HomeMy WebLinkAbout04-3707
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3707
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:
3707
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 37922 6TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0010-12700-0040
4,000.00
12/27/2004
50.00
50.00
12/27/2004
RE-ROOF
DAUER, SI YL M.
37922 6TH AVE
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 falJure 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 perfonned in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~~r~ ~.
CONTRACTOR SI NA E PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME 5 ~ b\ 1 L
,
JOB ADDRESS 3'1 ~ 'd. Q
fn .~\..kL'(" \\\ ~~ ~
\J~ ~_ "7 -~~~\\S
PHONE
~\ ~~Sl.fL
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # \t'l- ~\tr~\- ~\~-~,\:D-tJt),-\a (OBTAIN FROM PROPERTY TAX NOTICEl
SUBDIVISION
WORK PROPSED: oNEW CONSTRUCTION
D ADDITION
oALTERATION
D REPAIR
o INSTALL
D SIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
D MOVE
D DEMOLISH
oMULTI - FAMILY
o INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
o OTHER
DESCRIPTION OF
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK ~-e-C" ~~
\ q 0 \) SQUARE FOOTAGE
~.'-t- ~\~~'h\()~~
BUILDING SIZE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
VALUATION OF TOTAL CONSTRUCTION
o BUILDING
$ J..\. \1I:J \ -
,
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************************************************************** ~
o~~ COMPANy0\l"~\o.~ ekl~
STATE CERT OR REGIST # (~J~...~\)Slc; \
SIGNATURE . e...e.~di~ --- CITY PROCESSING # ::\.7(,,0 .'
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CONDITIONS OF PERMIT AFFI~AV:;.
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subj €oct ":0 "deed restrictions" which
may be more restrictive than City regulations. Th,= undel:si9ned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITn~S
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 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 "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 "AH or "A,etc.H, 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 COMMENCEMENTH.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
C1ho is personally known to me, or
(name of person acknowledged)
owho is personally known to me, or
o who has produced
(type
and whoo did Odid not
of identification)
take an oath.
o who has produced
(type of identification)
and who odid QHd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
111111111111 111111111111111111111111111111111111111111111111
2004229542
Florida Statute 7 I 3 is the ConstlUction Lein Law. The owner needs to be familiar with all its passages,
All a minimum, file a Notice of Commencement, protect your rights by obtaining a partial or compete
"Release ofLein" prior to any payments and obtain release fi'om all providers before making the final
payment.
NOTICE OF COMMENCEMENT
Rcpt: 837571 Rec: 10.00
OS: 0.00 IT: 0.00
12/10/04 ______ Dpty Clerk
STATE OF: FLORIDA
COUNTY OF: PASCO
JEO PITTMAN, PASCO COUNTY CLERK
12/10/04 09: 18am 1 ~f61.
OR BK 6145 PG:J ~
PERMIT NO.
PARCEL ID # 10-26-21-0010-12700-0040
The undersigned herby gives notice that improvements will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice
of Commencement.
(1.) Legal Description:
ZEPHYRHILLS COLONY COMPANT LANDs PB 1 PG 55 POR NU2 OF lRACT
127 DESC AS COM ATNE COR OF lRACT 127 FOR POB rn
(2.) General Description of Improvement: RE-ROOF
(3.)
Owner Information
(a.) DAUER, SIBYL M REVOCABLE JRUST
DAUER, SIBYL M JRUSTEE
37922 6rn AVE.
ZEPHYRHILLS, FL 335425410
(b.) Intrest in Property:
, .
(c.) Name and address of fee simple titleholder:
.) Contractor (Name and Address):
Central Florida Custom Homes, Inc,
5804 Bruton Rd, Plant City, FL 33565
(5.)
Surety
(a.)
Name and Address: None
(b.) Amount of Bond: $
(6.) Lender (Name and Address): None
(7.) Persons within the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section 713.13 (l)(a) 7"
Florida Statutes:
(Name and Address)
James Campezza, President DBA
Central Florida Custom Homes, Inc,
5804 Bruton Rd. Plant City, Fl. 33565
(8.) In addition to himselt: owner designated James Carapezza, President of
Central Florida Custom Homes, Inc, to receive a copy of the Lienor's Notice as
provided in Section 713.13 (l)(b). Florida Statutes.
(9.) Expiration date of notice of commencement (the expiration date is 1 year fro111 the
date ofrecording unless a different date is specified).
"
x,3~ 7'k. '59CUUh-
(SIGNA F OWNER)
PERSONALLY KNOWN OR PRODUCED IDENTIFICATION
DRIVERS LICENSE #
b (,.O()~ 1<t3 - \ ') .SOt~ -0
\.SS 3/1,-lol ~~ 'I<t/bj
STATE OF FLORIDA
COUNTY' OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
o OF PUBLI,C RECORD IN THIS ~ ~E T.N~SS MY
HA MJD FFICIAL SEAL THI AY OF
2
JI::O I, CLERK OF CIRCUIT QURT
BY ~ [
--.- JEPUTY CLERK
My Commission Expires:
NANCY L. SCHMIEDECKE
ry Public, State of Florida
My comm. expires July 28, 2008
No. DO 342180