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HomeMy WebLinkAbout05-3757 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3757 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: 3757 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5900 G E BERRY ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: WEDGEWOOD MANOR Parcel Number: 5,500.00 1/13/2005 60.00 60.00 1/13/2005 RE-ROOF Name: ROBERT LEE Address: 5900 GREENBERRY CT 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 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. '1~D:';D, -- t'~ ~ 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 '~'b~' Lz-~ JOB ADDRESS . ell OC' G-f<~ I.::,~t"c-V PHONE Cl' "2.-e: .'V'r---. 'i ch; i. 5 )~. L ') ~~ S- 'iL BLOCK SUBD IVI S ION - I..J -l el cr W &-(JtfJ LEGAL DESCRIPTION: LOT{S) WORK PROPSED: ONEW CONSTRUCTION PARCEL ID # \0 ~l..C;.- 'LI - 01 LO-G0o,,\':,- 0') \0 o ADDITION (ORTATN FROM P8QPERTY TAX NOTICE) Os I GN o MOVE DALTERATION 3~EPAIR o DEMOLISH o INSTALL PROPOSED USE: ~GL FAMILY DWELLING o COMMERCIAL OMULTI - FAMU Y o INDUSTRIAL Oft OF UNITS o SWIMMING POOL o MOBILE HOM] o OTHER ~ DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ ~<.J~ \? BUILDING SIZE SQUARE FOOTAGE_ 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. o BUILDING $ s S- l5'D ,rx) PERMITS REQUESTED o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C.. o PLUMBING o MECHANI CAL o GAS ~ROOFING $ o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARE:A.O YES 0 NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGIST ft. CITY PROCESSING l SIGNATURE PLUM8.ER ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING ft SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OT~~ SIGNAT . _ ~ ***************************************************************** COMPANy STATE CERT OR REGIST fI CITY PROCESSING # SIGNATURE COMPANY '~~r1 V) (nn5ku (l.j)fV), JOe. . = STATE CERT OR REGIST II -LCC'L3Dl,""5;'i;"Y') CTTY PPn("t:'C!C!'T'''~ .u.5"i? ~"~~~L!h'L:.U L.UNTkACTORS AND CONTRACTO.o, .o,::';S.?ONS:3:::;JI'::'IES If the owner has hired a contractor or conl:,[actcrs to undertake work, they may be re-quired to be licensed in accordance with state. and local regulations. If the contractor is not licensed as required by law, both the owne:[ and contractor may be cited for a misdemeanor violation under state law. If the owner 0.[ intended contractor are uncertain as to what licerising requirements may apply for the in~ended 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 'conunencement. 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 cornrnenced 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 conunenced. 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~ COMMENC~~~ ~4(J ~~ rIft'/&Uk (f21) SIG URE'. OWNE i R AGENT SIGNA U .: CC#TRACTOR STATE OF FLOrrr1lA r STATE OF FLORIDA n_ Crv ~ COUNTY OF ~~c..{) COUNTY OF ~.A . -G The foregoing instrument Has acknowledged The foregoing instrument .wa~~nowledged Bef~fe me th~~ day o~ao1j 1'ldX\5 Before ,.e this ~day Of~' ,19cltD by ~ e..('(U\ ~-~vYO/].,. by -I=i.t(i'{.dj --K4j/~--v~~ '(name\.of person acknowledged) . (name df person acknowledged) l:"h.vho is personally known to me, or ~ is personally known to me, or DWho has produced (type ~d not of identification) take an oath. o who has ature 0 person taking ac~nowledgement ~-- ~ . My Comm/asion nn1~1I7 Name type d , 0; i ~@I8tlJatJUljry ~ f&W e d Name typed, p ~ ::;'~~M7 ~res-5an&;ary 03,2007 1111111111111111111111111111111111111111111111111111111111II 2005001999 S tate of \ ,.:: , :-~ 1 -~.....)" ; -\ NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that improvement will be made to certam real property, and in accordance wi th Chapter 713, Florida Statutes, the followmg l nformauon lS provlded ll1 this Notice of Commencement: 1. Description of Property: Parcel No, \D -~C.? - L'\ .- 0;::'c -c~ ~ _ (':. :/c COUlltyof ..~ .J~'",~~ ~\ '__ :~) (Legal description of the property and street address if available) Rcpt:846481 Rec: 10.00 OS: 0.00 IT: 0.00 01/13/05 -____ Dpty Clerk "\r_ ',1. . C \ 2, General Description of Improvement 3, Owner Information: Name JED PITTMAN, PASCO COUNTY CLERK 01/13/05 10:56am 1 "'01. OR BK 6190 PG:) ~ ~'. (':-...... i ;? .~~ Address> ). ". C' .,.-.T'.':> ." J. . (~.., ..:0 ;",- -I (I. lty ../ \ ~;._." '''--- .....- Interest in Property: -? .~.~., i.", \ ~i\-t,\ \1, \ ~ -- - '. '-" State Ft. .,' N allle of Fee Simple Ti lIeholder: (If other than owner) Address Con tractor: Name Address .....7 '> ~, '. 5, Surety: Name Address AmolIllt of Bond: $ 6, Lender: Name Address City State - ._. ,.,", "", ~" .~.j ........._",. ,,) ./' -:--- _. "). ~'- ", \. Cityc - L) State , ; ~ " . \ t ,~___ .v City State 7. P e rs ons with in the S ta te of FI arida desi gna ted by Owner upon whom not ices or oth er doc u me n ts may be served as provided by Section 713 J 3 (I ) (a) (7), Flori cia S ta tu tes: Name City Slate Address City State 8. In addition to himself, Owner designates of. ., . to receive a copy of the Lienor's Notice as prov Ie!ee! ] n SectIon 713.13 (l ) (b), Florida Statutes. 9, Ex pi ra li on d ate of Notice of Commencement (the expirati on clate is. 1 yea r from the clate of record1l1g unless a different date is specified.) .--'~ 1\ AIIgtta H./rn. ;, tf:.) My Commlhlon 00165587 ' 0, '" ElCplres January 03, 2007 ~ /c;9(~nJ~1 ~-:..... ~~i;;-~_ /' / - day of _Yi\ i') ~ri(~j Signature of Owner: "J(" /;j--r.C;f L:, r;(k-/ SWorn to ancl sllbscrjfe/d ~:fore me,t~ ,'d, Notarv Pllhlir' <;:::/-fJ,--d'/(~. V----.. .J ,2oL5.