HomeMy WebLinkAbout05-3919
CITY OF ZEPHYRHILLS
5335 ' 8TH STREET
(813)780-0020
BUILDING PERMIT
3919
Permit Number: 3919
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 3,000.00
Date Issued: 3/01/2005
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 3/01/2005
Work Desc: RE-ROOF
Address: 38201 10 AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-06500-0130
Name: FARLEY, CAROLYN
Address: 38201 10TH AVE
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.
~A-.. ~~/ t'~- ~
~ , . /~ -? - -
ONT 6R 1 NATURE PERMIT OFFI
~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
;) - !J f?-[) ~--
PHONE CmrrACT FOR """MITTING I~\ 3 41.00 E-411
dY'V . .
Fo..r \e'( PHONE 8\,3; 782. {oCr /Lf. .
\ D.-!.h.. S:-\;(-ee*, geph.yrh. t~s.~L 3354-Z-
BLOCK'?--- SUBDIVISION . .
~(#)--1 \ .2lP . 2. \ . 00\0 · OloS'OO I D\ 30
JOB ADDRESS
I:-
G'lro\'1V'\
35Zo \
OWNER'S NAME C
LEGAL DESCRIPTION: LOT(S)
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERAT ION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
. Ke Koo-\-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS,
FORMS.
PERMITS REQUESTED
~$Il!) <P
rl
;' a:
i 'I.,'
v.E--.\ ,ii /, tf ] //
~//
/
--~BUILDING
o ELECTRICAL
$
a., otJ D
VALUATION 01
.
AMP SERVICE
o
NO
o PLUMBING
o MECHANICAL
$
VALUATION OE
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o S
FINISHED FLOOR ELEVATIONS
IS P
.-,
.......--
COI
BUILDER
_ _STATE CERT OR REGIST #
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED 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, 813-780-0020.
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 indica~ion 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 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.
Appli~ation 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.", 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
$2,500 IN LUE DO NOT NEED T~CORD AND POST A "NOTICE OF COMMENCEMENT".
/ /
SIGNATURE: CONTRACTOR
STATE OF FLORID~ / STATE OF FLORIDA
COUNTY OF .' :7(~ <:;au COUNTY OF
~.-Ioregoing ins.tr:.1,lment was ackp~wledged7 _The foregoin? instrument was acknowledged
~ore me this ~ ay ~f Tfi-1 , 2Ql:J :~fore me thlS _day of , 20_
(name of person ac nowledged) (name of person acknowledged)
Owho is personally known to me, or [1ho is personally known to me, or
~""~as produced.F'(' ~7J' 7 ~ /O-//()-I,. ?-'7't?3 .-c 0 who has produced
../-...._~~ (tYP.r:;l of i~gen...tih.'catiOnl (type of identification)
and whoO did id n?t ta c-oa~h. ~ and who Odid Qiid not take an oath
. \
re of person t~kln~~cknowledgeme
........,. Bobbie swe n E)(P\IlES
;"~>>MYCOlvlM\SS\ON# 007687.... .
i"::~ reDNQt.Y ~ ,,,'-
t ~ .' i~~'f:f a
y'~?f 0; '<-"
-<H"'"
Signature of person taking acknowledgment
Name typed, printed or stamped
Name
02/28/2005 15:29
18039677471
ED D JONES
PAGE 03
1111"1 \Illi lillllllll I11I1I111I 1"1111111111\1 111111111 lIll
2115I27115
I R...t'~' 1....
IDS: 1,71 IT: 1.11
l-'~~{~~/~ Dpt~ el."k
- JED PITT"AN, PASCO COUNTY CLERK
: 12/14/15 12: 4'-' 1 i' a..
OR BK 622~ PG 9",
WARRANTY DEED
~
J-
Thil Document Was Prci*ed by:
:krn~~~e&(jarQa-
28phyrh~lls, FL 33542
After Rec<<din( ",_ RctvnI to:
WARRANTl'DEJID,nwtethl.-!t.h.-day of Februl"l ry
b~n~~olyn Farlev, lA201 10th Ave.
Zel?~yr~ills UldCOllDCyof Pasco
Den~_~~_e Troup
,200..5..- by ud
of the Cil)' of
("......or"), aJId.
(M....lItCC'"). ..,bole
mailq addn:$:, II
38~O-.!, ~~Oth Ave., Zephyrhills, FL 33542
nit: 'J~AWTOR. for ",d in c:ollSideration oflll. IlIDI of 'J'p.n
DOLLARS ($ .__1 0 . 00 l.1IIe rcoeiptand lIlIfiol_y at_hleh il hereby aclaIowledp4ll1'-wod,
and fo' other sood and valllable couiclcnlioQ. ... be~ JIMl Mtpin. tell and -GY 1IJIt0 IIIe pudIC bIs/Ill:r
hei.. a/ld usi,ft', the follll-me dcacn'becl JlRI"i$M located in IlIe COllll'Y of Pas co, s..~ of
n~ri.9~_..eecribed..tollows(eTIte1'l"a1ddmptiOn):Lots 13, 14, " 15, Block 65, City
of zephyrhills, (Formerly To~n of zephyrhills) as per Plat thereof
recorded .in plat Book 1, Page 54, Public Records of Pasco County,
F .1. 'kbWa.,.. i streeu"d Dumber 3 8 2 n 1 1 0 t ~ .,. .. (i _
Till Parcel 10 ~ _ 1 1 _? h , 1 _ 0 n 1 0 - 0 6 5 0 0 - 0 1 3 0
TO HAVE AND TO HOLD 1IIe aid prDmieu, with il! .ppurteuIICCI....o 1IIe Mid 0..- hiIIIIIr btin....
UlilJl~ (ORYer. (ftutDn l;OVllllUll witll die OnIntee tbaI the 01lllfOn Me _ Mizcd ;11 fee ample .01* of aid
JR'lIiscs; d1alltTc Grantol'lllavI filII pollllll'lO -e, _e: lIl.tIM _ is lite tam a11_blulCes exGIJIdaI
IIloac ."" foltil ,bov.; dw the o-tee llIaIl eqjoy die IlIIIlI MllIaut eny Iawfill diaurbance: tbat 1M OIUUIII will, on
demand. e>illCl1tC IIIld deliver 10 lIle GnIIItce, atllle C1tpetUe of IlIe 0_111, any tllltber ..wancc of lhe .... tbal
may be rus""ably requited. and. with lIle exccpli_ let foltilabovc, lhat lho 0,..... WIIftBIlD 1IIc Ol'llltee Uld
..-ill defend fo,' himlher 1II1lhe aid )lrelftiJcs epina every penon Iewt\IIly deilftiftllll or any i__ ia_, eubjcct
to real po ftp"ny ,.xea .~ed by nol yet due IIId pay_Ie Uld any other cov_b. coDclitioTll. cucmellU, rjaJna of
way. lawH,ftd ro~lrictiODl ohecord.
~ W1n1E~S WHEREOF, the ,rotor s.. encuted Ibis deed on the dale let fonlllbovc.
, \\.
.,-' \\(~
(-,;::,._...
G..,,-,
GraDtot
~d:!/~
Ml.chael Terrill
COlJIoITY Of
Thc CurcJoin, illllrUmeDl IdS ~wleclpd before me. R sbe c c a
public In and for tll. ,tI~oC FlaT i da by
~n F~r
00 tbe .fiJ:...... dAy 0
Terrill
. . noIIry
f.
, 200..5..- .
Willie" "l' ~".Ild and official seal
02/28/2005
15:29
18039677471
ED D JONES
PAGE 04
OR It( 6229 PG 191
2 of 2
(NOTARY SEAL)
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