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
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COMPANY
STATE CERT OR REGIST H
CITY PROCESSING fL
SIGNATURE
PL~
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ff
SIGNATURE
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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:_