HomeMy WebLinkAbout04-2746
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
2746
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
squ". re Feet:
Est. Value:
Improv. Cost:
Date Issued:
Totlal Fees:
Amo"'nt Paid:
Date Paid:
~-Wok Desc:
2746
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6639- 6649 BANYON COURT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number:
i
I Address: 6639-6649 BANYON COURT
ZEPHYRHILLS, FL. 33542
Phone:
12,125.00
2/13/2004
95.00
95.00
2/13/2004
RE-ROOF 80 SQUARES
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REINSpifcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge 0' 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
inspectioni 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
---- --'-'--'--~--~~-._._--,--- ------.----- -'-----
-.Ib~--eay1nt of inspection fees shall be made before any further permits will be issued to the person owning same
"Warnin 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 rek:ording your notice of commencement."
---~---~--- Complete Plans, Specifications and Fee Must Accompany Application.--------
-- ----_____~~~IL~~~k shall be perform~ i~ccordance with City Codes and Ordinances __~_________
NO OCCUPANCY BEFORE C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROT!ECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 eft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
OWNER'S NAME Dill f::.rw () v,(J
JOB ADDRESS ,~ J ~/ t ? fir
LEGAL DESCRIPTION: LOT(S)
DATE RECEIVED
~-13-D{I
PHONE CONTACT FOR PERMITTING
C-O,.) /J (J 1t))'bC-
fjAtVyP~ 0'{.
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PARCEL ID #
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
PHONE
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
[J ADDITION
[J MOVE
[JALTERATION
[J DEMOLISH
[J REPAIR
[J INSTALL
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
PG-I2r1tJ r -; () f
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 REOUTRlm "''"'~ - - -
o BUILDING
[J ELECTRICAL
$I{'-LJ- J, C
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[J PLUMl}ING
[J MECH~NTCAT. S
padme~s ~o pa~u~~d 'pad^~
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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 po~tions 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 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 "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 conunencement.
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 conunenced 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 conunenced 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 conunenced. 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,~~aT N~~;;.caRD AND POST A :ra2MM.~C.M;~~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
STATE OF FLORIDA
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NOTICE OF COMMENCEMENT
State of /::5t: {/,"~;/j v~
County of
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THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement: -,/" 7716
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1. Description of Property: Parcel No. /t / ('i - .)? -l/ - () ''/:, - (C! (' (:; _;) (l(^ .,',"
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(Legal description of the property and street address if available)
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2.
General Description of Improvement
111111111111 1111I1111I11111 1111111111 11111 1111I11111111I1111
2004064155
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3. O~ner Information: Name fl:)."/t~,(.~r-'(j't'-d /' ~\t~'yQ. tLO""L-rv.
'3 ~ ..~ . C ,.H-. d I -ZA. ~ _ t::"o
Address" "'.) 3 ''''-irNN-ct:I- ~"-. City <j.\. \ ~'-a... State I 'L..
Inlterest in Property: \ ~ -----------. ___ _ ___
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Name of Fee Simple Titleholder: Rcpt: 772520 Rec: 6.00
(If other than owner) DS: 0.00 IT: 0.00
04/12/04 Dpty Clerk
A<Jidress City v"-'" ___ State I ~
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4. Contractor: Name
x .
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Address J' () f' c) ;'f.~.
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City DliO&- Ct "Lt/
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State /-'L-.!),:{S':2j..;,
5. Su~ety: Name
Address
Amount of Bond: $
City
State
JED PITT"A~ PASCO COUNTY CLERK
04/12/04 0;l1:59am 1 of J
OR BK 5803 PG 17l!J
6. Lender: Name
Address
..........---
City
State
7. Pel1sons 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 t/1~------_,../-/ State ~~~
8. In ~ddition to himself, Owner designates
_.
".......-""..,
of to receive a copy of the Lienor's Notice as
pro ided 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.)
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Signatu~ of Owner: . fi:/ ,;:i:)~ ~,;':' '1~v
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Sworn tJ and subscribed before me this .
N ot~ry ~Ublic:/~~
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My ComlmissionExpl
PC93053048/A
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( -If_,
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t.r~~\ MY COMMISSION # DD 009331
~:.~.~j EXPIRES: March 13, 2005
-:'~~P.f.I'~~"" Bonded Thru Notary Public UndelWriters