HomeMy WebLinkAbout14-15382 CITY OF ZEPHYRHILLS r�'`'
5335-8TH STREET
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BUILDING PERMIT
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Permit Number: 15382 Address: 6134 10TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200-0240
Improv. Cost: 6,490.00 ' �,�f��'���:�;;��,0.'.W,NER�INF�ORM�TiION<<
Date Issued: 6/11/2014 � Name: VU THANH-VAN THI REV LIV TRUST �
Total Fees: 70.00 Address: 6134 10TH ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-3524
Date Paid: 6/11/2014 Phone:
Work Desc: REROOF SHINGLE
``�.�����.CONTRACTOR S. ` � � � P`>APPL-ICATION-�FEES � �����
A.BARTLETT ROOFING OF C NTRAL F REROOF RESIDENTIAL 70.00
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�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 resuiting
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 properly that
may be found in the p lic 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 ne : Your failure to record a notice of commencement may result in your paying twice for
improvem to our property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complet lans, pecifications st Accompany Application. All work shall be pertormed in accordance with
odes and Ordinances. NO OCCUPANCY BEFO C.O.
C CTOR SIGNATURE PERM.IT 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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� � C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home White.��,olpmer.cial Rubber& Color Metal Roofing �813) 782=5585
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RESIDENTIAL • COMMERCIAL • IVIOBILE HOME "� (813) 973-7737
LlCENSED - INSURED - BONDED (352) 523-1944
• MEMBER lJF 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/ocal leading roofing companle�combined.
We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%. `� �
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President �Owrner A:Bartle.tt-Roofing of Central FL, Inc.
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" I� � � THANK YOU
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Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Vllarranties 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. `� ` �`
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Rotten wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. �. � � �,��...''-
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
. Phone Contact for Permitting —
Owners Name U/ Owner Phone Mumber
Owner's Address � � Owner Phone Number
Fee Simple Titlehotder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED e N TALLSTft e REPAIR L"� SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q
, DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING Q VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
� 0
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � Z�
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURRE� Y/N
Address License#
ELECTRICIAfd COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address icense#
� OTHER COMPANY
SIGIdATURE REGISTERED Y/ FEE CURRE� Y/N
Address � License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constiuction,
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 subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Buildfng 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,Construc6on Plans,Stormwater Plans wl Si1t.Fence inslalled,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compUance
SIGN PERMIT Attach(2)sets of Engineered Plans. �
•••"PROPERTY SURVEY required for all NEW construction.
Directions:
Fili out application completely.
Owner&Contractor sign back of application,notarized
If over b2500,a Notice of Commencement(s 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 authorizing same
OVER THE COUNTER PERMITTING (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restricttve than County regulations. The undersigned assumes responsibii�ty for compEiance with�any
', applicable deed rest�ictions. ` ` �
� UNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: !f. the awner has hired a�..contractor ar
� contractors to undertake work, ttiey may be required to be licensed in accordanc�with sta#e and local �eguiafians. 1#the
� contractar is not licensed as required by law, both the owner and contractor may be cited.for a misdemeanor violation
i under state law. If the awner or intended contractor are uncertain as to what IRcens�ng requ�rements may apply for the
' intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at?27-847-
; 8409. Furthermare, if the owner has hired a contractor or cantractors, he is advised to have the contrackor{s) sign
� partions of fhe "contracfor Block" of this appliaation for which they wiQ be responsibte. if you, as the owner sign as the
, contractor, that may be an indication that he is nok properly 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 app#y to the construction of new buildings, change of
use in existing buildings, ar expansion of exisfing buildings, as specified in Pasca County Ordinance number 89-07 and
90-07, as amended. The unders4gned also understands, that such fees, as may be due, will be identifisd at #he time of
permitting. It is further undersfood that Transportation )mpact Fees and Resource Recovery Fees must be paid prior ta
receiving a °certificate of occupancy" or final power release. If the project does not invalve a certi�cate of occupancy, or
final power release, the fees must be paid prior to permlt issuance. Furthermore, if Pasco County WaterlSewer lmpacf
fees are due, they must be paid prior to permit issuance ln accordance with applicable Pasco County ordinances. �
CtaNSTRUCTIClN LIEN LAW{Chapter 713, Florida Sta#utes, as amendeii): If valuat4on a#work is$2;500.44 or more, !
certify that I, the appticant, have been pravided with a copy of the "Florida Gonstruction.Lien Law—Homeowner's
� Proteckio� Guide" prepared by the Florida Department of Agriculture and�Cansumer Affairs. If the applicant is someone
ather than fhe"awner", 1 certify that 1 have obtained a capy af the above described document and promise in good#aifh to
deliver it to the°owner" prior to cammencement. '
CONTRACTOR'SlOW(dER'S AFFIDAVIT: { certify that all the information in this application is accurate and fhaf all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application, is
hereby made to obtain a permit to do work and instaNatian as indicated. I certify that no work or instaflation has
cammenced prior fo issuance of a permit and that ali wark wiil be performed to meet standards af' all taws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cerfify thaf 1 underst�nd fhaf the �egulations of other gavernmenf agencies may apply to the intended work; and that it is
my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental ProtectEan-Cypress Bayheads, Wetland Areas and Environmentally Sensit9ve
Lands, Water/Wastewater Treatment. �
, - Sauthwest �lorida WaEe� Management District-Wells, Cypress .Bayheads, Wet(and Areas, Altering
'� , Watercourses. �
'� - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays. -
- Departmenf of Health � Rehabilitative ServiceslEnvironmental Health Unit-1Ne1#s, Wastewater Treatment,
', Septic Tanks.
- US Environmental Protecfian Agency-Asbestos abatement.
- Federal Aviation Autharify-Runways. _
i R unders#and that the following restrictions apply to#he use of fill; �
- Use of fli is not ailowed in Flaod Zone°V"unless expressiy permitted.
- If the fll material is to be used in Flaod Zane °A", it is understood that a drainage plan addressing: a
! "compensating volume" will be submitted at t�me af perrrtitting which is prepared by a professional engineer
licensed by the State af Flarida.
� - If the fill material is to be used !n Flood Zone "A" itt connection with a permitfed building using stem wall
consfruafion, I certify that fill will be used only to fil(the area within the s#em wat(.
, - If fil! material is to be used in any area, I certify that use of such fill will no# adversely affect adjacent
' ra erties. If use of fill is fountf ta adversely affect adjacent prope�ties, the awner may be cited fior vialating
� P p
� the conditions af the building permit issued under the attached permit application, for lots less than one (1)
i acre which are e#evated by frll, an englneered drainage plan is required.
� If I am the AGENT FOR THE OWNER, I promise in good faith to inform fhe owner of the permifting conditians set fortM in
this affidavit p�ior to commencing constructian. I understand that a separate permit mey be reyuired for elect�ical work,
plumbing, signs, we(is, pools, air conditioning, gas, or a#her instal)ations nat specificafly included in the application. A
permit issued shall be construed to be a license to proceed with the work and no# as authority to.violate, cancel, alter, or
set aside any provisians of the fechnicai codes, nor sha11 issuance of a permi#prevent the Building�fficial fram thereafter
requiring a correctioh of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by sucti permit is camrr�enced within six manths of per ' ance, or if work authorized by
the pe�mit is suspended or abandoned for a period af six(6) months after the ' fhe w is�commenced. An extension
may be requesfed, in writing, from the Suilding Official for a period not to_ ceed ninq y (90)�days and will demonstrate
jusfifiabte cause for the extension. If work ceases for ninety(90)canse i"ve days,the�job is.cansidered abandoned.
WARNING TO OWNER• FAiLURE TO RECORD A Nt3T E 4F CfJMM,E�NGEMENT'MAY RESUIT IN Y4UR
PAYING TWIGE FOR OV MENTS TO YOUR PROPERTY. YOU INT �D TO OBTAIN FINANCING, CONSULT
WITN YOUR LEND A ATTORNEY BEFORE RECORD! R N 'L CE OF COMMENCEMENT.
` FLORIDA JURAT(F. 7. } f . __ -_ __ _ , -
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OWNEEt OR AGE C RACTQR
� Subscrlbed and m t or med)before me ihis bscribed and s o (or afiftm }before me this
b
Who' are pe t e or haslhave produced o Islare perso I knawn ta m or haslhave praduced
tlfication. as identifscation.
Notary Public Notary Public
Cammission No. Commiss(on No.
Name of Notary typed,printed or stamped' Name of Nofary typed,printed or sfamped
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