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Home My WebLink About05-3861 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3861 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: 3861 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 6701 BASSWOOD CIR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: DRIFTWOOD Parcel Number: 26,400,00 2/17/2005 165.00 165,00 2/17/2005 RE-ROOF Name: DONALD RENNER Address: 6701 BASSWOOD CIR 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. ~~- t'~. CONTRACTOR SIGNATURE PERMIT OFFI 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 \) (.) "-J 6...L ~ 'i..JtrJ~ ~ r JOB ADDRESS G,l b 'l>~\~S WOOd L \ ~ PHONE LEGAL DESCRIPTION: LOT(S) WORK PROPSED: Ol'IEW CONSTRUCTION PAACEL 10 # ~l.- '1.Jo '"1..\ Oruoe> \ t"; \ 0 BLOCK SUBDIVISION Os I GN o ADDITION ... (ORTATN PROM PBQPERTY TAX NOTTCF.l OALTERATION -.tL REPAIR 0 INSTALL o DEMOLISH PROPOSED USE :J&SGL FAMILY DWELLING o COMMERCIAL o MOVE ~ OMULTI - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HaM] o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL RR~~ BUILDING SIZE ~ RESIDENTIAL, ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (11 SET ENERGY FORMS. COMMERCIAL, ATTACH (31 SETS OF BUILDING PLANs & 111 SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. SQUARE FOOTAGE HEIGHT 0 BUILDING $ L1()4(J.0\) , 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL $ o GAs ~ROOFING o SPECIALTY TYPE OF CONSTRUCTION: D BLOCK FINISHED FLOOR ELEVATIONS PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C., o OTHER VALUATION OF MECHANCIAL INSTALLATION o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER ELECTRICIAN - - ****************************************************************** COMPANY STATE CERT OR REGIST It CITY PROCESSING ~ SIGNATURE ~LDM8EE~ ****************************************************************** COMPANy STATE CERT OR REGIST # CITY PROCESSING ff SIGNATURE SIGNATURE **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANI CAr.. OTHER ~~ SIGNATURE .. n' ) ~~'- ***************************************************************** COMPANY. STATE CERT OR REGIST 1/ CITY PROCESSING It COMPANY '-g~r11r) (nn5!rU"DrY)c Jnc . ~ STATE CERT OR REGIST /I ..L..C( '~.~.~-)?')5 CTTY PQnr~aaTU~ u '--.,~~~ ~V1H1V\~TUH~ AND CONTRACTOR RESPO\'S:':.':>:'::'.J:':':':':SS If the owner has hired a contractor or contractcrs to undertake work, they may be required to be licensed in accordance with stata and local regulacions. If the contractor is not licensed as required by law, both the owner and cont:cactor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licerising requirements may apply for the intended wo~kr they are advised to contact the City of Zephyrhills Building Department, 813-788-66~1. 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 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 "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.u, 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 alloHed for the permit with fee charge of $15.00. The extension shall be requested in Vlriting 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". si~ beENT st~~co~ STATE OF FLORIDA () I~C STATE OF FLORIDA n ~ COUNTY OF ~~AJ COUNTY OF ~ The foregoing instrument "'as acknowledged The foregoin~ in ument "~a.s~wled~ Befor1/1ne this Ji da, y of e.. h ' l~Before s ay or , ~ bY-Atr0A -,' t~~ by r" (name of\perso'; acknowledged) '~.(name of person acknowledged) ~ho is personally known to me, or ~ 1S personally known to me, or o who has produced 0 who has produced (type of identification) . ~ype of identification) and whoD did \Wdid not take an . ath. lZJ3id not take an 0 th Name typed, -!iI?J;. Angela Helma ~ Cemml8aloR ntH A!i5A7 Name typed, Of ...~~p,~f JanJaW8i,l2ob7 _. ~ ,. ",' i \ f' Slale of___y' i.--()0 \ dM 1111111111111111I111111111I11I11111111111111111111111111111I 2005029851 NOTICE OF COMMENCEMENT Dp....... COllllty of ----.l0::;> ~,Q________ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accorelance wi lh Chapter 713, Florida Statutes, the following information is prov ided in this Notice of Commencement: 1. Descriplion of Property: Parcel No. (7'1- U ? \ IJn Qep \')\0 (Legal description of the property and street address if available) '] v '" Rcpt: 856361 Rec: 10.00 2. General Description of Improvement ~ .>-r..~ DS, 0.00 IT,0.00 02/17/05 ---______Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 02/17/05 10:04am 1 1f81.,,6 OR BK 6233 PG a ], Owner Information: Name \'j t- )0,."\ "~ \L~NN~ Address --~ 0 \ ~~S5 Uoa l'--__L~ City 'z.z~"-')t-~ 1\\~ Interest ill Properly: State FLS)Slp_ NaIIlC of Fee Simple Titleholder:. (If other than owner) Address _ City State ~} .~ 4, Contractor: Name \"--'-) '......,.....,...._ \"-u~~ ~ ~ _ Address .~ 1 >2.. S C;'" c, '1 City L.c.'?\",-;M,.Jb..___ StaleJl-.32&J~, 5, Surety: Name Add ress Amount of Bond: $ 6, Lender: Name Address ---- City State City State .------------- 7, Persons within the State of Florida cIesigrwted by Owner upon whorn notices or other documents may be served as provided by Section 713,13 (1) (a) (7), Florida Statutes: Name Address City Statc______ 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, 9, Expiration elate of Notice of Commencement (the expiration elate is 1 year from the date of recording unless a different elate is specified,) SignatureofOwner: f.V~;( 4-~ 7\ Sworn to ane! subsc-ibed before me thi~ I() clay of_, . //--\ +Zh J1C , 20eJ...J . Notelry Public~> ' ~ OJ, Angela Helms !~\.. My Cbmmission 00165587 ~A 'I Expires January 03, 2007 -#"OI'~ \1'1 Commission Expires: