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Home My WebLink About03-2301 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2301 Permit Number: 2301 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 3,480.00 Date Issued: 8/13/2003 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 8/13/2003 Work Desc: RE-ROOF Address: 39203 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: RUDDNICK VERENA Address: 39203 5TH AVE ZEPHYRHILLS, FL. 33542 Phone: --1 _~ _L_____ 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." Complete Plans, Specifications and Fee Must Accom-pany Application. ________ .._u__~work_sha!1 be I?_~rformed in accordance with City Codes and Ordinances__________ NO OCCUPANCY BEFORE C.O. -- ---..-.-.--..-----...-------'-.-.-.--..--....---~.--.. )i ~Ib iJE!<J ~ /CO TRA OR STGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS , BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME y/ .f ~nfl ~ Kid 11' .('./f JOB ADDRESS 3930.. 3 ,7)fh fbenCL-L PHONE LEGAL DESCRIPTION: LOT(S) PARCEL ID # 1;}-;)(o-JJ-cn3{J - tIJ/{J(]- DJ /.tJ 0 (ORTATN BLOCK SUBDIVISION FROM PROPRRTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALT ERAT I ON ~EPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER ~ DESCRIPTION CJ RESTAURANT OF WORK-g~ -/2. ('XJr:: & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING PERMITS REQUESTED $ .:3) 4?D. D () VALUATION OF TOTAL CONSTRUCTION AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.. o ELECTRICAL o PLUMBING o MECHANI CAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY. STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ***********~****************************************************** COMPANY: STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL OTllER J:s~ COMPANY !1~(1 '"l (-,'rOM..l (' 1) ()fJ / ) nc , ;1 p_ STATE CERT R REGIST # (' ('r. - J,~~,-5"l"")tY) SIGNATURE - ,.-<\" ~ CITY PROCESSING # 075 ***************************************************************** ***************************************************************** 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 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 City of Zephyrhills Building Department, 813-788-6611. 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 work. If the contractor wishes 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 the 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 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 no 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-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 "A" or ~A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with. the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring 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 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 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". ~ <.~ ~ ~~ OWNER AGENT STATE OF FLORIDA /2. 4JJ '"'"\ COUNTY OF W!!'LL..1 -1. The foregoing instrument was acknowledged Befo me this day of f)-<tjI.J5f, l:9.aLbO by (name per on acknowledged) ~o is personally known to me, or .-eI~ SIGN TURE. CONT OR Ib~D Dwho has produced (type of identification) and whoD did ~id not take an oath. ~qfA. ,{j)1l~ S nature 6f person ~n~owledgement , Angela Helms ! Commission 00185587 Name typed, oJ!xpllilB~3, 2007 Dwho has produced (type of identification) ~id not take an oath Name typed, person taki g acknowledgment ~l\. Angela Helms prirJ&:; r~;=:~:S; NOT ICE. OF COMMENCEMENT State of ~r:I//~ County of 11l:'5CfJ THE UNllERSIGNED hereby gives notice that improvement. will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the fallowing infonnat.ion is provided in this Notice of Commencement: JED PITTI'IAN PAsco COUNTY CLERk 08/13/03 08: 50am 1 of 713 OR BK 5488 PG 13 11111111111111111111111111111111111111111111111 11111 11111111 2003148034 Rcpt: 706107 Rec: 6.00 DS: 0. 00 IT : 0 . 00 08/13/03 __ Dpty Clerk l~Description of Property: the property an street address if available} 2.General Description of Improvement~~ _~~~ 3,Owner Information: Name-lt2it'm 4, ~'Jrtlrud' Address31.Jf0 ,')f1t fl, Jf Ci t Y Zr ;71,-/ rhj 6. Sta teFL '2J 3:::iI () Interest in Property: - Name of Fee Simple Titleholder: (If other than owner} ~ ~ess City 4.Contractor: Name RYMAN CONSTRUCTIONr INC. ,f S.Surety: Name State Address 37325 S.R. 54 w. City ZEPHYRHILLs State.FL 3354JL::,. Amount of Bond: $ City State Address 6 ~ Lender:. Name 7.Persons within the State of Florida deSignated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7) ~ Florida Statutes: City_ State Address Name Address City State 8.In addition to himself, Owner deSignates of to receive a copy of the Lienor's Noti ce as provided in section 713.13 (l) (b), Florida Statutes. 9.Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is speCified.) ':iIJ AnllAI. f..I'""-t. ~ ~.; My COInmIsslon 00186587 0;'" exPires January 03, 2007