HomeMy WebLinkAbout05-3918
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3918
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:
3918
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 4932 8TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,300.00
3/01/2005
50.00
50.00
3/01/2005
RE-ROOF
Name: RICHARD LANDIS
Address: 4932 8TH ST
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.
~~
CTOR 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 i <- \.-AJ lAA,J I S
JOB ADDRESSY- L\~rl. 15 TL 5 '1
PHONE
LEGAL DESCRIPTION: LOT{S) BLOCK
PARCEL ID # ILl .~ 'LI t~)O ()o(oO:) C>i~~
SUBDIVISION
WORK PROPSED: o NEW CONSTRUCTION o ADDITION ." OALTERATION ~REPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMI L Y Oil OF UNITS o MOBILE HOM]
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
IORTATN FROM P8QPERTY TAX NOTIeRl
3
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Ke. ~)~
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
.?13tJ e;
Nfc
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R,E,C..
o PLUMBING
o MECHANI CAL
$
o GAS
lQlROOFING
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 AREAD YES D NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING ~
SIGNATURE
PLDMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ff
SIGNATURE
* ** * * * ** * * *.* * * **** * *** * * ***** ** **** *** ****** **** ** ** ** * * * ** * * ** * * *
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER h4;~
SIGNATURE . "U>{.4,,-.; LZ?Lj
I .
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COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
COMPANY 'h'.!r'{7 '1 r nn<jfrV (If)[V) ( JnL .
~ STATE CERT OR REGIST # r rr, ~ /.,lr7\I~--';'')'')
CTTY PPnr",,,,,,,.,..u,-. .11 ~'I
- ---~..~~u '-V1HK1-I.\...'l'UHS AND CONTRAC:.'O?, ?,'::S?O:-\SIBII,ITIES
Ie the owner has hired a contractor or con<',acto," to "ndertake work, they nlay be required
to be licensed in accordance with state, and local regulations. If the contractor is not
Jicensed as required by law, both the owner and contractor may be cited for a misdemeanor
vi_alation under state law. If the owner OJ: 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 OWOer 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 LaH - 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
be done in compliance with all applicable laws regulating
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 Hork 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 "AU or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu.
~i1Mr;, ~;jE~~-:~EN'r v,"~~~MtJ:cT~
STATE OF FLORIDA~~~ STATE OF FLORIDA
COUNTY OF ~ COUNTY OF
The foregoing instrument vias acknowledged The foregoing i
Bef~re e this ~ day of kn ,~S Before e this
bY(S? ~~(Y'Q('\ by
( ame 0 perso acknowledged) ~
tsl.....Who is personally known to me, or ~o
accurate and that all work Hill
construction, zoning, and land
o who has
rument Ha~s:5nowledg~~~
day of , .~~
Owho has produced
(type of identification)
not
Name typed,
Name typed,
@ Angela Helms
MY ~F'" 'l!Er" I
Oi~~ ~~ 2007
11111111111111111111111111111111111I111111111111111111111111
2005036821
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r <:~<,~ t- '\'~ ~.\
NOTICE OF COMMENCEMENT
State of
County of
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THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
zlIld in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
Description of Property: Parcel No,
'. Lf
, I
-l r.:.. /~/ I (~:"1' c.:.~
()() (./( '0
t'",,; ..'l~.:.::..
(Legal description of the property and street address if available)
2, General Description of Improvement
f") f;"') _
!((- f:".,:,,'J-
Rcpl: 859796 Rec: 10,00
os: 0.00 IT: 0,00
03/01/05 _____ _____ Dpty Clerk
. \
P ) /'.1
, i(J'.",_.~C Lh"ji> . ('
-' . "./
JEO PITTMAN~ PASCO COUNTY CLERK
03/01/05 110: 07am 1 of 1
OR BK 6248 PG 4
3. Owner Information: Name
; '....,..-
Address 1-1'; ;-.2-.
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CIty . ~_'<::-';"'--I'-/~, Ii'"
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State (, 7.l5Ydr
I nleres l ill Properly:
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
..., -, ".,.~
,~~ > 4.
~~.~~
Contractor: Name
p,;..... ;t\",'SAJ
)
/
r' ,-, ,.,-
!c..l~~'~ ii' 'y
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j
.-, '1 ),,: -
Address :., ,ii
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C t "---'\ ..."1: ~. 1\ ", '. ".,.
i Y -!...""'- t' .'...... '.,",,- ,,;! i. "
State Fl. '~)S{lZ.
S. Surety: Name
Address
City.
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons wi thin 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 addilion 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 c1ate of Notice of Commencement (the expiration date is 1 year from the elate
of recording unless a di fferent date is specified.)
Sign{\tlli'~~fO,~ner ')...g.~~// ~ ~M--,
'. ..., . t/ . ./~<_.:' .._ ,_-..,
S worn to an~l SLl b?'. ~l~~bed before m,e tbi.s... . ,Y (; clav of eImIJ-C- t.J
.. " An'()e18 H
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C-~?r< . '--:l' I ;:~' ~ a"'f: MyGommlsslOn
Not a r y Pu b I J:I:?"'" i ~.. '"1'---[ .... anuary 03. 2007
( ,c:~
,20{~ .
\ly Commission Expires: