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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2666
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
WOl1k Desc:
2666
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6043 ZEPHYR RIDGE RD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number:
2,950.00
1/22/2004
45.00
45.00
1/22/2004
RE-ROOF
Name: ROSEMARIE STROHEKER
Address: 6043 ZEPHYR RIDGE RD
ZEPHYRHILLS, FL. 33542
Phone:
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
L The payment of inspection fees shall be made before any further permits will be issued to the person owningsame
I "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 yo r notice of commencement. n
----u-----u--complete Pia , pecifications and Fee Must Accompany Application.------- --,---
All work sh e performed in accordance with City Codes and (?rdinances '_ ____ _____
NO OCCUPANCY BEFORE C.O.
.-----_._-------._-----~._-~_._----_._-----._---._-----._--
~
TOR SIGNATURE PERMIT OFFI
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 RECE IVED
JOB ADDRESS
~r:~R
PERMITTING
OWNER'S
NAME cf{VWWl~
~Q
PHONE
LEGAL DESCRIPTION: LOT(S) SUBDIVISION
PARCEL If) # 0..3 '-.2-~---2-(__ (> t3 O--c:DCOll...-'iD O(~ld.IN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION DADDITION DALTERATION D REPAIR o INSTALL
Os I GN DMOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER
BUILDING SIZE
~EALTH DEPARTMENT
SQUARE FOOTAGE
APPROVAIJ
DESCRIPTION OF WORK
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.
o BUILDING
&~
,/
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o EI,ECTRICAIJ
AMP SERVICE
o FLORIDA POWER
o 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
FINIsaED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES D NO
~9:K~~~~1"la~OJJ
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***********************************
OTHER
COMPANY
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whicll
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 corrunencement.
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 corrunenced 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 for a
period of six months after the time the work is corrunenced. 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 UNllER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me Lhis _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 2()
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
Dvho is personally knovm to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknmvledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
.-" - -- -..........-........,"":.~ ..- -.. - 'P"'- ".,'~ >~~::-":''!~-~~'';'-.'..'l'4lr.ry:v.....;.,_jIl,..t 'Jl.,....~. \j'~...:. ....,:...,'''It.J'.-- :It!'~A" ..__. ... .." .... ....
A. ilartlett itnnfing (@f orentralllilnriba, llnr.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE .
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic. #RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 10,000 Homes and Mobile Homes in the last 29 years.
Date I~ (3 J) ~
r
Name
~o~
ctfJ
Address
Phone
President &
Sign:
Richard C, Bartlett
THANK YOU
Your Business is Appreciated,
Payment upon completion unless previous arrang
Warranties pertain to original owner,
All arrangements contingent upon strikes, accidents or delays beyond our control, Owner to carry fire, tornado and ather necessary insurance,
Our workers are fully covered by Workmen's Compensation fnsurance, Customer is tiabfe far any charges incurred in collecting this bill,
NOTICE OF COMMENCEMENT
11111111111111111111111111111111111111111111111111111111111I
2004010363
State of Florida
County of
Pasco
THE lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 03-26-21-0]10-00000-0070
6043 Zephyr Rid e Rd
(Legal descr~pt~on of the property and street a
2.
General Description of Improvement
Rpr(')(')f
Rcpl:749073
DS: 0.00
01/21/04
Rec: 6.00
IT: 0. 00
Dpty Clerk
3 .
Owner Information: Name Rosemary Stroheker
JED PITTMAN, PASCO COUNTY CLERK
01/21/04 08: 55am 1 of 1
OR BK 5699 PG 42
Address 6043 Zephyr Ridge Rd
City Zephyrhills
State FI
33540
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
""~'..~"
City
State
R4.
Address 38408 3rd Ave
Contractor: Name A Bartlett Roofing of Central FJ.. Inc
City Zephyrhills
State11
33542
5. Surety: Name
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7 .
Persons within the S ta te of Florida
notices or o:her documents may be
713.13(1)(a)(7), florida Statutes:
designated by Owner upon whcm
served as provided by Section
tJ<: me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provlded In Sectlon 713.13(1) (b), Florida Statutes.
<} .
r-xp..i.rnt J.'Jn d..,te of nut.i.ce of Commencement (the expIrati.un date is 1 yedr
ir~m the date uf recording unless a different date is specified.)
Sworn to and subscrlbed
/'
20 C'y.
~~@~j
.-?rp day
Not<lry ,..,p,\1b1 ic:'
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My C:J;r1,;ll S S l.OnE?<PlF~:: ;
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PC930530481A
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