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--'_"