HomeMy WebLinkAbout03-2494
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2494
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:
2494
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5824 DAYTON ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
._-~
Name: DEWAVE BRIGGS
Address: 5824 DAYTON ST.
ZEPHYRHILLS, FL. 33542
3,882.00
11/06/2003
50.00
50.00
11/06/2003 .
RE-ROOF WITH RUBBER MEMBRANE
Phone:
I
R.EINSPECn:ON FE-ES: When extra inspealontrips are necessary due foanyone 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
-''Warnlng-to-owner:-Your faUure to record a notice of comme-ncement may result in-your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
~fore recording yo,!r notic~ of commencement." _ ... _ _ ____
- -~ -- - Comp-Iete Plans~ SpecificaHo-ns andFee Must AccompanyApplicatioll.---- -~~--
___~II w()~I<._shan be perf()rf'!'l_edin _ a.cco~gance wit!!. c:ity Codes.9nd Qrdillances
NO OCCUPANCY BEFORE C.O.
- ---.----- ------------
)(~~ SIGNATuRE ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CENTIW. PERMlmNO OFFICES:
· Dade City: (352) 521-5144 FAX (352) 521-5149
13852 17th St., Dade City
· New Port Richey: (727) 847-8126 FAX (727) 847-8901
7530 Uttle Rd., Rm. 210 New Port Richey
· Land O'Lakes: (813) 929-1266 FAX (813) 929-1307
4111 land O'Lakes Blvd. (US 41), Land O'Lakes
THIS APPLICATION MUST BE TYPED OR PRINTED IN INK
AND IS VOID IF NOT PERMllTED WITHIN 6 MONTHS
----------------------------------------------------------------------------------------------------------
IS THIS APPLICATION THE RESULT OF A STOP WORK ORDER OR NOTICE OF VIOLATION? Y _ N_
6 OWNER'S NAM%~J~' t'~G ~ PHONE # &.L3.... i '7If..!L _ 3 'I' "1-"1
9 JOB LOCATION: /1! . ~ ~~ )/JliS SUBDIVISION:-r~~ //MJ: 111V /16./F
~ PARCEL 10#: S -Ia- T ~ R..;!.L SUB<2i::.\aa BlJ(~/'1O OT ~ROJECT # TAl _ LOT SIZE _~
~ OWNER'S PRESENT ADDRESS: SIr dJ..TI }) A ~N.. CIlY: 2FNY.R./I ILL)' STATE: FL ZIP: ."=3..~. 2-
~
o FEE SIMPLE TITlEHOLDER'S NAME Of other than owner):
address (if applicable): CIlY: STATE: ZIP:
~~~;1;~;;~;;;;~-RE::-z;;,F-S;~;.?~-~-;eV.8~-Pim8MVF-m--m----m----------------
Q UVING AREA: PATIO: GE: ENTRY: TOTAL UNDER ROOF: ...:57d2.
9 # BEDROOMS - # BATHROOMS -. _ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
aJ FILL Y _N_
~ IF MOBILE HOME OR RV: MAKE
i=
a..
CE WORK CODE
(.)
en
w
c
PASCO COUNTY BUILDINO PERMIT APPLlCAnON
SHADED AREAS FOR OFFICE USE ONLY
OCCUPANCY:SEQ#:
NO. OF UNITS:
ARE DISTRICT:
'TYPE CONSTRUCTION:
DATE RECEIVED:
fI
PERMIT#:
III IV.. V
BY:
VI
YEAR
SIZE
FEES BlOCK
PLANS ON FILE? 0 NO 0 YES
MODEL NAME
PRE-PAlO PLANS FEES: $
PlANS FEE: $
VALUATION $ RECEIPT #: BUILDING: $
---------------------------------------------------------------------------------
BONDING COMPANY:
~ ADDRESS: CIlY: STATE: _ ZIP:
(.)
o
ca ARCHITECT/ENGINEER:
ffi ADDRESS: CIlY: STATE: _ ZIP:
j:
o MORTGAGE LENDER:
ADDRESS: CIlY: STATE: ~ ZIP:
---------------------------------------------------------------------------------
CONTRACTOR:
SIGNATURE:
~ ADDRESS:
g STATE UC # ~f applicable)
~
aJ
a:
g ELECTRICAL CONTRACTOR:
(.) SIGNATURE:
~ ADDRESS:
S STATE UC # (if applicable)
(.) POWER CO:
PHONE # (_)
CIlY: STATE: _ ZIP:
PASCO CO COMPUTER 101:
SAWPOLE: AMPS:
ELECTRICAL
FEE: $
MECHANICAL CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE UC # (if applicable)
o NEW 0 ALTERATION VALUATION: $
PHONE# (-l
CIlY: STATE: _ ZIP:
PASCO CO COMPUTER 101:
(Required)
MECHANICAL
FEE: . $"
PLUMBING CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE UC # Of applicable)
# FIXTURES: SEPTIC PER #
PHONE# (_)
cnv: STATE: _ ZIP:
PASCO CO COMPUTER 101:
SEWER: WATER: W8.L:
PLUMBING
FEE: $ q
OTHER CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE UC # (if applicable)
TYPE CONTRACTOR:
-PHONE#(_)
CIlY: STATE: _ ZIP:
PASCO CO COMPUTER 10#:
VALUATION: $
---------------------------------------------------------------------------------
OTHER FEE TYPE:
AMOUNT: $
RECEIPT#:
RADON
FEE:
$
.... S
---------------------------------------------------------------------------------
JOBS UNDER $2,500 IN VALUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENr
TOTAL BUILDING PERMIT FEE:
(permit fcnn 101911
EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMrmNG STAFF
PC930430321G IOVFR\
....NonCE....
BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND
SIGN THE REVERSE SIDE OF THIS APPUCATlON
..:... ~lOTICE OF DEED RESTRICTIONS
The underSigned understarld that this permit may be sUblect to .. deed restnctions" which may De more restrictive than County regulations. The
underSigned assumes responsibility for compliance with any apPlicable deed restnctions. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake WOrk. they may be required to lle licensed in accordance with state and local regu-
lations. 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 Pasco County Building Division - Ucenslng Section at (727) B47-8009.
Furthermore. If the owner has hired a contractor or contractors. ne IS aavlsed to have the contractonsl sign portions of the "contractor Block" of
thiS aD plication for wnlch they Will be resoonslole. If YOU. as tht:! owner sign as the contractor. you are Indicating that you. rather than the contrac-
tor. are resoonslOle for the work. If the contractor Wishes you to sign as contractor, that may De an Indication that he IS not proper1y licenSed and
IS not entitled to permitting pnvlieges In Pasco County.
C. TRANSPORTATION IMPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES
The underSigned understand that Transportation Impact Fees and Resource Recovery Fees may apply'" the construction (\f new buildings,
change of use In eXisting buildings, or exoanslon of eXisting buildings, as specified in Pasco County r 1ance numbers 89-07 and 90-07. as
amended. The undersigned also understands, that sucn fees, as may be due, will be identified at the time of permitting. It is further understood
that Transportation Impact Fees and Resource Recovery Fees must be pala pnor to receiving a "certificate of occupancy" or final power release.
If the proJect does not involve a certificate of occupancy or final power release, the fees must be paid pnor to permit issuance. Furthermore, if
Pasco County Water/Sewer Impact fees are due. they must De paid prior to permit issuance. In accordance with applicable Pasco County ordi-
nances.
D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes. as amended)
If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Construction Uen Law _
Homeowner's Protection gUide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant IS someone other than
the "owner," I certify that I have obtained a copy of the above descnbed 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 con-
struction, 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 commended
pnor to Issuance of a permit ana that all WOrk Will be performed to meet standards of all laws regulating constnctlon. County codes. zoning reg-
ulations, and land development regulations In the lunsdlction. I also certify that I understand that the regulations of other government 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:
· Deoartment of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally SenSitive Lands. WaterlWastewater Treatment.
· Southwest Florida Water Manaaement District - Wells. Cypress Bayheads, Wetland Areas. Altering Watercources.
· Armv Cores of Enaineers - Seawalls, Docks. Navigable Waterways.
· Deoartment of Health & Rehabilitative Services Environmental Health Unit - Wells. Wastewater Treatment, Septic Tanks.
· US Environmental Protection Aaencv - Asbestos abatement.
· Federal Aviation Authoritv - Runways.
I understand that the following restrictions apply to the use of fill:
· Use of fill is not allowed In Flood Zone "V" unless expressly permitted.
· If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addreSSing a "compensating volume" will be submitted at
time of permitting which is prepared by a profeSSional engineer licensed by the State of Florida.
· If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used
only to fill the area within the stem wall.
· If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to
adversely affect adjacent properties. the owner may be cited for violating the conditions of the building permit issued under the attached permit
application. for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.
I understand that a separate permit may be reqUired for electncal work, plumbing, signs, wells, pools, air conditioning, gas. or other installations
not specifically included in the application.
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 provi-
sions 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced
within six months of permit 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. An extension may be requested. in writing, from the Building Official for a periOd not to exceed ninety (90) days and
will demonstrate justifiable cause for the extension, If work ceases for ninety (90) consecutive days. the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING lWlCE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND OR AN A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
SIGNATURE
SIGNATURE
/'1\
OWNER OR AGENT
DATE
DATE
o N{!)lIv d.oD3
l'~' Celeste Dawn OoIberry
'\ ~j My CommiSSion 00028533
0,.", Expires May 22.2005
NOTARY AS TO
OWNER OR AGENT
NOTARY AS TO
CONTRACTOR
MY COMMISSION
EXPIRES
MY COMMISSI
EXPIRES
F RC~I
~ 1S~1
(~iED) OCT 2~1 2003 1: 5'~!ST. 1: ~,8/I\O, 634351 ~,3~~2 P 2
CONTRACTOR
RECONSTRUCTIONIIMPROVEMENT AFFIDAVIT
'" arcellO No.: /<> .:l(, ,., _ ~, . O~llO _ ~
roperty Address: S2 .:l.~orl S+_.
O"lractor Name: _"'B ": i ....I :=::"t. '('" -
dares.: .....ls!..C\ ~ I - -, ~-tl.. _ ~ N. LPr.~ ~ I '"":f;.
c..c.~o4o,3~7
1;1. i - S"q~- 'Sl~<:)
(Note: If there is no contractor, the homeowner may complete this packet.)
1~j 7 7
cense No.:
alephone;
1ereby attest to the fact that I. or a member of my staff. personally inspected the above-mentioned property
,d produced the attaChed itemized list of repairs. reconstruction, and/or remodeling list which are hereby
Ibmitted for a Substantial Damage/Improvement Review. These damages/improvements are ALL OF THE
A.MAGES/IMPROVEMENTS sustained by this structure. and that all additions. improvements, or repairs
'aposed 0/'1 the subject building are Included in this estimate.
Jnderstand that I am subject to enforcement and penalties f()r violation action andlor fines if the inspeotlon of'
e propeny reveals that I have made repairs or improvements NOT 1~..ICLUDeD ON THE ATTACHeD LIST OF
EPAIRS/IMPROVEMENTS TO THIS STRUCTURE or any nonconforming or illegal sltucturesJadditlons or
pairs is included to the existing structure without having presented plans for such additions, I unaerstand that
'y permit issued by Pasco County pursuant to this affidavit does not authOrize the reconstruction, repaIr, or
aintenance of any illegal additions, fences. Sheds, or nonconforming uses or structures on th. Subject
operty.
See Attached itemized list
Total Labor and Materials
O\ferhead and Profit
Total Cost
$ 3 , "3. 2~
~ ;;ti~Z..~t:
rATE OF ~
)UNTY OF _ r +'~~,. _
Affidavit
who, being duly swom
understands, -and agrees to comply with aU of the aforementioned
mtractor's Signature
lorn to and Subscribed before me this t,..JJ.. day of
oate:~
r commission expires
A.O.d-p3
OOiOll61
~ a\. Celeste Dawn DoIberry
. ~ . My Commission 00028533
~~~ ExpIred-fay 22.200:5
~,. .~
~...L~~~,
.....,-----"....-...,,-
~ St!11
CIiED.lOCT 29 2003 2:00 T.! :58/i\0. 6343515<192 P 3
OWNER
RECONSTRUCTIONIIMPROVEMENT AFFIDAVIT
Parcel 10 No.: '0 . ~(o ~\ _ ~<:) . COloo _ OO\:)\J
P....ny Addft..: S" g 2.q ~Pl'-I -h>rJ s,\- ~
Contractor Name: :B C"- ~ P\ ~ \.' ~{ (. r Ucense No.: ~,<:.. o\fq 3Co ')
awr.o, Name:l> e W1>I\I-c:... ~t""~ S
Address: s~"lf l)~on ~ Tel.pnon,-_ jj3- r82-- ~J33
I hereby attest to the f:act th:a the repalrSlreconstruction ana/or remodeling list SUbmitted kern the Substantial
Oamlloeilmprovement Review Oy my comraCl:or are ALL OF THE DAMAGESllMPROVEMENT5 SUStaIned ~y
this struc:t~r~ and will be done to the eXIsting CUlkling. and that all additions. ImprOVements. or repaIrs en the
sUbjed bUIlding are ,"cluded In this eStlmatea con.truction herewith. No other cantractor ha. made any repairs
ar recon8trul:tiOn or additions or remodeling not jnc.uded in the attached list.
ll.81derstand that I arn subject to enforcement action andJor fines if inspection of the proPert'( "",eals that I have
mid. repairs ar Improvements NOT lNCLUOEC ON THE A TTACHEO LIST OF REPAIRS TO MY HOMe. or tnal
I have ind1.lded noncanfomul"Ig or illegal strudurelladditJons te the existing structure without havinli presentee
plana fQl' :such additions. I undet!tand that any pennit iSSUed by Pasea County pursuant to this affidavit does no:
adi'lonze the recanstNeticn. reg.lf or maintenance of any ill.gal addition.. fenees. sheds. or nancantonning uu.
or structures en the sUOject Dropeny.
STATE OF ~o<-,.~~
COUNTY OF ~C,...C:)
aefore me this day personallv appeared who, being dUly awo.
dllposes and says tn3t he has react understand,. and agrees to comply with aU ot tl1e aforementioned CDrlditAons
?
~A~A' _~ err
SIgnature Owner
Co-oWner
~~
2#-s~o ~ . -
Swom to IInd SCJbscriblJd before me this
d.., of
My commisaion expires
.. ~.c~-:,;,:~8{1:> *
d}, ,..
"~OFF\.r1'<;j
MONA L. BUllER
MY COMMISSION # CC 961647
EXPIRES: AuguSl16. 2004
Bonded TnfU Budget Notary Services
nli)\1
(IVED)OCT 29 2003 '2:0C T, ~ :5i3/M. P,342S153'j2 P
rlIil Cast EsdlMl&
ESTlHATtO COST OF Rt-COUS~RUCTION
FOLIO' J() - 2,~ - ~\ - ()C)(l) O~ 100 ()~~
Address A ')l:J..t/' 'DA ~ +a~ X..J.....-:::...'
or RcCoulNCUOA mw b. prcpar" -4d ~,".J
Cost. ftec:on./
Items Repair
ta.bor -+ Haterials RAtio Official
of 'Work u.s.
Conc~ete, Form, ~ t
car~entry Haeerial (roU9h) ,
CCl:-pentry Labor (rouqh) I I ,
Roofinq 3.1 g3 ~4 l % I
Insulation , Weaener Serip. , r' "
Exterior Finish (stucco) I t
Interior Finish (pter " D2:"'''l) t I
Coors, Windows , Shutter5 t I
'Lull.be:r Finlsh "
carpenter iabor, finish It I
Kl.rd.liaC'., (l"O\&C;h) . t
i
Harelware., CtJ.nish) , I
Cabinets (~QLlt-1n) ."
Floor cov!lrinq (tile ruq) .. I I t
Plulllbinq I t
Sho~.r/TUb/Toilet ,
Electrical ,
Llqht FIxtures it
8uilt-in Appliances %
HVAC t
Paint t
I OYe!;:'~ead , Pt'ofit ~fj8 .7V1
l
'rotal 3~ ~ 2.. .00
~dc!r... :
Phone :
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Prepared by:
TO BE COMPLETED IF CONSTRUCTION
VALUE EXCEEDS $2,500.00
Permit #
111111111111111111111111111111111111111111111I11111111111111
2003208759
Tax Folio #
OFFICIAL NOTICE
OF COMMENCEMENT
State of Florida County of P4Sc:7~
Rcpt: 731230
OS: 0.00
11/07/03 _
Rec: 6.00
IT: 0.00
Dpty Clerk
JEO PITTMAN PASCO COUNTY CLERK
11/07/03 10: 42am 1 10f9710
OR BK 5614 PG
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
iaccordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of
Commencement.
1. Description of property: 16 - ::J(.,- ;;J../--(Jt"J{JtJ "-(1D ;()IJ-o~/\()
; 2. General description of improvement: ,f E; - I2h F .s/ N4[F. fi j f.ulfM72 I'iliJ'ltJ/I!wt(
3. Owner Information:
A. Name and address: bE LJAVEI.-. &/66-<,-
B. Interestin property: OLdE~
C. Name and address of fee simple titleholder (if other than owner):
R'
~.. ......
14. Contractor name and address: IN IIJ /\/(1/1" i ~ It S-,,},,!.l ~../l\/(..'
lIS q ~ JbA,/-ro,',,' .W- '"7S-+J1-S.T; -.l ti&;c;. 7~~1. 722
:5. Surety (ifrequired)
A. Name and address
B. Amount of bond $
16. Lender name and address:
:7. Persons within the State of Florida designated by Owner upon notices or other documents may be
served as provided by section 713.13 (1) (a) Florida Statutes.
Name and address:
i8. In addition to himself, Owner designates )A!I!J)Jc./ I!J/'F A:C;c::,/'Jf!..j ftJ7;t:,- to receive a copy of the
Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes. i i /l./(" ~
:9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
irecording unless a different date is specified)
; l,-; ^/() VEfrJf3ER ,20Q3
!Signature of Owner or Anthorized Agent:a'l:1u/h>-i 73. t- '''/ii q.J
,)J
iSworn and subscribed before me this
, 0+11 day of AftJt1tfYJ~Ft?- ,200-1_, by
P Who is personally known to me.
,l2r has produced P k n;' t:"" A ~- Ll c!...f:N <) F
. ~~-
iN ary Public
My commission expires:
as identification.
Drivers License #00:20 )(/1-/{~.fHt)'-0)
MONA L. BUllER
MY COMMISSION # CC 961647
r:XF::~ES. AUQllst 16, 2004
"L:':1d!',\ "~!ru Bud""-'~r:t,,,!V Services ~;