HomeMy WebLinkAbout05-4102
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4102
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:
4102
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38349 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5,450.00
4/14/2005
60.00
60.00
4/14/2005
RE-ROOF
Name: LONNA DAVIS
Address: 38349 12TH 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.
~.
TURE PERM IT 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 Lo}-Jt-J f1 aP-\J tS
JOB ADDRESS 515"3 11 ("1 \ L-!b. A'J
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # \ \ '1..J'7 '.'J~ ()6<. 0 ()'?~L"")()O OO<?-O
BLOCK
SUBDIVISION
:;
WORK PROPSED: ONEW CONSTRUCTION o ADDITION .._ OALTERATION W REPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE; DSGL FAMILY DWELLING OMULTI - FAMIL Y Ou OF UNITS gg MOBILE HOM]
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
(OBTATN FRQM-ERQpP.RTY TAX NOTICP.)
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ ~ ()^ F
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
$ S'J 4 C)().OQ
PERMITS REQUESTE~
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMp SERVICE
o FLORIDA POWER
o W.R.E.C,.
o PLUMBING
o MECHANICAL
o GAS ~ROOFING
$
o SPECIALTY
o OTHER
VALUATION OF MECHANCIAL INSTALLATION
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
~LECTRICIAN
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COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING n
SIGNATURE
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE _
SIGNATURE
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COMPANY.
STATE CERT OR REGIST It
CITY PROCESSING #
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER
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SIGNATURE
/..............
COMPMIY h!!;rnr1 VJ r nn:5lf[J (l.i)fY)( ,Jnc ,
STATE CERT OR REGIST 1/ -L~~--Lj(7l,"7/:.;)")
CT'T'Y ppnr"'"",,.,,~ 1.1
~.'~~~'-'li..JJ.:,U L.UN'l'.kACTORS AND CON'.':'PAC'.':'OH ;:;>,'::SPO!\'SIBlIJITIES
If the owner has hired a contractoJ~ or con':cactors to undertake work, they may be requir.ed
to be licensed in accordance with stata and local regulations. If the contractor is not
licensed as required by law, both the owne.c and contractor may be cited for a misdemeanor
violation under state law. If the owner oc 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 UContractor SectionsH 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 pennitting 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 uowner", 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 "AU or "A, etc.", 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.
./ '/Z/J ;J. ~ ----/ iI /l. a _ ~.
~ATU~ v;,':;f"R----;;; AGEN'i- srfiJluR1{)oNT1f:1TOR
STATE OF FLORIDA /)- . STATE OF FLORIDA .~. <.C ,'"
COUl>lTY OF tDbCO COUNTY OF ~_~
The foregoing instrument v1a:rr::!mowledged . _~ The foregoin~ instrument Has acknowledge~.-=
Bef~ me thY'- ~~- day of ~....rL \, , ~. Before ~V thls I \,tay of-1ipf'L t. ' !'9ctm)
by ~ =K--~""'"'~S by -f.&((}-i ~'1'"C><'_~
~ (ame of p on acknow eaged) ~ (name o(Jpers~cknowledged)
~ho is personally known to me, or ~ is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type
and ~id no
of identification)
take an oath
/
Name typed,
person taking
Angela Helms
Commission 00165587
e9piNlCJau~tllP~7
erson taking acknowledq.ment
~a\. Angela Helms
~ MyCommlssion 00165587
p r i n ~i'Wl!;l~. 2007
Sig
Name typed,
State of
~~~~~~~~l~1I11111 IIW 111I11111I 11111 11111111111I1
NOTICE OF COMMENCEMENT
:) ~... f'"; (\
~<; LO h-l'''-: () i\ County of _PIi )G(5
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance wi th Chapter 713, Florida Statutes, the foil ow i ng informal; om is provided in
this Notice of Commencement:
1.
Descri ption of Property: Parcel No.
.\\ 't'. ..../ ~-, .-.
'- <? ~ V-'IC,; d-) :-If.JC.
(), J ~()
2.
:'-~'..~ ; '..c.' ,
,:)0~'.'.'.". ."l(';~' P'\ll~~~ /_.. (~;li..;C';<\.'.II":'.' (."-,1 .. '--/
- ( -, oJ ,j '" t'., "_ -. ~ ~ ."'j ,; '-; ~ l' 2-
(Legal description of the property and street address if available)
General DescrilJtion of ImlJrovement Ke. R.O'.}.-:- Rcpt: 874114 Rec: 10.00
DS: 0.00 IT: 0,00
04/14/05 '-'. Dpty Clerk
Owner Information: Name
G..::. ;i A..! A
::'\A.lI
VI !} V / <;
JED PITTMAN, PASCO COUNTY CLERK
04/14/05 09:55aRl 1 1f \.
OR BK 6321 PG 84
3.
'~'.y, ---~~
,-" ,-'7. ,~ ';" _ ; (_ !f\ ,;".,
Address .)':,~ \-!i ! L.... 1'1;1<
~. .', .. , ,
City
-. 1\1 './ ..,,", ,
(';':. ~i t'~ /-,1; Ji .).
Stale
,r- : '::- --:.......'~/'.
,..'.. -'~'~
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
4.' Contraclor: Name
Address ;'/')2 ':'~.
) 'I ,-.
?")'l", ({Ii V r,.:t: .":1"
(". ; r u
~ f. ,- .if ~
City .7.o??l.lj'! \~': \1 ~
State rL "3 :Y.::'-/L
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
Stale
7. Persons within 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 Stalules:
Name
Address
City
Slate
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Seclion 713.13 (1) (b), Florida Statutes.
9. Expiration dale of Notice of Commencement (the expiration date is 1 year from the e1ale
of recording unless a different date is specified.)
-;
".I
Signature of Ownel;-.'/\dJ-f-.(~ !:-~~"~< (C !~~f~-
'../) ........... /
Sworn to and subscribed before me this /, , day of Hyf' I \
;/ -J .. .-\......\ }--'..~ ~yp", Angela Helms
Notary PL1bliq-:..:.zst~ (~ 14' . !-~; MvCommissionDD165587
.J ~ J' Expires January 03. 2007
-~o,'"
, 20 D"'-S .
..1 Y COlllmission Expires:_