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HomeMy WebLinkAbout04-3714 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3714 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: 3714 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5435 20TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 5,462.00 12/28/2004 60.00 60.00 12/28/2004 RE-ROOF BAR COLE 5435 20TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON 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 nWarning 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. n 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. ~~'L- ~. CONTRACTOR SIGNATURE 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 ~ ~r b~d\.. Cc~ JOB ADDRESS ~3 S-CO)T L.~?~hR'-:\'d1 '5 PHONE LEGAL DESCRIPTION: LOT(S) WORK PROPSED: ONEW CONSTRUCTION ao,-/c) SUBDIVISION PARCEL ID # ~ 'Ll BLOCK Os I GN PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL o MOVE o ADDITION ..' OALTERATION .)Q)EPAIR o DEMOLISH o INSTALL 3 OMULTI - FAMIL Y o INDUSTRIAL Oft OF UNITS o SWIMMING POOL o MOBILE HOM] o OTHER DESCRIPTION OF WORK o RESTAURANT ~ ~u~ ~ - & HEALTH DEPARTMENT APPROVAL BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANs, 12) SETS OF BUILDING PLANs, (1) SET ENERGY FORMS. ATTACH 13) SETS OF BUILDING PLANs, (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. SQUARE FOOTAGE_ HEIGHT o BUILDING PERMITS REQUESTE~ $- r;;; Lffi ~ . <YJ - VALUATION OF TOTAL CONSTRUCTION AMp SERVICE 0 FLORIDA POWER 0 W.R.E.C.. o ELECTRICAL o PLUMBING o MECHANI CAL o GAs ~ROOFING $- o SPECIALTY o OTHER - VALUATION OF MECHANCIAL INSTALLATION TYPE OF CONSTRUCTION: D BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER .................................................................. COMPANY STATE CERT OR REGIST It CITY PROCESSING ~ SIGNATURE ~LECTRICIAN ~LYMBER .................................................................. COMPANY_ STATE CERT OR REGIST It CITY PROCESSING ff SIGNATURE ..........~....................................................... COM PAN y- STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ) SIGNAT6RE -" ................................................................. COMPANY_ STATE CERT OR REGIST fI CITY PROCESSING # OTHER COMPAny M grn(1 '1 ( r'n'5fru'ctlfY) i ,/ nc . STATE CERT OR REGIST /I Lee .~(71.');")t)") CT'T'Y PJ:?nrl;'C!C!'ru~ 5P . ~ - -<, ~~~ ,-vn UV>.I.-TUH.::i AND CONTRACTOR RESPONS:':3PJ:':':':':':SS If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with stata 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 "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 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 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 si. 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, CONSUL' 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". ;j/w~ ~f SIGNA1U E: CO RACTOR ------ ~ AGENT STA'rE OF FLORID~ '5 ~ ') STATE OF FLORID'\b c '~ COUNTY OF i. C-{ COUNTY OF . 1 J (.( The foregoing instrument "'Ias~knowledged ..\ The foregoing instrument Has J;Rknowledgec;l _ BefO~ me thi~~ day of L1P('O~f 19~ Before me this ~ day of COAJu;r ~ by () ('{U\ . \. n/'\o~ . by ~ 'vll/V)CL.'l"-- t K- e ((ut , (name of person acknowledged) '-.,." ~ ~name of person ackno\ledged) CTwho is personally known to me, or ~o lS personally known to me, or Dwho has produced (type ~d not of identification) ake an oath. Name typed, person taking acknowledgment !it :::.::: rm1~ ':l p rr. cExPlris ~rlO~ a~ ~ Hems Name 1:4 '~~161i87mped ~ 0, r-'of. Expires Janullly 03. 2007 ~----_..,.__.....,"~._-_."-" ----------------- 1/111/11/11/ 1111I 111/11/1/1 1/11/1/11I1/11/ 111/11111I11111111 2004241021 r~"''''''f; :;~; .. I ~ n Sl.c'1le o.f \"-'1 ."'p. .\..g (l ~ '-"_ 'l~' , NOTICE OF COMMENCEMENT TI-IE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, "nel in accordance with Ch apter 713, Florida Statutes, the fOllowing in formati on is provided in this Notice of Commencement . . . . :'7 I: .-7 i-tj) \0- h i1 (.i~ -00 "10 1. Descnptlon of Property: Parcel No. 'I ~ _ . r .--, U t.,.- _ County ofj /1) C(J H. (Legal description of the property and street address if available) 2. General Description of Improvement \..z '?-~~_ !~ 3. Rcpt: 842087 Rec: 10.00 DS' 0 00 IT: 0.00 12i28/04 ________~ Dpty Clerk Owner Information: Name ~~t'~..;,~~,- Address SC-t :',<-" . 6.),LS~T '" , .-. '-.: i:...><:: JED PITTMANA PASCO COUNTY CLERK 12/28/04 0~: 39pm 1 of' 1 OR BK 6168 PG 1720 Interest in Propeny: City --z.'- t~ \ " , S -' <-:l, C"tJA State t" L c))> v Name of Fee Simple Tilleholder: (If other than owner) Address 4. Contractor: Name Add ress ''\-;f"\ . ~ c . .,/- "-"" ;J (_ _ 5, Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City State f\ Ii \'. I-J-~V J<:"<3,::. r I h <. S \?__ 'Je{ \~ ,.:<<J.:-~< ..' .' "f.; CI" ty 7 e f}.,... 4 ~~ i" \ '\ ) ....~- "" r ~ '~ " St"te'Y ;');", r::.z.J' (( ,h... "J'-- L. City State 7. Pers 0 n s with i n the S ta te of Florida designated by Owner 1I pan whom no tices or 0 ther elocumen ts may be served as provided by Section 713.13 (I) (a) (7), Florida Statutes: City S ta te Name City State Address 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as proy ided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is'l year from the elate of recording unless a different date is spec. ified.) ~ _"_ . ~ .; My Commission D0188S87 ;1 /1 Va,~;' Expires January 03, 2007 day of ~Cr2/hcb' {-- I ,., I ,./\ 1_- I , 2l9--'_"