HomeMy WebLinkAbout03-2025
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2025
ermit Num er: 2 25 Issue : 03
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 4,050.00 Total Fees: 55.001
Amount Paid: 55.00 Date Paid: 4/28/2003 I
ress: 5 48 E
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-006B-00000-0080
Name: GAVIN RO FING
Addr: P.O. BOX 1363
DADE CITY, FL 33526
Phone: (904)567-5034 Lic: RC 0046241
Work Desc: RE-ROOF
NAL
5648 BEECH ST.
ZEPHYRHILLS, FL. 33540
Phone:
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
~/ - -~-~
k CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
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CONDI'I'IONS OF PERJ.lIT AFFIDAVIT
A. NO'l'ICE OF' DEED RES'l'RICTIONS
'l'he underl:iigned understands that t.h:LI:i penni l IntlY be subj c:ct to "deed n::l:itrictiOlll:i" whi ch
way be mort: restrictive than City n:<Jlll ationl:i. 'l'h,,, undersigned assumes rel:iponsibility tor
complic:mce viith any applicabl e de~,d .c<:stx:iCLi::>l1s.
B. UNLICENSED COI-JT'RAC'l'ORS AND CONTH/I,.C'rOR RE:Sl'DNBI13ILI'l'IES
If the ovwer has hired a contractor or contract:::>r:::; to undertake work, they may be l:equired
to be lict:nsed in accordance with state and local regulations. If the contractor is not
lic..nsed ab required by lClvJ, both the ovmer and contcactor may be cited for a misdelllt=anor
violation under state lavL If the olmer or intended contl:actor are IUlct=rtain Oil> to I.hat
licensing requirements may apply for the intended work, they are advised to contact tile
City of Zephydlill.s Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application tor which thoe:y
will be respon~ibl~. If you, a~ the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the ~ork. If the contractor wislles
you to sign as contractor that may be an indication tllat he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. 'l'RANSPOR'rA'frON H1PACT fEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUlON LIEN LAW (CHAP'rER 713, :nORIDA STA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "florida's Construction
lien LaH - Homeowner's Protection Guide" prepared by the })'lorida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "olmer", I cerify that I
have obtained a copy of the above described document and promise in good faitll to deliver
it to the \\ol',mer'" prior to conunencement.
E. CON'fRACTOR' S/OWNER' S Ali'FIDAVl'f
I certify that all the information in this applicati.on is accurate and that all work will
be done in compliance vdth all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or in~tallation has con6enced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating constrllction, City
codes, zoning regulations, and land development regulations in the juril>dictioll. 1 also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I Inust take to
be in compl iance. Such agencies include but are not limited to: A'Department of
~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
Lands, WC:lter/WasteIJater 'freatment
*Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Anuy Corps of Engineerl>-SeaHalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
Wastewater Treatment, Septic Tanks
''''U..':i. ~nvironmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of florida prior to permit
is::iuance.
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 tile technical codes,
nor shall issuance of a permit prevent the Building Official from thereafte:r requiring a
correction of errors in plans, construct~on, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is coumenced within
six month.:; of i.ssuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work io::; commenced. One 90 day extension of time
may be allowed tor the permit with fee cllarge of $15.00. The extension shall be requested
in vniting to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOIJR E'AILURE TO RECORD A NOTICE OF COI'1MENCEMENT MAY RESUW' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IE' YOU IN'l'END '1'0 OB'rAIN FINANCING, CONSUL'r
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
$2, 5~.:;;? V~l~~ DO NO'!' .NEED '1'0 RECORD AND POS'" A "No'r:~.'f % ~f COMMENCEMEN'r" .
(-/ ?~ ~/~~-
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
S'l'ATE OF FLORIDA
COUN'rY OF
The foregoing instrument was
Before me this _ day of
by
acknovlledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ~ay of
by
acknowledged
19
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
OJho is personally known to me, or
Dwho has produced
(type
and liJhoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identificatioll)
and VJho Ddid DUd not take C:lll oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, pri nted 0,1: stamped
Name typed, printed or. stamped
NOTICE OF COMMENCEMENT
State of f-ilj ltU'A County of (JlJS;cD ~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: parcelN6@ Wet 1'L-1,.'-'LI-oo,B-oO()DO ...t:Jcgo
('~) f1.1"(" I 'I ft'&. I 'L TN$. Z. r. S I< ZI IE s- , 'I f' ~f*~c.i f'~. 2 ..(. ~..fA .ct.. I
(Legal description of the property and street address if availal5le ..., 'I,)l'Z
2. General Description of Improvement tG-t(;C~ ..:.,;,,=.-
11111111111111I11111111111111111111I111I111111I1111111111111
2003073376
3. Owner Information: Nam~> !to""4 Ii.
Address >', 'I ~ Ikt"J )6,
(..,I, ;-U,,;,y/ 4. Ve4V~"
;'
City ~/y//'--/I.s State t= ~,
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
-
(---
Rcpt: 675085
DS: 0.00
04/25/03
Rec: 6.00
IT: 0 . 00
Dpty Clerk
Address
<~ '-,
4~Contractor: Name {-'-:/I(/~/V
)e'Address ,JrfJ /YE~ ,:5~:J.
City
/.2&0h~?-
State
City (JlhJc-
CiT#,
/
. :>3,-;z-f:
State~/~~IT
5. Surety: Name ".--
Address City r- State ,---..
'-, ~~92~~~~MA~ : G::;o fOUNTJf C'iERK
Amount of Bond: $
.---- OR BK 5330 PG 571
6. Lender: Name
Address City State r
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
-----
City
~
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
~--
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
SignatureofOwner:tZ.~ ~,>>;Q/ ~'0r.p~
Sworn to and subscribed b \\..... day of CtYt:\ \
~ .
, 20-S-.
Notary Pub!" :
My C:ommission Expires:
PC93l'53048/A 1(\, Dc'. lie: \ C\:, 1.1:),
\'t'.i~::t, Terri L. Warren
g~~~\ com!TIiss. ion HOD 155226
~;;. ~.~:: Expires: Oct 03,2006
-"~~OFf\..O~'~ Bonded Thru
1,,",\' Atlantic Bonding Co., In,
... 'S .:" r '"
r"'" q jJ
r~; r}() f~It',J{
PROPOSAL
t!~
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Page No,
of
Pages
./
O~2} 567.5034
2 VrM? tEAl( Wl\RRANTV
,JOB NAME I NO.
LOCATION
To:
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DATE
We hereby submit specifications and estimates for:
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WE.PROPOSE hereby to furnish material and labor - complete in accordance with these specifications. for the suJ4;of:
<' .; .,.;,;....,.- c"''-:/ 'i- ",,:" " .....2.., dollars ($ . /:~/ ~ .-
Payable as follow.s:
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All malerial is guarallteed 10 he as specified. All vvork 10 he complelt'cI ill a workmanlike
IllalliHT according 10 slandard praeticcs, Any allcratiolls or deviation rrom above sp(,l'ilka-
!iOllS tllvolving extra ('ost will Iw executed only upon written orders. and will bccome an
('xtra ('Iiargc over ulHI above the ('slilllale. All agreerncllls eunlillgclllllpOlI strikes. ac('idellls
or dela).'s beyond our ('Ol1lrol. Owncr 10 carry firc, tornado. and othcr nc('cssary insuranct'.
Our workers arc fully ('overed hy Workmt'n's Compellsalioll Insuran('e.
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if not accepted within
days,
ACCEPTANCE OF PROPOSAL - The prices. specifications and conditions are satisfactory and are hereby accepted, You are authorized
to do the work as specified. Payment will be made as outlined above,
Signature
Date
Signature
Dale