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HomeMy WebLinkAbout15-15995 CI OF ZEPHYRHILLS L � , __ , 5335-8TH STREET - (si3)�so-oozo 15995 B ILDING PERMIT PERMIT INFORMATION , LOCATION INFORMATION - Permit Number: 15995 Address: 4748 18TH 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: 14-26-21-0010-02600-0120 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 2/09/2015 Name: WORNER MICHAEL & LEE Total Fees: 45.00 Address: 4748 18TH ST Amount Paid: 45.00 ZEPHYRHILLS FL 33542-6032 Date Paid: 2/09/2015 Phone: 813-898-9890 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES ME NER REROOF RESID NTIAL 45.00 � � _ lp �lS ��� Ins ections Re uired, DRY IN R OF INSP TAPE JOINTS ROOF INSP,� FINAL � -�� �L S REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d) work not ready for inspection when called e) permit not post d on job site t) plans not at job site g)work not accessible. NOTICE:�In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, nd there may be additional permits required from other governmental entities such as water ma agement, 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 inten to obtain financing,consult with your lender or an attorney before r din your notice of commencement." Complete Plans, Specifications Mus ccompa y Application.All work shall be performed in accordance with City Co s and Ordi ances. NO OCCUPANCY BEFO C.O. � CONTRACTOR S NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION I CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED '� PROTECT CARD FROM WEATHER � f 813-780-0020 City of Ze hyrhills Permit Application Fax-813-780-0021 Building Department � ..i. Date Received ' ,� � IS Phone Co tact for Permitting — i n, ,p Owner's Name (j Ci Owner Phone Number � �� � � � Own�er's Address y� 7� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � � ��a ' LOT# � SUBDIVISION PqRCEL ID# WORK PROPOSED NEW CONSTR A ID/ALT � SIGNINED FR�OM PROPERTYT�ncel DEMOLISH eINSTALL B R �PAIR PROPOSED USE Q SFR ,. � C MM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q DESCRIPTION OF WORK � �' L D � BUILDING SIZE SQ FOOTAGE HEIGHT �BUILDING $ � /�Q� VALUA ION OF TOTAL CONSTRUCTION l/ QELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � l �� OGAS � ROOFING Q SP CIALTY � OTHER FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO BUILDER COMPANY i D� v SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN 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 EGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER OMPANY SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et 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 Pertnit f r subdivisionsflarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction. Minimum ten(10)working days•after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit r all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plan's. ' "'•PROPERTY SURVEY required for all NEW cons ruction. _ Directions: Fill out application completely. Owner 8�Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC u rades over$7500) " Agent(for the contractor)or Power_of Attomey(for the owner)_woul be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING, � '(Front of Application Only) Reroofs if shingles Sewers Service Upg'rades A/C Fenc s(Plot/Survey/Footage) - - • • . - ,. _ � , Driveways-Not over Counter if on public,roadways..needs'f�OW • ' �- � . ' � __; NOYICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. � UIdLICENSED CONTRACTORS AND CONTRf�1C70R RESPONSI�ILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance writh state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is n0i entitled to permitting privileges in Pasco County. 'fRANSPORTATION IMPACT/UTILITIES IMPAC'T AND RESOl1RCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to 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 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the°owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. COfdTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this 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 do wrork and installation as indicated. I certify that no work or installation 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 regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Healtli Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection.Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:� - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone °A° in connection with a permitted building using stem wall construction, I certify that fill will 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 for violating the conditions of the, building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by�II, an engineered drainage plan is required. If I am the�►GENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for 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 will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OV11fVER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT flflAY RESULT IN YOUI2 F'AYING TWICE �OR IMPROVEMENTS TO YOUR P�i PERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT'H YOUR LENDER OI2 AN A _ ORNEY BEFORF�RECORDING YOUR NOTI F OMMENCEM , FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR � �ub cribed and�wo to aff'i e�,1)be ore �th �� Subsc�b�Snd b�om o(or a ir befo�e i� � -�l-�s b � z- ry Who islar ersonally nown to me or has/have produced Who /ar�p ersonally�Cnown to me or has/have produced ' �C as IdenUfication. �� d�1K_r��r( P�2 u�a as identification. �` �- Notary Public J�-2._ �v Notary Public Commisslo N Com f ••:•'.PY'^ya;.,. JACQUELI BOGES ;,;� •;.; om ���(!�Y':B�i JACQUELINE BOGES ;�a. .�o: Expires December 12,2018 Name of No jtr d:,PrlGi�drai6� Name of Notary e ;�tri�►'d P" ;; •a: Expires December 12,2018 ' �'�.�„Pd��°Q'� BondedThmTroyFainlnsurance800.785d019