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HomeMy WebLinkAbout14-15359 i CITY OF ZEPHYRHILLS > 5335-8TH STREEf " (s13)�$0-0020 1 5 9 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15359 Address: 38803 6TH AVE 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: 11-26-21-0010-14000-0100 Improv. Cost: 700.00 OWNER INFORMATION Date Issued: 6/06/2014 Name: TOWNSEND TROY JR & SHIRLEY ANN Total Fees: 40.00 Address: 38803 6TH AVE Amount Paid: 40.00 ZEPHYRHILLS FL 33542-4310 Date Paid: 6/06/2014 Phone: 813-779-8075 Work Desc: REROOF SHINGLE �- - r,�.�,e� i�'�w�, CONTRACTOR S APPLICAT ON FEES HOMEOWNER REROOF RESIDENTIAL 40.00 � Ins ections Re uired DRY IN ROOF INSP TAPE JOIN�S RO _Ify,S � 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: 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, S ecifications M'u�E Accompany Application.All work shall be performed in accordance with City C �es and Ordinances. NO OCCUPANCY BEFO C.O. : - NT RE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ` \ 813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 - Building Department . � Da4e Received Phone Contac4 for Permitting __ OveneP's R1ame � � ' Oevner Phone fdumber 3° � Owner's�,ddress `� �j r � �L 'ZO�nmer Phone Murnber �l�^ ���� Fee Sim�le Titleholder R9ame � ' � � � Ov�rne��hone fNumber Eee Simple Titleholder Address JOB c4DDEtESS � LOT# �� SUBDINI�IOM PARCEL ID# (OBTAIMED FROM PROPERTY TAX NOTICE) WOR4t P6tOPOSED e NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH INSTALL REPAIR PROPOS�D U5E Q SFR Q COMM 0 OTHER NPE OE COfdSTRUCTIOf� Q BLOCK Q FRAME � STEEL Q D�SC(tlPTIOR!OF lMORK � �U9L.DlPdf�SiZE SQ FOOT�4GE � � FIEIGFOT �, !� � OBUILDING $ ' � VALUATION OF TOTAL CONSTRUCTION �� �ELECTRICAL $ AMP SERVICE �ROGRESS ENERGY Q W.R.E.C. OPLUMBING $ ��� `/ � r OMECHANICAL $ VALUATION OF MECHAiVICAL INSTALLATION •('�,"I �� OGAS Q ROOFING �SPECIALTY 0 OTHER �,� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES tV0 1 / , y' , 18UIL � _ _ _---° / / _.____-_- -- -COflflPE► � SIGidATUR� - ';`�rr� ~� REGISTER� Y/ N FEE CURRE� Y/N Address License# �LEC'PRICIAiN COflfl�A�Y SIGV�ATUFtE REGISTERED Y/ �V FEE CURRE� Y/N li / Address License# PLUi1flBER GOfNiPAR1V SIGfdATiJRE REGISTERED Y/ N FEE CURRE� Y/M �ddress License# tUIlECF0AV�0CAL CORFIPAWY i SIG�ATURE REGISTERED Y/ M FEE CURRE� Y/N , dddress License# /� OTHER COiUIPARiV SIGR141T17RE REGISTERED Y I N FEE CURRE� Y/IV Address License# RESIDEfdTIAL 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 Facflities 8�1 dumpster;Site Work Permit for subdivisions/large projects COfYIBAEi2C1AL 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 aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGfd PEF�MIY Attach(2)sets of Engineered Plans. •""PROPERTY SURVEY required for ali NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized !f ove��2500,a Motice of Commencement is required. (A/C upgrades over$7500) '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ONER'�HE COURITER PERMITTIidG (Front of Application Only) Reroofs if shingles Sewers Seryice Upgrades A/C •.Fences(Plot/Survey/Footage) ' ' Drivevuays-Not over Counter if on public roadways..needs ROW - �--�--- - - � PIOTiC�C11F �EED RESTRICYI�IdS: The undersigned understands#hat this permif may be subject fo"deed"resfricfions" which may be more restrictive than Caunfy regtalations. The undersigned assumes responsibiiity for compliance with any ; applscable deed restrictions. U�lL.lCfEN�ED CONTR�IC7'ORS A�l1D COPl��A��'Ot� RESPOPl�1�lLITIES: If the owner has hired a contractar or contractors to undertake work,�they may be required to be licensed in accordarice with state and lacal regulatians. If the contractor is not licensed as required by law, both the owner and con#racfor may be cited for a misdemeanor vioiation under sfate law. if the o�ner or intended contracfor are uncertain as #o wrhat iicensing requirements may appfy far the intended rn�ork, they are adVised to con#act the Pasco County Building Inspection Division—Licensing Section at 727-847- 8QQ9. Furthermare, sf the owner has hired a contractar or contractars, he is advised ta have the cantractor(s) sign portions of the "contractor Block" af this application for which they will be responsible. If yau, as the owner sign as the cont�actor, that rnay be an indicatian that he is not properly licensed and is not entitled to permitting privileges in Pasca Counfy. TRAIVS�ORTATION IP4�FA�'�JU7iLITli�� IiW��►��'�ii�D Ri�St�UIRC� R(�GO��RY F�i�S: The undersigned understands thaf Transportatian Impacf Fees and Recau�'se Ftecovery Fees may appiy to the construction of new buildings, change of use in existing buifdings, ar expansion af existing buiidings, as specified in f�asco Coun#y Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due,.wil! be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must:be paid prior ta receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or finai pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac# ! fees are due, #hey must be paid prior ta permit issuance in accordance with applicable Pasco Caunty ordinances. CON�T'Rt1GTiUN i.4IEN1 L.A�1l(Ch��atee�'�3, f�la�id��tatutes, as arrt�nded?: if valuation a#work Rs$2,500.00 or more, ! certify that I, the applicant, have been provided �ntith a copy of'the "Florida Constcuction l.ien Law—Homeowner's F�rotection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If#he applicant is someone ather than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith ta deliver if to the"owner"prior to commencemen#. CONTRACTt3R'S/O{AIN�R'��,iFF1DAVIY: 1 certif}r that alt fhe informafion in #his application is accurate and that ait work wrilE be done in compliance with a!1 applicabte (ar�rs regulatirtg construction, zoning and land develapment. ApplEcatiorr is hereby made to obtain a permit to do wrork and installation as indicated. ! certify that no vuork or installatian has commenced prior to issuance of a permit and that all work v�rill be performed to meet standards of all laws regula#ing construction, Caunty and City codes, zaning regulations, and tand development regulations in the jurisdicfian. Q also certify thaf I undersfand fhaE the regulatians of other government agencies may apply to the intended worfc, and fhat if is my responsibility to identify what actions 1 must take to be in campliance. Such agencies include but are nat limited to: - Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive l.ands, WaterNVastewater Treatment. - Southvue'st Flvrida Water il�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps af Engineers-Seawalls, Docks, IVavigable Wafervvays. - Department of Neaifh & Rehabifitative Services/Enviranmental Heafith Unit-Wells, Wastewater Treafinent, Septic Tanks. - US Environmenta{Protection Agency-Asbestos abatement. - Federa!Aviation Autharity-Runuvays. ' .- ! understand thak the following restrictions apply ta the use of fill:� , - Use of fill is not allowed in Flaod Zane"V"unless expressly permitted. - If the fili material is #o be used in �load Zone "/�", it is understaod that a drainage plan addressing a "cornpensating volume" will be submi#ted at tiene af permifting vwhich is prepared by a professional engineer iicensed by the State of Florida. � - If the fill material ss ta be used in Flood Zone "N" in connection v�ith a permitted building using stem v�rall construc#ion, !certify that fill wi!! 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 far vioiating the condifions of the bui(ding permit issued under the affached permit applicatian, far lats �ess than one (1} � acre which are elevated by fiil, an engineered drainage plan is required. � tf!am the AG�NT FOR�'H�O1fifYVEi�, f pramise 4n good faiEh to inforrr�the owner of the permitting conditians set forth in this affidavit prior ta commencing construction. ! understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other ins#allations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authori#y ta.violate, cancei, alfer, or set aside any provisions of the technical codes, nar shall issuance of a permit prevent the �uilding C}fficial fram thereafter requiring a correction of errors in plans, canstruction or violations of any cades. Every petmit issued shall become invaiid uniess #he work authorized by such permit is commenced within six mortths of permit �ssetance, or if work authorizec! by the permit is suspended ar abandoned far 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 vvill demonstrate justifiable cause for the extension. If work ceases for ninery(90)consecutive days, the job is considered abandoned. WARiVt(d+� �"t3 OWP1�R: YOIIR �AILU E TCl R�C�RD A PIOTICE OE COM14��NG�H1fEWT ti�A ESULT tPl YC?U�2 PAYBiVCs TW10E FCtR 1�11PRC?`tE14��H1 TC!YOUR�f�O�ERTY, t�YOU lP11'EN T4 QBTAIN F A..1+1ClNG,CONSl1LY tfi�tT'H`YQtlR�END�R O P►�1,�iY�" � W�Y�E�C1��f��CUR�Dl�IG YQllR ~.C�Oi�COf�I 'CEf�iIEPlT. - --- ---- -----�-- FLORIDA.IURAT(F.S. 117 0 ' j�f0l�lPdER 4R . �� '--- �',-�--�..� �QPlTRA Q!� ' - Subscrtbed an bswarn or a �d)bg re me t� 1 ubscribed an bY med be me this Who fslare personally kna o me or hasJha�e praduce � Wt�o Istare personalty k own ta e or haslhave pro uced as IdenUfication. as identlfication. ,,,��, ' '��s��� Notary Pubtic .•.•'"Y P,,,., Nofary Pubfic — �L. .��,� :,-, I�ELI�€�9�E`� � , Com I�sI� "� ���mmission#EE tk�{}520 =*: �' Commission# " � Commission No :f: :�. E�040520 �= ��'�P��.�P� I+�rcic:i°hNTroyFaUlnsurance800�385-7019 ' +y'�R��ii�e�~, Bunded7lwT F , 4 i r �°��"���7US9 Name o(Notary typed,printed or stamped Name of Natary typed,printed or stamped • i i I s � DISCI,�SURE S •N'I' .F�R C7Wt�R. CZfiX OF ZEPF3�,',RFi2I�+S "StTII�DZ23G DEPARTi�2�I' =r ' have reaci arsd fully undPrstand and agree to the provisions o� �this instrument. .The undexsigned .states and aff.irms that he or she is desirous of corsst�ucting, renovatisxg, addirsg to ,or s�eroo�iag his or her owzi dom:icile, •that he or she � actually occizpi�s, or wi11 oacupy by said damic3:le, and same is not �or •resit, lease or sale. That he or she sha11 comply wi-�h the fo13.Qwi,iig coadi-�.i.ons: 1. �'ha� �he awnes azid.he or she alone sha7.l aat as -�h� buil.des fas aIl phases of construct.ion. . 2. Tha� th� owu$r wix.Z. comply with a11 provisians a� th� City af Zeph�zhills orcLixaances and codes perttsiesit to t�'ie bus.ldi.xy.g. 3. Tha� in the event various phases of constsuct.ion are subcontra�ted, he wi11 engage oxzly •propesly licensed subcnntsactQrs and wi1Z personal�.y supervise such wor]c. 4. �hat in the event the Building 'Insgeator sha1Z require eosrea�.ions ta be made, -the ov�mes will assume full responsibilit.y ta insure •they ase made, and upon� compl�tion will cal'3 for a rei.z��-pect.ion before psoceeding arith the building. 5. fiha� the ovmer sha3.1 ass�e full responsibi3.ity for the aons�ruction and wi12 not expeat_ supervision of his work from the City .of Zephyxhills Building Dep�si�erzt. 6. Tha� priar to firxa.l ixzspection aay sddi'�iana.l fees, including =einspection fees, must be paid in fu1�.. A written xequest fsam �sis affice shall constitute ari off3,cial, not�.ee '�o pay addi.tzoz�a.I �ees.. , 7_ Tha� the own�r sha11 comply with a1l Ci'Cy, State and Fedezal laws ia reC�3Ld to social aeeu.t�.ty, workman's eampensation, 1a.en 2aws, ete. , where applicable. 8. �• That the ownez sh�11 �omply wi�h all t�e sa�e.ty �odes issued b'� the Florida Industr�.a1 Cossimission. 9. 5tate 1aw re�,;Tes corsstructiosa. to be dane by licensed contractors. You have applieci for a pesmit vudes an �.xemptz.on to that law. The exe.mptian allows you, as the awner of yaur PropC=Sty, to, act as your owx�. coritractar �rith e¢*-+�_;*+ restric'k.�.ons even though you da no� hav�c a license. You �,ust .prov�.de 3irect onsi�te supe=v3s�.ozz o� the aoastrsxction yourself. You may bvild a� imprave �. one-family or two-famsly sesidence or a farm outbuilding. You may alsa build - �r improve a commercial bxzi.ldisig, provided yaur costs do rxat eacceed $25,000. , The buiZ.ding ar resi.dence•must be �or yovr oFrn use ox occ�upancy. .It may not be built or subs�antially 3.mpraved for sale ar lease. I� you sel:l or lease a bu3.lcling you ha.ve built or substaa�.'i.a1�.y i�soved yotzzself withi.n 1 yeax� af�er the constsucta.on is camplete, �he law w3.11 p�esume •that you .built ar substarl�ial2y impsovad �if f'or �a1e or lease, which is a viclat.�.on af thi.s exemptic�ri. You may aot hise ari unlicensed gl@rson to act a"s yaur coatsactot or to supesvise people �,aasking on your building'. It is your respoasibility to make sure that people e�ployed by you have Z�.eenses rez,�sed by state law azid • by coun�Gy or mun3.aipal liceasi.rig ord�.a�ces. You may not delegate the . responsibila.�y foz superv�.sing work to a ls.c�s�d contractor wha is AO'�. 1ice�nsed to perform tki,e woxk b�g deae. Ar�y p�sson worki.zig on your ba�ilditig who is uat 1a.cQn9�d must vrork vn� yoiz�c c7iract super�crision arid must bc. employed by you, which meaxis that you �ust deduct �'.I.C.A. arxd wi�sholc'#,�.ng tC�IX and prova.de workers' comp�nsa 'oa £cir " t �mplayee, a11 as p�escribed by 1aw. Your aanst-suation must compl with . agpl�.cable lavzs, a��ces, building codes, ar�.d zoning regul 'o s. � � awr��j s s�craA. �,�...�� n� �,�r`--r— ADDRESS r,.� .., ' ' PFit32tTE ,"_. W2TNESS ' PEI�T # .