HomeMy WebLinkAbout04-2777
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2777
Permit Nu ber 2777
Permit!Type RE-ROOF
Class of Work ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Squar~ Feet:
Est. Value
Improv~ Cost 4,075.00
Date I 'sued 2/27/2004
Total Fees 55.00
Amou Paic: 55.00 ,
1____Dat _Paid _~I2;J/209~_________~
i Work Desc RE-ROOF
Address: 5453 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: LEE CAVINESS
Address: 5453 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
-~~--~-~--~~---
I
! I . I
i-REINSP~t:TIOri-FEEsi-wtienextrainspectionIrips are necessary due to any oneof the followi-ng reasons, a ----
I charge of Thirtv-Five Dollars ($35.00) shall be made for each trip for each trade:
I (a) Wron~ addp!ss (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
I inspectio~ called (d) Work not ready for inspection when called
(e) Permit not r:>sted on job site (f) Plans not at job site (g) Work not accessible
I-Ib~E(jYi. nt g! ns~c:!ign f~s__~~all be made!:>efore ar:tYfl!rther_permits will be~~LJed to !be p~~son ownin9_~me_____
I.. "warnin. to o.\!'II..n. er: YO.u. r. fai.I....U. r e to re. cord a notice of c. ommenc.ement m. ay result in y.o. ur paYin. g. twice.. f\ or
improve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before r ording your notice of commencement." .
------- --- ---------Compiete Plans;-Specifications and Fee MusFAccompany Application. ---- --------
___All yv~~~_?~i:!I'_~e p~rf~rJ'11ed ina_<:corda~<:~-,^,ith Ci!i Codesand Ordinance~______n______
NO OCCUPANCY BEFORE C.O.
l-~- I - u_u__.. ___~n-
IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DATE RECEIVED
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
OWNER'S NAME
~
S-t:fS-3 -- G .'==3 {--
~ ==T FOR PERMUTING
PHONE
JOB AI)DRESS
,
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCE~ 10 # / {- ..2-~ - 2--( -U ~ l () --o? (DO
WORK ~ROPSED: [JNEW CONSTRUCTION
[J SIGN
PROP~SED USE: [JSGL FAMILY DWELLING
I [J COMMERCIAL
CJ ;S:A::"JTH DEPAR'fMENT APPROVAL
~ FOOTAGE
SUBDIVISION
~~ (/
(ORTAIk FROM PROPERTY TAX NOTICE)
[J ADDITION [JALTERATION [JREPAIR [J INSTALL
[J MOVE [J DEMOLISH
[JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME
[J INDUSTRIAL [J SWIMMING POOL [J OTHER
DESCRtPTION OF WORK
,
BUILDtNG SIZE
HEIGHT
RES~D NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
CO RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[J BUILpING
[J ELECTRICAL
'0 ~ITS REQUESTED
.0 1 j--
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
[J PL~ING
I
[J MECHkICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
I
TYPE OF CONSTRUCTION: [J BLOCK
FINIS~ED FLOOR ELEVATIONS
[J FRAME
[J STEEL
[J OTHER
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
STATE CERT OR REGIST #
SIGNATURE
CONTRAC.TOR.. ...i........S. ECT. IO. N
, .- _.,' '"c..._ . .. c."., '. .. .. .. .." ..
BUILDtR
COMPANY
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ELEC'$ICIAN
SIGNTURE
COMPANY
STATE CERT OR REGIST #
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PL~R
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COMPANY
SIGNAlTURE
STATE CERT OR REGIST #
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MECHAiNlCAL
SIGN~TURE
COMPANY
STATE CERT OR REGIST #
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OTHE~
SIGN~TURE
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COMPANY
STATE CERT OR REGIST #
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.
Appli~ation 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 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 J ct will be considered abandoned.
WARNING TO OWNER: YOUR AlLURE TO RECORD A NOTICE OF COMMENCEMENT
PAYING TWICE E IMPRO MENTS TO YOUR PROPERTY. IF YOU INTEND TO,P
WITH YOUR L DER ~ ATTORNEY BEFORE RECORDING YOUR NOTICE OF C
$2,500 IN NO N D TO RECORD AND POST A "NOTICE OF COM
SIGNATUR
------ ,.
F FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 2CL-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type
and whoD did D did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid [}:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
",.....+~:",.l'o..~~'i.Ii.P\it,f,,1lf~IJJl!Jtl-.. .....
-,:,_1"11" '\
.. .---~. -"~-----"-- -."....-----.. ---- ~ ..~
....... .
1\. iGartlett itnnfiug (@f Q!eutrallI11nrilta, lJUt.
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 11,000 Homes and Mobile Homes in the last 31 years.
/- Date c;2 - 2 '6 ..
U/ .11/1/..._1' ",,..J)A--4
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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 ·
Name
P-u
s Cf -~-3----
Address
Phone
Richard C. Bartlett
THANK YOU
Your Business is Appreciated.
ent upon completion unless previous arrange
Warranties pertain to original owner.
All arr~ngements conting t upon ikes, accidents or delays beyond our control. Owner to carry tire, tornado and other necessary insurance.
Our wlJrkers are tully cov red by rkmen's Compensation Insurance. Customer is tiable tor any charges incurred in collecting this bill.
Rotten wood is an extra $30.00 per heet (4-ply). Rotten fascia is $1.00 per linear foot.
/-..f_ t._,. {, t~~,---(/_ I>~
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523'-1944
Lic.#RdD031769
mV
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1111I1111111111111111111111111111111111111111111111I1111111I
2004034548
state of
i -{".'. t7 NOTICE OF COMMENCEMENT
....-... t_ /L~,LU\jA.-/"
County of
.,
/~. )~1..r/ . ("--.
~/,,)'-. ..
THE ImOERSIGNED hereby gives notice that improvement will ~e made to c3rtain
real property, and in accordance with Chapter 713, Flor~da Statutes, the
fo1lo~ing information is provided in this Notice of Commencement:
'l--" L - ') ( -OOC'6::J --~
1. Oeser iption of Property: Parcel No. V ~ ~ \;.....0' lJA
~
(legal description of the property and street address if available) ~
2. General Description of Improvement tJ',t <I'd f,(
D Rcpl: 760005 Rec : 6. 00
OS: 0.00 IT: 0.00
02/27/04 Dpty Clerk
O~~~O~~~tio,n: 1-. 1 ,,~Vj-3~t~t C'
l~fe&So ~. l--l'\ V,I'\.1-& city _"__
, {I.Av//lJCS5
I'nterest in Property:
l 11./;/
(.. Ct 'c. l...,~.
3 .
State 335'-1;)..
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMAN~ PASCO COUNTY CLERK
02/27/04 0,,: 01pm 1 of 1
OR BK 5743 PG 1544
l'iddress
City
State
4. Contractor: Name
Address 5S 'to! -$ ~
State
335lfJ-
5.
Surety: N<:1rne
Address
City
State
Amount of Bond: $
6. Uender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
NGmc
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.
'J. fxp..i.rnt.l(Jn dt'lt.e of Nut.lce of Commencement. (the expiration date 15 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner:
f /'
i. .
/. YL
/
/r~. ,.,..
l~ (v? ,f )J'''; A .J,UJ..,.Y
Sworn to and subscribed before me this ,?-0 day of~~-f~'
'~I
NotJ.rt P'ubl ic:
Mycam~issionExpires:
PC93053048