HomeMy WebLinkAbout04-3606
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3606
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:
3606
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 39029 PARK DR VE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR HEIGHTS
Parcel Number:
7,029.00
11/18/2004
70.00
70.00
11/18/2004
RE-ROOF 21 SQUARES
Name: RIVERA, SAMUEL
Address: 39029 PARK DRIVE
ZEPHYRHILLS, FL. 33542
Phone:
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
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.
~~
CONTRACTOR SIGNATURE PER~
CALL FOR IN PECTION - 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
DATE RECEIVED
1/-/9-0c(
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
50.... VVI \ J-L- 1
3CJ () z- cr
h; \r~ \0,--
F'fA.,r K br
I
PHONE
JOB ADDRESS
SUBDIVISION 2erhyr' #eJ~1J,ts
LEGAL DESCRIPTION: LOT(S)
3v-L{
BLOCK
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
~EPAIR
o INSTALL
o SIGN
PROPOSED USE~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J
f;e-\
ENT APPROVAL
SQUARE FOOTAGE
~ 2--1
?--IO{)
,....
..:>
i../0'e....-S
BUILDING SIZE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
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
$
VALUATION OF TOTAL CONSTRUCTION
707--;
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
~. COMPANY / e J/<Jfr7E l>ef'CJ-I- 'r
;:s~~ -6 STATE CERT OR ","ST.* Gee /3v5&/2
*******************************************~~****~~~*~~****
BUILDER
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
SIGNATURE
*****************************************************************
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 po~tions of the "Contractor SectionsU 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 indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhi11s.
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.
App1i~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 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.u, 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".
acknowledged
, 2~
//
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Owho is personally known to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
p rson acknowledge
Qho known to mei-jor
fA" who has produced rJ)1- J(6/lJ-02J-kI'--:79L..-u
l)type of identification)
andWhQ-);?";:J:;D;~{
Sign~tufeof person taking acknowledgment
"""'"
,~\ifly.f't-~ Bobbie Swetland
{*( :~ MY COMMISSION # 00268763 EXPIRES
Name ~d
Signature of person taking acknowledgement
Name typed, printed or stamped
,,..E~~
Name: THD At-Home Services, Inc.
d/b/a The Home Depot At-Home Services
Address: 3200 Cobb Gal1eria Pky. Ste.
200, Atlanta, GA 30339
1111I11111111111111111111111111111111111I1111111111111111111
2004215472
This Instrument Prepared By:
Name:
Address:
~t ~..
{},
:# 320
Rcpt.: 832220
OS: 0. 00
11/18/04
Rec: 10.00
IT: 0. 00
Dpty Clerk
$~~ :1 i\- t~~
J'" ~ /-'. ,~..,
~'i
JEO PITTMAN" PASCO COUNTY CLERK
11/18/04 1~:43am 1 of 1
OR BK 6114 PG 1161
Property AP;rU:T\'~t';t;fi~"',"
NOTICE OF COMMENCEMENT
Permit No.
Folio No.
/2....U...Z./-fJ030 -00/00 , ()oro
-#/35Z/~1
STATE OF FLORIDA DArCD
COUNTY OF r rf-.J
The undersigned gives notice that improvement wil1 be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following infonmtion is provided in this NOTICE OF COMMENCEMENT.
R'
Contractor - name and address: The Home Depot At-Home Services
207 Kelsey Lane, Suite G, Tampa, FL 33619
Phone Nwnber: 813-630-4111
Surety - name and address:
Fax Number:
813-630-4112
Lender - name and address:
Phone
Number:
I
~
Fax Number:
Amount of
Bond:
$
Persons within the State of Floridadesign ed by Owner whom notices of other dOalments may be served as provided by Section
713.13(1)(a)7., Florida Statues:
Name and address:
Fax Nwnber:
Phone Nwnber:
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statures. (Fill in at Owner's option)
Phone Nwnber: Fax Number:
Ex ation date of Notice of Commencement (the expiration date is 1 year from the date of recording unle$ a different date is specified).
--
Signature of Owner
j~N_f<<i. /h
Printed Name of Owner
R,'l./e~
f(/"re'r 4
Printed ~amc ofOv./ncr
~........be I fL/v&O:1
Sworn to and subscribed before me by who is personally known to me or produced
as identification, and who did fX.. take an oath, this~ dayofO<r.20~.
S;gruorureofNotvy ~~ 5~
te of Flo "
Print~d Name of-Notary: . Lf::.z ~ ~~HJ'O '''1.
Commission No./Expiration:'
. ..
,........ ... .................
: LINDSEY J STEVENSON.......!
I ~III'J.." ;
: !~~vPt\ Comm#DD0351048:
: i ~~i Expires 813012008 :
i \.llOf!l.r/i'/ Bonded Ihru (800)432-4254:
I.....::~:::......!~~~:!'lotary Assn., Inc :
..................1
POWER OF ATTORNEY / LETTER OF AUTHORIZATION
DATE-11-/t)- o~
I HEREBY NAME AND APPOINT 6r/fAn ~1'r--bV OF _K-5_ TO BE
I
MY LAWFUL ATTORNEY IN FACT TO ACT AND APPL Y TO THE
U?1Yf hi!!? BUILDING DEPARTMENT FOR A ROOF_PERMIT FOR
WORK TO BE PERFORMED AT LOCATION DESCRIBEDAS:
3702-cr ~r/L:, bo- 2-e-fhy(h)l/~ f'L 335'jO
OWNER: So-- /VI V'~ / /f:v~ ro--.-
AS WELL AS TO SIGN MY NAME AND DO ALL OF THE THINGS NECESSARY
TO THIS APPOINTMENT.
BOYD LIPAM 1\ CCC1235818
NAME OF CERTIFIED CONTRACTOR LISCENCE NUMBER
/Z rC.,~'
~G~~FSroFCER~NTRACTOR
THIS FORGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
I O~A Y OF I\JOV ,D* BY B.)-(1) L-\(> \-\" rt WHO IS
(
PEmKN07zL
NOTARY SIGNATURE
............,
.............. :
...............~s p"T~_~1 i
: ccrnrnt ~ :
i 4~.~ ~ llllO)432~254\
i (~r;. lllI\I ~ IllC :
\ ~~~ ~.~~.;.....,
, 1i,'~~~'~':............
,.....
~Wll\ j)~
PRINTED NAME OF NOTARY
MY COMMISSION EXPIRES
Parcel Information for: 12-26-21-0030-00100-0040 Card: 001
Page 1 of2
Welcom_c': Rec()rds :')earci1 : Parcel Detail
$~arch__A@in $how_Mcw GeD~9lized Builgl!l9-$chemati~ Estimate Taxes
$~~- Tax CQHectQIjnfocrnatiofL: CurrenUDelinguent Taxes
Parcel 10
Classification
Mailing Address
RIVERA SAMUEL &
SONIA M
39029 PARK DR
ZEPHYRHILLS, FL 335424654
Physical Address
39029 PARK DR
ZEPHYRHILLS, FL 33540
12-26-21-0030-00100-0040 (Card: 1 of 1)
01 - Single Family
Assessment (totals)
Ag Land
Land
Building
Extra Features
legal Description (First 4 Lines)
ZEPHYR HEIGHTS PB 5 PG 50
PART OF LOTS 3 & 4 BLOCK 1
DESC AS COM NWL Y COR OF LOT
4 BLOCK 1 FOR POB TH EAST
Total Assessment
Save Our Homes
Homestead
$15,122
$60,308
$1,201
$76,631
$62,050
- $25,000
Lin
Descriptio
SFR
SFR
Taxable Value $37,050
Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Additional Land Information
Acres Tax Area I 30ZH II Fema Code I X
BuildingJnformatiolJ - Year Built 1985 USE 01 - Single Family Residential (Card: 1 of 1)
Ext Wall 1 Concrete Block Stucco Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Dueted
AC Central Baths 2.00
Line Descripti Sq. Feet Rep!. Cost New
1 BAS 1,113 $60,770
2 FSA 168 $4,586
3 FOP 21 I $218
4 " FGR /I 312 " $6,825
Extra Features (Card: 1 of 1)
Line I Description r Units I Value
1 DWC 400 $615
2 CLFENCE 800 $282
3 UDU-M 1 $304
Previous Owner
Year I Month
I
Sales History
MCCRACKEN DONALD L & LILLIAN R
Book I Page I Amount
I
http://www.appraiser.pascogov.com/searchlparce1.asp?Sec= 12&Twn=26&Rng=21 &Sbb... 10/18/2004