HomeMy WebLinkAbout05-4551
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4551
Permit Number: 4551
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5,600.00
6/24/2005
60.00
60,00
6/24/2005
RE-ROOF
Address: 38604 CAMDEN AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number:
VIRGINA R GER
38604 CAMDEN AVE
ZEPHYRHILLS, FL. 33542
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.
~ ~~
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 'I.\~ ....\... ~........~
JOB ADDREss "6~ c..",~~~ f:l..'f<... :::z..: ~
PHONE
~L. "))S'"'O.
SUBDIVrsION~\.~~~ V\'\~c. (~~5
1l'ERTY TAX NOTTCFJ
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
4..S '-\ ~eSf\ ~oto \"'l..'0
BLOCK
WORK PROPSED: DNEW CONSTRUCTION
Os I GN
o ADDITION
OALTERATION
o INSTALL
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
~
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
-~~e.~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANs & 12) 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,
o BUILDING
$
S!-o l)O. /)):)
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMp SERVICE
o FLORIDA POWER
o W.R.E,C..
o PLU~fBING
o MECHANI CAL
o GAS ,ftROOFING
$
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o 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 It
CITY PROCESSING ft
SIGNATURE
PLt1MBE..R
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE _
**********~*******************************************************
cm1P ANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANr CAL
OTHER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
COMPANY h:yn(1 VJ r nrr5!Y[J (l.i)fV)-/ )nc .
STATE CERT OR REGIST # f (1(', ~ /,~~, '7t"'J/)")
CTTY PRnr~~DTU~ u
LJ, Vl~L.lLt;N:::;t:LJ 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 co~t~~~tou'are uncertain as to what
licensing requirements may apply for the intended wo:tk/ they are advis..ed to contact the
City of Zephyrhills Building Department, 813-788-6611... ~ < p.; ..
Furthermore, if the aI-mer has hir~d a co~tractor eat "dont'ractors, he is advised to have the
contractor(s) sig9 portion~ Df.th~ ~tontr~ctor Sections" of this application for which they
will be responsible', 'Ii you, as the owner signs as the contractor, YOll are indicating that
you, rather than the contractor, are responsible forth~ WOT~. I~.th~ ~ontractor wishes
',yo!;). to.<t5ig'n as' c:!cfritractor that may be an indlta-tibn tha't 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 toconunencement.
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 conunenced 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 pennit 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 FINANCIN , CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J. SUNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~J ~ht::::. 31
STATE OF FL~AL...C' ,'"" STATE OF FLORIDAr-\., c:.r. ,~
COUNTY OF -~.....l :(~ COUNTY OF \.-11~, ~
The foregoing instrument vias acknowledged The foregoing instrument Vias aclcnom,edged . ~
Before me this 21-::> day o0.0~V\ 0 ,~ro)C--., Before me this ~day ot....JV ~""-Z ~_
by by
~ (name of person acknowledged) (name of person acknowledged)
LIWho is personally known to me, or ~is personally known to me, or
Dwho has produced
(type
"'B-d:ttl not
Si
of identification)
take an oath.
Name type
NOTICE OF COMMENCEMENT
Stateof "'\=~D--r\d~ County of <?~~ L.o
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
this Notice of Commencement:
1. Description of Property: Parcel No, '3 '5 ""'2..~ L.) 005 P. 00000 \~ '70
3~1.l)'1 ~M~~ b..~
(Legal description of the property and street address if available)
2. General Description of Improvement ~oF
11111111111111111111111111///1/1//1111//11/1//11111//1///II/
2005126948
Rcpt: 896734 Rec: 10.00
os: 0.00 IT: 0.00
06/24/05 ____ Dpty Clerk
3. Owner Information: Name \/'''-1r:\N''''- ~~~r~
Address S~<OOL! L~~~ p..'\[~ City <...e,,~\......,~ \\,\\ S
Interest in Property:
State\-\... 13:5''40
Name of Fee Simple Titleholder:
(If other than owner)
JEO PITTMAN PASCO COUNTY CLERK
06/24/05 09: 24am 1 10f8912
OR BK 6438 PG
Address
R4.
City
State
Contractor: Name ~~"r-..b-N ~bO~\1"\~
Address "11, 2.-S- <;~ 'S~ City ~""h,",,"'~\"$
Statey\. .1)~~1...
S. Surety: Name
Address
City
State
Amount of Bone!: $
6. Lender: Name
Address
City
State
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 (1) (a) (7), Florida Statutes:
Name
Address
City
State
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 I year from the date
of recording unless a different date is specified.)
SignatureofOwne1"<:A: q)~'.;. ~
Sworn t~ and subs riIJe(lbefore me this ~ day of.J t f\ t
Notary PublJ ' ".\ '.'\~
" . ~ ,~. Ange
!YJ1, My Commission 00165587
MyCommi;ssion E.1<.pires: \.~ Expires l..nuarv03,2007
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PC93053048/A
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