HomeMy WebLinkAbout04-2613
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2613
Permit Number: 2613
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6788- 6798 BASSWOOD CIR.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number:
13,500.00
1/05/2004
100.00
100.00
1/05/2004
RE-ROOF
Name: DRIFTWOOD CONDO ASSOCIATION
Address: 6788-6798 BASSWOOD CIR.
ZEPHYRHILLS, FL. 33542
Phone:
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 Accompany Application.
.. _____u__ All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~~TURE.- . ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 . )
813-780-0020 FAX,813-780-0021 DATE RECEIVEO~~~~~
PHONE CONTACT FOR PERMITTING
OWNER'S NAME OJ;!I;KlaI~OO C rJItliJ t)
JOB ADDRESS ~ 78'8 -~ 717
,fJ-S 5 OCt
fS ffSSWooLJ C ItZetC-.
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # (!) 2 -J-t -2J... 0 2. /0 - rf) Of}fJO -1300
,
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J ADDITION
[JALTERATION
a-REPAIR
[J INSTALL
[JSIGN [J MOVE [J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING ~I-FAMILY [J# OF UNITS
[J COMMERCIAL
[J INDUSTRIAL
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
/2r; ~ t2oo4;;?
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
[J ELECTRICAL
$ /3 ,s-tJo
/
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
[J GAS
[J ROOFING
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREA[J YES [J NO
CO~Q~g',:!1~E(j'r:I:(:)~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL COMPANY
SIGNATURE STATE CERT OR REGIST #
*~******************* *******************************************
OTHER
IZ'r t/t~:/ COMPANY tfl-tl,~
!20(()h;[j c;-
.
SIGNATURE
STATE CERT OR REGIST # ILLoo L( 12.C/ I
A. NOTICE OF DEED RESTRICTIONS
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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor 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 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 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.
Appliqation 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 fora
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 L D OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN ~EED TO ;ORD AND POST A:;FZ?MEN;~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
acknowledged
,20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
[Jwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid OHd not take an oath
Dwho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
(;AVJ"~ ROOFrNC
P.O. Box 1363
DADE c:-ry FLtI r<5;).cj
t( ,t::RCOOl.j62(l.l S{l;-iC;:,jt' ~n',)~jt(::
PROPOSAL
Page No.
of
Pages
(352) 567 5034
:2 YEAR LEAK WArm.ANTY
JOB NAME / NO
LOCATION
To:
.J
ii Y/',
I
,/}:~J ;.1../
PHONE
'-I ,1,._,,'
We hereby submit specifications and cstimates for:
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~ PROPOSE hereby to furnish material and labor -c complete in accordance with the;;e.;;pecifications, for the sum of:
/ . -,' ,I ,~..,+. -"" "-., . ,I ,,'; '", .:~... .. t -./' t
., dollars ($
Payable as follows:
).
t.
All materia] is gllaranjcl'd [0 he as specified. All work to be completed in OJ workmanlil.;c
ll1illlIllT ;Jc('onlillg 10 standard practices. AllY allcratiolls or deviation from above spcciriei.!
liollS involving extra cosl will be executed oIlly upon \vrillCIl orders. ancl will beeullw all
exlra l'Ilarg(' over awl above the cslinHHe. All agre(,ll1ents contingcn[ UpOIl slrikl's. accidenls
or delays bt',volld our cOlllrol. Owncr to carry fin'. lornado, am1 olller necessary insurance,
Our workers an' flllly ('overed by Workmcn's Compe!lsation Insurallcc,
Authorized
Signature
j...--._-~
r ....
NOTE: This proposal may be wtthdrawn
by us if nol accept cd within
clays.
ACCEPTANCE OF PROPOSAL - The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Signature
Daie
Signature
Date
NOTICE OF COMMENCEMENT
State of
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County of
p" ',.."
../i)<:..(
THF; UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
and III accordance WIth Chapter 713, Flonda Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel NO.,i<'r} 1 - 2? -.2 J - f!) 21 f).- (J O!) OtJ .... I j ~ {)
~
l I (' <;' c,' , ..-, , '." I .,; ., .' '/ 1-; . ':\r '7 h.' I
'" - ,0\ \2.. X. e I J.) G 1"'( L (, {c( 1. tc7.:/I, l/V{ G \d C 1 t{ ~:i{~ ~~s~cc'~ L,'i~."'-"-' y .I"~
(~egal description of the prope y and street address if available) L, 3. :~,;; ,,/_ )_
2. General Description of Improvement
) ~,""
;.,/ -'" -. /"/ / . . ~..-.-. " .
./CL /'c.. (( /-/ /, ;;: -
/11111111111 1111I1111I11111 1111I1111I11111 1111I1111111111111
2004000157
,-
Rcpl: 744579
DS: 0.00
01/05/04
Rec: 6.00
IT: 0.00
Dpty Clerk
3. Owner Information: Name{~/
'-
Driftwood Ho.meownl" Association
38333 Cott6li~Od PIaCA
Zephyrhills, FL 33542
State
Address
Interest in Property:
<....
Name of Fee Simple Titleholder:
(If other than owner)
Address
~~90~~~~"A0N~'3PASCO COUNTY CLERK
o. 2am 1 of 1
OR BK 5679 PG 841
City
State
...;' .
4. Contractor: Name .;- //: 'fi.
" // /'/ /.. 1-.
.,,,
Address ! f
,. ,. .. /
1-; 'I, I
, "'.-' ,'" ".;;
llj(- .~~
City ,i)/li/[ //IY
/
State /.I
-1 ., r; "J /
,) ')'.J-L"e-
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
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:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (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.)
'--/ ~
\ detl ^I ,I /\.C t._SIC.~ .1"
Sworn to and subscribed befor~. e this ,~crY/~ day of j<""..;:(:(,;)j,,;..}'
~'-l' ..., -- i::::;"'?) Ii /~, L I~ /, -,;:- I/)
Notary Public:~ /1/2\.6"('': f-(' .f.'-- r{~ ,.iT~ ~ ~~r-~ ., ,C,' (' '-1-. '. ./_)..
{::f....- .:J.j ~ ~1lt I T - I _ _ ~. (..- /' I .r..- _ {.; --......,.....- l N" 6 ' "f:S(."-<:'
...1111:..
. =:1';f.'-v..~\ ~~DY o. P~GETf
~;.:~. ."i-~:/ EXPIRES: May 16 2006
L3t;~~~..," BO/::.::~Thru Notary Pubjic Underwriters
/"'-.,
I . :
Signature of Owner: (~:i'
.-------'
Ij'LL~4\.t"--c,,<--
,200~ .
My Commission Expires:
PC93053048/ A