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HomeMy WebLinkAbout03-2265 . I I ! CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2265 Permit Number: 2265 Issued: 7/31/2003 I Permit Type: GENERAL BUILDING PERMIT ' Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 2,400,00 Total Fees: 45,001 Amount Paid: 45.00 Date Paid: 7/31/20031 Address: 5529 24TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: GAVIN ROOFING Addr: P,O, BOX 1363 DADE CITY, FL 33526 Phone: (904)567-5034 Lic: RC 0046241 Work Desc: RE-ROOF j CROWN ELL CHUCK 5529 24TH ST ZEPHYRHILLS, FL. 33542 Phone: DU T PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC j SEWER MISC INSULATION WALL MISC MISC, MISC, INSULATION CEILING MISC, MISC, MISC, DRIVEWAY. MISC, _ MISC, 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 ----"Waming 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." 1-- '. I NO OCCUPANCY BEFORE C.O. -~ ~7- _- __ . . . _ ~ CONTRACTORS SIGNATURE 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 RECE IVED PLANS REVIEW FEE JOB ADDRESS {.:'lft( C-/{ S-SJ.. '} , LitO iUc?-L- 2Lj yt 57 PilotTE ownER' s ~lAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL If) # WORK PROPSED: Ol'lEW CONSTRUCTION o ADDlTIOt'l (~AIN FROM PROPER~Y-TAX NOTICE) o ALTERATION ~PAIR 0 H1STALL OSIGtl PROPOSED USE: ~L E'AMILY DWELLING o [,-10VE o DEMOLISH o COMt1ERCIAL OMULTI-FAI-1ILY o INDUSTRIAL 0# OF UNITS o SWIMtlING POOL o t10BILE HOME OOTIlER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTt1ENT APPROVAL to IL~ Looh#t- J r i BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDltlG PLANS & (1) SET FNERGY F'ORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW conSTRUCTIon, 0 BUILDING 0 ELECTRICAl, 0 PLUMBING 0 MECHANICAL ~YOO PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E,c:. $ VALUATION OF MECHANCIAL INSTALLATION o GAS ~)OFING o SPECIALTY o OTHER TYPE OF' COllSTRUCTION: II BLOCK o FRAt'1E o STEEL o OTHER FItIlSHED FLOOR ELEIJATJO!1S IS PRO,JECT IN FLOOD ZONE ARE:AO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ************************k************************kk**********~**** ELECTRICIAN COt'1PAllY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER Cm1PANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL cm1PAlW STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *****************************************************A*********** ~ " Cm1PANY {-/Ie/IN ~tOt7hN~ STATE CERT OR REG] ST # IZL OtJ f6~1( / CITY PROCESSING # -.l16 ^ ___________ OTHER ~?II-J/~ S I GNl\ T [J RE ~__ t----:--' ***********~******************~*****k****~*******k********~~**~** A. NOTICS 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 \vith any applicable deed restrictions, B. Ul'-lLICSNSED CONTRACTORS MJD CONTRACTOR RESPONSIBILITIES If the owner lIas hired a contractor or contractors to undertake work, they may be required to be licensed in accordance l'lith 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 ZephyrhiJ I s Building Department, 813-780-0020, Furtllermore, if the owner has hired a contractor or contractors, he is advised to have the contractor (s) sign pOl'tions of the "Contractor Sections" of this application for which they I.lill be responsible, If you, as the owner signs as the contractor, you are indicaUn9 that you, rather than the contractor, are responsible for the \vork. If the contractor \vishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled 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 t9 deliver it to tile "owner" prior to commencement, E. CONTRACTOR' S/OWNER' S AFFlDAVIT I certify that all the information in this application is aCCllrate 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 work and installation as indicated. I certify that rIa 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 T 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-Seal'<lall s, Docks, l'-lavigable Waten'lays *Department of Health & Rellabilitative Services, Environmental Health Unit-Wells, WasteIVaLer 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,ete,", 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 permlt issuance, A permit issued shall be construed to be a licelise to proceed \vith the work and not as authority to violate, canuel, alter, or set aside any provisions of tile technical codes, nor shall issuance of a permit prevent the Building Official from thereafter reqlliring a correction of errors in plans, construction, or violations of allY code, Every permit issued shall become invalid unless the work authorized by such permit is commenced I'd, thin 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 work is commenced. One 90 day extension of time may be allo\'led for the permit with fee charge of $15,00, The extension shall be requested in 1'1r] ting 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 tlOTICE OF COMl\1E[,}CEHENT ['JAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCII1G, CONSULT WITll YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $~ ;LU~ DO NOT NEED TO RECORD AND POST 2ZMME;;~. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF' fLORIDA COlJN'ry OF The foregoing instrument was Before me this __ day of by acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing jnstrument was Before me. I:his __day of by acknowledged , 20_ (name of person acknowledged) [] who is personally knofm to me, or (name of person acknowledged) Dlho is personally known to me, or Dwho has produced (type and \vhoD di d 0 did not of identification) take an oath, o who has produced (type of identifJcation) and Ivho 0 di d O:iicl not take an oa th Signat\lre of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stalllped Nallle typed, printed or stamped GAVIN ROOFING POBox 1.363 DADE crrv, F1A 3.3526 Ue ,,*RC0046241 Bonded Insured PROPOSAL Page No, of Pages (~52) C::67~r-;nJ.'1 2 YEAR lEAK 'W:~RP,,4.NTY JOB NAME I NO. LOCATION To: ,,/ -' PHONE DATF;_ We hereby submit specifications and estimates for: j WE PROPOSE hereby to furnish material and labor - complete in a-ccordance with these specifications, for the sum of: / <. dollars ($ Payable as follo~s: l- All materia] is guarulllct'd Jo be as specifit'd. All work to be completed in a WOrklllaIllike manner according to standard pral'tic('s. Any allera1iolls or deviation from above sp('('ilka [iolls involving extra cosl will be executed ouly UPOIl writ lell orders, and will hcnHlw all extra dlar.~e ove!" and above tIlt' cs!imu[c. All agrcelTlcllts cOIltingcnt UpOIl slrikcs, accidcllts or delays heyond our COIl(rol. O\VIWr 10 carr)' Ore. tornado. alld other Iwecssary insurance. Our \\'orkcrs arc rully ('OV('lTd hy Workmen's Compellsatioll Illsurancl'. Authorized Signature NOTE: This proposal may bc withdrawn by us if nol 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 Signal ure Dale