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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