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Home My WebLink About04-2676 r- .' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2676 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: 2676 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5201 22ND ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0010-02000-0130 8,850.00 1/26/2004 75.00 Address: 75.00 I 1/26~2004 __.~__~__Phone: RE-ROOF - 60 SQUARES SURRATT, SAM (JR) & RACHEL B. 5201 22ND ST ZEPHYRHILLS, FL. 33542 I I i ~EINSPECfiON FEES: When extra in~on bips are n_....oy due to any "Jot the following reasons,a-- I ~harge 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: Yo-ur failure to recorda notice of commencement may resulfTnyourpaYlng 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. II ---.----'-------Complete Plans, Specifications' and Fee Must"AccompanyAppjlCation-.-- -------- ---------- _ _____~I \^JlJ.r~haJl. be perf<:>'"...f!led i~cco~dance wit~ City c<:>des~.I'1~_.9~din~'!.c.e~________ NO OCCUPANCY BEFORE C.O. ' ----.--_____.'_______n... ___ ____..____._____ ____ _______.._______________ ____ ._________.__ _________,__. _____'_.___,_ ___ "___.____________._____________.__ ~L ~ 11'_ CONTRACTOR SIGNATuRE--- - PERMIT OFF! CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED J- 2 b-I/I , PHONE CONTACT FOR PERMITTING OWNER'S NAME ~;~ JOB ADDRESS ,)20 I - ~--- 5 ~( !Cd. fJ- ( /. ;( ~ .si PHONE LEGAL DESCRIPTION: LOT(5) BLOCK PARCETJ ID # i 2 -)1 - 21- OOIC - O),c'oo - eno SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: (JNEW CONSTRUCTION (JADDITION ~LTERATION (J REPAIR (J INSTALL (J SIGN PROPOSED USE: ~L FAMILY DWELLING (J COMMERCIAL (J MOVE (J DEMOLISH (JMULTI-FAMILY (] INDUSTRIAL 0# OF UNITS o SWIMMING POOL (] MOB I LE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 12 ~ -12 (X!-/IJ {'- 6 0 % / 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. AMP SERVICE (] FLORIDA POWER / / ';i BUILDING o Er,ECTRICATJ $fI?c,){) [7 / r PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o o PLUMBING o MECHANICAL $ o GAS o ROOFING (] SPECIALTY VALUATION OF MECHANCIAL INSTALLATION'~ tJ1. (] f, 41,5, I).? A Id t) OTHER l" ~. / '-'r r1" o FRAME 0 STEEL 0 OTHER .11J~' IS PROJECT IN HOOD ZO~EAO YES 0 NO TYPE OF CONSTRUCTION: (] BLOCK FINISHED FLOOR ELEVATIONS SIGNATURE ~t!-' j}6~ COMPANY ;' . {-,q.(/ / V I!reevCi/ {:. BUILDER STATE CERT OR REGIST # l(tCCf(6itf/ ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REG 1ST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" wh.ich 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. 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 "A" or "A,ete.", it is understood that a drainage plan addressing a "compensatiQg volume" will be submitted whicll 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 vii thin 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 Cm1MENCEMENT 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 COMMENCEMENT". ~ C~ ()/5/!- ~ ,/~ 1/'1t'i SIGNATURE: OWNER OR AGENT STATE OF FLO~ COUNTY OF \. "7 M~() The foregoing instrument was acknowledged ;/ Before me this ~ day of g;"'..../ , 2Q2-'t by a (name of person acknowledged) ~whO is personally known to me, or SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was cknowledge,0;.di Before me this #-day of " 20L!....t- by \at, (name of person ackBQ.yJ~edged) ~_~~~_f)_~!:=.o.~~,l~,~.k~ ~~n.t().)1e , or ~ctwho has produced ., ' (type of identification) and Wh,O, Oilly _ . ~':j,_~ /.t, 4ake an .eat!, . ,~~ ~~k~5x, Siqnafure of person/taking acknowledgment .."\~~~f.;:".., . f'f' .~~ Bobble Swetland ~:: ="E MY COMMISSION # Name f{;~~~." P.;E).Ln. a!Y~2,~ll1Hmpe ':f', """, l'<Vl:O ROY FAIN INSUIlANCf, INC. ."'~ ytJ,-1~~ ") Owho has produced (type of identification) and Wh.~id ~.ot..9take a,u;th. (" ~J'---'~ ,~ . "J -' ,.{p-{.-" Signature of person taking acknowledgement Name ~~~. Bobbie Swetland i~ i*~ ~jJB~~o~tC~~~~ES V" .,',,~: e ruary 2, 104" '0:iif.:r..~' BONDED THRU TROY FAIN INSURANCE, INt: F-L.O~/f} ,() 11111/1/1111111111111111111111111111111111111111111111111III NOTICE OF COMMENCEMENT 2004013232 County of tlfS cV . State of 2. THR lrnOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the follO\.\;ing inforr.tation is provided in this Notice~, of Commencement: Ii ;;2. ~ 1.1 0 0{ 0 0 () 1.()'6 () 13 0 C) r-->,f"., ~ '/ ._ ,/)_-_- 1. DescriI:tion of Property: Parcel No. ~/--;/ J.,./Y1L ~,/f/d.c l) "(:) /',-.:)..::, , -VQ/C:a.. / ~ J~, -v .~-t -d (J{/!1"l l _ .5' E (!/i!.-~,{, _ [(;t'- / L/ h:: '(. if I 3 II--JS.~) <;;.1 gaI descr~pt~on df the prq~~rty an ~trees.~ ress ~ /ava~ able) r IT ~'v' 16 L \ f(.[" (7-1 :)0 i5 11-1 f= !;:5;' '- ' General Description of Imptovement ~ --~t7t1~/~~ Rcpt:750407 OS: 0. 00 01/26/04 Rec: 6.00 IT: 0. 00 Dpty Clerk 3. Owner Information: Name '1td j;(~;:~ (! ---/-':;; /) ,.J State'-::-:.?:/L .,,-.- if '....' . ~ ........_~,:;'7 (...,/ . l\ddress:~,_=;2{l / - ,;2 2 7L/( .;..jt ' City /'"i.(?<b-I1,A_fl/{L'~ Interest in Property: t/ ul,A/6~ / /(/ ,/ Name of Fee Simple Titleholder: (If other than owner) JEO PITTMAN, PASCO COUNTY CLERK 01/26/04 12: Ilpm 1 of 1 OR BK 5703 PG 1474 Address City Stilte R4. Contractor: N~me t!-/Jt!/:V I2tJ tJh ~?- ff) 1S1J'!.. I '? G _) City J)fJIJG C/rj/ Address ./ 5. Surety: N.:lrne '- Address .---- City State~~ 3JS~ State Amount of Bond: $ ~-... 6 . Lender: Name .--- Address _. City State 7 . Persons within the State of Florida notices or o~her documents may be 713.13 (1) (a) (7) I f'lorida Statutes: designated by Owner upon whcm served as provided by Section tJ(";mc .---- Address City - 8. In addition to himself, Owner designates State of Lienor's Notice as prov1ded in --=::::, to receive a copy of the Section 713.13(1) (b), Florida Statutes. 'J. Sxp.i.rnt .J.'Jn dl'lt.e of tlCJt.ice of Commencement. (the expIratiCJn d.:::.te is 1 yedr fr~m the d~te of recording unless a different date is specified.) Signature of Owner: Sworn to ~ 204- . Not.:lry Public: My C:J:T1,;,j ssi PC930530481 A ........tut~lo Sam W. Surratt !.~Al~~ ~COMMISSION I 00090652 EXPIRES · : : : February 10, 2006 ~i'"lot''' BONOEDTHIlUTIlOYFAININSURANCf, INC. 'Rf..\i\'