HomeMy WebLinkAbout04-2620
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2620
I 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:
2620
RE-ROOF
ROOF REPLACEMENT
CHURCH
Address: 38635 5TH AVE
ZEPHYRHILLS, FL.
i Township: Range: Book:
I Lot(s): Block: Section:
~
. Parcel Number: 11-26-21-0010-15000-0090
I Name: UNITED METHODIST CHURCH
I Address: 38635 5TH AVE
ZEPHYRHILLS, FL. 33542
3,320.00
1/07/2004
50.00
50.00
1/07/2004
RE=ROOF
Phone:
!
I
I
I . ._ L_ .. I ......~ ___.____
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 you.. 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 I'Ifust-AccompanyApplication.--------
__ __n_..!-~~()rk shC!l!Jl~ performed_in accordance with Ci!y. Codes and _<::>rdinan~e~
NO OCCUPANCY BEFORE C.O.
--_._--~-....,.._------_._---_..._-- - ------ . -- ---------- _.._~-_..._-----~.-....._-----_.__._.. -----------"-.',--------..-..--
~ ~~
TOR :L~ ~~r: INSPECTION _ 8 HOUR NOTICE REQ:I~E~T OFFI
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NN1E~(:Jt l)nJke>! 1fJe1h~Ch[i/M PHONE
JOB ADDRESS :3~035 ,~/'9u-f..- 2gplh.{ih,IIJ fi--. ~ d
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # I /-;)(IJ-d, I -00)0 -/'5{)OO -CfX..p U
SUBDIVISION
(ORTATN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION [JADDITION DALTERATION ~EPAIR D INSTALL
it. ~:P [J SIGN o MOVE D DEMOLISH
cJ ~POSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME
D COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER
~
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
R~ -rOOD (lO:i/'oJ f~ ')
SQUARE FOOTAGE
DESCRIPTION OF WORK
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.
D BUILDING
$ ~~J~D
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C..
D PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
[J FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
***********~******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
0THl<El 'h~ COMPANY }:\1,jalC1 '1 (JY15frl.l r>i)fY), Jnc.
~- - ~ STATE CERT OR REGIST # (l (II, - 1,~~,-5l5tY5
SIGNATUR _u .. ~. v~_ CITY PROCESSING # ;37/5
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The undersigned understancs that this permj.~ may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicabh~ del;!d 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 st:ate. 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 Zephyrhi1ls Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH 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 Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH 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 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 "AH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH 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 $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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENTH.
SI~E~~ S~'!r~ -
STATE OF FLORIDA ()/\ ./Yll' STATE OF FLORIDA 17~
COUNTY OF ~ COUNTY OF ~
The foregoing instrument w~cknowledged I The foregoing instrument was acknowledged~-v/
Befo.r:7' me this itt day of =.1~hUD-r'~ ~Gb Before f9.5'_ tll.~S --k.day of X1v1Uo..M-1~~
by pO.(f1It---.:...~Yl~ - y ~(~-~t~ {/
(name U person acknowledged) , (name f perso . acknowledged)
~o is personally known to me, or ~ is personally known to me, or
o who has produced [J who has produced
(type of identification) ~_(type of identification)
~id no take an oath. ~d n take a ath
person t ng ac~nowledgement
~ ~ Hems
· . My CommIssIon DQ185587
print '" ~iJyo3.2007
Name typed,
Name typed,
person taking acknowledgment
~.~~~OO186587
e&pIlW"Jaftj,~lW20~
'0
':.. '
Rcpt.: 745735
OS: 0.00
01/07/04
St.at.e of
NOTICE. OF COMMENCEMENT
HrC)(/(J! ~ County of ,P cJ.4 ~
THE llNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter i13,
Florida Statues, the following information is provided in this
Notice of Commencement:
1.DesCriPtion of Property: Parcel No. 11- d{~.;;( L-fY)/(J _ /500:J:x)-
escription of the property and street address if available)
2. General Description of Improvement.7~-e.. - {bZTj
3.Owner Information, Named7(1f Urllltd J1')p/;1fd/'5f ~L
Address 3~/,,~j ('5 ,"JIh Avf..: Ci ty Z, (h,. {r h, b'.l Sta teFT.. ,,"3 DLI:;:;'
Interest in Property:
-
Name of Fee Simple Titleholder:
(If other than owner)
~ess City
4.Contractor: Name_RYMAN CONSTRUCTION, INC.
JEO PITTMAN" PASCO COUNTY CLERK
01/07/04 0~:3!pm 1 of 1
OR BK 5680 PG 412
State
Address 37325 S~R~ 54 w.
,{
5.Surety: Name
City ZEPHYRHILLs
stateFL 3354~
Amount of Bond; $
City
State
Address
6. Lender:. Name
i.Persons within the State of Florida designated by owner upon whom
notices or other documents may be served as provided by Section
713.13(l} (a) (7), Florida Statutes:
City~
State
Address
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 /13.13 (1) (b), Florida Statutes.
9.EXpiration date of Notice of Commencement (the expiration date is
1 year from tbe date of recording unless a different date is
specified. )
Si~~tUJ::e of Owner: K r0~ f ~
Sworn to and subscribed b~fore me this 7
20_0'-/ _. ~
Notary PubliC:~~C:zt/. ~
My Commission Expires: 2 "- _
. . My Conimlas/on 00185587
'0; I\.~ Expl,-s January 03, 2007
" 17
/i --'/.AY':)
I). r J '-~I...
Print Name.K. k ()~) E' '" J
day Of=:Jan'-tQf~
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