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Home My WebLink About04-3069 I. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3069 Permit Number: 3069 Issued: 5/12/2004 I Permit Type: GENERAL BUILDING PERMIT I Class of Work: ROOF NEW . Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 12,900.00 Total Fees: Amount Paid: 95.00 Date Paid: Address: 5622 11TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: WINDOW SUPPL Y,INC. Addr: PO BOX 830157 , OCALA, FL. 34483 I Phone:~00)897-2637 Lic:. Phone: --- Work Desc: MASTER RIB METAL ROOF SYSTEM OVER 1 LAYER SHINGLE Name: ROBERT AYCOCK Address: 5622 11 TH ST ZEPHYRHILLS, FL. 33542 CONS~RUCTION POLE I DUCTS INSULATED PRE-METER FINAL MECHANICAL I FRAME MISC SEWER MISC INSULATION WALL MISC MISC. , MISC. , INSULATION CEILING MISC. MISC. 1 MISC. DRIVEWAY I MISC. MISC. FIRE DEPT. FINAL -------.-~---- -.~~___-.l'.:___ ________________.__________________~~________ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible "!"he e~'imen!~!.il13>ecti~n fees?hall bel!'ade befo~~~ny fllrtl"!e'"---Eerm~\_Yl'!..~~~su~~the 'p~rsol1 owning same.. ~. "Warning to owner: Your failure to record a notice of commencement may result in -your paying twice for - - improvements to ytlur property. If you intend to obtain financing, consult with your lender or an attorney __~~fore re~or~ing"y~ur_ notice_of col1"lm~nc~mel1t.'~_ ___H___.. ____ _ __ __H____n___.________ -tLJ CONTRACTORS SIGNA T RE CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. ---~ --- - --- L:.!'l'~ OF ZEPHYRHILLS l?ERMIT Al?l?I",ICATION BUILDING DBPARTMENT 5335 ~th S'rREE'r ZIllPH'iRHILLS. FL 33540 Jilbonill6l3-7BO-O,020 FaXla13~780-00~~'l'1ll RBCilIVlIlD -2:_({-:_q,y PI,ANS RIllVIIllW 1'18________ mm~R' 8 NAI'I~ Awl'T "J'1'{)f' 15.-. ,JOB SITE ADDR'ESS ~'S"""~ !.2 /LTL..5T LEGAL DESCRIPTION: LOT (S) 1/ ~ /~ 2~)>~/ BI.OCK })~ FL- . PHONE CONTAC'!, ~J.J -73'3, .7?/i ~35~JZ SlJBPIVISJON PARCEL ID #.u.'..,:Jf:4,e12/, /n/t') . tJ3St':.O _ &/(j WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION (OBTAIN Ii'ROM P~OPERT'l TAX ~n'l'+CEl) DAIJI'ERATION o REPAIR .J1f lNS'r#}.I4 Osrc3U o MOVE o DElvjOl,ISH l?ROJ:lOSED USE: ~SGll, FAMILY DWELI,Um [J COMMERCIAL DMUI/l'I - FAMIIN 0# OF UNITS o SWIMMING POOL [J MOlUr,E HOME D D'rUER o INDUS'l'RIAI" D RESTAURANT &. HElIU,TH DEPARTMENT APPROVAL DESCRIPTION OF WORK /NJllJJ/ J'J7$~e RiB HJ~T/JI Pr()~ 5~ d"WZe. OJ ~ ~..e SH~v.~" ; ~/J1- ---- SQUARE F'OOTAGE J~ HEHmT ".__ RESIDENTIAL: ATTACH~) PLOT PLANS Co (2) SETS OF' BUII.DING PLANS & (1) SE'r ENEJtqy. F'ORMS , COI"lI"lERCIAL: A'!"l'ACH (:3) SE'rs OF BUILDING PLANS & (1) SET ENeRGY FORMS. .J PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 17 ''';'~ ,5. - ~o- 00 Z;. \ ( BUILDING SIZE ~ERMIT~ R,EOUE~TED o I3IJILDINC3 $ /~/~ ~ VALUATION OF '!'O'I'AL CONS'fRlJC'rION fJ IiJL8C'!'RlCAL AMP ~EJRVICE D FLORIDA POWER [] W.R.E.C, [J tlLUMBING D I<tE:CHAl'l I CAL $ VALUATION OF MECHANCIAI, INS'!'ALLNl'lnN o GAS -~OOFIHG [] SJ?ECrJWrY [] OTHER 'l'Yl?J:jJ OF CONSTRUCTION: [i('BLOCK o FR-AlVJE o STEEL 7J.7-0b( cx)77 [] OTHER ____- FINISHED f!,QOR EI,EVATIONS IS PROcJECT IN FLOOD ZONE AREAD 'iES D NO BUILIUIR CotiJPANY /PINi:>>J ~1lUj /V(!,..,!--- - ~ STATE: CliJRT OR REGIS'!' # C~ S]GNhTUR~ ~ CITY PROCeSSING # ****..*"*..**~***********.**'**'*******'**"****"*.,'*""'*" COI1PAN-t STATE CERT OR REGIS'!' # CITY PROCESSING # ltU,B1CTIUCIAU SJGlIATURE ___'_ .-----------.--...---.-.......-..- *"""*'***'***"""**""*'*'*****"*'****'****'**'***,*,*tt*.. iLUWBBlR COMPANY STATE CER'I' OR REGIST #__ CITY PROCESSING # SIGNA'l'tJRE MBlCHANICAI. *'**'****t*'t**'***'*******'**"******'*'*******************,*,.., COM PAN Y___ STATE CER'l' OR REGIST # CITY PROCESSING # SIGNATURE ***'*'*'**'***'****'***"*'****'******~****************k'*******, OTHilR SWNATURE COMPAl'lY STATE CERT OR REGIST # CITY PROCESSING # "'**'*""*'*'********'****"*'*******'************"***'**'*'** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands th~t this permit may be subject to "deed restrictionsH 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, 813-788-6611. 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 i.ndicating 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.8. 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 pl~ns, constructiont or violations of any code. Every per~t 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". r-~~~ SIGNATURE: CONT CTOR '\ ~~1i~~)AGE:J acknowledged) knowIl to me, or STATE OF FLORIDA COUNTY OF The foregoing i~s~ument w~wle~~1 ~~fore m~~ ?{) ~-iri~ ~ (name of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing ins Befor this 0 by- ~ (name of person ~who is personally Dwho has produced (type of identification) not take an oath. Dwho has produced (type of identification) d not take an oath Nam ed " intedFAllMAMV<<Jnpe MY COMMISSION # DO 258604 EXPIRES: October 14, 2007 Bonded Thru Nolary Public UndIrwritets IIU ;/ ( After Recording Return To; Window SUDDlv. Inc_ DBA National HomeCraft 4150 114th Terrace N_ Clearwater. Florida 33762 111111111111 II111II111 111111111111111 II11I11I11 I1I11 "1/1'11 2004080240 Rcpt: 779096 OS: 0.00 05/03/04 ------ Dpty Clerk JEO PITTMAN PA 05/03/04 04: 26 SCO fOUNTY CLERK OR BK 583Sm PG 34 i Rec: 6.00 IT: 0.00 ,\' R Notice of Commencement FS 713.13 Permit No. Tax Folio# 1I';lb'c1JI tr'JID'O?t'5lX).D110 State of Florida County of Pa.tM:..~ THE UNDERSIGNED hereby give notice that improvement will be made to certain real property, and in accordance with Chapter 713.13 Florida Statutes, the following is provided in this Notice of Commencement. 1. Legal description ofpr~~~_('!!y ~~Z~~ ~ P../i/ 1Is~~ LnT') //"'"12 A(.N""J:;. ~~.~ R; ~7 ~ -)4.)..,2 // T./L SI: itt:'e7H1{ '!~_ ___ 2. General description of improvement: ~7'6 / Re- py..J: 3.own"':Nameandoddres"~'~, 5"6~:t . 'i'" u..~ b '.3~S4<L a. Interest in property: FEE SIMPLE' '_~~ b. Name and address of fee simple titleholder (if other than Owner): 4. Contractor: Name and address: Window Supplv. Inc.. 4150 114th Terrace N. Clearwater. FL 33762 a. Phone: 727-561-0079 Fax number (optional if service by fax is acceptable): 727-561-0089 5. Surety: Name and address: Vj I- a. Phone number: Fax number (optional if service by fax is acceptable): 6. Lender: Name and address: a. Phone Number: Fax number (optional if service by fax is acceptable): 7. Person with the State of Florida designated by Owner upon notices or other documents may be served as provided by Section 713.13(1) (a)., Florida Statutes: (name and address): a. Phone number: Fax number (optional if service by fax is acceptable): 8. In addition to himself, Owner designates to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes. a. Phone number: Fax number (optional if service by fax is acceptable): ~\'''"'''' Dan Fordham ...~~y PIJ. " !~~~? ColIllIlission II DD 040811 ::",i ;...= KJ:pires Ju1y 10. 2005 ~~ -;:?$~ BondrlTIuu "'~ OF ~\.\)~" '''-'-'- Bonding Co. roc 'I'"tl\\\' .tY.1i1III.K: ,