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Home My WebLink About04-3582 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3582 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: 3582 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 4806 17 H ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,870.00 11/12/2004 50.00 50.00 11/10/2004 RE-ROOF Name: Address: 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 o OC ANCY BEFORE C.O. ~. IG TURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDING DEPARTMENT DATE RECEIVED PLANs REVIEW FEE OWNER'S NAME LDre th (~)O f;JrP ~ JOB ADDRESS 4 -g{~l 0 17(7) 51- PHONE PARCEL ID # LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION 14-c)& rJj -cx,/n-Q;)7cfJ -()/(O(d')flTATN FROM PROPERTY TAX NOTteF.1 WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION J;::tREPAIR o INSTALL Os I GN o MOVE o DEMOLI SH PROPOSED USE: ~GL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL Off OF UNITS o SWIMMING POOL o MOBI LE HOMJ o OTHER ~ DESCRIPTION OF CJ RESTAURANT WORK ~ itt"fJ & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. o BUILDING PERMITS REQUESTED $ C1 ?]7D .OC) VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C.. o PLUMBING o MECHANI CAL $ o GAS ~OOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE PLUMBER ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTa= 'h~ SIGNATURE . 4 ***************************************************************** COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE COMPANY h~(f "l (nn5fru (l.'0fV)1 )nc , ~ STATE CERT OR REGIST # t (1(', ~ /..~0\,-5;"')!)5 CITY PRnr~~~TUr a d::!5 cump..lJ_ance WJ_ ':.:J. any app2_ica~le c.eec, restrictions. B. UNLICENSED CONTRACTOltS }\ND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with stata 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 unde.c state 1m.. 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 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 Guideff 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 "AU or "A, etc.", it is understood that a drainage plan addressing a "compensating volwneff 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 COMMENCEMENTI/. SI~~N~ STATE OF FLORIDA n \ I-, STATE OF FLORIDA /7 } '7"- COUNTY OF t:::(t"a~ COUNTY OF f/ flO(:----t.-J The foregoing instrument was f\acknowledged / The fore, goin? inst. rwnent was ack~dged . Befor m~ this day of ~OIJ'flA~Y..9.a.d)(... Before mEJ thl~ .L.O-,.-d.a,y of 1LY1!B JiVY, i9.::X1y by ~v by 16..g/)~//J{/Zh-'__ (name f person acknowledged) (name pers n acknowledged) ~ho is personally known to me, or ~o is personally known to me, or -.--;:1---....... i..C""\:,Ull::'.LU.LJ.l c:y .tor Owho has produced (type and ~did not of identification) take an oath Name typed, s~~e'~ig ac~nowledgement . . My Commission 00165587 \;"'1,:1 ~ire8 dlRtllr) ea, 2eBJ pn.nted or stampe acknowledgment Name 1111I111111111111 1111I111111111I 11111 11111111I11111I 1111 111I 2004210913 State of NOTICE OF COMMENCEMENT --,~- "-- , ""--', t-J ortd 11.. County of Ii tto(~_/( \ THE UND ERSI GNED hereby gi ves notice that improvement will be made to certai n rea I property, and in accordance with Chapter 713, Florida Statutes, the fOllowing information is provided 111 this Notice of Commencement: L Oescri pti on of Property: Parcel No. /1-;; (p-.) l-eCI [) --c 3 7 CC 'CYwt:(~- (Legal description of the property and street address if available) . . /~J;)- Rcpl: 830337 Rec: 10.00 2. General DescnptIon of Improvement . ne t")rr' -r- os: 0.00 IT: 0.00 11/10/04 Opty Clerk ( &k~y€+t-a. ') /; ~ b ,'. '';1-' r (}~/.-t I/Jt -"..- 4. . "') ", '" Ie-- CIty C~ ///j{ t I / I~ /.J Statei=L ):3-.jL~) 3. Owner Information: Name {r" 0 lA . Address ':I ReX? F77) I I j-f Interest in Property: R. Name of Fee Simple Titleholder: (If other than owner) Address ,/"), Contractor: Name !JL'I1J{1i /l J Acldress3'7 ~.<S-.?- :-5l. I i191~~~~M~~:!~S;O fOUNT:f Cl{RK OR BK 6105 PG 81 9jty /J . / ',~ (-};;'j -T) / 7 ~ U " ./ 1/ .:.-J !.j LU Ci ty State S. Surety: Name ,-.-- . / 0f1U....l l/l.(~_L<___) State " -;:~:-.:.}{;/ Address City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other 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 111 SectIon 713.13 (1) (b), Florida Statutes. 9. Ex pi ra ti on date of Notice of Commencement (the expiration date is'1 year from the da te of recording1.ll-n1less_a different date is specified.) J ::'I\~: ~~. ~ ~ ; , . " , , " Signature of OWner: Sworn to an4~~~(!bscribedJ)efore me this Cj Not,'ry Public: ~)/y,,,+ku: (~jc~ .,sf.~ Angela Helms !-~ . My Commission 00165587 \'];../ Expires January 03. 2007 day of J )i \1)( ritb;; /- '-' 20 (~'.f / ,~.