HomeMy WebLinkAbout05-4025
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4025
Permit Number: 4025
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5349 4 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CHALFONT VILLAS
Parcel Number:
3,800.00
3/31/2005
50.00
50.00
3/31/2005
RE-ROOF
Name: GREG & GAIL MESTER
Address: 5349 4TH 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.
~ ~ r~-.
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 &{"-e..j ~ (~~ "~h~___
JOB ADDRESS S"')'i q l{ -r\.-:)T <'~~J\--\-:'\V; \L '354.?_
PHONE
LEGAL DESCRIPTION: LOT{S)
PARCEL ID # \\~ .2.\ OCliO ()C1 hOC) (0) 0
BLOCK
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION o ADDITION ,._ OALTERATION ~EPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY On OF UNITS o MOBILE HOMI
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
(OBTAIN FRO~ PROPF.RTY TAX NOTTeR)
~
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~u ~Jh ~
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 00,00
- I
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 AREAD YES D NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST #.
CITY PROCESSING #
SIGNATURE
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
MECHANICAL
*********************************************************k*******
COMPANY-
STATE CERT OR REGI ST II
CITY PROCESSING #
SIGNATURE
OTHER
COMPANY M,0'n(1 V; r nn::ku (l.0fY)( )nc. .
STATE CERT OR REGIST # .1.~,. L,1~,"7/)!)"')
CITY PQnr~~CTU~ n
--~- --".L~'--.lU,,:.:, AND CONTRACTOR P.ES'?O.\'S:':3:':::'.J::':'::ES
I:': the owner has hired a contractor or contractcrs to undertake work, they may be required
to be licensed in accordance with stata and local ~egulations. If the contractor is not
licensed as required by law, both the owner and contJeactor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
liceri.sing requirements may apply for the intended IVoJek, they are advised to contact the
City of Zephyrhills Building Department, 813-78B-6611.
Furthermore, if the owner has hired a contracto:c 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 LaYl - 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 Ylork Ylill
be done in compliance Ylith 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 laYls 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/WasteYlater Treatment
.....Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-SeaYlalls, 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" Ylill 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 Ylork 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 alloYled 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 D NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
. g ~,'
.' ----
/~ . /l/~ /~L_-
SIGN RE:. ONTRA OR
STATE OF FLORID~.:- ..-...
COUNTY OF -\--1 <<::)<... A=::)
The foregoing inst.rument vias acknowledged
Bef~_me th:i~ day of ('-'1 1'----"" ~5
by ~"VYI0~
ame of pe son acknolVledged)
~ho is personally known to me, or
of identification)
take an oath.
(
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknoYlledged
Before me this,. ;c' day ofij rn i<.I..... , 3:-B~'
r . t.-
by
( of erson ac nowledged)
~ is personally known to me, or
Dwho has produced
(type of identification)
'Qli];!k5e an oath
~2:c~I(j
and
Name typed,
f person taking acknowledgment
l"'"" Angela Helms
. My Commission 00165517
ed
11111111111111111111111111I11111111I11111111111111I111111111
2005059973
NOTICE OF COMMENC]~MI~NT
Slale of __~~_l\)t I ~~n. County of \)/L.t"":)C ::-~
THE UNDERSIGNED hereby gives notice that improvement will be made to certail~ real pr.operty,
and in accordance \vith Chapter 713, Florida Statutes, the following information IS provlcIeclll1
this Notice of Commencement:
] . Description of Property: Parcel No. \\ '1..../.071 O:J\O Cf11,aOC) {,'y)',O
2.
(Legal description of the property and street address if available)
Cieneml Description of Improvement 'L,,",,_'''-Qi:. \: ~S~l0.:~9452 RiT: ~~0:0
03/31/05 Dpty Clerk
3.
. (rnti t;( (;f'- )
Owner Information: Name G-~v", 4- (,-A"L ~~<l~,;:-"
,..)
A del re S 8__.5-3 Lf {L_ L{'-~ ST
- CitY_~~-=\'~_~~'\\$ ____ State ~L _??<'~'-JZ.
1 n teres till Pro]Jert)l: JED PITTMAN.... PASCO COUNTY CLERI< _
. -----.----------.-------- 03/31/05 1.L . 12am 1 of 1
OR BI< 6296 PG 883
Name of l::<'ee Simple Titleholder:_
(If other than owner)
--- --------~-------
Address
...-
"-----
City
State
R4.
I
t,.
Contractor: Name\\'yr,-,~""..
\\.-<~ :.,~ " x',..,
::::5
Address 'Zi J, ~.:,-
-- ./
/" -. .-- , r
_ ~/ \:'- ':> "-i
. - --::> V'! '\' S - ;.~'." ~. .:z.....~"".f;,
CIty --:....".~ \ h,\ \........ \.\ ..' \,~~ '- I (lIe , 1_' ) ) ; ___
-------.--_.___l.:.._.____'-<<:.-______ _.___.____________.__
.5. Surety: Name__
Address
City
State_______
/\!llount of Bond: $
6. Lender: Name
Address
City
Stale
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
Slate
8. In addition to himself, Owner designates
------.-.-. --__ ______u
of --;----. . tu receive a copy of theLienor's Notice as
prcwlcled In SectIon 71.3.13 (1) (b), Florida Statutes.
9 . Expi ratio.n elate of Noti.ce of Commencement (tbe expiration date is 1 year from the elale
of recordlng,.Yn]e..S~'fl dIfferent date is specified.)
~.", "" .!,' q .. ~ ~.;. ,"
Sign:::r" Of~\:;;~~ft ~~~~C___~____
Sworn to al.~~..~. iIJt.s.'c~eaQJor.e' me tl!is !!/ day of l.nii K) -L____, 2(i~.?
. ,-,) '.. ~. 1.;, ,I ~ R.,.rt''' Angela Helms
Not d] Y 1 u b II Y .' ~ tx. \l, .. My Commis I 11.D01a5587 .
~ E'
0, '" xp'res January 03. 2007
\ly Commission EXDires: