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Home My WebLink About04-2801 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2801 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: 2801 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 38023- 38025 11 TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 4,061.00 3/08/2004 55.00 55.00 3/08/2004 RE-ROOF Phone: I I : ~ iilliiisPUuClN FEES: When extra insp<<t;on trips areneces.a,y ciiiii! to anyone iifllii! fOliOWingreaso.,s, a - - charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: [(.a. ).. Wro ngaddreSS.(b) c.o ndemned. w. o.r.k re.s ulting from faUlty. co.n stru ction .(C) Repai.rs or c.o.rr..e ctions not made W.h en 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 !~~pCl}'m~nt _ofirlspectiol1..fees s~l-' be mad~ before any. further permits will be issued to the person owning same "Warning to owner: Your failure torecofd a noticeorcommencemenfmayresultin-yourpaYing twice ,or--- I improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _ ~~<<>>.re recording your n~tice_of com.!".!!ncement. n -- - - - CompletePlans,-Specifications andFee-Must Accompany-ApplJeat1On.-------------- ---------.. - ___~U_IJIIEr~ ~h~I'_b~p_e.rform~J.n~~orda~e with Ci~'Lc:od~~nd O~~!!1~I1~~_ _______ -___n__ NO OCCUPANCY BEFORE C.O. .------..--------- ._._._-----.__._---_._.._-----...._-...__._--~-----_.------.-...-------------- -_.~----'-~---..__.-._._-----._-,-_. -----..----.----------..------- ~ _A ~NT Cd__ CTOR NATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS , BUILD!NG DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME.:b.J cJ(} do f --fh (1 rn /\.J7~ JOB ADDRESS :? 2DJ3 J ,'120(:).0 1)'-f1'\. fJ,.Jf~ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # /l-JI,p-al-{J()/o-C(O{)O -Vi! () SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION o SIGN (ORTATN FROM PROPF.RTY TAX NOTTCEI o ADDITION o ALTERATION ~EPAIR o INSTALL o MOVE D DEMOLI SH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY D INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME D OTHER ~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WOR~~ - /2.00+ BUILDING SIZE SQUARE FOOTAGE 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. o BUILDING o ELECTRICAL o PLUMBING o MECHANI CAL $ PERMITS REQUESTED if) Off) /, D() VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C.. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ***********~****************************************************** COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTHER t)~ COMPANY }:\~I1VJ (J'<'OHV CJ\fVJl Jnc , ~) '\ STATE CERT OR REGIST # r ('C. - 1,~~,-5"l"5Z'15 SIGNATuRE n I/.l(Jc.i."("^--.-/ CITY PROCESSING # 075 ***************************************************************** ***************************************************************** The undersigned understands that this permit may be subject to "deed restrictions" wn:_cn may be more restrictive than City regulations. The undersigned a,ssunes .('esponsibili ty for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with state. and local regulations. If t:he 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, 813-788-6611. 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 GuideH 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. ~~~ SIGNATUR: 0 R OR AGENT cJ6A~ rfl~/~ SIGNATU : CO TRACTOR STATE OF FLORIDAO COUNTY OF I (J 5(' .-l.:) The foregoing instrument was acknowledged I Bef~e meth~' day of 11 )(iff'.Al, 1:9.JliY. by --1l erry ~()~. (name of pe son acknowledged) ~o is personally known to me, or Dwho has produced (type of identification) and w}"D did lIt'id n~t take an oath, ~~I~ ~ Signature f person taking ac~nowledgement ~ Ange/a Helms Name typed, ~~::~:~~;;;" STATE OF FLORIDA f/o ~ COUNTY OF The foregoing instrument w~~cknOWledgedJ Before ti) thiS~ay of ~ ' i.9d:Q6- by (J J{ ~ \..{ (IV1. . b(. (name of person acknowledged) ~o is personally known to me, or Sig @-- ~ . ..._lIft 991811181 Name typed, Of' ~oJinu&}~ NOTICE OF COMMENCEMENT State of 0 or l Ii C! County of ~,.?' (1""0 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and In accordance wIth Chapter 713, Flonda Statutes, the following information is provided in thIS NotIce of Commencement: 1. Descri p lion of Property: Parcel No, / {dC. - d I:-- ('1';/0 __ (.1(oJY) --fY 10 (Legal description of the property and street address if available) 2, General Description of Improvement 1,,- _ i(~ C' ~ 111111111111111111I11111111111111111111111111111I11111111111 ( / 2004040407 3. Interest in Property: OwnerInformation: Name ~"i1,It.!. rl. d or ---rYb r-h /\..{!G Add res s5i'D10 /1 'p. I It.'ZCity 7e f1J I( r h jh State fC 335l/ ) Rcpt: 762372 Rec: 6.00 DS: 0.00 IT: 0.00 03/08/04 __ Dpty Clerk JED PITTMANn PASCO COUNTY CLERK 03/08/04 110: 37am 1 of 1 OR BK 5755 PG 1095 State Name of Fee Simple Titleholder: (If other than owner) Address City ?i ')11 lOA to i..4fJl-t {!/'l OYl" ~'~5ll LD City.'6 phi (rh ,/15 Contractor: Name Address}'13tJ. ,j s. Surety: Name State FL- 335t{) Address City State Amount of Bond: $ 6. Lender: Name Address City State 7, Persons 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 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. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different dare is specified.) day of-(Jb/[. 017.. (, . 'L --- ':. .,./ l~x:::=J , 20{Y-! My Commission Expires: PC93053048/A ~ Angela Helms ; . . MyI,;Ommlsslon ul)loSS&7 \;0,...:1 Expires JanU81Y 03, 2007