HomeMy WebLinkAbout03-2516
I.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2516
Permit Number: 2516
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 11/18/2003
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 11/18/2003
Work Desc: RE-ROOF
Address: 5338 TANGERINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MARION BARKER
Address: 5338 TANGERINE DR
ZEPHYRHILLS, FL. 33542
Phone:
I
REINSPECTION FEES:~ When extra inspection trips are necessary due to any oneotthe following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying- twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
. Complete Plans, Specifications and Fee Must AccompailY ApPlication~ ...
~__ ____All work shall be performed in accordance with City Codes and Ordinances ~_~____~_
r X #h~ / f~ J NO _OCCUPANCY BEFORE C.O. ~
I. CONTRACTOR SIGNATURE PERMIT OFFI
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
I PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
JOB ADDRESS
DATE RECEIVED
PLANS REVIEW FEE
/$;.<211);'; b ~d'~ ~/lt"/A /r)iL-;A$f 41.9 g/3 7If--2'1,<t.
-533 8" 7/;~~//~~ ~.
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCI<:
SUBDIVISION
PARCEL ID #
/ J-;b--;?/-/)tJl7o~~olj ~O -gi/ 0
-
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
(OBTAIN FROM ~PERTY TAX NOTICE\
o ALTERATION ~EPAIR 0 INSTALL
PROPOSED
o SIGN
USE: ~L FAMILY
o COMMERCIAL
o MOVE
o DEMOLISH
DWELLING
Dt-1ULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMt1ING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
A~?
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.
PERMITS REQUESTED
o BUILDING
$ 1~~..t:(J
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
[] 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 AREAD YES
o NO
SIGNATURE
~~~~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
Owf\tl(
BUILDER
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************'k***********
PLUMBER
COI'1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
*****************************************************k***+*******
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" vvhich
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED COt~TRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may tle required
to be licensed in accordance Ivith 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 lal'" If the mmer or intended contractor are uncertain as to v,hat
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 ovmer has hired a contractor or contractors, he is advised to have the
contractor (s) sign portions of the "Contractor Sections" of this application for Ivhic:h they
I'Jill be responsible. If you, as the owner signs as the contractor, YOll are .Indicating that
you, rather than the contractor, are responsible for the \York, If the contractor Ivishes
you to sign as contractor that may be an indicat;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 I,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided VJith a copy of "Florida's ConstnwUon
lien La\.J - Homeowner's Protection Gui.de" prepared by the Florida Departmenl-, of Agri culture
and Consumer Affairs. If the applicant is someone other that the "owner", f cerify Lhat J
have obtained a copy of the above described document and promise in good faith Lo deliver
it to the "oymer" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all vJork vdU
be done in compliance with all applicable lah1s regulating construction, zoning, and "land
development.
Application is hereby made to obtain a permit to do work and installation as irldicated. I
certify that no \'Jork or i.nstallation 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 jurisdictjon, ! also
certify that I understand that the regulations of other governmental agencies may apply to
the intended \York, and that it is my responsibility to identify what actions L mllst take Lo
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironmefltaJJy 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 "compensatjng volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to pennit
issuance.
A permit issued sllall 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 ydthin
six months of issuance, or if work authorized by the permit is suspended or abandofled for a
period of six months after the time the work is commenced. One 90 day extens ion of t:.i me
may be alloHed for the permit vJlth fee charge of $15.00. The extension sha.!l be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project Hill be considered abandoned.
WARNHIG TO OWNER: YOUR FAILURE TO RECORD A 110'I'ICE OF COM~1ENCEtvlEN'I' MAY RESULT IN YOUR
PAYING TlrHCE FOR I11PROVEHENTS TO YOUR PROPERTY. IF YOU INTE1~D TO OBTAIN FINMlCIIJG, COl~SUL'1
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO lJOT NEED TO RECORD Aim POST A "JJOTlCE OF COlvl1'1ENCEHEll'1"'.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COmn'y OF
The foregoing instrument was
Before me this _ day of
by
ackno\cJledged
2lL
STATE OF FLORIDA
COLJI~TY OF
The foregoing instrument \Vas acknowledqed
Before me this _day of----_, 20
by
(name of person acknowledged)
C1llO i.s personally known to file, or
(name of person acknowledged)
Owho is personally known to me, or
O\Vho has produced
(type
and whoO did 0 did flOt.
of identification)
take an oath.
o who flas prodllced___,___________
(Lype of identification)
and Ivho 0 did [}Hd not ta ke an oa tlJ
Signature of person taking acknOl'lledgement
Signature of person taJdng acknOlvledgment:
llame t:iped, printed or stamped
tJame typed, printed or stamped
------------~------