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Home My WebLink About05-4177 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4177 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: 4177 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 39153 PARK DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: ZEPHYR HEIGHTS Parcel Number: 12-26-21-0030-00600-0040 6,772.00 5/05/2005 65.00 , 65.00 5/05/2005 RE-ROOF EAT, AVID 39153 PARK DR ZEPHYRHILLS, FL. 33542 Phone: 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." 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. .~URE - ~M. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS ' BUILDtNG DEPARTMENT 5-~o S DATE RECEIVED _ PLANs REVIEW FEE OWNER'S NAME ,\:)\\\J \ ~ \>~b::\- JOB ADDRESS . -:-\C\ \~~ 'Y~ t) R-. PHONE LEGAL DESCRIPTION: LOT(S) PARCEL ID # <- - l...G, -. '"L BLOCK WORK PROPSED: ONEW CONSTRUCTION SUBDIVISION L~pkYR -#\~ br ~ -EBQPERTY TAX NOTICEl Os I GN o ADDITION.._ OALTERATION REPAIR o INSTALL PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH ~ OMULTI - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIJI1MING POOL o MOBILE HOM) o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL -~~ ~\J{j~ BUILDING SIZE SQUARE FOOTAGE_ HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH 12) PLOT PLANs & (2) SETs OF BUILDING PLANs & 11) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. / AMP SERVICE o FLORIDA POWER 1111 \ o BUILDING $ bil<-.oo I PERMITS REQUESTE~ o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION o PLUMBING o MECHANI GAL o GAS )Q::::s.OOFING o W.R.E.C., $- 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 MEAD YES 0 NO BUILDER ~LECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGIST ff CITY PROCESSING ! SIGNATURE PL~ ..,...."..."...,.,...."."..,."....."...,.,..,...."."",.,. COMPANY_ STATE CERT OR REGIST # CITY PROCESSING ff SIGNATURE SIGNATURE **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL OTHER _~~ SIGNATUR . .~nL . iJU J~ ***k************************************************************* COMPANY STATE CERT OR REGIST It CITY PROCESSING It COMPANY_'h~(11r) r nn*U (l.i)fV)( )nc. . ~ STATE CERT OR REGIST /I f rr. ~ {.:701,-5;----:;-')'5' CTTY ppnr",""'rur- .u --'---~"'-'L>J.J '-U1HKAL:TORS AND CONTRACTOR P,SS:?'JYS:':::':':~J:':'::'::::SS If the owner has hired a contractor or contract-:r~J 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 COI1t::cactor 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 'conunencement. 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 peDtlt 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 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 VA~~E DO NOT NEED TO RECORD AND POST A "NOTICE OF C'jjENCEMENTN. . 1:!t1::~,(4~:ENT si-fJEVC~~' STA'rE OF FLORI~, -c STATE OF FLORIDA 0/\~ 0 COUNTY OF ~t:5C -D COUNTY OF ~~_ The foregoing instrument vias acknowledged . The foregoing instrument was acknowledged Befof~ me this 'IZ day. of ~ ,-M-~Before e this ,day of '",' , 1:-9-~ by --R(.) Si L<') ~ nV,,~_ by , . , (name of person acknowledged) (nam 0 per n acknowle ed) ~who is personally known to me, or ~o is personally known to me, or o who has produced 0 who has produced (type of identification) (type of identification) and whoD did ~ n~t take an oath. and. w,/r hOd, id,i. ,~, id n1~, t, .~.,ke~_~ oath ~e.b ~~/\./) G{,A"~oca ~. (I po '. ) ~ 1.. atur00f pe?son taking ac)cnowledgement Signature f person taking acknowledgment .".., "l\. Angela Helms .".., "It.. Angela HeImS !}J . My Commission 00185587 ,~~ 'f: ~ COmmIssIon 001__ Name type d, 'i1.tcl tlSpiren18nUlrJ I3tlPli Name t yp e cf-:,.;'!t.IL ~J8D\I8IYft atft1l e d State of ~l 6('..))~ 111111111111 11111 11111 Iml 11111 11111 111I1 11111 11111 11111111 2005087311 NOTICE OF COMMENCEMENT COUlltyof ~S '-0 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, an din accordance wi th Ch apter 713, Florida Statutes, the following i nformati on is pro v ided in th is Notice of Commencement: I. Description of Property: Parcel No. /2. t." 2-1 cp30 CX:Jboo (XJ'10 (Legal description of the property and street address if available) 2. General Description of Improvement Re. R-DJ' Rcpt:881004 DS: 0.00 05/05/05 Rec: 10.00 IT: 0.00 Dpty Clerk 3, Owner Information: Name LJAVkd p~~ JED PITTMAN, PASCO COUNTY CLERK 05/05/05 09: 35am 1 .,' ~ OR BK 6354 PG 2~ Address -yq /5 3 '?A~K. \j'V.. Interest in Property: City ~pPlyl1. Fh \} S- StatefL 5J;)" Lrz. Name of Fee Simple Titleholder: (If other than owner) Address Contl'actor: Name Y-<TfY\AN Address '3") :s~) S ~ SL) City Stale S, Surety: Name ~~~ C it y !-e-Yl) , liills Stale \-"L 'S's <; 41- Address City Slate Amount of Bond: $ 6, Lender: N llme Add ress 7. Perso ns with i n the S ta te of Florida designated by Owner upon whom notices or other docu m en ts may be served as provided by Section 713.13 (l ) (a) (7), FI or; d a Stat 11 tes: City State Name Address City Slate 8, In additioll to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes, Signature of Owner: Sworn to anc,t ;iri~ed befOlerC~ ,:./7 Notary Pub1rt; _ nfff.=-;JC) 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recorC,'li.)JTg~ L _1I;j;leSj!Sc d' fferent date is specified.) ~, ~ ~~ Angela Helma . /Yl k \~ 0"'''''''''-00'85587 o,,..dI Expires Janual}' 03, 2007 day of 47/11 ~ , 2cil5 . ,1.. r'.____q, ,