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Home My WebLink About05-4550 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4550 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: 4550 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5319 11TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 5,100.00 6/24/2005 60.00 60,00 6/24/2005 RE-ROOF Phone: REINSPEcnON 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. ~. CTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDING DEPARTMENT DATE RECEIVED PLANs REVIEW FEE OWN ER' S NAME ~ \.0 Y ~ \.l \ S \\ \I........ <!..l.. PHONE JOB ADDRESSS1\a.. \~ ST. ~~f>h'fR.~;"S. ":L. ;nS1.p- LEGAL DESCRIPTION: LOT(S) WORK PROPSED: DNEW CONSTRUCTION PARCEL 10 # -\\ ~ U ()O\O \1000 O\\t> BLOCK SUBDIVISION D SIGN o ADDITION OALTERATION (ORTATN PROM PB0~ERTY TAX NOTTCPJ PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o MOVE 'RREPAIR o INSTALL o DEMOLISH 3 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 ~ ~ be'\; BUILDING SIZE SQUARE FOOTAGE_ HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH 12) PLOT PLANs & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANs & (I) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, o BUILDING $ S- ,\ \) D. u'Q PERMITS REQUESTED o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION o PLUMBING AMp SERVICE o FLORIDA POWER o W.R.E,C.. o MECHANI CA1 $ o GAs ~OOFING D SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK o OTHER VALUATION OF MECHANCIAL INSTALLATION FINISHED FLOOR ELEVATIONS o FRAME o STEEL o OTHER Is PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER ELECTRICIAN ****************************************************************** COMPANY_ STATE CERT OR REGIST fI CITY PROCESSING [ SIGNATURE PLDMBER ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE _ **********~******************************************************* COMPANY STATE CERT OR REGIST II CITY PROCESSING # COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL SIGNATURE OTHER ***************************************************************** SIGNATURE COMPANY ~~t1 '1 r nn*U (l/)fVJ.j /nc.. . STATE CERT OR REGIST 1# .J1 r(, ~ r,1~,"7t"lt)5 CTTY PRnr~aaTu~ n u. Ul~.lJ.Ll:J.:;N.::;J.:;l) 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 contr~ctp; are ~ncertain as to what licensing requirements may apply for the intended W6f:K, they are advised,to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the Ovffier has ~ired a contractorl or contractors, he is advised to have the contractor(s) sign portions pf~he "Contiactor SectionsN of this application for which they will be responsible. If you, as the owner signs as the contractor, you ~re indicating that you, rather than the contractor, are responsib~e tor, &n~:wo~k, }f the contractor wishes you to sign as contractor that may be an indica~i6n 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,' ihe 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 someone other that the "ownerN, 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 regulqtiBg 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 "AU or "A,etc,", it is understood that a drainage plan addressing a "compensating volumeu will be subnlitted 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 cOMnenced 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 allo\.-led 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", ~~1~, q{$~ 4u#tf ~ SI<!N TURE: col'fr CTOR STATE OF F~DA COUNTY OF Oc:t\U The foregoing instrument \.-las acknOWledged Bef(;e me thi~. day oU\. f\..O , ~5 by e..~ ~ ' (n e 0 p rson acknowledged) ,--.0 who is personally known to me, or Dwho has produced (type of identification) and whoD did ~id n~t , take an oath. ~~ ~/~ S' na ture ~sAqel8:~g acknowledgement r..,"""t:. My comm\SSlOn D0185~ "' ~J Expires January 03, 200 Name typed, printed or stamped STATE OF FLORI~ ................ COUNTY OF ~. ~ The foregoing instrument ~knOWledged ~ ~;forv;: thi~ ~O- ~~ , "'dU;)--- (~ P acknowledged) ~ is personally known to me, or Dwho has produced (type of identification) id not take an oath Name typed, p.';/)o~~ acknowledgment . . My CommIaalon 00185587 ~o.~'" El(plres January 03,2007 printed or stamped .., NOTICE OF COMMENCEMENT State of y \....11(" \.) )... ,,-Collntyof '? ~ 5" < Q THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and i 11 accordance with Ch a pter 713, Florida Statutes, the following informali on IS prav Idedlll this Notice of Commencement: 1. Description of Property: PmceI No. \\ 1..~ 1..,.\ 00\0 \10*'0 ~\\() <;~\, \~ S~ ~~h'i~k'\\1 'tL 11~'l,- (Legal description of the property and street address if available) 2. G en e ra IDe sc ri p t ion 0 f 1m p rove In en t ~ ~<>b ';: 111111111111111111I1111111111111111111111111111111111111111I 2005126949 - (j. L-OY:::. u /6 1-/u 1'>1 tV! F;.I ~ 3. Owner Information: Name ~\....~'f\U\S \\IIM 'n\.e...L Address _':i ~ \"1 \ v\ S". City "2.....,,\.,. "r R.\\:,\\$ State ~L ~~SlJl. Interest in Property: Name of Fee Simple Titleholder: (If other than owner) Rcpl: 896734 Rec: 10.00 OS: 0.00 IT: 0.00 06/24/05 _______ Dpty Clerk R4. State 5, Surety: Name Address Amount of Bond: $ 6. Lender: Name Address State r\... 11~4'l... City State SCO COUNTY CLERK JEO PIT~MA~9' ~fam 1 of 913 ~~~~0 6438 PG 18 City Slale 7. Persons wi th i n the S tate of Florida designated by Owner upon whom notices or other docllments may be served as provided by Section 713.13 (l) (a) (7), Florida Statules: Name Address City State 8. In addition to himself, Owner designates of. . . to receive a copy of the Lienor's Notice as provJCled 111 SectIon 713,13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is I year from the date of recorclll1gYI~less a dIfferent date is specified,) -/.. . , Signal;.~.re of ownerk~e/-:::f/;Z1'>?#':?;~-/ C Sworn to and subscrIbed before me this d.3 day of ~ \.t "-r. , 20Q] . '" < .,..., Pt\. Angela'Helms Notary Public: . , / ! ,Myeom""''''',OO= ') OFf" \,'f\1 r"\r'J"'tll"\..,;......r.:......~_ 1:__ .