HomeMy WebLinkAbout13-14653 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 /%��
BUILDING PERMIT
Permit Number: 14653 Address: 37117 FOXRUN PL
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: 03-26-21-0120-00000-0510
Improv. Cost: 2,500.00
Date Issued: 10/21/2013 Name: TESINI, SUSAN &ALLAN
Total Fees: 50.00 Address: 37117 FOXRUN PL
Amount Paid: 50.00 ZEPHYRHILLS FL 33542
Date Paid: 10/21/2013 Phone:
Work Desc: REROOF SHINGLE
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F NALJOINTS ROOF�Sp �,/
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when e�ctra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty wnstruction 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 properly 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
D2SCLOSURE S't'n'r'�•�.t�NT .EOR OWt�R
CZTY OF ZEPHYRI3IL7+S BUII�DING DEPAFt_'�'►�NT
_ • have read and fu11y understand aad
agree •to the provisions of �this instrument•
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by �_ said domicile, and same is not for
rent, lease or sale. That he or she shall comply �aith the following conditions:
1. That -the ovmer aad he or she alone sha11 act as the builder for a11 phases of
construction.
2. That tha owner wi11 comply with a11 provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcantracted, he wi11
engage only •properly licensed subcontractors and will personally supervise
such work.
q, 2'hat in the event the Huilding Inspector shall rei,;re corrections to be made,
the owner will assvme full responsibila.ty �to insure •they are made, and upon
completion will ca13 for a reinspecti.oa bef'ore proceeding with the building.
5. That the owner shall assume �fu11 responsibility for the coast-suction aad ari11
not expect_ supervision of his work from the City of Zephyrhills Building
Depart�ent.
6. fihat prior to final inspection any additional fees, ixscluding reinspection
feas, must be paid ia ful1. A v�sitten rsquest from this office sha11
constitute an official notice -to pay additional f@es.
7. That the ownes sha11 comply vrith a11 C.a-ty, State and Federal laws in regard to
social securi�y, workman's comperisatian, lien laws, etc. , where applicable.
B. That the own�r shall comply wit� all the safety codes issued by the Florida
Industsial Commissioa.
9. State 1aw rec�,;res construction to be done by licensed contractors. You have
applied for a permit under an e.xs�ption to t��at law. The exemption allov�rs
you, as the owner of your propesty, to act as your own contsactor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the const-suctioa yovsself. You may bvild or improve a
one-family or two-family residaace or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do aot exceed $25,000.
The building or residance must be for your ov�a use or occupancy. St may not
be built or substazitially imprcved for sale or lease. If you sel:l or lease a
bvilding you have built or substasitially improved yourself within 1 year after
the construction is complete, the laN wi.11 pres�e that you built or
substantially improvad if for sale or lease, which is a violation of this
ex�pti.on. You may not hire an unliaeas�d person to act as your contractor or
to supervise people ovorking on your building. It is your sesponsibility to
make svre that people employed by you ha.ve licenses re?,;red by state law and
by county or muriicipal liceasing ordinaaces. You may not delegate the
responsi.bility f'or supervising work to a licensed contractor vJho is not.
licensed to pexform the �vorlc beiag dnaa. Ariy parson working on your bui.lding
who is not licensed must work under your direct supervisioa and must be
employed by you, which means that you must deduct F.I.C_A. and vrithholding taa
and provide workers' comperisation for that employee, all as prescribed by law.
Yous constxziction must comply with a11 applicable laws, ordirlances, building
codes, and zoning re ations.
OWNER' S S2Q�,TURE j lT % DATE �� ! 2�- � �
ADDRESS (�
PHONE � ` �
W2TNESS PEFtt�T #
a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receiv�d Phone Contact for Permittin —
, �,_.,_,
Owner's Name ���t � �P�J) 1� � Owner Phone Number
Owner's Address ��� � � � ��,1 Vl C � Owner Phone Number
Fee Simpte Titleholder Name �— � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSTALLSTR 8 REPAIR � SIGN Q � DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��l' � c�V�i 11
BUILDING SIZE � SQ FOOTAGE HEIGHT
QBUILDING $ 2�O� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �YY�'LO(;�.�' uC.� `
SIGNATURE v 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
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
Minimum ten(10)wortcing days aiter submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciNUes 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans pius 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 8 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 construcUon.
Dlrectlons:
Fill out application completely.
Owner 8 Contractor sign back of appNcaUon,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
'" 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(PlotlSurvey/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 regu�ations. 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
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 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 aiso understands, that such fees, as may be due, wili be identified at the time of
permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or flnal 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 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
he�eby 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 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 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 AAAY 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 CO�NCEMENT.
FLORIDA JURAT(F.S. 117.03 �_�z, _
OWNER OR AGENT CONTRACTOR �
Subscribed and sworn to or afflrmed)before me this Subscribed and bwom to(or aflirmed)before me this
by Y
Who islare personally known to me or has/have produced Who Is/are personally known ta me or haslt�ave produced
as IdenUfication. as identification.
Notary Public Notary Public
Commissfon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped