HomeMy WebLinkAbout04-3475
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3475
Permit Number: 3475
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,597.00
Date Issued: 10/15/2004
Total Fees: 50,00
Amount Paid: 50.00
Date Paid: 10/15/2004
Work Desc: RE-ROOF
Address: 38937 10TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
LOIS & CHARLES
38937 1 OTH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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: 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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~-~
RE PERM IT OFFI
FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PEmaT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
CY\(J.., \~~ ~ 'J\).. %L ,PHONE
\~\\) ~ ~. z.~~\J~\YlI\\S
LEGAL DESCRIPTION: LOT (S) Jo - \"\ BLOCK "\, -, SUBDIVISION
PARCEL ID # \\ - do \D". ~ ) - \:jC)\ C)-- t'i,\\ Q -'\\ \ \:) a
OWNER'S NAME \..n", ~ ~
JOB ADDRESS 3~~~l
33\50~
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
o ADDITION
[JALTERATION
[J REPAIR
[J INSTALL
[J SIGN
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
o OTHER
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK ~" ,'% dG"P
;)O~ SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF
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.
[J BUILDING
$ 3SC1l, uD
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
o PLUMBING
o MECHANICAL $
o GAS ~OOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~l{15
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
o FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**********~*******************************************************
MECHANICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**************************************************************~
""""" ~ COMPANY c~r;-rr,v.~~~[/)eS
STATE CERT OR REGIST # Ccc oS, q )
SIGNATURE /- ~?L----> CITY PROCESSING # nl:::::I 1...1.(J '1
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COND~TIONS OF PSRY~~ AFF~~AV~~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject 1:0 "deed restrictions" which
may be mdre restrictive than City n~gulations. ThE: undersiqned assumes responsibility for
compliance with any applicable deed rl:st:ric:ti,:)ns.
B. UNLICENSED CONTRACTORS AND CONTHAC'I'OR FlESPc)N~;I)3ILITIE:S
If the owner has hired a contractor' or cont:ractoC:i to underi:ake work, they may be required
to be licensed in accordance with s1:ate and local :cegulations. If the contractor is not
licensed as required by law, both the owner and c:ontrac1:or 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 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 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 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
19_
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
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
D who has produced
(type
and whoO did D did not
of identification)
take an oath.
D who has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
1111111111111111111I111111I11111111111111111111111111111111I
2004192966
Florida Statute 713 is the COnstruction Lein Law. The owner needs to be familiar with all its passage>.
All a minimum, file a Notice of COmmencement, p1'Otect your rights by obtaining a partial 01" rompete
"Release of Lein" prior to any payments and obtain release from all p1'Oviders before making the final
payment.
NOTICE OF COMlVIENCE~IENT
STATE OF: FLORIDA
COUNTY OF: PASCO
Rcpl: 823397
OS: 0.00
10/15/04
Rec: 10.00
IT : 0 . 00
Dpty Clerk
PER!llT NO.
PARCEL ID# 11-2()'21-0010-0770-0100
The lmdm'Signed herby give; notice that impl'OvemenlB will be made to certain l'eal propm1;y, and in
accordance with Chapter 713, Florida Statntes, the following information is provided in this Notice
of COmmencement.
(1.)
Legal Description:
CITY OF ZEPHYRHlLLS PB1 PO-64
LOTS 10-11 BLK 77
JEO PITTMAN~ PASCO COUNTY CLERK
10/15/04 1\:1 : 38am 1 of171 1
OR BK 6067 PG 1 '
(B.) Gener...l De>cri:ption of Improvement RE-ROOF
(3.) Owner Information
(a.) LOIS it CHARLES SAVAGE
38937 10TH AVE
ZEPHYRHlLLS, FL ;}:3542-4481
(b.) Intrest in Property:
(c.) Name and addra;s of fee simple titleholder:
(4.)
Conh'aCtor (Name and Adw'e'lS):
Central FlO1ida Custom Home;, Inc.
ij804 Bruton Rd, Plant City, FL ;}:3ijw5
(b.)
AmOlmt of Bond: S
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT copy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICj.!ITNESS MY
HAND ~ SEAL 2THIS DAY OF
JEO PI7.J':.Rk Of CIR~OURT
BY J L ./ DEPUTY CLERK
(5.)
Surety
(a.)
Name and Addra;s: None
(6.)
Lender (Name and Adw'e'lS): None
(7.) Persons within the State of Florida designated by Owner upon whom notices 01"
other documents may be served as provided by Section 713.13 (IX a) 7.,
Florida Statnta;:
(Name and Ad~)
Jame; Chrapezza, President DBA
Centrdl Florida Custom Home;, Inc.
6804 Bruton Ed. Plant City, FL ;}:3566
(8.) In addition to himself, owner designated .Tame> Chrapezza, President of
Centrdl Florida Custom Home;, Inc. to receive a ropy of the Lienor's Notice as
pl'Ovided in Section 713.13 (I)(b). Florida Statnte!.
(9.) Expiration date of notice of rommencement (the expiration date is 1 year from the
date of recording unlESS a different da~ is specified).
~ J '<~ ~ r"\ \~ C', , ~ . r>>o. ...._
_1~~-'-~_~"=--0-5~~~'":i~ts,...~.ili1.L~
(SIGNATURE OF OwNER)
PERSONALLY KNOWN OR PRODUCED IDENTIFICATION
DRIVERS LICENSE #
'0 ,'')--.., -<::: 'II /-:( c: c:: I _ (,
,~1-oL~""",,~l..4::'J,...(~l~~,,-,-_____
S id<)- .53- ('~-)7(-o
Sworn to and subscribed before me this ,
_~___ dayof~20J2tt__
~*1-1U.Lu_________
My COmmission ExpiI-e>: _WlJUi-Lll-.W,t}___
R""" a\. Miranda Faulkner
~ ,"'- ; My Commission 00143753
~ 0, ...cF- Expires August 21 2008