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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2451
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
f_____J)ate Paid:
Work Desc:
2451
RE-ROOF
ROOF REPLACEMENT
MOBILE HOME PARK
Book:
Section:
Address: 4835 COTTAGE LANE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
I Subdivision: WINTERS
I Parcel Number: 14-26-21-0000-00200-0000
1 0/2~i~gci300
45.00 I Address: 4835 COTTAGE LANE
45.00 ' ZEPHYRHILLS, FL. 33542
10/24/2003 Phone:
RE-ROOF, SINGLE PLY RUBBER MEMBRANE
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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:
I (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 failu-re to recont a nodce 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, Specification-sand Fee Must Accompany Application.
______ ,___!\II work~~C1I1 be I?erform~_ in accordance with City Codes and Ordinances _ __
NO OCCUPANCY BEFORE C.O.
----_.__._._-_._-_._---~--_._------ ---- -------- -----------
V~~~SIGNATURE---- ~MIT 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 J I
DATE RECEIVED /0/:2 r IO~
PLANS REVIEW FEE ____."
OW"'R'S "AMEJ2~u){;1 -+ 8trrj Gt:I'JF GR.AVPS
JOB ADDRESS_ '-/-g.Js" CJTrA6-E LN- / 2 E.p J-/ YR..HILLS,
PIlONE(~/3) 71J(J - dJ/;;. 7
PAS{l.6. 33S-4d.-
,
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 10 # 14 ~lo d./ 0120() ()O~O() (}()OIJ
SUBDIVISIOU
(nB1A1N-ERQMLPROPER~Y-T8X NOTICE)
WORK PROPSED: DI'lEW CONSTRUCT ION
PROPOSED
DSIGN
USE )QSGL F'A~1nY
o
COM~1ERCIAL
DWELLING
o ADDITIOll o ALTERATION o HEPAIR [J INSTALL
o 1'10VE 0 DE~10LISH
OMULTI-FAMILY 0# OF' UlHTS o ~10BILE HOME
o INDUSTRIAL o SWH1MING POOL o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTl1ENT APPROVAL
R-.6,- f<{)()F SINGLE PLI.} I2Uf5BE~ fY)EfrJBR19NE
I I .
SQUARE FOOTAGE 4 ()() HEIGHT
BUILDING SIZE
RESIDEllTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF' BUILDlllG PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTJON.
-."\
VALUATION OF TOTAL CONSTRUCTION
/,' . -- I
(#~/
~------~
..0"'BUILDI NG
o ELECTRICAL
$2~5t/
PERMITS REQUESTED
AMP SERVICE
o FLORIDA POWER
o H.R.E.C.
o PLUMBING
o MECHANICAL
o GAS )( ROOFING
$
VALUA'I'IOti OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF C0I1STRLJCTION: 0 BLOCK
o F'RAI1E
o STEEL
J2}()THER
FIlHSHED FLOOR ELEVATIONS
I S PROJECT I N FLOOD zom: ARF,A 0 YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*************k**********l***************~*******~.*k***************
ELECTRICIAN
COHPAllY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*************k****************************************************
PLUMBER
CDt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
CDt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************A**********k
OTHER BR.../ AN SmVEI?-
SIGNATURE
CDt1PANY JNV1JV~ IJ3L~SSCJt21krESJ IA/(l~
STATE CERT OR REG [ST # .' 0 'I93~ 7
CITY PROCESSIllG #
******************************~*****k*****j'******k****~***~**k~**
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive thal1 City regulations. The undersigned assumes responsibility for
compliance \\lith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AIJD CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake \\lork, they may be required
to be lj censed in accordance \-lith state and local regulations. If the contractor is not
licensed as required by la\'I, 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
licensillg requirements may apply for the intended work, they are advised to contact the
Ci ty of Zephyrhil1 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 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 \'iOrk. If the contractor wishes
you to sign as contractor that may be an indica~ion 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 STA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lierl 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 to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
J 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 loJork 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 tile 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 ZOlle "A" or "A,etc.", it: is
understood that a drainage plan addressing a "compensating volume" will be submil~ted \~hich
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 liceHse to proceed with tile 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 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 vJJthin
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 l'lork 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 tIle Building Official. An approved inspection must be logged during eacll six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOIJR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIllG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR tJOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT t~EED TO ,RECORD AND POS1' A "nOTICE OF Cm1~1ENCElvjE[\JT".
SIGNATURE: OWNER OR AGENT
tJ~
acknowledged
20_
STATE OF' FLORIDA
COUNTY OF
The foregoing instrument \oJas a~pwledged?
Before me this ,~/I't'1J.a'l 9f r, 20 ~
by c'/frRf~ h"lFLt7H
(name of person acknowledged)
Dlho is personally known to me, or
'fi'who has produced F2 lJ. L . tJ 1j;l-;13~ 7;1 -
,."'.._~ . (.~ ype of ident.if.ica~&) U
at,d "ho D.3Jd r;l1tJt)C'~' oath ..
t king
'j
~ ~ ,/
.----r" '/YJ.
/ a.5 'C./
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
[1 Vlho is personally krlO\oIfl to me, or
DWho has produced
(type
and \oJhoo di d 0 did not
of identification)
take an oath.
Si9natnre of person taking acknowledgement
Nall\e typed, printed or stamped
,,"-:r.~'fU"" Bobbie Swetland
Name{~f: ~,MYp:P~~~~~~~8~E6~Da~~~2J
-:">";"c',(;i'~., iJONDED THRU TROY FAIN INSURANCf, INC