HomeMy WebLinkAbout03-2407
I n.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2407
Permit Number:
Permit Type: .
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2407
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5411 10TH ST
ZEPHYRHILLS, FL.
Township: Range:' Book:
I Lot(s): Block: Section:
II Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
'I Name: MEYER SCOTT & LORI
Address: 5411 10TH ST
I ZEPHYRHILLS, FL. 33542
Phone:
1,850.00
10/10/2003
40.00
40.00
10/10/2003
RE-ROOF -
I
I
I
i ,
. -~~..~--.~-.- _u.._-~~~__J_____~~,.____.-,__~_____u.
- REINSPEcnON 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
I 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
''VIarniniito owner: Your failure t:o-recorCra notice o'-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
I before recording your notice of commencement. II
----~~-.._-_._--- Complete pii:lnS, SpeCifications and-Fee Must Ac:e:ompailY AppHcation.-~---~----'-
Alrk shall be ..EE:!rfolT1l~ in a~cordance with Cityc:odes_and O~dinan~___~~~__ _
NO OCCUPANCY BEFORE C.O.
._---_.._.~-.~--~-_.._--~-_...._-_._-----_. --~-_.-
~
It/
----._--._------
CONTRACTOR 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
JOB ADDRESS
~ctf--. ~
~(.{ {( - (0 ~+-(
PHONE
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID # -1{ -. J.- b ,- ..2-(-f)'C{ 0 '-(3 G OO-[{oc;{Jrg FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o CotvJMERC IAL
OMULTI -FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
D RESTAURANT & 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
If
$, I' JP'~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
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
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
********************************************************k******~**
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PRO~ESSING #
SIGNATURE
********************************************************~~*********
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
OTHER
#
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsN 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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN 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 GuideN prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerN, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerN 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 t~ke 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 Aealtll 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 "AN or "A,etc.N, i~ is
understood that a drainage plan addressing a "compensating volumeN 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 815.00. 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 w~ll be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A tlOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C Mt NCEMENT JOBS UNDER
$2,500 DO NEED TO RECORD AND POST A "NOTICE OF C Mt1ENT'~/
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
Qho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid Odid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
A. iBartlett itnnfing (@f Qrentral1J1lnri~at lint.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE ·
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 10,000 Homes and Mobile Homes in the last 30 years.
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President & OWI)e!/~..!~art~tt R09fiog.of Central FL, Inc.
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Sign: ' 't
Richard C. Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.
Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or detays beyond our control. Owner to carry fire, tornado and other necessary insurance.
OUf workers are fully covered by Workmen's CompensatIOn Insurance, Customer is liable for any charges incurred in cottecting this bitt. f
Rotten wood is an extra $30.00 per sheet (4-ply). Rotten fascia is $1.00 per linear foot. /' Total
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