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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