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HomeMy WebLinkAbout03-2257 . r-' 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 , . I I Pennit # I = - 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. ~. \. , , = 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( : _ ' / ' (/ I J . 'SWOf1:I and SUbscribe/1d before me tilis' . ..o.\~day Ofl~"Y ,...,20-2,3 . I i --~---- Notary Publi.c My commission exp~res: . I \ , i I i ,..,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