HomeMy WebLinkAbout14-15335 CITY OF ZEPHYRHILLS
5335—8TH STREET
; �� �sis)�8o-0020 5335
BUILDING PERMIT
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Permit Number: 15335 Address: 5539 6TH 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: 11-26-21-0010-06400-0011
Improv. Cost: 2,000.00 F . `�'"� `�""�' '`x�OWNER'INF_O:RMATION���`��`��:�'���;,�.�`<��=
Date Issued: 6/02/2014 y Name: PATEL SAEED & JENNIFER&SAMIR
Total Fees: 45.00 Address: 5615 GALL BLVD
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-3449
Date Paid: 6/02/2014 Phone:
Work Desc: REROOF REPAIR 45SQ BACK OF DUPLEX
��,.`�C.ONTRACT.OR S `. � ` _ ` � APPLICATION°FEES � ' �=y2�
WIDNER ROOFING INC REROOF RESIDENTIAL 45.00
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� �i - ��,?:-�.;� Ins ections Re uired = _ ' _
DRY IN ROOF INSP .
TAPE JOINTS�OOF IN�P
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 fi) 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."
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
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CITI;STATE,ZIP CITY,STATE,ZIP '
CUSTOMER ORDER N0: ° " �' SOCD.BY "� TERMS ` '" ' F.O.B. -� , , '� DATE ; . �
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Ip-SB40 T-06708/46721
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
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IDaI�Received G 3 �7� - (�S3-7
Phone ContacQ for Permitting p / -
Odvner°s i�ame � i(1 JT' ,EI��. Owner Phone fdumber
Owrner's�ddress J'��s b A/� 6� . Ovimer Phone Idurraber
Eee 5imple Titleholder ldame Ouvner Phone tdumber
Fee Simple Titleholder Address
.�o�a►�oR�ss �S �O �-S`� Lot# �
SUBDIbISIOfd PARCEL ID#
(OBTAINED FROAA PROPERTY TAX NOTICE)
HNORE(PFtOPOSED e ,NEW CONSTR B ADD/ALT 0 SIGN 0 Q DEMOLISH
�INSTALL REPAIR
�ROPOSED USE Q iSFR Q COMM 0 OTHER
TVPE OF�OIdSYRIDC�'10�1 0 'BLOCK Q FRAME 0 STEEL Q
DESCRIPTIOM OF HNORK i , �(- �S �
BUILDIRlG SIZE I SQ FOOTAGE 91EIGF4T
QBUILDING $ � VALUATION OF TOTAL COPISTRUCTION
DELECTRICAL $ AiVIP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ , _� p��2�
� �
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OMECHANICAL $ ���Q�- VALUATION OF MECHANICAL INSTALLATIOIV �
�GAS 0 ROOFING � SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
IBUILDER COflNP�4MV
SlG�VA'6URE REGISTERED Y/ fV FEE CURRE� Y/N
Address License#
�LECTRICIAfd CORflPAfdY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLURflBER COflflP9lidY
SIGRiATUFtE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MIECHAiViCAL COMPARIY
SIC'iWA�lDa3� REGISTERED Y/ N FEE CURRE� Y/N
4lddress License#
OTFIER �� \° CO�iPARlY �
SIG�4lTlDRE ��� REGISTERED Y/ N FEE CURRE� Y/N
�dd�ess .3�].� /-(� �� License# CC C' O,S 7"7�Z
E2ESID�WTIAI. Attach(2)Plot Plans;(2)sets of Building Plans;(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 Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMEf2CIAL 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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance
SIGfd PERIIRIT Attach(2)sets of Engineered Plans.
pOAAPROPERTY SURVEY required for all NEW construction.
Direct(ons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over�2500,a Notice of Commencement is required. (AIC upgrades over�7500)
" Agent(for the contractor)or Power of Attomey(for the owmer)would be someone with notarized letter from owner authorizing same
Ol/ER YE1E COUNTER PEltllfllTTlfdG (Front of Application Only) , .
Reroofs if shingles Sewers , Service Upgrades A/C Fences(PIoUSurvey/Footage)
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Drivewrays-Not over Counter if oii Public roadways..needs ROW ' .
F101'OCE OF DE�D R��'TRICTIO��: The undersigned understands that this permit may be subject to"deed"restric'tions" �
which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance vrrith any
applicable deed restrictions.
U�dLIC�id�ED CGiMT�C�O�t� �i�l� COHIT��Tf�R ����O�a1�t�1Y1��: Ef the owrner has hired a contractor or
contractors ko undertake work, #hey may be required to be licensed in accordance�i#h sfate and local regulations. if fhe
contractar is not licensed as required by law, bath the o�nrner and conkractor may be cited for a misdemeanor vialation
under state larnr. If the owner or inEended contractor are uncertain as to vuhat licensing requirements may apply for the
intended wark, they are advised to cantact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
8QQ9. Fur#hermore, if the owner has hired a eontractor or contractafs, he is advisecf to have the contracfor(s} sign
portions of the "contrac#or �lack" of this application far which they vuill pe respansible. If you, as the owner sign as the
cantractar, that may be an indication that he is not properly licensed and is not entitled to permi#ting privileges in Pasco
Counfy.
YFtAR1SPURYATI0F1 Ii1���C�'1lJ�IL1�'I�� YP�P�►�Y�►R9fD ���OUR�� �f�CO��RIf F�ES: The undersigned understands
that Transporfatian Impact �ees and Recourse Recouery Fess may apply to the construction of nevrr 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 dtte, wili be identified at the #ime of
permitting. It is further understood that Transporkation tmpact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate af occupancy" or final po�nrer release, If the project does not involve a certificate o#occupancy or
final power release, fhe fees mt�st be paid prior fo permit issuance. Furtherrrtore, if Pasco County Vt/ater/Sewer lmpact
fees are due, they must be paid prior fo permit issuance in accordance wi#h applicable Pasco County ordinances.
�Q�1�TRlJCTIQi� �.1��4 L�a�i!(Gh��t��'�'93, �lo���a��#a�ute�, �� amer�d�d�: lf valuation of rnrork is$2,500.00 ar more, i
certify that I, the applicant, have been provided with a copy of the "�Iorida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. lf ths applicant is someane
other than the"owner", I certify#hat i have obtained a copy of fhe above described documen#and promise in good faith to
deliver it to the"owner"prior to commencernent.
�t�i�Y�3ACTOfi�'S/Olfi/���'�A��ICt,��llY: 1 cer#ify that ai1 fhe informafion in this application is accurate and that ali work
will be done in campliance with all applicable laws regufating construction, zoning and land development. Application is
hereby made to obtain a permifi to da vuarlc and insfa{lation as indicated. 1 ce�tify that no uvortc or instaltation 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 regulatians in the jurisdiction. I alsa
certify that I understand that the reguiations of ather governrnent agencies may apply to the intended work, and that if is
my responsibility ko identify what actians I must take to be in campliance. Such agencies include but are not limited ta:
- Department af Environmental Protect9on-Cypress 8ayheads, Wetland Areas and Enviranmentally Sensitive
Lands, WaterNUastewater Treatment.
- Southwrest Florida 11Uater �tlanagement District-Wells, Cypress �ayheads, Vlletland Areas, A1terEng
Watercourses.
- Army Corps of Engineers-Seawralls, Docks, Navigable Watenrvays.
- Department af Health & Rehabi(itative Services/Environmental Heal#h Unit-We(ts, Wasfewater Treatment,
Septic Tanks.
- US Environmental Protecfion Agency-Asbestos abatem�nt.
- Federal Aviation Nufhority-Runways.
1 understand that the following restrictians apply to the use af fi11:�
- Use af fill is not alfawed in Fload Zon�"V"unless expressiy permitted.
- If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
°campensating vo{ume" �vill be submitted a# time of permiffing vuhich is prepared by a professianal engineer
licensed by the State of Florida.
- 1f fhe fi11 material is to be used i� Flood �one "A" in connection vtitith a permifted building using stem utirali
construction, I certify thak�II will be used only to fill the area within the stem wall.
- !f fiN material is to be used in any area, 1 cer#9fy that use of such fill wl!! not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propetties, the owner may be cited for violating
khe conditions of the building permi# issued under the attached permit application, for lots less than one (1)
acre which are e{evated by fill, an engineered drainage pfan is required.
If I am the�.('sIERIT�O��HE 01i1lI��V�, I promise in good faith 4o inform #he owner of khe permitting conditions set farth in
this affidavit priar to commenc'sng construction. 9 understand that a separate permit may be required for electrical uvork,
plumbing, signs, wells, pools, air conditioning, gas, or ofher installations not specifically included in the app(icafian. �
permit issued shall be construed to be a license to proceed v�rith the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nar shail issuance of a permif prevent the �uiltiing Official from thereafter
requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
unless Ehe vuork aufhorized by such permit is comrr�enced within six months af permi# issuance, or if wark authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. /�n extension
may be requesEed, in v►rriting, frorn 4he Building t�fficial far a period noE to �xceed ninety (90) days and wifl demonstrate
justifiabfe cause for the extension. If work ceases for ninety(90)consecutive days, fhe job is considered aba�doned.
ii�l�►�➢d16�C TO 01iii(�I�R: YC1U� ���H,.tY➢2� T�► ��GC1RD � I�OY'I�E �(� C{�i�li��iV�E���1T ti�Al' �.���[.T 1F� '�C}l��
�AYIiV(9 Y1iVICE fF0�2 V6�1P�OVEIIflfEb�T�YO VO�DR�P'tiDPER'�'S(. �I�YOV.Y IWY�I�D Yd� O�TAI� �M(V�►P9CI�If9, COR��l11L�'
�Y�1��Y�i'Y�Dl3�`t L�PI�D�Ii��16�f�ii1�►�°��3��������}�� ������i�iC9�P23�➢R-�it1�TiG�t-{3��Cy��ritity����t�i�. `�.'_ ._
FLORIDA JURAT(F.S. 117. 3)
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tJl{Vft1�F2�i2 At3E�T _�'��� GC1j11T#ZAGTt'��t �
Subscribed an�,yvnr.gto(or`affirmed)before me this Subscribed and sw o or affirmed)before me this
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Who 3stare p rsonally own ta me or haslhave produced Wha Isla persanally kn n to me or haslhave praduced
as identlficakian. as identification.
"—Note Public ��'�� ` ? Notary Public
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Name of Notary ped,printed or stamped Name of Notary ��' 'tei�°b�Jt�ti4�€�l���euo-sesao�s