HomeMy WebLinkAbout14-15272 CITY OF ZEPHYRHILLS " ,
, � 5335-8TH STREET
� �. (sis)�so-oo20 15 ,72��M
BUILDING PERMIT �
' �" ` '.� PERMIT INFORMATION LOCATION INFORMATION ' `' ,
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Permit N�umbe�: 15272 Address: 6909 FAIRBANKS DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1680
Improv. Cost: 2,460.00 �OWNER INFORMATION -` ' :::__�._ _ °
Date Issued: 5/16/2014 Name: GOFF RICHARD WILLIAM & NANCY LOU
Total Fees: 50.00 Address: 3422 WINTER WHEAT RD
Amount Paid: 50.00 KALAMAZOO MI 33542-4832
Date Paid: 5/16/2014 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S ' APPLICATION FEES
A.BARTLETT ROOFING OF C NTRAL F REROOF RESIDENTIAL 50.00
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� Ins ections Re uired = y
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL ,
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� 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: ilure to record a notice of commencement may result in your paying twice for
improvemen your pr erly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete P � s, Spec' cations Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
O CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED .
PROTECT CARD FROM WEATHER
�. ��crtYett �.00fi�g �f �Cer�t��.Y ,�'Yori��c, �r�c.
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C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
f the Lar est Oldest Most De endable
One o g , � p OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home White Commercial Rubber& Color Metal Roofing �g 13) 782-5585
' RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LICENSED - INSURED - BONDED (352) 523-1944
• MEMBER OF THE CHAMBER OF COMMERCE
& BETTER BUSINESS BUREAU • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(18,000)in the past 39 years, than the four local leading roofing companie co ined.
We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%.
` Date ��
Name
Address `
Phone
' DESCRIPTION AMOUNT
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ti President & er . a r oofing of Central FL, Inc. .
Sign: �
Richard C.Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. t81
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813-780-0020 City af Zephyrhills Permit Application Fax-813-�so-ooa�
Buitding Depaetment
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Date Roceived ' Phone ntact for Permltting —
Owner's Name Owner Phone Number
Owner's Address Owner Phona Numbar � u �
Fee Simple Tltleholder Name * Owner Phone Numb'er � �
Fee Simple Titleholder Address
JOB ADDRES� D �Gl�"r �iJ't � I LOT# ��
SUBDiVISION � � PARCEL.ID#
(OBTAINED FROM PROPERTY TAX NQTICE)
WORK PROFOSED NEW CONSTR ADDIALT 0 SIGN Q Q DEMOLISH
• INSTALL 8 R6PAIR
PROPQSEd U3E Q SFR Q Ct3MM � OTHER
TYPE OF CONSTRUC710N Q BLOCK Q RAME C� STEEL Q
DESCRIPTION OF W4RK
BUILDiNG SIZE SQ FOO E� HEIGHT ���
��������� VALUATION OF TOTAL CONSTRUCTION
QE�ECTRICAl. �� AMP SEFiViCE Q PROGRESS ENERGY [� W.R.E.C.
�PttlMBING �$> �
L
QMECHANiGA�. �$;� VALUATtUN OF MECHANICAt.tNSTA[.IATIC}N
L
[�GAS Q ROOFING Sf'ECIALTY �� OTHER
FINISWED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILQER COMPAHY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �i �
EIECi'RICIAN � COMPANY
� SIGNATURE RE�is7�Reo Y/ N FEE CURRE� Y/N
Address License# � �
P�UMBER � COMPANY
SIGNATURE � REGI$TERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICA[. � COMPAPtY
', S1GNA7URE REGISTERED Y/ N FEE CURRE� Y/N
� Address icense#
� t}TMEFt CO�UIPANY
' S�GNATURE REGISTERED Y/ FEE CURRE� Y/
� Address -�"� License# �
REStDENTiAL Attach{2}plat Plans;(2}sets of Building Ptans;(1}set of Energy Forms;R-4-W Permlt far new constructian,
Minimum ten(10)woricing days after submittai date. Required onslte,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects , , ' �
COMMERC1Ak. Attach(3}comptete sets of 8u3tding Plans plus a t�ife Safety Page;(1)se#of Energy Forms.R{?-W Pertnif for new construction.
Minimum ten(10)working days'.after submittal date. Required onsite,Constructfan Plans,Stortnwater Plans w/Silt Fence Installed,�,
Sanitary Facilities&1 dumpster.Site Work Permlt for aU new proJeets.All commercial requirements must meetcampliance
$IGN PERlYIIT Attach{2}sets of Eiiglneered Plans..
•`•"PROPERTY SURVEY required for all NEW construcUon.
Directions:
Fill out applicadon completely. �
Owner&Contractor sign back of application,notarized
tf over�2500,a Nottce of Commencement is required.;.:{A!C>upgrades over�7500)
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Agent(for the cont�actor)or Power of Attomey_(for the owner)would.be sa'meone with natarized letter from owner autharizing same
OVER'TNE COtJNTER PERM{TTIFiG - {Fronf oE Apptication Onty} =='
Reroofs if shingles Sewers ;Senrice Upgrades A/C � Fences.(Plof/Survey/Footage)
Drivsways-Not over Counter if on public roadways..needs ROW
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NOTICE OF QEED REaTRICTiONS: The underslgned under.�tands�that this.p�rm3E:may be sub�ect to"dee�"restricttons" M
which may be:more r.estcictive than County regutations. 'The undersigned assumes responslbflity for comp�iance with any
applicable deed restrictbns. � -� ; ., � ,
UNLICENSED CClNTRACTt►RS AND CCINTRACTQR RESPONStBIL1TIES: Ef,#tie ovvner has hired a contraator ar
contractors to undertake work, they may berequlred•.to be�l(censed In accardance vuith state.and�lacal regulat(ans. If the -
contfactar is not licensed as requtced by Eaw} both the owner and contracfor may; be cttsd for a misdemeanor viotation
under state iaw. If the awner or intended�contractor are uncertain as to�what licensing_requirements may apply�for the
� intended work, they are advised to contact the.Pasco County 8uilding Inspeckion D(vislan-L.icensing Sectlon at 727-847-
8009. fur#he�more, if the owner has h{rec3 a contractar or �ontractors, he is advised to have-the cantractar{s) sign
portions of the "cantractor Block° of this application for which they will be responsible. If yau, as.#he awner sign a� the
contractor, that may be an Indicatlon that he is not.properly licensed and is not enti#led to permitting privlleges in Pasco
County. � ' '
TRAN�PORTATIQN lMPACT/UTIlITIES IMPACT AND RESOURCE RECQYERY FEES: The undersigned understands
that Transportation Impact Fees and.Recaurse Recave.ry Fees may�apply�to.the construction of new buildings, change af
use in exisking bulldings, or expansian.of:existing':buildings, as speclfled in Pasco County Ordinance number 89-07 and
90-07, as amended. Ths undersigned also understands, that such fees� as:may�be�due,:witl.be ident�ied at the t�me of
permitting. It is further understood that Transporkation Impaat Fees and Resource Recov.ery Fe�s must be paid prior to
receiving a "aertificate of occupancy" ar flnat power release. :4f the,pro�ect does not invoive a certifiicate of occupancy or
final power reiease, the fees must be paid prlor#o permit issuance. Ft�cthermore, if. Pasco Couniy 1Nater/Sewer impact
fees are due, they�must be-pald prior to permit�lssuance-In accordance w(th appllcable Pasca'County ordinances.
CONSTRUCTIflN l.iEN 1.�►W{Chapter 713, Flar�c�a Statutes�as amend�d); if.vatuat�an af�nrork is�2,500.00 ar mare, 1
certify that I, �he applicant, have-been provlded with a copy� of the "Florida Constrvction Lien Law—Hameowner's
Protection Guide" prepared by the Flarlda Depar#me�t of Agricutture and Consumer Affairs. If#hs applfcant Es someone
other#han the"owner", i certify that i have abtained a copy of the above.descri�ed document°and promise in.good faith.to
deliver it to the°awner"prior to�commencemsnt. '
CONTRACTOR'SIOWNER'S AFFtDAVtT: i cettify that ali the infarmation in this appticatiott.is�accurate and that ail work
will�be done in campliance with all.appitcable laws �egulating construction, zoning and land deirelopment. Applicatian is
hereby made to obtain .a permit to do work and tnstaitation as Ind[aated. `t cert4fjr that no work or installatton has
commenced prlor to issuance of a permlt and that.all work will be perfarmed to meet standards of all laws regula#ing
constructian, County and City codes� zoning regulations, and land development regulations-in the jurlsdictian. ! also
certify thaf 1 unders#and that the regulations of other gavernment�gencies may apply�to the intended wotk, and fhak it is
my responsibility ta identiry�what:actions I must take to be in:.campllance. Such agencles include bwt are not limited to:
- Depatt�tent of Er�vironmental Profection-Cypress.Bayheads, Wetland Areas and Emrlronmerttally Sensit�ve
Lands,Water/Wastewater Treatment. ,
- 5authwsst Florida Wate� Nfanagement .D�strlct-Weiis, Cypress. -Bay.heads; Wetiand Areas, Aitering
Watercourses. '
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Depa�tment of Health 8� Ret�abllitative ServiceslEnviranmenfal Health Untt Wells� VYastewater Treatment,
Septtc Tanks. -
- US Envlronmenta#Protect�on Agency-Asbestas abatement.
- Federai Avlation Authorlty-Runways.
!understand that the following.restrtctions apply to the use of flU:
- �Use of fill is not atlowed in Fload Zone"V"unless exprassiy permitted.
- If the fill material is ta b.e used in Fload Zone "A", (t is understood #hat a drainage plan addressing a
"compensating volume" will be submlttecf at t�me af permftting which is prep�red by a professfonal engineer
Iicensed by the State-of Florida.
- If #he �!1 material is to be used in Flood Zane "A" in�connec�ion�wlth.a permltted building using stem wafl
� construction, i cartify that fiN�will bs used only.to fill the area within the stem wail.
- If fill materlal is ta be used In any area, I certify that .use of such fill will nat adversely affect adjacent
properties. If use of f�ll is found to adversely:affecf ad�acent properties� the owtter may be cited for violating
the conditians of the building,permi# Issued under the attacNed permit application, far lots less than one (1)
acr�which are elevated by flil,an engineered drainage pian is requlred,
tf 1 am the AGENT FOR THE OWNER, i;promise in goad fai#h to Inform the owner ofi#he permitting conditions set farth in
thls a�davik prtor to cammencing canstruction. I understand tha# a s�parate permlt may be required for electrical work,
plumbing, signs, wells, pooSs; air co.ndittoning, .gas.. or otk�er instatla#ions not,spec�ic�lly included-�n #he appl3cation. .A
permit issued shall be canstnued to be a Iicense to p�aoeed with the work and not as authority to.violate, cancel, alter, or ,
seE aside any provtsfons of the technIcal codes; nor shall tssuance�of a pecmit prevent the Bultdtrig Q#�1cla!fcom thereafter
requiring a conection af errors in�pians, canstructlon or violatlons af any.codes. Every permi#Issued shail tiecome invalid
unless the work authorixed.by such permlt is-commenced�.withtn sbc monkhs af permit tssuance, ar lf work authorized by
the permit is suspendad ar.abandoned for a-petiod of six{8)months after the time the�work�ls,commenc An e�ctensian
may be requested, ln writing; from the Building,Offlcial for a perlod.�not #o exceed nlnety�(90) days an ill demonstrate
�ust�fiable cause�for the enslon: If wortc ceasesrfor nine#y(90�consecutive daysr-the�ob�is consEder 6andoned.
WARNING TQ C1W ; YOUR.-FAlLURE�TO.=RE.C.ORD A.NOTIGE CtF COMMENCEM M `RESULT !N YI?UR
PAYING'tWIC F �IMPROVEMENTS Tt3 YC1Ui�PROPERTY. IP YO.U�tNTEND`TCi 0 �� ANCING�'CONSULT
WITH YOUR AN RNEY�B YOU � O�'ICE'O CE E T
FIORIDA J 17.03) - , - - . ._ ____- - - - - - --�-, ---- ---- . _ -
OWNER O G CONTRACTOR
Su�scrfbe d m to(or a efore me this Substxibed and swom to aifi ed e r� '
y �b
Who isl pe n r has/have produaed Who Is/are p ona� wn ave�praduced •
as iden�flca8on. as iden88catian.
Notery Pubflc Notary Public
r�%•:
GommissEon No. ���m 5� n. '� �; Commissian#FF 1 22
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°p`� Boridod ThN Ttay Fein Insumnce 0�85•7��g
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lVame of Notatry typed,pdnted or stamped Name of Not pe ,p n e or slamped
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