HomeMy WebLinkAbout03-2257
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2257
Permit Number: 2257 Issued: 7/28/2003 I
Permit Type: GENERAL BUILDING PERMIT I
Class of Work: ROOF REPLACEMENT I.
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 6,824,00 Total Fees:
Amount Paid: 65.00 Date Paid:
Address: 5754 16TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: INVINCIBLE ROOFING SY T MS,INC,
Addr: 10931 75TH ST
LARGO,FL. 34647
Phone: (727)545-1800 Lic: --L...... Phone:
Work Desc: RE-ROOF WITH SIP RUBBER MEMBRANE
REED BILLY JR.
5754 16TH ST
ZEPHYRHILLS, FL. 33542
EL 1 U
PRE-SLAB 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, I MISC,
DRIVEWAY I MISC, MISC. ~IRE DEPT, FINAL
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
--iiWarning to owner: Your failure to recont a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
., - -- ---;;;Z~ - ---
~~
PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAt1E 6; /ly tee~:.r4.
JOB ADDRESS 575 L/ 1(, 1-'" .$,t<ee.'"
PHONE S'/3. 7cJb "~~:2
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # JI."~-';}'I- 0010- O"""OO-O/d.(J
WORK PROPSEO: Ol,JEvJ CONSTRUCTION
(OBTAIN FROM PROPER~Y-TAX NOTICEl
o ADDITIOn
o ALTERATION
o REPAIR
[J InSTALL
Os IGN
o t10VE
o DEMOLISH
PROPOSED USE: ~SGL F'At1ILY DWELLING
o
COMMERCIAL
OMULTl-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWH1MING POOL
o t10BILE /lOME
OOTIlER
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
It e - It..oo~
5:. ,'~/~ "'7 R~~d..
,
SQUARE FOOTAGE ;J.~(,o
m t!!--..,.{. "'14-,h/~
BUILDING SIZE
HEIGH'!'
RES I DEUTrAL:
Cm11'1ERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILD1I1G PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COI1STRUCTJON,
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
$
Vi' J. 'I OS:
PERMITS REQUESTED
-tt?'Z-s1
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C,
$
VALUA'I'IOl~ OF MECHANCIAL INSTALLATION
o GAS
l2 ROOFItlG
o SPECIALTY
o OTHER
TYPE OF' CO!lSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
o OTHER
FHnSHF~D FLOOR ELEVATIONS
I S PROJECT III FLOOD ZONE AREA 0 YES
o NO
I, ,
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**~**~******************.*************************.***************
ELECTRICIAN
S I GllATURE
COMPAtlY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
************.*****************************************************
cm1PAHY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************'*****'****************************'**********.
OTHER 6,,.,.,.; SI.~1'L - tZ..cx,P;-y
SIGNI\TURE _~
cm1PANY 7Juv.'>>C,'I../4! A.ssoC. :&.vc...
STATE CERT OR REGJ ST # t!..et.o",.3c, I
CITY PROCESSING #
******************************~******************k********~~*****
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations, If the contractor is rIot
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
licensirlg requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
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 for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the \vork. I f the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not erltitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUlON LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tllat 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 AFFIDAVIT
I certify that all the information in this application is accurate and tllat 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 installation as indicated. I
certify that rlO 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
Environmental 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 & Rehabilitative Services, Environmental Health Unit-Wel.ls,
Wastewater Treatment, Septic Tanks
*U.S. Environmental 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 ~compensat ing volume" w.i 11 be submi t tad \~hich
is prepared by a professional engineer registered in the State of Florida prior to perm.lt
issuance.
A permi t issued shall be construed to be a licerise to proceed \~ith the work and not as
authority to violate, canoel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter reg\liring 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 months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work 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 writinq to the Building Official, An approved inspection must be logged dULing each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF C()fV1MENCE~1ENT HAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITll YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC& OF COMMENCEMENT, JOBS UNDER
$2,500. IN VALUE DO NOT NEED TO .RECORD AND POST A ~NOTICE OF COMMENCEMENT".
1ito~ (.l.2dd..
SIGNA E: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ____day of
by
STATE OF FUmI DA
COUNTY OF
The foregoing instrument was
Before me this __ day of
by
acknowledged
20__
acknowledged
, 20
of identification)
t_ake an oath,
(name of person acknowledged)
O,ho is personally known to me, or
o who has produced I) L tv'l:Jt:I ~1I3.7~. '7/(,-0
(type of identification)
and ,\lho Odid []die! not take an oath
(name of person acknowledged)
[J who is personally knOloJn to me, or
Owho has produced
(type
and whoOdid Odid not
Signature of person taking acknowledgement
Signature of person taking ackno\^lledgment
Name typed, printed or stamped
Name typed, printed or stamped
!f!fJJ..
iit
,pL. ~ .J( ,;~b" o7&- -&~'-,Lf&I-6
~ '<. -,?p;O It)l- 07,' 7:,-?c> CJ
DL . J .~/
- HI(
/vf€,>
i
TO DE COMPLETED/IF CONSRTUCTION
V ALDE EXCEEDS $lsoo,oo ,
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Pennit # I
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1111I11111111111111111111111111I1111111111111111111111111111
2003136385
Rec: 6.00
IT . 0 . 00 k
. Dpty C ler
Rcpl: 701205
OS: 0. 00
07/28/03
Tax Folio # i
--I
OFlrICIAL NloTICE .
OF COMME~CEMENT . . .
State of Florida County of _?J:l.seo
THE UNDERSIGl-jED hereby gives notice.that improvement will be made to cel1ain real properly, and in
accordance with CI~apter 713; Florida Statutes, tilC fOllOWing infonnation Is provided in tbe NoUce of .
Commencement . .
i
I
1. DeSCril~iO?ftjJerty: J.,,.,;, At <'>-)Sf J' I~ ..sl- 2~'H/fi/.;//.s F~ 33SY-2.
&(d:tr I-~ ~4"~O&.9________________
2':'-OClleral descriPion of improvC!1lent: Ll"-k..Q _________
JEO PITTMAN PASCO COUNTY CLERK
07/28/03 11: l8am 1 of 1
OR Bk 5463 PG 154
3. OWnerInforma~oll: .
A. Name and aU dress: :It. .. _. I~"" ~ _
B. r')terest in property: ,;;; "-"elf. _______ ,'II J:i:';1
C. Name and alidress Onee simple liUeholdel' (if olher than owner):
' \~~
4.
and address; ;r..litb'~~7' 1!s.<o-~
~.J.. l ~,~O__ ~I ~.17',)_
~~,
r-.'-~ ,
If' .
f:i;;
t::~
5. Surety (ifreqUi~i d)
A. Name and a dress
B. Amount of ond $ =: '
I
6. Lender name an' address:
i ..
7. Persons within ti'e State of Florida designated by Owner lLpon nolices or other documents may be
aerv.ed as Provid d by section 713.13 (1 ) (a) Florida S tatules. ,
Name and addre " ,
8. In addi lion to hi'l'self, Owner designalei.Lov. ;",< './.t. ,1.ts ar .:Lvc:. _ 10 receive a copy of tile
. Lienor's Nolice aa provided In Section 713.13 (1) (b) Florida Statut.es.
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9. Expiration date fNotice ofCommencemenl.(tbe expiration date is.one (I) year from the date of
recording uniesa a different date is specified).. ,
,20 .
- "~"2'r;
, 'f j
I .: i
. " " . I I
I SJgnature of Owner tr Authol'lzed Agent: ~...J '-'..!...lj( : _
' /
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I J .
'SWOf1:I and SUbscribe/1d before me tilis' .
..o.\~day Ofl~"Y ,...,20-2,3
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--~----
Notary Publi.c
My commission exp~res:
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,..,tI<< ~ Celeste I?,awn Do/bany
~ ~ ,; My Commission 00028533
~Q'",'.I' Expires May 22,2005
STATE OF FLORIDA
COUNTY OF P ASqO F FOREGO G IS A
THIS IS TO CERTIFYOTF~~E~OCUMENT N FILE
TRUE AND CORREC6~g~~ THIS OFFIC I SS MY
OR OF PUBLIC REC THI\" AY OF
HAND AND OFFICIAL SEAL i!"'.n"?
-JUL'/ 2~
R IT COUR
o
CLERK
BY
~IN\lINCIBLE.]
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 6:11'1 (Lett
at this location: 5 7.5~ J ~ t~ lS+,
This person Is also empowered to obtain, compiete, 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:
Ght!lvf(
We{c~
eJ,f ~~
Authorized Person's Signature:
P ilk
Brian Stover
State License #CCC049367
,~av p~<< lJl"I&.
.," ..... ~t< IYIVIlA L. BUTLER
.....~ '* MY COMMISSION # CC 961647
"'~.. EXPIRES: August 16, 2004
~l'~ OF F\.O~~ Bonded Thru Budget Notary Services
~~Mt
INVINCIBLE ASSOCIATES, INC.
70931 75TH ST, · LARGO, FL 33777 · 727/545-1800 . 800/937-6635
STATE CERTIFIED LICENSE # CCC049367, CRC015276