HomeMy WebLinkAbout13-14828 . CITY OF ZEPHYRHILLS
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BUILDING PERMIT
Permit Number: 14828 Address: 5153 16TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19500-02A8
Improv. Cost: 2,200.00 Name: LOPEZ, MORRIS III
Date Issued: 12/20/2013
Total Fees: 50.00 Address: 2701 W BUSCH BLVD STE 210
Amount Paid: 50.00 TAMPA, FL 33618-4578
Date Paid: 12/18/2013 Phone:
Work Desc: RE-ROOF WITH PEEL & STICK TIMBERLINE HD GAF ASPHALT SHINGLES
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TAPE JOINT OOF INSP -
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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 f) pians 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 performed 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
Dec 20 13 12:27p JACOBS'ROOFING INC. 863-956-8080 p.2
Pro�nosal/Contract
JA CC)BS'' R�OFING, INC.
Roo�ng eontractors Licensed and Bonded
2216 John,'Koore Road Insured State License
Brandon, Florida 33511 #CC'C058295
Phone: (813) 684-0701 Mobile: (813) 917-4698
To;Zephyrhills Building dept t Francis Jacobs Presideni of Jacobs'Roofing due here by authorize Frank Connolly to
pick up the roofing permit for 5153 l6th street Zephyrhills FI. For Jacobs'Roofing Inc.Thank you&Merry Christmas,
Francls Jacobs Pres.J.R. ja�f��a�f�
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received �-- �— phone Contact for Permittin ��� Q� __
Owne�'s Name l '�� �(� eZ,. Owner Phone Number
Owner's Address �'- Owner Phone Number �
Fee Simple Titleholde�Name � Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �I �� "� ��R-'E�� LOT# ��
SUBDIVISION PARCEL ID# I I ��'��'"�I — I� —Qa f�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q �] DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTIONOFWORK Re��- (a;�k. �,Gt�S3r?�1L,k�("��,,ebetZ.��l 1�� C,-A.k RSpha\�r-S�-�,,� �e5,
BUILDING SIZE SQ FOOTAGE�� HEIGHT . ^
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BUILDING $ ��� �-VALUATION OF TO�AL CONSTRUCTION � 1`��� � � ; � U
f.,_��
1 � l ly �.._ a
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QELECTRICAL $ AMP SERVI �, PRO �SS E1V6�_� W R.E.C,�.--7
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QPLUMBING �^(
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QMECHANICAL $ �.. AL N OF MECHANICAL INSTALLATI �G��, � , �
� '7o/ f��.� � ;
OGAS Q ROOFING Q SPECIALTY � OTHER C.- L �
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ;� ,'�
BUILDER � COMPANY ��S + �►"�
SIGNATURE REGISTERED Y/ N FEE CUR 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# C
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— —�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C —1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Permit for subdivisionsflarge 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 construction.
Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY requfred for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,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 autharizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pubiic 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 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 properiy 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 further 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 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 ce�tify that all the information in this application is accurate and that all work
will be done in comptiance 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 �egulating
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 8� 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
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OW�VEF�: 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 ORNEY B FO E RECORDING R NOTICE COMME E N .
FLORIDA JURAT(F
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S m to or affl ) e m is
ed and s 4 (or affirmed)b fo e me this .. ; - by � � � '' ->1�� � --
by Who is/are ersona known to m or as/h ve roduced .
Who islare pe�sonally known to me or haslhave produced �� -�� . a identiflcation.
as identlficatiQn. ��
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_ �/'Cf� ry Public
Notary Public _ .
Commission
Commission No. Y"" BOBBIE S.SWETLAND
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Name of No ' � �r�ll169�ib�P�22�2016
Name of Notary typed,printed or stamped gp�dlTwTrq,FainMwronte800�3&5-7019
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Dec 18 13 12:35p JACOBS'Roofing Inc. 863-956-8080 p.2
Proposall Co�itract
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