HomeMy WebLinkAbout03-2266
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2266
Permit Number: 2266 Issued: 7/31/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 13,500,00 Total Fees:
Amount Paid: 100.00 Date Paid:
i
100.001
7/31/2003 !
Address: 6700 HOLLY CT
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
1
DRIFTWOOD
6700 HOLLY CT
ZEPHYRHILLS, FL. 33542
Phone:
H
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC, MISC,
I INSULATION CEILING I MISC, MISC, MISC,
. DRIVEWAY ~SC, : 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
"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
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
L:---
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 RECEIVED
PLANS REVIEW FEE
, .
OWtJER' 8 NAt~E _j)I2(~ rpuo {)~~Il1t5" {)U/fl/t~/2.s
JOB AD[)RESS_~ 7&0 f.lo~t:V L- (
/
LEGAL DESCRIPTION: LOT(8) BLOCK
It SStJ C PHONE
=--.;
SUBDIVISIOH
PARCEL ID #
(QETAIN FROM PROPER~Y-TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITIOtl
o ALTERATION
~PAIR
o INSTALL
o SIGN
o t"lOVE
o DEMOLISH
PROPOSED USE: OSGL FN1TLY DWELLING
o
COMl1ERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UIHTS
o SWH1MING POOL
o 110BTLE lIot"lE
o OTHER
DESCRIPTION OF WORK
o RESTAUR,ANT
k- ~ l2oOh,v c/
I
& HEALTH DEPARTl'1ENT APPROVAL
90/
BUILDING SIZE
SQUARE FOOTAGE ____
HEIGH'!'
RESIDENTIAL:
COMt1ERC IAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUTLDU1G PLANS & (1) SET ENERGY FORMS,
I\TTACI! (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CotlSTRUCTION.
0 BUILDING
0 ELECTRICAL
0 PLtJt"lBING
0 MECHAtlICAL
$~.XOO
/
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W,R,E.C.
$
VALUATION OF NECHANCIAL INSTALLATION
o GAS
~OFING
o SPEcr ALTY
o OTHER
TYPE OF' CotlSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
o CYPHER
FINISHED FLOOR ELEVATIONS
I S PROJECT HI FLOOD ZOlm ARE~A 0 YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSIt~G #_
SIGNATURE
************************}*****************************************
ELECTRICIAN
cm1PAlIY
STATE CERT OR REGIST #
tlTY PROCESSING #
S I GllATURE
********************************~.*********************************
PLUMBER
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER
*****************~******-~****************************A***********
-lelr ?/lJ (10
SIGNl-\TURE --It t/... ~
cm'lPANY (!lfc//~ /2t'fh~Y
STATE CERT OR REGIST # /Lc..-oo'f~z-,,((
CITY PROCESSING # lIt
,
**~***************************~***********************~***~******
A. NOTICE OF UEED RESTRICTIONS
The unrlersigned understands that this permit may be subject to "deed restrictions" whidh
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance l'iitll any applicable deed restrictions,
B. UNLICENSED CONTRACTORS Ail!) CONTRACTOR RESPONSIBILITIE,S
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 not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation tinder state law. If the own~r or intended contractor are uncertain as to what
licensillg requirements may apply for the intended work, they are advised to contact the
City of ZephyrhiJls 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, at'e responsible for the \'1ork. If the contractor wishes
you to sign as contractor that may be an indicat;ion that he is not properly licensed and is
not 811titled to permitting privileges in the City of Zephyrhills,
C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTlJION 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 Uepartment of Agriculture
and Consumer Affairs, If the applicant is someone other that: the "owner", I eerify 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'I'
I certify that all the information in this application is accurate 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 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 tllat I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to idelltify 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 Environmentaily Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Welis, 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 Zone ".l1," or "A,ete,", it is
understood that a drainage plan addressing a "compensating volume" w.i 11 be submit tfld which
is prepared by a professional engineer registered in the State of Florida prle)r to permLt
issuance,
A permit issued shall be construed to be a license to proceed \<lith 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 req\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 cd_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 \'lark is commenced. One 90 day extension of Lime
Illay 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 OWllER: YOUR FAILURE TO RECORU A nOTICE OF COMl'1ENCE['1ENT t/1AY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITll YOUR LENUER OR AN ATTORNEY BEEDRE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
$2,500 IN A lEZ;":O TO FECORO AND POST ~ZN'I~gil
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknovJledged
2CL-
STATE OE' FLORIDA
COUNTY OF
The foregoing instrument was
Before me this .__day of
by
acknowledged
, 20
(name of person acknowledged)
0\'1110 is personally knOl-m to me, or
(name of person acknowledged)
Olho is personally known to me, or
Dwho has produced
(type
and l'ihoO dl d 0 did not
of identification)
take an oath,
o who has produced
(type of identification)
and ",ho Odid Oiid not take an oath
Signature of person taking acknol'iledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~'. ',i, \,nf\[ ROOFf1\,JC
P U. Box 136.3
D':,Df :::TY rIJ, 3;'f),?6
f.;R'(;')(:.'tt ::'tJ 1 UcndE'd !;;sured
PROPOSAL
Page No.
of
Pages
o~ 2) 567.5031
,~~ YLf.iR l..EAt( WARR~i'HY
JOB NAME! NO,
LOCATION
To:
i ,;
PHONE
I-
~.-
We hereby submit specifications and estimates for:
"
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WE PROPOSE hereby' to furnish material and labor - complete'i~, a~cordance with.t~sse specifications, for the s~~/of:,
payable' as follows: ,..' -' ...' '" ') .". /\/ -'i - /,' /V 1//( ..,"- dollars ($ ./ '.:..
l.
r /~ i_,~
,~.
All materia] is guaran[{'cd to be as SIHTiJkd. All work to he l'omplcled ill a workmanlike
lJ1alllltT according to standard practices. Any alterations or deviation from above sp{'('ifka-
lions involving extra cost will be execuled ollly UPOIl written orders. and will beco!llc all
extra charge over and ahove tilt' estimate, All agn-'f'IllCllls contingent UpOIl strikes. accidents
or delays heyond our control. Owner 10 carry fin\ (ornado, and other Ilecessary insuralll'(',
Our workers are fully covercd hy Workmen's Compellsalioll InsurallC('.
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if no! 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
Signature
Date
7 .
State of
,r:LoUIJ/f
~WII 11I11 II111 II1II 1111/1/111 1111I 1111/ 1/11//111/ 1/11111/
NOTICE OF COMMENCEMEN',L 03136484
County of 1115 c1J
TUB tmOERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1.
2. General Description of Improvement
Rcpt: 701241
OS: 0.00
07/28/03
Rec: 6.00
IT: 0.00
__________. Dpty Clerk
3 .
l\ddre s :f'5 "1
~ e./J/l1! R 1-1 I i..L~~
/
State
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMANi PASCO COUNTY CLERK
07/28/03 1 : 54am 1 of 1
OR BK 5463 PG 348
Address
r-
City
,..-
""-~-.
State
11 .
tf/fJ; ;J
fJo X 13 6 3
State';::L-- 3 "55'2,t'
LtJtJH,;)C:-
Ci ty {)1t~G
Ccm:tractor: N.1me
At~ss (10
,
Clr;/
/
5.
Surety: N.:lrne ,----
- r
Address City
Amount of Bond: $ ",---
Lender: Name
Address _. City
---
State~-
6.
State
Persons within the State of Florida
notices or o~her documents may be
713.13(1)(a.)(7), rlorida Statutes:
designated by Owner upon whcrn
served as provided by Section
...-
tJc:me
Address
City
Sta.te
--~.
8. In addition to himself, Owner designates
<J .
of --. to receive a copy of the
Lienor's Notice as provided Ln Section 713.13(1)(b), Florida Statutes.
f"xp.irnt .L'Jn dl'lte o{ tlCJt..ic,e of Commencem~nt. (t.he explrati0n date .is 1 year
ir~m the d.1te of recordLng unless a d~fferent date is specified~. ~ '
~ \ ~ \"\ \.i~~ 1...0 '5C"Z.~ ~'(.~.G
~,I. '~. A
Signature of Owner:
\
Sworn to and subscribtip.:befor,e me this \
day of
, <: ~"'i ,,',! ,:'
20 \)~ .
.~ ,- ~
Notary Public:" ' '. . ~ \ .S~"""-
My C J:i'1.T1 i s s ion EX~i~~':' , c.. a ~- at",
PC930530481 A