HomeMy WebLinkAbout05-3917
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3917
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:
3917
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5329 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
6,700.00
3/01/2005
65.00
65.00
3/01/2005
RE-ROOF
Name: WILLIAM JOHNSON
Address: 5329 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTlON 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 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 \.....f\ \\...L\~ ~","",,-;(J AJ
JOB ADDRESS S.Sl.f\ \ I""t"L S\
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # \\ '1.L "'L \ ~~.Y\(J 'IL()D ~\ ~()
BLOCK
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
{ORTATN FROM PBQPF,RTY TAX NOTICF,}
Os I GN
o MOVE
OALTERATION '1l REPAIR
o DEMOLISH
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
011 OF UNITS
o SWIMMING POOL
o MOBILE HOM]
o OTHER
:;
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~~~
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
$
6 "jr!Jo
,
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
D W.R,E,C,.
o PLUMBING
o MECHANICAL
o GAS ~ROOFING
$
D 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 MEAD YES 0 NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST II
CITY PROCESSING #
SIGNATURE
PLUMBER
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COMPANy
STATE CERT OR REGIST #
CITY PROCESSING II
SIGNATURE
SIGNATURE
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COMPANY-
STATE CERT OR REGIST It
CITY PROCESSING II
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER h('1'1h n 9 /1
SIGNATURE-4iv-<q: Ifr:tr~
.v /
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COMPANY '~~(1 V} r nn<jfyU (li) fYl, )nc .
STATE CERT OR REGIST 1# r (lr. - /'j~,~'TI)~
~ CTTY PPnrl<''''''''''u~ 11
~"~~'--"'!".;)LU \...UN'l'AACTORS AND CONTPACTO?, ?SSPONSIBILITIES
If the owner has hired a contractor or cont:cactcrs to undertake work, they may be reqtl:lred
to be licensed in accordance with stata and local regulations, If the contractor is not
licensed as required by law, both the Olome:c and contractor 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 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 Guidell prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerll, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerll 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 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 "All or "A, etc.", it is
understood that a drainage plan addressing a "compensating volumell 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 Hith'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 pennit 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 alloHed for the permit with fee charge of $15.00. The extension shall be requested
in V1riting 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 COMMENCEl1ENTlI.
/ /) ./ J
~A~~1:dOWNJf1~;~F:;;----- 4~t1oJl2/roY--
STAn OF FWRiDA)? /> ~ STATE OF FLORIDA ~~ (;~
COUNTY OF -=to. )L.,.,( ) COUNTY OF !:11L..,!l...> ... 1
The foregoing i,nstrument Has p.ckI).owledgeq,~ _ ,_ The foregoin? instrument H~~nowled~~
Befoce me tM;s,.<76 day of :'-<-K) , t._~ Befor~e thls ~ day ofctS-.L.1 ,H!:~'
by h?~ ~~(i.-r, by q-lPf?L1 -:- _YYla,~_,
(name of person acknowledged) ~ (name of person acknowledged)
I':Si..who is personally known to me, or lJibo is personally known to me, or
Dwho
o who has
Name typed,
~.,.
,
'~':' -",r' ,,""',
1 /,-1'/., -:-:.; -,;,
1111111 "'" '''" 1'11""1' 11111 ""I """""1"" "'1'"'
2005036818
NOTICE OF COMMENCEMENT
State of
COllllty of
,
'\
l-/~>/
~."..~: )' '~~:"
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and 1I1 accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1, Descri1Jtion of Pl'OIJel'ty'. Pal'cel No, 'I".,:' '"7 \ ",-). '''\' ~l ' '''~ ,\rh
. -....; -- "'-_J.... fL., , (-'-"'-\.1;1"..#
(Legal description of the property and street address if available)
2.
General Descriptioll of Improvement
...-.: ......-.
r-~- }-' ~
Rcpl: 859796 Rec: 10.00
os: 0,00 IT: 0.00
03/01/05 -"_... Dpty Clerk
JEO PITTMAN~ PASCO COUNTY CLERK
03/01/05 11(.1: 07am 1 of' 1
OR BK 6248 PG 1
3, Owner Information: Name l,,); Ll!A/nr<j'IJ~):I/'_)
. Q -- -
Address:",:' , ::,
~': ...... ..~....t"
City Z?t>_I;~: in Is
State ;: [';;- .;' ./?'
Interest in Property:
Name of Fee Simple Ti tleholder:
(If other than owner)
Address
City
State
~r'''~~j4, Contractor: Name
1,"-'I'1/} 1./ J';~('C i '>.-"'
,/ ~'
Address /'; .'J' ).",'.-'
. ..
....'" .i~~ /' Ll
- .
City
".,. .
> 7__1'" '-""""J ~ \. _. ;
State ;c..
--? ~ r., ..
5, Surety: Name
" ;,---
Address
City
State
Amount of Bond: $
6, Lender: Name
Address
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.
9 Expiration elate of Notice of Commencement (the expiration date is 1 year frolll the c1ate
of recording unless a different date is specified.)
Signature of Owner: \
jJ' J2' ~/~. .. . L);
j '? ",' ,
(., '_? - '4:.2.-'1/1
f-cl:.Jt (llt'J
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, 2r.x~.
I 'h,
Sworn to and subsqibed before me thts./ ~ clay of
Notary PL1bIiCC/~YS{(6 ct{~^".. H...
" t~ . My Commission 00165587
\1 Y Commission Expires: ~~~.1 ExoiresJ"'n"'>tVn~ ?nn7