
Work Desc: REROOF SHINGLE MOBILE HOME
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TAPE JOII�S R F INSP
FINAL �"-
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are neces�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� 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."
Compl e Plans, S cifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C N C O I NATUR PERMIT OFFI R
RM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I II II I I IIIII IIIII III II I I II I Ilil l INII II III IIIII I IIII illl I III
2013137687
. Repl:1541049 Ree: 10.00
DS: 0.00 IT: 0.00
Etteceive: 6ctober�,2ot1 08/07/13 K. Garela, Dpty Clerk
Rewm W:
PRULR 5 0'NEIL�Ph D PiiSLO CLERK 6 COMPTROLLE
08/07/13 ��9�4 lP�°3386
SuteofFl s OR BK
C�ty of� Pertnft No.
Tax Folio No.
7'he undersigned hercby gives notia thet improvement will be made tp certain rosi
Chapter 713,Floride S the following infarmaion' ProP�rry'.end in accordsnce with
���,, providW in thit Notiee o[Commenament.
� Description of Proa�(Q�yV�� •a'1•�ic�Q•C,��^_C�^�p�-7��1
R d� e q r.n ���-�.
2. 6enP{�_ 'Pd�mprovemehis. { V ��S-� �'� �3 � g85�1 P�1`��S
3 Ownerr�Informuion or Leseee informstion if the I,esue contracted for the improvement:
e. Name ud Addrcea: � .
b. Interest in Property• ���"'�+ 3�y a
c. NameJeddreee of fee aimple tltleholder(ifditTerent from Owner listed above):
4. Contnc[or
� e Name md Addrcas: ^ �� �J'r
b. Phone mmber. -� r=� 33sy1
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5. SuretY(if appticable,e copy of P�Y+M+u bond ia attedied): '
a. Name sd Addrw:
b. Phane wmber: -----
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a. Name and Addrcss: . s �
b. Phunenumba: � ��'4�' e^o • �
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i � Pr+eom within the Shte of Florida designafed by pwner u � '� �..�« �F••3
served a�Drm'ided by Seaion 7t3.13(Ix�)7.Florid�Stennea: P��+'han irotiw or olher documrn�may be <� .• �,
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e. Nura and eddraa: �
b. Phane numbers of dni � �� *
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8 a. In�dditlan W hintself or haself,Owner daignues ���s * • �
9retutes. b raxive a capy of the Lianor'i Wotice o oC
p�wided in Sxtip�713.13(Ixb�Floride
� b. Phone mimber of Pusan or arcity deaignated by owna:
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wnstruction and tinal �i�a�ion dete of notice of comm�(the expiruian date msy na tie bdore We � W !.i �. W �
V+Y�6ut wlll be 1 Yea►Snm�he dae of rocord'mg imlas s diEbrw dete ie epecif�IWon of o U, � O =�, J >-
WARPIIIJ�TO OWNER: pprY AAVMEN'fS IHppg BY THE OWNgR AFI'ER TF�E7�IRpTlqy pF 7}�NOTICE OF Q O V � -�N � ~
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��1ENCEMEHT'ARE CONSIDERED IMPROPER Pp a' � � k- W � W
VA�N7'S UNDER CHAP'I�R 713,PART I,SECTION 713.�3, � � = z J �
FLORIDA STAMES.pNp C,41d RF��,T iN YOUR PAYRJO TWiCE FOR IH4PROVEIv�TITS TO YOUR PROPERTY � � � � U �
A N07'ICE OF COIvA�1EMCEA�NT M�/ST BE RECpRpgp pprp ppS�p ON'{F�JO,B SlfE BEFOitE 77.IE FQtST � � � � �
R�ISPECTION. IF YOU INTENp TO OBTAIN FfNANCpdG.CONSULT Wi7N YOUR LE}JpER OR AN A7Tp►u.,EY (�� Cx. � O Y
BBF�R��p►�NCENO WORK OR RECORDW(3 YOUR NOTICE OF C I,,3 Q. C �j
ON'ONEPICEI�NT. T t.3 fJ � '�- �
Unda penalties of Pu.I�Y.I declere thet I have rtad the f '� � '�- J Q. C�
areBoing Naice of Commenamrnt and 7hu the rscts ata&d in it are � .�- U m p u-
�^�a to the best of my know�edg�end bdief. n '�' � ,�, � Z O J
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I (i�ature o[Ownu or Lessee,or Owna's a I.essce's �- O i.� G •�•�
AuU�wiuL.7filcerlDirectodPannedMenager) � U� C»
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Si�atory'a Titl�ffice: ;t9 U) d J W� �C
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COUNTY OF .
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/ Publib:S1it of= ' n a \:� "`'+��e'.
PasonellY Knowr 1� OR Produced Identlfication �Neme:'�"_' _=`4�,•.°� .. . •; y,l�t� �.gt
Typo of Identification Ptoduced y-n r -�� 'p`:
,� N IQIAN R�MAN`i�y
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin �� �v"�1�
Owner's Name j Owner Phone Number •�
Owner's Address t`I l � Owner Phone Number �— —�
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS tQ�`1 � � LOT# �
SUBDIVISION 1�-� PARCEL ID� 'O • � ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED e NEW CONSTR 8 ADD/ALT SIGN Q DEMOLISH
INSTALL REPAIR �� ��
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCI'ION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK C.-�
BUILDING SIZE � 3q FOOTAGE HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � ���
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS [� ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
31GNATURE REGISTERED Y! N FEE CURREP Y/N
Address License# � �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —�
OTHER � COMPANY �t� C �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address f"'� J�S� License# � R �
RESIDENTIAL Attaah(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new canstruction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
SaniUary FacfliUes 8�1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attaah(3)complete sets of Build(ng Plans ptus 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 FaciHties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attaah(2)sets of Engineered Plans.
"'*"PROPERTY SURVEY required for all NEW consUvcUon.
Direct(ons:
Fill out application aompletely.
Ovmer 8 Contractor sign back of appiication,notarized
If over;2500,a Ndtice of Commencement fs required. (A/C upgrades over 57500)
" Agent(for the contr�ctor)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 �ewers 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" rRStrictions"
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
cont�actor 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 wiil 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 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, will be identified at the time of
permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prio� 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. Furthermo�e, 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, I
certify that I, the applicant, have been provided with a copy of the "Florida Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment 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'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
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 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 commenci�g construction. I understand that a separate permit may be required for elect�ical 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 viofate, 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, const�uction 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
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CE NT.
FLORIDA JURAT(F.S. 11 .03)
OWNER OR AGENT � CONTRACTOR
Subscribed and sworn to(or affirm before Subscribed and swom to or afflrm efore me
by bY
Who islare personally known to me or haslhave produced Who is/are personally knovm to me or ha asa�ve P����on.
as tdentlficatlon.
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�C� � Notary Public
Notary Public ' �
'��' F mrnission#EE 20 Comjni ion N�°::5 r``'�;- C�n EE 040520
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Name of Notary typed,prfnted or stamped Name of Notary pe , r s mp