HomeMy WebLinkAbout04-3723
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3723
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:
3723
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39209 PARK DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5,293.00
12/30/2004
60.00
60.00
12/30/2004
RE-ROOF
Name: JERALD ATKINS
Address: 39209 PARK DR
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 0 CUPANCY BEFORE C.O.
~~
PERMIT OFFI
CALL FOR INS ION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
Xf^JJ
;>92-() f
I?+k)~>
~r/~
PHONE
Pr
LEGAL DESCRIPTION: LOT (S) q BLOCK 6 SUBDIVISION ?-Y~71 fJ.e..)'j h-r 5>
PARCEL ID # /2- Z-b- "Z...l- 0050-00 bOO - 00/0 (OBTAIN FROM PROPERTY TAX NOTICE)
JOB ADDRESS
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION ~EPAIR
D DEMOLISH
o INSTALL
D SIGN
DMOVE
PROPOSED USE~L FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o MOBILE HOME
DESCRIPTION OF WORK
c:J RESTAURANT &
r)e,f') eJ r
HEALTH DEPARTMENT APPROVAL
/-oil 5/Dpe
I
/ 7 t)CJ
o SWIMMING POOL J D OTHER
7 >9ua,e5
fr1d f/eJ I5J1uIV1en
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
0 BUILDING
0 ELECTRICAL
D PLUMBING
D MECHANICAL
0 GAS o ROOFING
$
r;; z~ Df3
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURE
COMPANY
TATE CERT OR REGIST # CC c_ /3z-5g'/ct
*************************
************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED 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, 813-780-0020~
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 indica~ion 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 aone 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 '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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2CL-
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
20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
1'ite..~.s~_
!JCI!NISE IUIlIIIIlIIR
_.~
'...ru"LME
'..........
_.
'.........
,...
........
....
----..........,...~-- /
.__.,-~_....__.._-._-~~--~
Parcel Information for: 12-26-21-0030-00600-0090 Card: 001
Search AQail1 Show Map Generalized Building Schematic Estimate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
( \ ~ \~
Page 1 of2
'.I\Ielcom~ : Recor(js Searg, : Parcel Detail
I Parcel ID I 12-26-21-0030-00600-0090 (Card: 1 of 1)
I Classification I 01 - Single Family
Mailing Address Assessment (totals)
ATKINS JERALD E & LORA L Ag Land --
39209 PARK DR Land $13,930
ZEPHYRHILLS, FL 335424693 Building $29,572
Physical Address Extra Features $2,038
39209 PARK DR
ZEPHYRHILLS, FL 33540 Total Assessment $45,540
Save Our Homes $31,107
Homestead - $25,000
Legal Description (First 4 Lines) $6,107
ZEPHYR HEIGHTS Taxable Value
PB 5 PG 50 LOT 9 BLOCK 6 Warning: A significant taxable value increase
OR 3352 PG 1735 may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Detail (Card: 1 of 1)
I Line I Use Description Zoning Units Type Price Cond Valu
I 01 I 0100 SFR 00R1 7,000.00 SF 1.95 1.00 $13,650
I 02 I 0100 SFR I 00R1 I 700.00 I SF .40 I 1.00 " $2801
Additional Land Information
EC 0-18 1/ Tax Area . 30ZHI Fema Code [~] Res Code I ZHLGLP3
Building Information - Year Built. USE 01 - Single Family Residential (Card: 1 of 1)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Built-Up Tar and Gravel
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Gas Heat Convection
AC Window Unit Baths 1.00
Line Description Sq. Feet I Repl. Cost New I
1 FSP 120 $2,785
2 BAS 689 $31,976
3 FOP I 36 I $325
4 FCA 192 $1,764
5 FEA 188 $6,126
6 UST 40 I $835 I
Extra Features (Card: 1 of 1)
I Line I Description ~ar Units I Value I
I 1 I DWC 1984 480 I $720 I
I 2 I UDU-M jH988 1 $608
I 3 I CON PTO 974 133 I $150 I
I 4 II DCFENCE I 1994 900 I $560 I
.
I I
http://www.appraiser.pascogov.com/search/parcel.asp ?Sec= 12&Twn=26&Rng=21 &Sbb... 11/23/2004
This Instrument Prepared By:
Name:
Address;
111111111111111111111111111111111111111111111111111111111111
2004242871
Rcpl : 842767 Rec: 10.00
DS: 0.00 IT: 0.00
12/30/04 __ Dpty Clerk
~" JilR-'i
Nll17lC: THD At-Home Services. Inc.
d/b/a The Home Depot At-Home Services
Address: 3200 Cobb GaJJeria Pky. Ste.
200, Atlanta. GA 30339
Property Appraisers Parcel Identification:
JED PITTMAN, PASCO COUNTY CLERK
12/30/04 01: 44pm 1 of 1
OR BK 6172 PG 1070
NOTICE OF COMJ\tIENCEMENT
Pennit No.
Folio No. !~ .~O .~.~.rrtDC:O. DC:AO
STATE OF FLORIDA ~<;f\r.
COUNTY OF . \"J."J
~/.33J77;{Y
The undersigned gives notice Ibat improvement will be made to certain real property, and in accordance with Chapler 713, Florida Statu.tes. the
followillg infanTation is provided in this NOTICE OF COMMENCEMENT.
LegJIl description ofpropcrty (include street address, if available: ~'ifi..\.e;t\s p ~ ~,6~ u:srq RUllo ~~ R;\l35
.39'1..()Cf 'f::>q,./( l),.~v<. "Z..el'h'1rh;1 L "~S4Z.
General description of iIq,lrovcment:
g~ ~'~~.~
OwnerTnformation-nameandaddress; ~ d 1Ct+1(;u'\S :~,,~ fft~1C. cjr-,
Interest in Property:
Name and address of fee simple titleholder {if odler th:m Owner):
R
Contractor - name and address: The Home Depot At-Home Services
207 Kelsey Lane, Suite G, TlImIla. FL 33619
Phone Number: 813-630-4 II 1
Surety - name and address:
pal( Number:
Lender - name and address:
Phone
Number:
,vJfi
813-630-4112
Fax Number:
Amount of
Bond:
s
Persons within the State of Floridadesignated by,Owner whom ootU:s of olher documents may be served as provided by Section
713, B( I )(a)7., Florida Statues:
Name and address:
Phone Number:
IV/A
Fax Number:
In addition to himself, Owner designates of
to [ecei~ II copy of the Lienor's.Notice as provided in Section 713.13(1){b), Florida StlIturcs. (Fill in at Owner's option)
Plume Number: Fax Number;
Expi . D date of Notice of Commencement (the expiration date is 1 year from tbe date of recording unles a different date is specified).
Signanue of Owner
J'E.J1Vt{d [;. flrk,W<
PrintedNameofOwiier ....e-: (( II . PriutedNameofOwner
/Lr~(J A..vn\V\~ .-:iOSEPHIAN~.D~
Sworn to lDld subscribed beron: me by ~ wlio is peISOnally ~wn to ~ or produced I __
1;7'V~ id"""""""~.... who did~.... ~ _ dU..Jj::!: doy .f~ 20 04 . __ _ ,..._
Signature of Notary ~ ~ ~ : _ -='::=~I
- ~FIorida 1............................................1
Printed Name. of Notary: o.sc- h ~\-"'l:l,....
Commission No./Expiration: 3
POWER OF ATTORNEY / LETTER OJ,-' AUTHORIZATION
DATE 17.--z...~-tJ'f
I HEREBY NAME AND APPOINT ~~(','~'" "':~ OF TEAM K-5 TO BE
:'1 Y L'\ WF1Jl ATTORNEY IN FACT TO ACT AN APPLY TO THE
_~hl/('I-'1I\11 ~- BUILDINCJ DEPARTMENT FOR A ROOF PERMIT FOR
----F- f
WORK TO BE PERFORlvIED AT LOCATION DESCRlBEDAS:
..
___;?7'2-,;?'Z___ r~r::k_pr___Z~_~cJ.~)l2: (L 335 '1z--
OWNER: :::r:e~LcL 11-1- A, ~'2
,
.-'\S WELL AS TO SIGN IVIY NAME AND DO ALL OF THE THINGS NECESSARY
TO THIS APPOINUvfENT.
BOYD LIPHAM CCC-1325818
:\TArdE OF CERTIFIED CONTRACTOR LISCENCE NUMBER
-~~- C~~~
SIGNATURE OF CERTIFIE r ACTOR
THIS FORGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
s+
JI - DAY OF /)1-C
------------ (
PERS~.Z. 'KNOWN T~
LI ~~ / ...~
NOT\RY SIGNATURE
r:)cf
BY BOYD LIPHAM WHO IS
i\1'{ COI\lMISSION EXPIRES
...............~
...........e :
,..............CHR\S PAT _1"'loNa")2211 ~
: comm#~~ :
. ,""U,~I. . 5i2~~ .
~ g-;;~' p,,~~\ ExPitea 8QO)A32~254~
: ~~~.:,~ eonGed IllN l ASSn..1nc i
: 'i.~~~i noa Notary ..........
: o:;.,:/EOf y\.l;J:\~~ F\O ............
. "'1"111\\\\ .........
\.............
e-hn ~ ~-<vtt-
PRINTED NAME OF NOTARY