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Home My WebLink About04-3654 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3654 Permit Number: 3654 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 6,845.00 Date Issued: 12/07/2004 Total Fees: 65.00 Amount Paid: 65.00 Date Paid: 12/07/2004 Work Desc: RE-ROOF Address: 6206 18 H ST. ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: BUTLER, ROBERT Address: 6206 18TH ST 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. ~Jk~ ~. ONT IG URE 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 -?; Db rf i3u f/.f ~ JOB ADDRESS (/;(00 ;7fh ~ PHONE 7?d- IR Z//f (j LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL In # n:J- d(P-~ / -i'i;CjO -()O{)On.-d</) (;J,TATN PROM PROPERTY TIlJ< NOT,CEl= WORK PROPSED: NEW CONSTRUCTION DESCRIPTION OF WORK o ADDITION .._ DALTERATION j('REPAIR o INSTALL o MOVE; 0 DEMOLISH DMULTI - FAMIL Y Off OF UNITS o MOBILE HOMJ o INDUSTRIAL o SWIMMING POOL o OTHER Os I GN PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL :> BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (1) SET ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. HEIGHT AMP SERVICE o FLORIDA POWER ENERGY FORMS. .------.. /' /' / ///'. '''', ///>~e. t 5~' .' 1 ".. i r ',' ~/ W.R.E.C.. o BUILDING $ (~:['--I5 PERMITS REQUESTED o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION o PLUMBING o o MECHANICAL $ o GAS ~OOFING o SPECIALTY VALUATION OF MECRANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: D BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE PLUMBER ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTHER h~ SIGNATURE . ***************************************************************** COMPANY STATE CERT OR REGIST It CITY PROCESSING # SIGNATURE ~4 .-- COMPANy M~(1lr) r nn5fru (li)fY)( )nc.. . ~ STATE CERT OR REGIST # r (1('. ~ ;',1oV5;"TIY5" CT'T'Y PPnr",,,,,,,.,..,... .u sY D. U~LLC~N~ED 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, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" 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 someon';; 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 "A" or "A, etc.", it is understood that a drainag~ 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 O~ COMMENCEMENT". S~E~T SIGN~&: ~ ~;~~;y O;FFLORIDAfJ{J( '"J{!{) ~;~~;Y O;F FLORIDA j7{L:?c:!-D The foregoing instrument was ~cknowledged 'I The foregoing instrument wa~'fuc~owledged Before,yme this ~ day of ~,; I ~~ Before lpjit this '36 day of ~" ,~ by ~-"'Q,/(}1t .~ yYl {}...--< =- by f Q (C1ff ~lIl/l/I G_ (name 0 person acknowledged) (name person acknowledged) ~10 is personally known to me, or ~ is personally known to me, or Owho o who has and Name person taking ac~nowledgement Angela Helms o My Comm/aslon 00165587 r~l!IInlfJl.IYoa;~ped i entification) e an oath r:z ,,/ "J /~ ~~~~ acknowledgment o ~j MyCommiasion 00185587 ~ o,....df Expires Janual)' 03, 2007 Name typed, printed or stamped 11111111111111111111111111111111111111111111111111111111I111 2004226692 State of Btlrl(l~ NOTICE OF COMMENCEMENT County of POS(I ~") Rcpt: 836512 DS: 0.00 12/07/04 Rec: 10.00 IT: 0.00 --'_nn.__ Dpty Clerk THE {mDERSIGNED 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. ().:)- ]l0-:.j.) -O/9() -{)(Y1)Oo-c-y../7Q 2 . General Description of Improvement (Legal description of the property and street address if available) M~ (~ JED PITTMAN~ PASCO COUNTY CLERK 12/07/04 1l(J : 43am 1 of' 1 OR BK 6138 PG 1042 3. Owncr Information: Name ~Ob()/+- fYl.-, f3u her dd (:J .~ 'J/~ .-({ l~ re s s /t:... () /) I.. :.../ City Z€.fhl j /hji//5 ( . StateFL3 ?;5C{) Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Address City State 111"'~.", ~;'.4. ~:~ 4 . ~~~~ ~ '~1 Contractor: Name Address :.. State fL !3,~V 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 Lienor's Notice as provided . .1.n to receive a copy of the Section 713.13(1)(b), Florida Statutes. 9. Exp.lrat.ion dftte of NotIce or Commencement (the expIratIon date is 1 year fr0m the date of recording unless a different date is specified.) Sworn to and subscribed before me this 1"91-tLL1 . ~ .' . ". c2M6JriA~ ()i day of N ;) vIY>tlJ-rvr- . Signature of Owner: Notary Publ~G: L ) My Commission Expires: .,.~ it\ Angela Helms ,~ ,; My (,umrrtllililon uu Illl)l)tl' ') 0,,..'.JI Expires January 03, 2007