HomeMy WebLinkAbout13-14678 CITY OF ZEPHYRHILLS
5335-8TH STREET
� • (sis)�so-oozo 14678
BUILDING PERMIT
Permit Number: 14678 Address: 6703 PISTACHIO 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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0240-00000-0050
Improv. Cost: 6,187.50
Date Issued: 10/29/2013 Name: GLOVASKY, GERALD & SCARLET
Total Fees: 70.00 Address: P.O. BOX 1562
Amount Paid: 70.00 TROY MI 48099-1562
Date Paid: 10/29/2013 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF I S�J P _
FINAL_ //�"���1��_�__
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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 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Aocompany Application.All work shall be pertormed in acaordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
,�cs._ �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
d„-'��""1O City of Zephyrhills Permit App�ication Fax-813-780-0021
�i("���-���d �-� Building Department
�O� Ip �f�SS w�'�'� Cirt,` -Zc l. rc,.,�\S
Date Receivcd � M �r
Phone Contact for PeRnittin �
OMrner's Name 't- � '�Q,S Owner Phone Number
Owner's Addresa � Owner Phone Number
Fee Simple Titleholder Name -� Owner Phone Number
Fee Simple Titieholder Address -.
J08ADDRE33 b�O � ��O S� � (^��� f�- 33S1 LOT�k ��
SUBDNISION D i'��w� �C Ow u PARCEL IDN � (o - Z� � (�a R-QQQ�Q ' �O �
t�{�4�G (OBTAINED FR�OM pROPERTY T�rcEl DEMOLISH
1MORK PROPOSED NEW CONSTR ADD/ALT �� SIGN
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Q�,�C� �('� � �� � ��S f�,�� [_ / S ��
..W.�.
BUILDING SIZE s' SQ FOOTA(iE HEIt3HT
QBUILDING S VALUATION OF TOTAL CONSTRUCTIO t0 I�� � ��
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� ► ���
QGAS Q ROOFING Q SPECIALTY [_] 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
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa License# -�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER 7 COMPANY �� � 1�.�,�
SIGNATURE REGISTERED / N FEE CURRE� Y/N
Addross ( � til�i�+U rL ��j�.b License# � �S
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction,
Mi�imum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater P�ans w/Silt Fence instailed,
Sanitary Fadlitles d�1 dumpster;Site Work Pennit for subdivisions/large proJects
COMMERCIA� Attach(3)complete sets of Bullding Ptans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)w�orkfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed.
Sanitary Facilitles d�1 dumpster.Sfte Work Permit for all new proJects.All commercial requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
"'"•PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out applicatlon completely.
Owner 8 Confractor sign badc of applicaHon,notarized
Ii over i2500,a Notice of Commencement Is roquired. (AIC upgredea over t7500)
" Agent(for the contractor)or Power of Attomey(for the owner)virould be someone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Drivewaya-Not over Counter if on publ(c 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 responsibflity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take 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 misdem�anPop y iolation
under state law. If the owner or intended contractor are unce�tain as to what licensing requirements ma a I 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 entiNed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understan s
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 prio� to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with appllcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda 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
P�otection 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 do�e 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 perfo�med to meet standards of all laws regulating
construclion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce►tify 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 Nealth 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 1he fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I ce�tify 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 prio� 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 plat►s, 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 permft issuance, or if work authorized by
the pe�mit 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 IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINT, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O
FLORIDA JURAT(F.S. 1 03) ��
OWNER OR AGENT,��"'+�"`�� �'� CONTRACTQR�
Subscribed and swom to(or aflirmed)before me thls Subscrlbed and�swom to(or affirmed)before me thls
by by
Who islare personally known to me or has/have produced Who is/are personally known to me or haslh identlficad�n.
as Identlficadon.
Notary Public
Notary Public
Commission No. Commission No.
ry tyP P Name of Notary typed,printed or stamped
Name ot Nota ed, rfnted or stamped
10/16/2013 16:03 3525889763 SBR ROOFING PAGE 01
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