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Home My WebLink About04-3091 I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3091 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: 3091 .. RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 38048 12TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 8,962.00 5/19/2004 75.00 75.00 5/19/2004 Phone: RE-ROOF WITH SINGLE PLY RUBBERMEMBRANE Name: DOROTHY DAVIS Address: 38048 12TH AVE ZEPHYRHILLS, FL. 33542 I ----------- I.----_-----~_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 1_J11~pa'il'l'l~nt of . inspection fees shall be made before any further f)ermits_will be issued to the perSo.!l.owni/'19~am~_______ I "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 _b~f~re _~CO!ct~!l9..Yo~ notice of commencement." _ _ I - - Complete Plans, Specifications and Feei\rustAccompany Applicati6n.-------- ---------- - ---- --~I work shaUj>e perfol111E!d I"-accordance-",ith aty~es',"d Ordinances ___ _ _________ I-~-~-~~~-- ~~ OCCUPA~~~EFOR~C.O~t~_ ___~~------ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 s-..../a.. OLf DATE RECE IVED _I PHONE CONTACT FOR PERMITTING 7::l7-'-I/~~<{1;;..-a PHONE 7 ~ () - 6 ~ 6 7 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl D ADDITION DALTERATION D REPAIR D INSTALL D MOVE D DEMOLISH DMULT I - FAMIL Y D# OF UNITS D MOBILE HOME D INDUSTRIAL D SWIMMING POOL D OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAl, Q~~4 Wj.s'1' flJlf. Ply ~ubb~, (Y\emb(C\1\~_ :;1 oJ 7 SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK R.e 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 REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING $ PERMITS REQUESTED ~9 6;;;.. ~~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. D PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS 2ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER~ SIGNATURE CQN'rRA.CTO;R ... SECTION COMPANY LIlV'\'\C ,'"61 e IJs s () c.. ****************************************************************** 30'1 STATE CERT OR REGIST # ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE 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 your 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 ~e 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 713r 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 1 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 perforlued to meet standards of all laws regulating construction, City codes, zoning regulationsr 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 tllat 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 Areasr 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 thatr 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 whicll 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~~~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FloORIDA S'!'ATE OF FLORle;/' /;;J . COUNTY OF COUNTY OF "..:::::;1- (),,'3rt-{) The foregoing instrument was acknowledged The fore.goin.? i~st-- ntw~~sknOWledgedD// Before me this _ day of , 2CL- Before ~ s,~3:-s. a~ o~~ ' 20 ~ by by 62~~1-----<~~ (name of person acknowledged) (name of person acknowledged) Dwho is personally known to mer or Qho is personally known to me, or Owho has produced (type and whoO did D did not ....---' ~;'-has person of identification) take an oath. an Signature of person taking acknowledgement Signature I) .. ' Bobbie S-t~ Nam~~i . ~y~ OOt68n~d c:.;,. ..... ". February 22, 2008 .. ".P.r..fl'" IlONOEOTHRIITllOVFAIN INSURANC~ INC Name typed, printed or stamped 1111111111111111I1111111111 1111111111 1111111111111111111 III1 2004090655 TO BE COMPLETED IF CONSRTUCTION VALUE EXCEEDS $2,500.00 Rcpt:783167 OS: 0.00 05/17/04 Rec: 6.00 IT: 0.00 Dpty Clerk Pennit # II JEO PITTMAN, PASCO COUNTY CLERK 05/17/04 03: 34= 1 o3f 190 OR BI< 585 { PG Tax Folio # OFFICIAL NOTICE OF COMMENCEMENT County of ~q.s c ~ State of Florida 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 the Notice of Commencement. I} - 2b..... ;ltJ-OaJo- 'Us 'tQc)-O~~S 1. Description of property: :b "3 ~ ~ 7 ft A h " 'Z~ 2. General description of improvement: j,t, t~~~ . GQC:\~MLS~~,,' 3. Owner InformatIOn: \'\. '\ W \ ~ A. Name and address: U~~t:Arvr C,^- (' \J--Q,R,. 3 ~(:)l/<t I J.,... A V't.,. B. Interest in property: \.'\w~~ ~~)Orh~l\s fL.3J5LfI C. Name and address of fee simple titleholder (if other 'than owner): "N )-A -L ~ ~SL/ Contractor name and address: I... -(\ \l ~ '^ c::b \~A s oS 'C) G /0931 7 5Tk .s;i .N. LIlt""' ~~- L :3.3., 7 7 5. Surety (if required) A. Name and address B. Amount of bond $ ~\~ ~\~ 6. Lender name and address: 7. Persons within 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: ~ J ~ 8. In addition to himself, Owner designates :t. 1'\\1 ~ 1\ "': '\ \~ 'A s s ~ L Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes. to receive a copy of the 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) ,20_ Signature of Owner or Authorized Agent:L ~ // ~ Sworn and subscribed before me this I .3 T~ day of Me... y , 20 JJ!:L, by DQ r ~ 1 h'l Ii. o Who is personally known to me. ~ Who has produced . r-- L \) \'. L.' L ~~/JtV~ Notary Public My commission expires: Uo\Vl'S as identification. fL- Drivers License # D IZO-/~g--I?-7g1-0 Social Security # ...'-- ,....;:::-;-.. -JANICEA."WELLSPEAK ~ . "'<;' "', '. 028911 'j,' }~:-"'~"i~,:,~;~ MY COMMISSION # DO ~T~ .:.~ EXPIRES: May 23. 2005 . \\ ~~~" Bond.~ Th~"bl~ Undo","i.rs '.m.-::.-::,::.,,,~,... . [INVINCIBLE] Making Florida a better place to live since 1987... one home at a time. Contractor's Letter of Authorization I hereby authorize the below named individuals to act as my agents to obtain all necessary permits for residential roofing work These persons are also empowered to obtain, complete, and sign all forms, applications, registrations, and documentation's, with this limited power of attom~~ on behalf of me that may be required to accomplish this issuance of any and all permits that may be required by the State of Florida. Authorized FL Driver's License Oscar Egervary E-261-659-55-247-0 Bill Mitchell M-324-921-64-444-0 George Vaczi V-200-303-60-054-0 Cheryl Welch W-420-113-72-786-0 Stuart Welch W-420-797-65-257-0 Authorized Person's Signature: Contractor's Signature: J1IJ ~ A Brian A. Stover - Contractor / President State License #CCC049367 N otary (as to Contractor) -I) '} I day of /J1q ~ ' 20-.OiL, I' Iq ~ b J/ e- (Print ame), or has produced as identificatIOn and who did (did not) take an oath, My Commission Expires: Notary Signa\l![e: ~~ c1 JU~ ~r....,\..p(;'" JANICE A WEllSPEAK . ,I ,.,,\>1\..,l!'.t:', ~iff :n:~'A MY COMMISSION # DD 028911 :l' ''';'A~~< EXPIRES: May 23, 2005 Ii ..'/..fll'....I.t~... Bonded Thru Notary Public UndelWnters ""..,,, Invincible Associates, Inc. 10931 75th Street, Largo, FL 33777 * 727-545-1800 * 800-937-6635 State Certified License # CCC049367 * CRC015276