HomeMy WebLinkAbout05-4031
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4031
Permit Number: 4031 Issued: 4/01/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: Total Fees: 52.50
Amount Paid: 52.50 Date Paid: 4/01/2005
Address: 38544 5TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: D MPSEY ROOFIN COM
Addr: PO BOX 1128
LAKELAND,FL. 33802
Phone: 863682-3363 Lie:
Work Desc: METAL ROOFING REPAIRS
7-11 STORE
38544 5TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
T MB
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
CONTRACTORS SIGNATURE PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTNENT 5335 S"" St, Zephyrhi11s, FL 33542
S13-7S0-0020 FAX:S13-7S0-0021
DATE RECEIVED
1-(-05
PHONE CONTACT FOR PUMITTING fsb.J- S'SQ-63f$"J
OWNER'S NAM~Q~'_ Qr+i'€'/'s."':P
JOB ADDRESS :if) SifJf S-h -1Ve-
LEGAL DESCRIPTION: LOT(S) €$'.C/ It:> BLOCK Jtq
PARCEL ID it ,,- 'J 6 - ~ j ~~/O '- 111'0'0 ~ O'DfJD
PHONE ?It -/- 7S"9'- ('6ft16
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] REPAIR )(,INSTALL
[]SIGN [] MOVE [] DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS [] MOBILE HOME
)iCOMMERCIAL [] INDUSTRIAL [] SWIMMING POOL [] OTHER
DESCRIPTION OF lIORJt Merkl
BUILDING SIZE ,/ V Qfs";
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
VJooP. ~~
SQUARE FOOTAGE C.36 ~~Pf-
HEIGHT
J), I
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) SEllNERGY FORMS.
FORMS.
'-0
~)2..:; DLY<S-,
PERMITS REQUESTED
[] BUILDING
[] ELECTRICAL
[] PLUMBING
[] MECHANICAL
[] GAS ~'ROOFING
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[] Progress Energy []
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES [] NO
~fHIU""";~f'.'~:lJ.
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST it
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************"k
PLtINBER
COMPANY
SIGNATURE
STATE CERT OR REGIST it
******************************************************************
MECIlANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
orHBR _ f2~"""'" ..........:;~::~~15;::;~~..i5~:r.~..~ ~.
''''''~, - - - -- - "'" "., o. .~:'" . ('1'(' O:nC07
CONDITIONS OF PERMIT AFFIDAVIT
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 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 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, zonin9, 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: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN
PAYING TWICE FOR ROV ENTS TO YOUR PROPERTY. IF YOU INTEND
WITH YOUR LEND TORNEY BEFORE RECORDING YOUR NOTICE
$2,500 IN VAL NEED TO RECORD AND POST A "NOTICE OF
STATE OF FLORIDA 001"
COUNTY OF !! _ IS
The foregoing ~s~ument wa~.ac~~owledged
Before me thisJ\'6-t" day of ~~ ,2~
by ~r'J 1I~~
~ (name 0 person ackn wledged)
~who is personally known to me, or
},
SIGNA
~o
o who has produced
(type
li!did ot
of identification)
take an oath.
o who has produced
--<<type of identification)
~id not take an oath
Name typed, printed or stamped
Name typed, printed or stamped
""" ~ Gloria J. Spence
!Pj . My CommiSsion 00272311
'~.1 Expires December 03.2007
0''''
J'...~~Ut\. Gloria J. Spence
. ~ ,; My Commission 00272311
~ Of,..',Jf Expires December 03. 2007
Florida Statute is the Construction Lien Law. The owner needs to be familiar with all its
passages. At a minimum, file a Notice of Commencement, protect your rights by obtaining a
partial or complete "Release of Lien" prior to any payments and obtain releases from all providers
before making the final payment.
NOTICE OF COMMENCEMENT
Permit No. Folio No.IJ.J6.JI-bOlo-lt9o{)..Dt1!i>
The undersigned hereby gives notice that improvements
will be made to certain real property, and in accordance
with Chapter 713. Florida Statutes. the following
information is provided in this Notice of Commenccmcnt.
11111111111111111111111111111111111111111111111111I111111111
2005060971
(I) Legal Description:
(~dy of 2c.pl,yr"'rl/S PB.1- P6 S-4
}"'uh E? '1 d" /C' a/Dvl'( 16q
I
o A I.( 77b {Jb CjQ-6
Rcpt: 869805
DS: 0. 00
04/01/05
Rec: 10.00
IT: 0. 00
Dpty Clerk
(2) General Description of Improvements:
f"\v\-~\ ~~""j
JED PITTMAN PASCO COUNTY CLERK
04/01/05 09:29am 1 10f6615
OR BK 6298 PG
(3) Owner Information
(a) Name and Address: 0qP~ fJdl"+t1e--~p Po Bo.c- 7/) al~ J y 7S,).)./07I/
(b) Interest in Property: 0 wr.er
(c) Name and address of fee simple titleholder: /V!4
I
, R (4) Contractor (Name and addrcss): D~~y R!?b-ft."j C::..~. A&.". /,1)... ~/;-~t,/ H~J
(5) Surety
(a) Name and address: .41'14-
(b) Amount ofDond: _$
'"
(6) Lender (Name and address): /nf-
(7) Persons within the State of Florida designated by owner upon whom notice of other documents may be
Served as rovidcd by Section 713.13 (I) (a) 7., Florida Statues:
o D lfi;'is (I. J:t.... ,3&0
(8) In addition to himself, Owner designated of
To receive a copy of the Lienor's Notice as provided in section
713.13 (1) (b). Florida Statues.
(9) Expiration datc ofnoticc of commcncement (the expiralion dale is one (I) year from the date of
Recording unless a different dale is specified)
This Instmmcnl Prepared Dy:
(StYli,.... A- a. M{I~'./
{Jo I';o,/" I ()y
t-../1c1v--J. t"'~ n~or
RETURN TO:
l?r i/c.- /1- O~""j'l~e(
Po ~uy l ( ~~
~11{(....A. r-:lt. 3J~~
(Sigl < ur f
PERSONA LV OWN OR P"({ODUCED IDENTIFICATION
Sworn to '}Ild Sl scribed W~eA n~edhis ,
3 '51 day of -.lll~ yl.2.tJcf)
U~ -<1. ~
(Nolmy Publi~) {
My Commission Expires: I ~{ '3 6"']
~ i'\. Gloria J. Spence
!~ . My Commillion 00272311
~ o. ,.:.1 Expires December 03. 2007