HomeMy WebLinkAbout14-15645 CITY OF ZEP YRHILLS
,, 5335-8TH STREET
_ (sis)�so 0020 156 5
` � BUILDING PERMIT
PERNfIT INFORMATION LOCATION INFORMATION
Permit Number: 15645 Address: 7221 DAIRY RD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10300-0010
Improv. Cost: 2,280.00 OWNER INFORMATION
Date Issued: 9/11/2014 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 50.00 Address: 7050 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2014 Phone: (813)788-0411
Work Desc: REROOF 8 SQ GAF SHINGLES
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF COMMERCIAL 50.00
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Ins ection Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re,�a sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no�made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob ain financing, consult with your lender or an attorney
before recording your r�otice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances� NO OCCUPANCY BEFO C.O.
D ,�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR � FROM WEATHER
813-780-0020 City of Zephyrhill� Permit Application Fax-813-780-0021
Building epartment
Date Received+ a Phone Contact for ermitting 1 - O`I
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Owner's Name � 1 � Owner Phone Number
Owner's Address 5335 '� • �`� ✓� `'� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple 7itleholder Address
JOB ADDRESS I WI I 1 � (/�• ` `�� U LOT# �
SUBDIVISION PARCEL 1 # ~'���Z�� �VI O IJt�V rVV�V
(OBTAINED FROM PROPERTY TAX NOTICE) �
iNORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR � ��
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � �JI--' J I I�
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ ��(1 VALUATION O TOTAL CONSTRUCTION
V
QECECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E:C.
/
QPLUMBING $ ���
QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION (i��'S
QGAS � ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA �YES NO
-- BUILDER - -----—�COM ANY-- - -�- - ---
-- — --— ---- ---- -- —
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM ANY
SIGNATURE REGI RED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COM ANY
SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PANY YY�W� � O I�G
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
I Address �`-t 1� ��2 I License# C ��j2� J
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instatled,
> _ Sanitary F�cilities_8 1 dumpster,Site Work Permit for su divisionsAarge projects- - --_-- ---------
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. -
Minimum ten(10)working days after submittal date. Re wred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'"'PROPERTY SURVEY required for all NEW construc on.
Directions:
Fill out application completely.
� Owner&Contractor sign back of application,notarized
If over 5Z500,a Notice of Commencement is required. (AIC upgra es over 57500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage)
� Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: T.he undersigned undetstands that this permit may be subject to°deed"resttictions"
which may be mare cestricfive than Caunty regufations. The undersignec! assumes responsibility for carrfptiance with any
applicable deed restrictions. .
UNLICENSED GCINTRACTORS AND CONTR�4CTOR F��SPONSlB1LITIES: If the owner h�s tiired a contrac#or or
contractors #o undertake work, they may be required to be licensed in accordance with state and focal regulations. If the
coMractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor vialatian
under state law. If the awner or intended confractor are uncertain as to whaf {icensing requirements may appiy far #he
intended wark, they are advised to contac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the awner has hired a contcactor or contractors, he is advised to have #he contraator{S) sign
portions of #he "contractor Black" of this application far whiah they will be respansible. If you, as the awner sign as the
cantractor, that may be an indication that he is not properly licensed and 9s not entitled to permit#ing ptivileges in Pasca
County.
'PRANSPORTATION IMPACT/UTILITIES IfVIPAC�'AND RESOURCE RECOVERY FEES: The undersigned unders#ands
that Transpo�tatian Impac# Fess and Recourse Recovery Fees may appSy ta 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-Q7, as arnended. The unders'sgned aSso understands, that such fees, as may be due, w911 be ideRtified at the time of
�' permitting. it is further understood that Transpartafion Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certiftcate of occupancy" or�nal power release. (f the project doss not involve a ce�tifica#e of occupancy or
final power �elease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer impact
fees are due, they mus#be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUC'TIQN LIEN LA1�tt(Ghapter 713, �lor@da Statutes, as amended}: tf valuation af wark is$2,500.00 ar more, f
certify that I, the appiicant, have been provided wikh a copy of the °Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Fiofida Department of Agricuiture and Consumer Aifairs. If the appiicant is someone
other than #he"owner", 1 certify that ( have obtained a capy of#he above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTIZACTOR'S101NPIER'S AFFiC/AVIT: 1 certify that ail#he in#armation in fhis application is accurate and that 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 da work and instaSlation as indicated. i certify that na wark ar instal4ation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
conskruction, Caunty and City codes, zoning regulations, and land development regulations in the jurisdic#ion. i also
certify thaf I undersfand that fhe regulations of other government agencies may apply to the intended wroric, and that if is
my responsibility#o identify what actians I must take to be in compliance. Such agencies include but are not limited to:
- Department af Environmen#al Pro#ection-Cypress 8ayheads, Wefland Areas and Environmentafly Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Florida Water lVlanagement DiStCtGt-VV@IIS, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Heaif�t & Rehabilitative ServiceslEnvironmental Flealth Unif-Wells, Wastewater Treatment,
Septic Tanks.
- US Enviranmental Protection Agency-Asbestos abatement.
- Federal Aviation Authori#y-Runways.
I understand that#he follawing restrictians appiy ta the use of fili:
- Use af fill is not aliowed in F(ood Zone"V°unless expressiy permitted.
- If the fi!! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating �oiume° will be submitted at time of permiffing which is prepared by a professiona! engineer
licensed by the State of Fiorida.
- [f the fil! material is to be used in Flood Zane "A" in connection vuith a permitted building using stem wall
construction, I certify tha#fill will be used only to�II the area within the stem wall.
- If fill material is to be used 3n any area, I certify that use of such fill wil! not adversely affect adjacent
properties. if use of fill is found to adversely affect adjacent properfies, the owner may be cited for violating
the conditions of the building permit issued undet the attached permit application, far lots less than one (1)
acre which are elevated by fill, an engineered cirainage plan is required.
If I am the A,GENT FOR THE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set forth in
this affidavit priar to commencing construcEian. 1 understand tttat a separate pecmiE may be required for eEectrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaliy included in the appiicatian. 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 Officia4 from thereafter
requiring a correc#ion of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
unless the work autharized by such permit is camri�enced within six rnonths af perrr�it issuance, or �f work aufhorizec! by
the permit is suspended or abandoned for a period of six(6) months after khe time the work is commenced. An extension
may be requested, in wri#3ng, from the Building Ufficial far a period not to exceed nEnety {90) days and wil! demonstrate
- -justifiable-cause-for-the-extension.-tf-work-ceases for ninety-(90).consecutive_days, the job is considered abandoned.. _ � _� __
WARN{NG TO OWNER: YQUR FAIlURE TO RECORD A NO'TICE UF CC?NIMENCENlENT MAY R�SULT 1N YtaU12
_ __PAY_l,N.G TV1fICE_�OR 11VIPROVEIIAENTS,TQ YOUR PROPERTY. .IF YOU INTEND TO OBTAIN FINANCING, CONSULY
VitITN YOUR LENDER C}R AN AT�'ORNEY BEFORE RECaRDING YOUR NOTiCE CtF COIUIl1�ENCE�f1E(+tT: — � -� -
FLORIpA JURAT(F.S.117.03) '
UWNER OR AGENT CQN'FRACTOR�L J
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or afflrmed}before me this
by bY
Who islare personalty(cnown to me or hasthave produced Who islare personally known to.me or haslhave produced .
as idenUfica#ion. as identifica6on.
Notary Public Notary Publio
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Nokary typed,printed or stamped