HomeMy WebLinkAbout04-2937
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2937
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:
2937
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6607 ROSEWOOD COURT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD.
i Name: DRIFTWOOD CONDO ASSOC
! Address: 6607 ROSEWOOD COURT
ZEPHYRHILLS, FL. 33542
3,950.00
4/08/2004
50.00
50.00
4/08/2004
RE-ROOF - 30 SQUARES
Phone:
----.---~______L_~.__. .__.L .__~______-'--~__,~__..___~____
REINSPECTlON 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
- "Warning to owner;-Vour failure to record a notice of commencementmay 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."
-~-----~ '. Complete Plans~pecifjcations anc:fFeeMust Accom-pany Application.~--~-------~--
--------- u____ ~1~~~~shCll!J:>~erforl1led in accordance ~it~~ity Codes and--.9E<:finances____________
NO OCCUPANCY BEFORE C.O.
.-.----.---..,--.---..-- .~_._---_._------.._- -------..-----.----..-- ------._--~---_._._----...-._--_._._-------._----_._.---.-._-_.~
~'
~L~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8'l'B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE lVED
f~f-otf
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
rx-.-f-r ~J
t t (J"
(gJ,ojlJ I4ff~?
~ '5"Ml~-hJ bT
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
Zr~,~JdJtS ,~
SUBDIVISION
PARCEL ID #
WORK PROPSED: [JNEW CONSTRUCTION
o SIGN
(OBTAIN FROM PROPF.RTY TAX NOTICE)
o ADDITION
D MOVE
[JALTERATION
D REPAIR
D INSTALL
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
o COMMERCIAL
[JMULTI-FAMILY
D INDUSTRIAL
D # OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
BUILDING SIZE
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
I? ./IC?t'i.if- 5/1: #'-'7 j.".? 3 CJ .J j
/ v
SQUARE FOOTAGE HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
AMP SERVICE
D FLORIDA POWER
j )931
PERMITS REQUESTED
[J BUILDING
$
~1' 5ZJ . de
VALUATION OF TOTAL CONSTRUC
o ELECTRICAL
--."
-
D GAS
o ROOFING
D SPECIALTY
./
VALUATION OF MECHANCIAL INSTALLAT/'
D OTHER ( ~i I
\
D FRAME [J STEEL [J OTHER \
D PLUMBING
[J MECHANICAL $
TYPE OF CONSTRUCTION: [J BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES D NO
co~q!t'O~\SECTION
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 #
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SIGNATURE
!2,? C ~- ,-
~&r~
COMPANY
?c:&7T 7ihJ~~./ ~eI;~/
""
OTHER
STATE CERT OR REGIST # ccco 57157
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 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, 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 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 COMMENCEMENT".
-~~~
SIGNATURE: OWNER OR AGENT
~~-
~
SIGNATURE: CONTRACTOR
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
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 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid [Jdid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
NOTICE OF COMMENCEMENT
State of
~
\k" L(\ (L\ 0 (\
County of
.....':) ':'\, - .,'
-,.- , '.,' ,0
\ rr..Jt... t
~ 1.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real propercy,
and in accordance with Chapter 713, Florida Statutes, the following information is provided'
this Notice of Commencement: 0)", --J..~ - )../-01../13- () DOoo - CO/{J- } _
...,
b6tJ~ ~,a~
Description of Property: Parcel No.
'I/} I it: A ~'S- 512---
(Legal description of t e prop ty and street address if available)
2. General Description ofImprovement '~(' 'inof' - S 1\, ": yt fJ
1111111111111111I1111I1111111I11111I1111111111I111111111111I
2004062233
i
L, /I I
3. Owner Information: Name 1~-/A.1s{M_C~~~ <":(,'-7'7.-:11_1'-
Address3P33i~,",~ ,91 City .,:;J..rjuit.,
I'
/ -f .'1 i ;";~
[f....,,- ~.:.~;:-.. "-_
Interest in Property:
State~ ~::____
'2 '.3 -. "
:;, ..... <./.. G_'..
.. '- ./ T-
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt: 771602
DS: 0.00
04/07/04
Rec: 6.00
IT: 0.00
Dpt.y Clerk
Address
R4, Contractor: Name ~~c:: c",\\
Address \),()-~O{... \\~b
5. Surety: Name \\j ~~ \-C(~
City
.~\ W \- j\i'-.(:.. r......
City Sf\i~
C'
::::;;'-^ Q....~-c.. '\'
State
/\'"l'~
~e('4- ' '\
,~~.) l. 1'''
,,_.l
f\ (-.J 1Ur\J ~ u
State ~(_ '~~ ~$ <) 'Jj.,
Address
City
State
Amount of Bond: $
5-7",^f'I 'c' \
'-"^-~'-" . \...... \...
~~90~~U"Art : fl:~o fOUNT:, C~ERK
OR BK 5798 PG 1828
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or othe;
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
of recording unless a different date is specified.)
I
\
Signature of Owner,':icc~~tif:{#~:t.~/i?n/Yt~-?I k! P/Z~~,(/d#?~
Sworn to and s.~~~~f;~~bCfo{~~ethis <.J.t day of 4:,J,Jr ,,/
Notary Public.:" . ~., ~. /
My Commissioni,~khi~~s? :{j'., 'i~'
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PC93053048/A
, 2 OLd::-.
..~';(..!/.'~i:."'" NADINE L SEElY
?f' ~:~ MY COMMI~SION # DO 009331
~~t:Ff'h.~f Bonded Thru Notary Public Underwriters
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6611 IlOSOloon CT
2[PHYHHILL~J rL 3JS'1IJ '[;629
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ZEPHYRHILLS FL 335'10-6608
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38349 COTTONWOOD PL
ZEPHYRHILLS FL 335~0-5508
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