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HomeMy WebLinkAbout05-4024 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4024 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: 4024 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5012 8TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,650.00 3/31/2005 50.00 50.00 3/31/2005 RE-ROOF " Name: CAROLYN KNAGGS Address: 5012 8TH ST 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 ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~ ~-. ~ " ~ CO NT CTOR SIGNATURE"' PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDtNG DEPARTMENT DATE RECEIVED PLANs REVIEW FEE OWNER' S NAME~\l"'()L~r\J KNA3~) JOB ADDRESS c,<0 i"L "..-L:ST "c.,,_y~\;~ \-1:11$ ", "3JPI? PHONE LEGAL DESCRIPTION: LOT(S) PARCEL ID # \\ 2"(~ ~\ Qj 10 2.\ \Cb (,)I&>o BLOCK SUBDIVISION Os I GN o ADDITION ,.' IORTATN FRQ~-ERD~ERTY TAX NOTTCF.l OALTERATIONR'REPAIR 0 INSTALL o DEMOLISH WORK PROPSED: ONEW CONSTRUCTION PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE "3 DMULTI - FAMIL Y o INDUSTRIAL Ou OF UNITS o SWIMMING POOL o MOBILE HOM] o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL \l~ 'kr 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 $ PERMITS REQUESTED "3 ~ SO,l)) _ VALUATIoN OF TOTAL CONSTRUCTION AMp SERVICE 0 FLORIDA POWER 0 W.R.E.C.. o ELECTRICAL o PLUMBING o MECHANI CAL $ o GAS ~ ROOFING o SPECIALTY o OTHER VALUATION OF MECHANCIAL INSTALLATION TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARE:A.D YES 0 NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGIST H- CITY PROCESSING ~ SIGNATURE PLUM13E.R ****************************************************************** COMPANy STATE CERT OR REGIST # CITY PROCESSING ff SIGNATURE **********~******************************************************* COMPANY- STATE CERT OR REGIST It CITY PROCESSING ff COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL SIGNATURE ***************************************************************** OTHER Ii "'-=----_ COMPANY 'h~(f V] r nn5frU (l:0fY) ( Joe. STATE CERT OR REGIST # ...c...cr, ~ L70V5/')I)'5' CTTY PRnr~aaTu~ u ~L'~~'-"'-"l'..).L,U LUNTkACTORS AN!) CON!PAC':':'O;?, RSSPONSIBIIJITIES If the owner has hired a contractor or cont.cactoni to undertake work, they may be required to be licensed in accordance with stata 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 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 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.", 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". /~ 1it ii'-'iLI t/':rL ~.. SIG ATU~o/: O~ER OR AGENT .-----., STATE OF FLORIDA~. t ~0.JO COUNTY OF k... ~ l The foregoin. g in.s\:rument Vlar-rq:t"<<_ohedged _ Before me this ~ day of !lc'i-) , ~:f~ by Ke; ~ . i1YD /I"'.. I (na 0 pe on acknowledged) 1s::Lwho is personally known to me, or "'&R'r1 'rd,C;~R ~~~~~Y O~F FLORIDA ~ ~r <. ~ The foregoin~ instrument Yl~~t~nowledg~_~ 8efo~me thlS~. . day of'{..l..Ot_h , ~ by 1'--- G~ .~ ')ry:JI~ (n me 0 son acknowledged) 'Ct~o is personally known to me, or Dwho has produced "~1;type of identification) I~d t take an oath . f.vi__7 '('.~ ture otjpersoh- ak'ng acknowledgment (jJJ~ Angela Helms. Name typed, ,~~~Il~'~U;~It?cr~~~8d '" Explills January 03, 2uOl of identification) take an oath. /~ and taking ac~nowledgement ~ ;::':m:::n nD1eS5e7 typ '" ~~~u!!ilfo~6f\ped Name NOTICE OF COMMENCEMEN1' PFIS~_O 111111111111111111111111111111111111111/1111111111111111I11I 2005059974 State of -.fL~("f'.\('\t\ ",County of TI-IE UN DERSI G NED hereby gi ves notice that improvement will be made to certa in rea I prope ny, and in accordance with Chapter 713, Florida Statutes, the following Information IS provIdedm this Notice of Commencement: I. Description of Property: Parcel No_ --t-l ?-t2.1 tV:> 1(\ / i IDe ;,v".) 2. (Legal description of the property and street address if available) ,.\C.- Rcpt: 869452 Rec: 10.00 Geneml Description of Improvernentl_"- ,,Co" , DS, 0.00 IT, 0.00 03/31/05 Dpty Clerk 3, Owner Information: Name (.L_i";..L'jiAJ \"'uf>"(h~) J0E3D PITTMAN~ PASCO COUNTY CLERK /31/05 1~:12am 1 of 1 OR BK 6296 PG 884 Address S'CI? ~Ih. ST City L~.r~ YL \I. \\.'; S tc'lte ,,"\ [uz. 1.._.1 j "I I n teres l. in Property: Name of Fee Simple Titleholder: (If other than owner) Address R 4. Contractor: Name City State "t")~ '\-, ~\'_' 'kt:' (:""" ; '''''- _ ..-'~ Address '~-) J <...<;~ < t~,- l:": J~j City 2~:'_ n'...k ).< iI-r Stale:=!' ,,-"";,. . 5. Surely: Name Address Amount of Bond: $ 6. Lender: Name Address City S la te City Slate 7 - Person" wi thi n the S tate of Florida designated by Owner upon whom notices or other doc u men ts maybe served as prov i clecl by Section 713.13 (l) (a) (7), Flori d a Slat u (es: I'-J a rn e Address City Slate 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. Ex pi ra Ii 0 n cI a te of N oti ce of Commencement ((he ex pi rali on c1ate is 1 year fro m the cI ate of recordtn:g:rhites,sa different date is specified.) f., :',J,"'t .~, Signatur:~f~wner~.0~U~(~:;r/~, ~ Sworn to anf! subsCl,1be<i'before me thIS-'<:'::->-7- day of] / ct. ~.. ., /". I', Notary Pu bl ic /0',-;/:...)~ "--c>~ @ S==::~7 ,20-~. \'-' \1 {....("", I."""'l; ........:........_ T:.