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
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COMPANY
STATE CERT OR REGIST ft.
CITY PROCESSING l
SIGNATURE
PLUM8.ER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ft
SIGNATURE
MECHANICAL
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OT~~
SIGNAT . _ ~
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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:) ~
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Address>
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.,.-.T'.':> ." J. . (~.., ..:0 ;",- -I (I. lty
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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
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-:--- _.
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Cityc - L)
State
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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.