HomeMy WebLinkAbout04-3616
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3616
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:
3616
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5410 TANG INE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR HEIGHTS
Parcel Number: 12-26-21-0040-0070
3,200.00
11/29/2004
50.00
50.00
11/22/2004
RE-ROOF
Name: ROGERS, JOYCE
Address: 5410 TANGERINE DR
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON 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.
/ 1 . ~-~
TOR GN TURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDING DEPARTMENT
DATE :RECEIVED
PLANS REVIEW FEE
~ 'f).,
OWNER' S NAME=.J~1 ('!- LDCK-f"0
JOB ADDRESS 6..4 I'D < = 1 () rj ~t.h /\.1
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE
Dr
PARCEL ID #
/).' {;Y(fl-~J -ty\Lj(j - f)C"/-!CO C(;'1;?~FROM PROPRRTY TAX NOTICEl
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALT ERAT I ON )<(REPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING OMULTI - FAMIL Y Oft OF UNITS o MOBILE HOMl
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
~
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~e~
UARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/'
,./...
VALUATION OF TOTAL CONSTRUCTION
o BUILDING
$ ,J/I~(){)
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C..
o PLUMBING
o MECHANI CAL
o GAS ~ROOFING
$
VALUATION OF MECHANCIAL INSTALLATION
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 D NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
* * * * * * * * * * *,* * ***** * ** * * * ***** * * **** ** ** * **** ** ** *** *** * * * * * * * ** * **
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER ~~
SIGNATURE . ~
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COMPANY h~(1 Vj r nn5fru (l.'0fY); )nc .
STATE CERT OR REGIST # r ('(', ~I,~~,-5;"")/)5
rTtf1V ot)"',....,T.'I("'If"'I...-......_ "
COmp..llance y,n t.h any app~_:_ca::'=_e deed restrictions.
B. UNLICENSED CONTRACTOI~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired cl contractor or contractors to undertake work, they may be required
to be licensed in accordclnce 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 le.H. If the owner or intended contractor are uncertain as to what
licensing requirements nlay apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-786-6611.
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 Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~ownerH prior to 'conunencement.
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 regul~ting 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 conunenced 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.H, it is
understood that a drainage plan addressing a ~compensating volumeu 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 conunenced. 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 F COMMENCEMENT".
~~~
STATE OF FLORIDA nA /71'1---.
COUNTY OF ~~
The foregoing ins~ument was R~kn9wledged '/
Bef<?;.e me thi.S~, day of L:::!.D V , '"1"i2C)Je
by ~{~t!c Kl/ IM~ ,
~ (nam of person acknowledged)
~ho is personally known to me, or
----:;----
-..,>..J....u.~~\,....o...J ~'-<:;:;:,.:l~_!u.'u'.:=:;~_:..J_L.L.J_",=Y ::or
STATE OF FLORIDA n_ e--D
COUNTY OF I-CL:::?
The foregoing instrument wasnar,:knowledged _ /
Before me this t:O-day of , '0 L) , :tV~;/
by I e r~ /J.t.' y1AA'7~A
'-c-, _ (nam of pelrson acknbwledged)
~ is personally known to me, or
Dwho
o who has produced
(type of
not
r~~ng ac~nowledgement
;, ( ~,; My Commission 00185587
~OI' Expjrea Janll8lY 03 2nn7
Name typed, printed or stan~ed
Name typed,
person taking acknowledgment
~ Angela Helms
.: My Commission 00185587
111111I11111111111111111111111111111111111111111111111111111
2004216814
Rcpt:832747
DS: 0.00
11/19/04
Rec: 10.00
IT: 0. 00
Dpty Clerk
NOTICE OF COMMENCEMENT
State of
..--
, ,'-, '121
1L( ;,~i . t
County of
M//i -{ ~\
: ~'L.,:.. ;'
-,-
THE ImDERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencemcnt:
1. Description of Property: Parcel No. lii'i?-Ie} J- (){"/-/{) -OC<jt{.J-(fJ7 rJ
'(Legal description of the property and street address if available)
l~,.o.
Q [Y.'1J
11~t';~~~M~~:3~A~CO lCOUNT/ CLERK
. OR BK 6117 PG 298
Owncr Information: Name~CV'(2- ,,"' '70(1 e (~:'"'J
. ,. '--- i)/t'"l'ty /. (1, '}), '/IA , ill) State..c- -1:;'. J ~!,"I\
l~dd res s 7~1I D 10 {'K}f/ J^.--k. u '- b~ r'/VL "l..~- .-....- I L- '-' -' (...7-
Interest in Property:
2 .
General Description of Improvement
3.
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
Address
1/J/'---
City '7? J/J(fl/U./ ,i~;J
f::::t I t .
State
-F
s3S;(J
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons wi thin 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 in Section 713.13(1){b), Florida Statutes.
9. Exp.irl'lt.ion date or NotIce of Commencement. (the expiration date is 1 year
fr0ffi the date of recording unless a different date is specified.)
AlI~ 02<<J1/
::. /
Signature of Owner:
Sworn to and subscribed b~fore me
\, .. . J \. '.
1\9- ---.r.e.y..../ . .
"\, ~
Notary Public:
My Commission Expires:
'"
11/08/2004 14:08
78326415
RVMAN ROOFING
PAGE 01
..
~~~
~~,'J~,
Roofing Division
To: L GI ~ J~. rrOt'\.A-
~Jo.. T~~t'r:"",---_-.bL-_..
__ Z -).. i \\S ~_
Date; I \ -.a.. 0-4
1.. Complete trar off of existing shingles
2. Roof dried ht with # ..3 0 felt
a. 1."".11 B,"", valley met.1 with glll'V81JI;(ed metal
4. Re-secure all loose root deekine
5. Install all new lead boots through the roof
6. lnst.U all new drip edge around the perimeter of roof
7. Install all new ~_ year fungus-resistant shingle 3 - ,.. co.. '0
8. AU debris removed from the job site
9. An material and IlIlboT furnished
:.r:1"\5~\\. 0..\\ M,.......... St::J ~~. 0 r;~f..\/""'+-
5' 1c...~ ~~ r;r4.~ ~~~-\oi
D (LoS v-t .s~~
( \' 01"'1 \.<:.0 )
Total bid pliee S _~QO. c:;, o.
Extra "
Bad pl)'WOod ,eplllced Ill. c~t of ,J~_ IIcf .,heet in thl! nlflf ./kId. All Or/I':" wnnd "'nr/f ~uch tr~ 1It1"c!J' ,cbui/di"t: ur rllftf'" "cpliu:.",.,,: will
b(r fZ clrtrq:e ~fs4 0 p~' ".".. per' hm/'r pl/IJI thecA<< 4f IJ'i/1teritds
All matcr);\l is guaranteed to he a.<; spcc:ifi.;d, and the above work to be donll in accClrd~n\;1.: with the drQwlntp and spc:dncation3 ~uulllitted for ah""c work
and <:ompleted in a. ~ub~hmtial workmlllllil:e manner for the sum of
Dolb1'!l ($
With plIYll'Icnt al fnllnwNllA~" C.o,.N:)h..-\.\o~
Aft~ "h...'lltion or deviation 1M'" .bnvl! SJ"X'ifil:lllioIIS involving e~lr~ ';n,.I~. will be cxccu!,',i m'ly "r~n we;:"!'" ~rdc,. ~nd will ~o,wnc an ClC.lr:l ch"~ over and above the estimate, All 88fC't!tnonl"
e(llltill~':!lt UflI."n .'triko.. =i,lllllll cr dcla,s 1:-cy~nJ ,,", ennlTnl, OWllcr ta carry nt'!:. lnm,dn. ond othCl' netc.....'Y ;nsumneo LIllO" .:lba'\lO ,,'title, WorIonen', ec'",~~s~til)n and .ui'llic li"bi!ity
ia.Ur:lll':. "n IInnw work 10 ~ Ulkcn OIIt by RynI.n COlIstruftiOtl. 'n~
Re5pecrfully subrl1ltted
'erC~
....~
^,c;cptanee of P"oposal
~..... :~' "'d7;~" "7i"'" '" Wi,"":::: ",-7': Yoo '~~h"
-L f'O----.'._-- ----ZX~ ..._~).
R)'man C:OIl:llruction. Inc:, Will no1 be responsible for
any ~tie lank.. st\d. shrobb<lt)' or paint damllSc.
P"y",ePl' dut" UI".'" receJroI ~f.1l"'(J;c(!.
te> ..10 the work ~ specified.
r~ note: ,,\ llW'ge nf I,So/", \vi" tt.; InMlc nn nl1unfllli;W J:.n,.,"Ce'li after .1if) dft~ ~I ...'hiGh i'i ,1" Rnn,"" r('~r:r.f~y: rn~' (I": ''1-'", a~H~ tn IJU1.1\JC ~Iand"
For your convenience we ac,cept
_Sell.
37325 S. R. 54 W.. Zcphyrtlills. Florid" 33542
(813) 782-6094. (866) 993~ 766~. Liccn5(:;\I CCC-13i5S05
to'd
SSU: SSE: 8tl.=OI
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