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HomeMy WebLinkAbout05-4235 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4235 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: 4235 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5311 PARKER T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: LINCOLN HEIGHTS Parcel Number: 3,700.00 5/17/2005 50.00 50.00 5/17/2005 RE-ROOF CARLTON IR LAND 5311 PARKERST 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. .~~ C? &~ CONTRACTOR SIGNATURE PERMIT 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 C6..l""ltoN T~~l~"-lJ JOB ADDRESSS~\\ ?f\~Ke,s:, .PHONE LEGAL DESCRIPTION: LOT(S) WORK PROPSED: ONEW CONSTRUCTION PARCEL ID # j'L ~"2j o?'*' <l':fxo (b]O BLOCK SUBDIVISION C fV~<Jf-,J /'L ~--rr' (OR~ATN FROM PRQPEH~Y ~AX NO~TCFJ ''M REPAIR o INSTALL Os I GN o ADDITION OALTERATION PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH -:J OMULTI - FAMIL Y o INDUSTRIAL 0# 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 $- ~I OQ .00 PERMITS REQUESTE~ o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION o PLUMBING AMp SERVICE o FLORIDA POWER D W,R.E,C.. o MECHANICAl, $ o GAS ~OOFING D SPECIALTY - VALUATION OF MECHANCIAL INSTALLA1'ION o OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER ELECTRICIAN *****************************************************************- COMPANY STATE CERT OR REGIST H CITY PROCESSING fL SIGNATURE PL~ *****-***-******************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING ff SIGNATURE - **********~********************************.**..*.*...************ COMPANY STATE CERT OR REGIST # CITY PROCESSING # _ SIGNATURE MECHANI CAL OT~~ SIGNATURE4~ .JI{v1,~ *..*********.***..*********************.************************* COMPANY_ STATE CERT OR REGIST # CITY PROCESSING # - SIGNATURE COMPANY h~(1 VJ r nn5ku (l:i)rYJ+ )nc . = STATE CERT OR REGI ST ff _ C (' C. . L'} Dl, -5; -')1) <) CT~Y PRnr~aaT~~ H u. Vl~LJ.~t;N::;t:J) 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, 813-788-6611. Furthermore, if the Ovffier 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 tocorrunencement. 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 co~nenced 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 corrunenced. One 90 day extension of time may be alloVled for the permit with fee charge of $15.00. The extension shall be requested in vlriting 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 RESUI,T 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", J! lAM/A (J . ." vt~GNATUtJEJj~R AGENT of identification) take an oath. j/'/JAf)a/~/ ~URE:, T~TOR STATE OF FLORIDA~ ~ COUNTY OF ~~~ The foregoing instrument 'da acknowledged Before m,e this I' day of , "l:-~ by ( (na of per n acknowledged) ~o is personally known to me, or o who has produced (type of identification) ~d not tak an 0 h STATE OF FLORI~ COUNTY OF . ~0-5C-p..:) The foregoing instrument vias acknowledged Before me this ~ day Of?~ ' ~ by f)e~ M \J'vL'-~ (n e of person acknowledged) ~ho is personally known to me, or o who has Sig Name typed, printed Name /11/111111111/11/1/111111111/111111111111111I111111111111111 2005096917 NOTICE OF COMMENCEMENT State of ~ t>~S<:..(. yLJI',df\ County of ~ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information is provided in tillS NotIce of Commencement: 1. Description of Property: Parcel No. IL 2.(; '11 ()2%J O<:\,jo 6$7i) C::-'l \ \, -::,~ '~' "K-..f2 r-1 <:-r- '- - I .' \ "'",. --' ::> l , (Legal description of the property and street address if available) 2. General Description of Improvement Re, ~ Rept: 884855 Rae: 10,00 DS: 0.00 IT: 0.00 05/17/05 -----____ Dpty Clerk 3. Owner Information: Name ~LlojJ 'I1l.e..k.Nd Interest in Property: JED PITTMAN PASCO COUNTY CLERK 05/17/05 10:49am 1 50'971 OR BK 6373 PG Address ~:3 \1 rt\f'''~ '), City 7~r"-Y~U;}js State J:'L 33)~],.. Name of Fee Simple Titleholder:_ (If other than Owner) 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 (I) (a) (7), Florida Statutes: Name City State Address 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. Ex p irati on date of N oti ce of Commencement (the expirati on date is 1 year from the c1ate of recording unless a different date is specified.) Signatur,e ~fOwner:~ . (! ~/~~/ct' Sworn to and SUbsc.rib~ 'befo,re l~,:e th, is_ ~'d clay o~. v;n A A R ~DD165587 Notary Public: . .'" 2007 t "Of'" ~ ,20__ \1 Y Commission Expires:_