HomeMy WebLinkAbout05-3770
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3770
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:
3770
RE-ROOF
ROOF REPLACEMENT
MOBILE HOME PARK
Address: 37633 P DO PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number:
4,600.00
1/19/2005
55.00
55.00
1/19/2005
RE-ROOF
Name: MICHAIL DALlO
Address: 37633 PRADO PL
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 OCCUPANCY BEFORE C.O.
,;)~~~- ~.
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDtNG DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER's NAME fY): C-.h(1\ I L-06\ Ii 0
JOB ADDRESS -:)/ (g]] Pr-c),dC fJL. 'kr~('L;; II) Fe 3']54?",
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # 0') --v;, 2.1 Of36 (:tjy~ ObSO
BLOCK
SUBDIVISION ~ht!(,~
(OBTATN FRO~ PRO RT TA N~ICEl
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
"O..REPAIR
o INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMIL Y
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOM]
o OTHER
~
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
k~~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL, ATTACH 12) PLOT PLANs, (2) SETS OF BUILDING PLANS, 11) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FOPMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
~6 00.00
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
[] W.R.E.C..
o PLUMBING
o MECHANICAL $
o GAS )(ROOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * *.******* * ***** ***** *************** ********** ** ** ** **** **
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER ~lY'rh? 9
SIGNATURE '"'1 ki 1.1.4j
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COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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COMPANY rgf!p:J(f Ir) r nn5fru (l:i)fV) , )nc ,
- STATE CERT OR- REGIST # (' ('(' ,,:;?;;.,5,')(y'i
CTTY PPnrt;'C!C!"'u~ .u . 5'
D. U~LLCcN~ED 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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN 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 someon~ 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 "ownerN prior to 'corrnnencement.
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 corrnnenced 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 "AN or "A,etc.N, 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 Op NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
I
/
f ." '
~ttf~:~\1 ollIJ. ~~AGENT ~.
STATE OF FLO~DA STA E OF FLORIDA----;J "n
COUNTY OF ~(t..Sc..R) COUNTY OF .yO :-:)"":.-0
The foregoing in trument was acknowledged The foregoing inst~ument wa1 acknOWledged
Before e this ' . y oT----.Yin01A-~ Before ~ this. R,.-~ay ~.~ ' ~
by . rc.. U by AQrrT-"-\I~-
(name of p rson a knowledged) . (name of erson acknowledged)
~ho is personally known to me, or ~ is personally known to me, or
Owho
of p son taking ac~nowledgement
~ ~ Hems
. . My CommluJon 00185687
typed, p ~~aM~~~7
erson tak ng cknowledgment
ji--
r.. I . My Commiision 00165587
typed, p~. ..'e~~~rR~~~1
Name
Name
State of
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111111111111111111111111111111111111111111111I11111111I1111I
2005010790
NOTICE OF COMMENCEMENT
t()jI ~
i --Pi) ~~)
COlllltyof
TH~ UNDERSIGN~D hereby gives notice that improvement will be made to certain real property,
and 111 accordance wIth Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. O~ ''?r;:? I L.I/J(l 6cxoo Q(/jO
(Legal description of the property and street address if available)
() f) ('..,
General Description of Improvement f!..e4A
2.
Rcpl: 847778
os: 0.00
01/19/05
Rec: 10.00
IT: 0.00
Dpty Clerk
3. Owner Information: Name jIV\ I <A<",-; J
,) n J OJ
Address ]16)",) /1'-(.....' ("..1 , I-
OAllo
A L. > L . " .'
City .C;~" ~,f-r! ,Ih
StatefL:3] n/ 2-
/
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
~~91~~~~MAre: fC:;o fOUNT:, CL"ERK
OR BK 6195 PG 1111
Address
City
State
4.
Contractor: Name
Pc'..,f17r.(/!./ {dfJh:, t/.....
I .--' ./' , (,
r";'
,:W<1'
,~ \.
Address '313l)~- sRc-~L/ LJ.
C. /7 I
I ty 01.(:, r-GJ r Jt. i i 5
J
State r"L 3154L
s. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
90 Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of owner:~t6'~;(3'- dV C2....-?:..?'
Sworn to and subsc ibed be[ore me tpis, 15 day o(j ~ i'h t CL1;A
I ) _/ --r.~o(~' :~
Notary Publi .
\....-
My Commission Expires:
,20GES
-'655S'1
. My '..II,,;;n;',g :;" .~
. uar' 0",. ~U07
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