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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 ****************************************************************** 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 . ~ ***************************************************************** 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 ~SNO~ S~I 8t:0~ p0-S0-tt