HomeMy WebLinkAbout03-2256
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2256
Permit Number: 2256 Issued: 7/28/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 6,750.00 Total Fees:
Amount Paid: . 65.00 Date Paid:
Address: 38346 14TH AVE
ZEPHYRHILLS, FL.
Townshi.p: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: INVINCIBLE ROOFING SYSTEMS, INC.
Addr: 10931 75TH ST
LARGO,FL. 34647
Phone: (727)545-1800 Lie: Phone:
.. Work Desc: RE-ROOF WITH SIP RUBBER MEMBRANE
Name: LOCKARD KATHLEEN
Address: 38346 14TH AVE
ZEPHYRHILLS, FL. 33542
FO I ROU
PRE-SLAB I CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL ' PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC, MISC,
INSULATION CEILING MISC, MISC, MISC,
DRIVEWAY I MISC,. _ MISC, i FIRE DEPT. FINAL
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
_ befon! recording your notice of commencement."
-_ ~ . . NO OCCUPANCY BEFORE C.O. . _ .
/J' _&-~_
CONTRACTORS SI ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNE:R' 8 NAME: K.d:H..,leet.J LClc;.k~"'J
,JOB ADDRESS. 3Y~4(' ILl"''' A~r::
PHONE SrI"3 -""-:!:6P('
LEGAL DE:SCRIPTION: LOT(8)
BLOCK
SUBDIVISION
PARCEL ID # ll-J.(r ;)./-00/0- O~30Q - O~~ I
lDBTAIN FROM PROPER~Y-TAX NOTICE)
WORK PROPSE[): DNEW CONSTRUCTION
o ADDlTIOtl
o ALTERATTON
o REPAIR
o INSTALL
OSIGN
o t-10VE
o DEMOLISH
PROPOSED USE: ~SGL FAt1TLY DWELLING
o
COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWH1tlING POOL
o t10BILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTt-1Et'lT APPROVAL
DESCRIPTION OF WORK (l't!.-tl.oo,*, ~"Io.(jlt!!. fJAI teub&-t'..L ~#'t;1';,""'AJ-C
I
BUILDING SIZE SQUARE FOOTAGE /753 HEIGH'!'
RESIDENTIAL:
COI'11'1ERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDH1G PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTION.
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
$ (, ISO ~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
Al'1P SERVICE
o FLORIDA POWER
o W.R,E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
[j ROOFING
o SPECIALTY
o OTHER
TYPE OF' COllSTRUCTION: II BLOCK
o FRAt1E
o STEEL
o OTHER
FItIISHE:D E'I.OOR ELEVATlONS
I S PROJECT III FLOOD ZONE AREA 0 YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGtlATURE
**~**+******************~*********************+*********~,*********
ELECTRICIAN
SIGIIATURE
C0l1PAllY
STATE CERT OR REGIST #
CITY PROCESSING #
*************k****************************************************
PLUMBER
COt1PANY
STATE CERT OR REGIST ff
CITY PROCESSING #
SIGNATURE
MECHA,NICAL
******************************************************************
f.:Ot1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
************************~~****************************A***********
OTHER (3/'iA-,J ,S-I-dvle,t.. - tlooC.. ~
SIGNATURE ~-:JP tv~
COt1PAIlY I.,,vv,iVc""e ,4~ot! LIJe...
STATE CERT OR REGIST # _C~CD,:!qJ(,)..
CITY PROCESSH1G #
************************************************~*****~***~~~*****
A, NOTIC~ OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" vJhich
may be mOl'e restrictive than City regulations, The undersigned assumes responsibility for
compliance with any applicable deed restrictions,
B. UNLICENSED tONTRACTORS AtID CmlTRACTOR RESPONSIBILITIE.S
If the owner has hired a contractor or contractors 1.0 undertake work, they may be required
to be licensed in accordance with 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
Ci ty of Zephyrhills Bui Iding Department, 813-780-0020,
Furthermore, if the owner has hired a contractor or contractors, he is advised to Ilave the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating tllat
you, rather than the contractor, are responsible fOl the 1'lOrk, I f the cant ractor wishes
you to sign as contractor that may be an indica~ion that he is not proper1y l.icensed and is
not elltitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that: the "owner", I cerify that I
have obtained a copy of tile above described document and promise in good faith to deliver
it to the "owner" prior to commencement,
E. CONTRACTOR' S/OWNER' S AFFlDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be done in compliarlce with 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 110 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I 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 must take to
be in compliance, Such agencies include but are not limited to: *Department of
Environmerltal Regulation-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 & Rellabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S, Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zo~e "A" or "A,etc,", it is
understood that a drainage plan addressing a "compensating volume" will be submil:ted which
is prepared hy a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a licerise to proceed Ivi th the work and not as
authority to violate, canuel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter re'l111rin9 a
correction of errors in plans, construction, or violations of any code, Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the I'lOrk is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15,00, The extension shall be requested
in writing 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: YOUR FAILURE TO RECORD A NOTICE OF CTIMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCHlG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
$2,500. IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 2CL..
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __---.Slay of
by
acknowledged
, 2()
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
O/ho is personally known to me, or
Dwho has produced
(type
and IvhoD di d 0 did not
of identification)
take an oath,
t'JJwho has produced.DL lJ.)q)o'113~7J-7~-C)
(type of identification)
and Ivho Odid D:iid not take an oath
Signature of person taking acknOlvledgement
Signature of person taking acknOlvledgment
Name typed, printed or stamped
Name typed, printed or stamped
~'1+ L2G>~5 --~/7-.lto- ctls -CJ
vlL.
..-"-,
1-(. ~
i
TO DE COMPLETED/IF CONSRTUC110N
VALUE EXCEEDS $1,500.00 .
, I
I
Pennit # I
=
=
-
1111111111111111111111 1111I1111I11/1111111 1111I11I/111111111
2003136386
Tax Folio # i
---/
OFFICIAL ~OTICE
OF COMME:rCEMENT .
State of Florida County of PASC~
Rcpl: 701205
DS: 0.00
07/28/03
Rec: 6.00
IT: 0.00
Dpty Clerk
THE UNDERSIGNED hereby gives notice.that il11~ravc~ent, will be ~nad~ 10 ce~lain ~'cal prope~ty, a~,d ill
accordance with C<<apter 713. Florida Slalutes, tile (ollowlJ1g 1l1fonna!tun IS provIded III the Notice 01 .
Commencement ' .
i
I
l. Description ofriroperly: 1-.".,. 3fi3.l/&.!'/.I.I9"'e _ 7('I'~y>l?4,;/~r EI ~~
,~~~.,J1,If'~..Q;z.Jp~-"'L_______
2':'--0 eneral. descripion ofimpro vement, }'f'.,. ~
JED P ITrI1R
07/28/03 l't: fa~SCO .cOUNTY CLERk
OR Bk 5463 m.& o( 1
PG 1.55
3, Owner Informalion:
A. Name and aUdress: /L,oIl,./teu '-1c~ 3S'3t,'" I~~
B, Interestinp operty: OfJ.u= __ _ 7-4'J.ydJ/I<i--el ~
C, Name and a dress of fee simple lillcholdel' (ifolhcl' ihall OWller): _
,~
4. C. ontractor nam I and address; -:r,u;'i"~jt.l.. 1'1.r,~"e :r."'e, , ~....i, '~:,_.
-1"'1.3/ 7-f ~. / :.c;,; EL ~,'\~_ Z -=
S. Surety (if requir~d)
A. Name and ~?dress
B. Amount of~ond $ =- '
I
6, ~ender name ant address;
i .
7. Persons within or Ie State ofFlodda designated by Owner upon notices or other docwnenls may be
served as Provid d by section 713. 13 (1 ) (a) F lod da Stain tes, ,
Name and addre s: ,
8, In addition to hilpself, Owner designalei,;r.vn.ucbl,," .&.s,s:oc:, T.JVC _ to receive a copy ofthe
. Lienor's Nolice as provided in S ecti on 7 I 3, 13 (I) (b) Florida Stalnt,es,
' i ' , ,
--
9, Expiration date f Notice of C01l1111encernent,(the exp iralion date is: one P) year fi'om the date of
recording unless a different date Is specified).' ,
20 "
, - .} . ~ .~ ~ /
I Signature of Owner tr Authorized Agent: il~~~ ~~.
i
Sworn and SUhscri before me this, '
-~~~. day or c))' ~' 20C-3
. I
~4P ~ Celeste O.awn DoIberry
;. ~ ;. My Commission 00028533
'9;0;,.,',# Expires May 22,2005
STATE OF FLORLD~
COUNTY OF P ASC T THE FORE
, THIS IS TO CERT~ 6FH:HE' DOCUME
TRUE AND CORRE~6~g IN THIS OFFICE. I
OR OF: PUBLIC RE EAL THI
HAND AND OFE1eZL '2 ho3'
T
DEPUTY CLERK
INGISA
ON FILE
ESS MY
DAY OF
Notary Public
,MY commission expres:
I
,
I.
i
~INVINCIBLE.]
Making Florida a better place to live since 7987... one home at a time.
Contractor's Letter of Authorization
I hereby authorize the below named individual to act as my agent to
obtain all necessary permits for residential roofing work for:
Owner ){AfhlU-AJ LcclL AI'r!
at this location: 3~.3o/'~ lL/I"'- A ue
This person is also empowered to obtain, complete, and sign all
forms, applications, registrations, and documentations, with this lim-
ited power of attorney, on behalf of me that may be required to
accomplish the issuance of any permits that may be required in any
jurisdiction throughout the State of Florida.
Authorized Person: ~elti( CJelc ~
Authorized Person's Signature: tY tueld...
/
Brian Stover
State License #CCC049367
,~RY '/J.
..'" .......~(t< MONAL.BUTlER
....bI. 1< MY COMMISSION 1/ CC 961547
"'~.. EXPIRES: AuguSl16, 2004
"~~OFF'O~~ Bonded Thru Budger Nolery Services
INVINCIBLE ASSOCIATES, INC,
10931 75TH ST, · LARGO, FL 33777 · 727/545-1800 . 800/937-6635
STATE CERTIFIED LICENSE # CCC049367, CRC015276