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Home My WebLink About05-4195 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4195 Permit Number: 4195 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv.,Cost: 5,740.00 Date Issued: 5/11/2005 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 5/11/2005 Work Desc: RE-ROOF Address: 39631 MEADOWOOD LOOP ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: MEADOWOOD ESTATES Parcel Number: 13-26-21-0140-00000-0910 Name: THOMPSON, CAROL Address: 39631 MEADOWOOD LOOP ZEPHYRHILLS, FL. 33542 Phone: REINSPEC110N FEES: When extra inspection trips are necessary due to any one 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) Pennit not posted on job site (f) Plans not at job site (g) Work not accessible The pa ent of inspection fees shall be made before any further nnits will be issued to the person owning same nWarning 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. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perfonned in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~) ~. CTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ) APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS ' BUILD1NG DEPARTMENT DATE RECEIVED $- J /-0 S- PLANs REVIEW FEE OWNER'S NAME G1'.\d- \'r.0~~SotJ. JOB ADDRESS Jc\(;.-S\ ~o..OOW~d WclP PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # _ \.~ -uo -2..\ L\t4 0 DOoDO ()q\V SUBDIVISION~;..l~vtkl1 gt Prrf?S (ORTATN FROM PRO~ERTY TAX NOTTCFJ WORK PROPSED: ONEW CONSTRUCTION Os I GN o ADDITION DALTERATION ~REPAIR o INSTALL PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH ~ OMULTI - FAMIL Y o INDUSTRIAL Ou OF UNITS o SWIMMING POOL o MOBILE He 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 REQUESTE~ S '4 () - Lx,) VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING AMp SERVICE o FLORIDA POWER o W.R.E>,C-;/ ,/' .--------"-- FINISHED FLOOR ELEVATIONS o FRAME o STEEL o OTHER 'ION if /91) ,,JI o MECHANICAL $ o GAS ~OOFING 0 SPECIALTY VALUATION OF MECHANCIAL INSTAL TYPE OF CONSTRUCTION: 0 BLOCK o OTHER IS PROJECT IN FLOOD ZONE ARE:A.O YES 0 NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGI ST /1 CITY PROCESSING ~ SIGNATURE ~LTlMBER "*"***""*...**..*.""""""""""",*,*",.""*'*'*"'" COMPANY STATE CERT OR REGIST ff CITY PROCESSING # SIGNATURE SIGNATURE **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL OTHER h~~ .. SIGNATURE -. (J 4~ ***************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # - COMPANY h,0rn(7lr] r nn5fru (l,i)IYJ-I- /nc. . ~ STATE CERT OR REGIST 11 f' [1(', ~ /.:7Dl. "7;"1()") CTTY PRnr~aaTu~ il U. UNL.LL:J.:;N::it;1) 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 stata 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, 813-788-6611. 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 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 "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.", 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 pennit 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 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~!~~ rZ:~ AGENT ~;~~~yO~FFLORIDAS?()~~ The foregoing instrument VIas acknowled?~~ Befo~ me Chis ~ day of ~ ' ~ by Be~ 4ll1L~~ ~ (na~f per on acknowledged) ~o is personally known to me, or Dwho has produced (type of identification) ~d not take an oath. cknowl~~ ~ Owho has produced (type of identification) and who Odid~d n t t00ath acknowledgment Name typed, printed or stamped Name ~~~~~~~~!~II I1111 II11I 1I11I 1111I 111111"" 11111II1 NOTICE OF COMMENCEMENT State of ~L-)~'dl\ COllntyof f'f\<;<:'6 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance wi th Chapter 713, Florida Statutes, the fo \lowing in f ormati on is prov ided in this Notice of Commencement: L Descri p ti on 0 f Propert y: Parcel No. 13 '2..(., 7.../ D I 40 (Joe"" ()'j 10 (Legal description of the property and street address if available) tJ 0 0 r Rcpt: 883117 Rec: 10.00 2. General Description of Improvement ~ f-<J, t:: DS, 0.00 IT,0.00 0~/11/0~ Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 0~/ 11/0~ 01: 274~m 1 It.1.3 OR BK 636 PG {':J 3. Owner Information: Name C (",-rot.... IhO,"",PSON Address J'1 b3/ ro-,?~~ u ()oJ ~p City 7....~Pl7/l./".'IIJ Interest in Properly: Slate F,,- 3'J<;Lj2 Name of Fee Simple Titleholder: (If other than owner) Address 4, Contractor: Name ~n",-^I 1<.-60(:1\;3. --: Address 5/'3<...5""" -;R- r:.).I"/ City .4r.P~'P-J1dl~ City Stale 5. Surely: Name Address Amount of Bond: $ 6. Lender: Name Address Slale pL J1~4L City Slate 7. Persons within the State of Florida designated by Owner upon whom notices or other docll men ts may be served as provided by Section 713.13 (I ) (a) (7), Flori da S tatl! tes: City Slale Name Address City Slate 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) ~ Angela Helms !-... : My Commission 00185587 \}Of~d#' Expires January 03, 2007 Signature ofOwner:_X ~\I S. Its> ',J1'---- . Sworn to an~,subs ribed before me t~ dayof? ~ Notary Publi : . 2d ~ , 2ctL2. >.:1 \ I (.-",..... ......... ._-.: _ __' T'"