HomeMy WebLinkAbout04-3183
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3183
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 2,290.00
Date Issued: 6/23/2004 Name: PETE WIPPER
Total Fees: 45.00 Address: 38803 A AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: _ 6/23/2004 -----______J>>hone-=--____________
---Work Dese: RE-ROOF
3183
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38803 A AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
-'-'--'-------.- -- -----..-_L________ ---'----------__..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:
ct_
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1_lJ1..~2C!Y..!1!e!nt~f_ I,!~~iC>..n..l~~s ~~C1"_bell'l~d~_~~fo~~~_fu'!~_'"_I?.~mits -~U2~ iss~~c! to t!!~persOI'!..C>..wning~~I11_~______
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
before recording your notice of commencement."
------------ - - ----Co-mpietepian5," SpeaftCationsand-Fee-Must Ac:companyAppJlcation.-- - -- -- ----- -- - --.___
All work shall be performed in accordance with City Codes and Ordinances
.. -- -- ---- -- ------- -- - ---N<foCcIJPANCY BEFORE C:O-:------------ - _n______ - -----
-- ------.- -------._____n_____ ---- ------______._________.._____.__ ---..---_________n________..__.___ __.____._._
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(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
NTRACTOR 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-Q021
DATE RECE tVED
OWNER'S NAME
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L0{~
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PHONE CONTACT FOR PERMITTING
JOB ADDRESS
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
SUBDIVISION
WORK PROPSED: [JNEW CONSTRUCTION
(] SIGN
PROPOSED USE: (]SGL FAMILY DWELLING
(] COMMERCIAL
(OBTAIN FRO!1 PROPERTY TAX NOTICE)
(] ADDITION
(] MOVE
(]ALTERATION
(] DEMOLISH
(] REPAIR
(] INSTALL
(]MULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
(] SWIMMING POOL
(] MOBILE HOME
(] OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~QUARE FOOTAGE
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOffi1S.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
HEIGHT
(] BUILDING
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
(] ELECTRICAL
AMP SERVICE
(] FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
tJ MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
(] GAS
[J ROOFING
(] SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: (] BLOCK
[J FRAME
(] STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES (] NO
BUILDER
CONTRACTOR SECTION
SIGNATURE
COMPANY
STATE CERT OR REGIST # ~~
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST # _
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A, tJOnU; OF' DEED RESTRICTIONS
I~~ undec:3i 'Jned understands that this permit may be subject to "deed restrictions" which
lay be mOle restrictive than City regulations. The undersigned assumes responsibility for
~ompliance \vi th any applicable deed restricti ons.
8, 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 flot
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation Uflder state law. If the owner or intended contractor are uncertain as to what
licensillg 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 tlley
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 wislles
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 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 ~overnmental 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 Jogged 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, cot~SULT
WITH YOUR LE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENCEMENT. JOBS UNDER
$2,500 IN UE NOT NEED TO RECORD AND POST A "NOTICE OF ENC
SIGNATU
SIGN
OR AGENT
acknowledged
, 20__
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)
Owho is personally known to me, or
(name of person acknowledged)
Gho is personally known to me, or
Owho has produced
(type
and wtioO did Odid not
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did [}::lid not ta ke an oath
Signature of person taking acknowledgement
Signatur~ of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
A. ~artlett itnnfing (@f <!rentral1J1lnriba, llnt.
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 .
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic,#RC 0031769
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
Name
Address
Phone
ofing of Central FL, Inc.
Sign:
C, Bartlett
THANK YOU
Your Business is Appreciated,
ayment upon completion unless previous arrangement made,
Warranties pertain to original owner
A arrangements conllngent upon strikes, accidents or delays beyond our control. Owner 10 carry tire, tornado and other necessary insurance,
Our workers are tully covered by Workmen's Compensalion tnsurance, Customer is tiabte tor any charges incurred in collecling this bill
Rotten wood is an extra $30,00 per sheet (4-ply) Rotten fascia is $1,00 per linear fool.
AMOUNT
SIP