HomeMy WebLinkAbout05-4148
I,
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4148
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:
4148
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5737 13TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4,400.00
4/26/2005
55.00
55.00
4/26/2005
RE-ROOF
Name: PAUL BENTLEY
Address: 5737 13TH 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.
~~')- --=- ~-~
CONTRACTOR SIGNATURE PERM IT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME . UVI.... \)~.,.-!II~ l{ . PHONE
JOB ADDRESS ~I~ll \~\L ~ \Ie '"2.e2\--yt ~~\) ') rL -~'.?) CS'-fz-
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # \\ .4~ .""2...1 00\0 07 IDO D6~()
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
(ORTATN FROM P8DPERTY TAX NOTTCE)
Os I GN
o MOVE
OALTERATION 'StREPAIR
o DEMOLI SH
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMIL Y
o INDUSTRIAL
On OF UNITS
o SWIMMING POOL
o MOBILE HOMJ
o OTHER
:>
DESCRIPTION OF WORK
~~.
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
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
$~ VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE 0 FLORIDA POWER 0 W. R. E. C..
o ELECTRICAL
o PLUMBING
o MECHANICAL $
o GAS ~OOFING 0 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 MEAD YES D NO
BUILDER
ELECTRICIAN
******************************************************************
COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING #
SIGNATURE
PLUMBER
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ff
SIGNATURE
MECHANI GAL
* * * * * * * * * * *,* * * **** * **** * ******* **** *** *** *** **** **** ** * * *** * **** **
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER ~(-yy{] n 9
SIGNATUR~lL~ ~"'^~
*****************************************************************
COMPANY-
STATE CERT OR REGIST II
CITY PROCESSING II
SIGNATURE
COMPANY 'h~(f Ii r nnYn"J'l,bfY'J, .JnL. .
STATE CERT OR REGIST # uJ 1,~D\\'7;'T!)~
CTTY PQnr~~~?U~ H
- _._~ ~~" "-'LV '-U1T1KAC'l'ORS AND CONTRACTOr. Q,SS.?O:-\SI3DJITIES
T.,o t:1e owner has hired a contractor or con1:.cactcrs to undertake work, they may be requi;ed
to be licensed in accordance with stata and local regulations. If the contractor is not
Jicensed as required by law, both the OW11eJC and contractor may be cited for a misdemeanor
violation under state law. If the owner OJC 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. N, 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 pennit 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 alloVled for the perIni t 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".
~ ~;AGENT ~. ~~"
STATE OF FLORIDA R
COUNTY OF ~
The foregoing instrument ~~nOWledged
Be~me this ~daY of L, ~
by ~ ~~"
. (me 0 p Yack;:;o edged)
~hO is personally known to me, or
Dwho has produced
(type
and whoD did ~id n?t
of identification)
take an oath.
STATE OF FLORIDA Cb
COUNTY OF ~
The foregoing instrument ~cknowledged
~~for~e this ~:~A~ 1 ,~
"'\.-. ~. r n acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
and who ~id Qiid not take an oath
acknowledgment
l."J.V ll\""~ V.l' '--'Vlnln.J..:.J.l.''--''~.L'-'''-~~'-
State of
r-- -..
1-- j ....,-..-\ ~
, '--.-.t,..,/ \ I './ ;; ~_..
CounLyof
F/ ~:--:~ )
THE UNDERSIGNED hereby gives notice that improvemeilt will be nlade Lo ce~.Lail: rea\ pr.opertj,
and in aCGordc\l1ce with Chapter 713, Florida Statutes, the following informatIon IS provIded III
this Notice of Commencement:
1. Description of Property: Parcel No,
~....., :".~" .
I ~ .< -~."; (..-~ /~i..J~Z.";; (~"f ;;..j~....;'
/ .... ~-
(Legal description of the property and street address if available)
2. Genera\ Description of Improvement 'r.,.c~;.<-, ~
1111111111111111111111111I1111111111111111111111111111111111
2005079905
Rcpt: 877845
DS: 0,00
04/26/05
Rec: 10.00
IT: 0.00
Dpty Clerk
'J
J.
OWller Information: Name
r;) ;
\ I)~'-i l....-
l~' --I -..
, . r . \ /.-' - - I
v
(r74l-u", EFI\)TL.L:: VJ
Aclchess ~~. -; :.,'--;
...'
.....
. "'\ ~ --.
,.- '~:~
City
~ _1:? {; ,;"'" ~,\(:').5. ,
State'
:~ _:
Interest in Property:
Name of Fee Simple Tilleholder:
(If othel' thZlI1 owner)
JED PITTMAN PASCO COUNTY CLERK
04/26/05 09:41am 1 20f441
OR BK 6338 PG
:'J --...
(R 4/'11 j-} I\J
..rt ,-..
..'v.....
State
-RDDF! f~G)
StaLe
Aoel ress
, City
R4.
COli tractor: N Zlme
"
'1>, ~ "
1---.'.........'... ""- I"__.~ .....
D ~,_.,
""'-l.r..r J,,/. ..
Address -':: ";-:':J <.~
, '.)1' I .
.'
;" (II
~4\..
City
s. SureLy: Name
Add ress
City
SLaLe
Amount of Bond: $
6. Lender: NZlme
Address
City
State
7. Persons within the SLate of Florida designated by Owner upon whom notices or oLher
documents may be served as provided by Section713.13 (1) (a) (7), Florida Statutes:
Narne
Address
City
SLaLe
8. In tlddition to himself, Owner designates
of. . . to receive a copy of Lhe Lienor's NoLi
provIded III Se~tloll 713.13 (1) (b), Florida StaLutes,
9. Expi raL io.n date of Noti,ce of Commencement (the expiration date is.1 year from Lhe (
of recording unless a dIfferent date is specified.)
~:'. ,- : j', j \.. .~,
. . Sigll8tureor6.wllerK ~ E .i3,~
.~ -
.~" .., ' -, '\ ,-
'::,~worn to C::J:1d subs ribed before }J1e tl)is .~J' day of HJ\i l-?f C~ )
N~".I:y~rt;'b 1 (c/(/ ,- (t-l l~).__~ 1/) Angel~\ Helms
J , ,; My Commission 00165587
"0, ~'.# Expires January 03,2007