HomeMy WebLinkAbout05-4702
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4702
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:
4702
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 591019 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,900.00
7/15/2005
50.00
50.00
7/15/2005
RE-ROOF
Name: CHRISTINE DRAWDY
Address: 5910 19TH ST
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 NTRAC OR SIGNATURE PERMIT OFF I
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 (. ~'('" S ~ U"C., b \G,~() Y.
JOB ADDRESS S'l\ \0 ',Gt'i'L <)T
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # _ \\'1..~ 2.1 00\0 O~ (dOO ("'X::J1S-
BLOCK
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
(ORTATN FROM PRQPERTY TAX NOTTCPJ
o ADDITION
OALTERATION ~REPAIR
o DEMOLISH
o INSTALL
Os I GN
o MOVE
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMIL Y
o INDUSTRIAL
Dtt OF UNITS
o MOBILE He
o OTHER
=>
o SWIMMING POOL
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ -c. ~"'<:>\.
BUILDING SIZE
SQUARE FoOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH 12) PLOT PLANs & 12) SETs or BUILDING PLANS & II) SET ENERGY FORMs.
ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
3 ('1 00
I
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.,
o PLUMBING
o MECHANICAL
$
o GAs
1i( ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES 0 NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST It
CITY PROCESSING #
SIGNATURE
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
MECHANICAL
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
OTHER
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COMPANY
STATE CERT OR REGIST tt
CITY PROCESSING It
SIGNATURE
SIGNATURE,^' .
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COMPANY h~{7 VJ r nn5fru (1 i) fY}~ / nc .
STATE CERT OR REGIST It r (1('. - /.,1r71,~'T()5
CITY PRnr~aaTU~ II
u. V~LLC~N~~D 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 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 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 regul~ting 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 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 allowed 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".
' / ,/') ,,/7
4!uli~d ol't'~~~ENT SIGd~::tYONTlfkl;l/ '--~/
STATE OF FLORIDA n",~(' STATE OF FLORIDA n "'::J) _ '"
COUNTY OF Y~.2 'L~ COUNTY OF r" (d;..dL~l ,)
The foregoing instrument vias acknowled?~~y~ The foregoing inst~ument was ac nOWled?:~~~
Before me thisEL day of~u (l~, ~ Before m this L day of , ~
by f)e.-\~. ~f}/()1 ~ --L1- by
(nam of pe son acknowledged) (nam per
~ is personally known to me, or ~is personally
o who has produced
(type of identification)
id ~ not tak an oath.
o who has produced
(type of identification)
and w 0 Odid "'-Qlid not oath
o 0 'ta lnG acknowledgment
. . My CommissionU01655a7
'1.01",;/ Expires January 03,2007
Name typed, printed or stamped
Si
Name typed, printed or stamped
.t.
11111111111111111111111111111111111111111111111111111111111I
2005142422
Rcpt: 903454
OS: 0. 00
07/15/05
Rec: 10.00
IT: 0.00
Opty Clerk
NOTICE OF COMMENCEMENT
State of Florida
County of Hillsborough
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT.
1, Legal Description of property (street address required): ~ ') (r'.) 2..1 0(1 J 0 oytt.CX.J r....,('Ji,.
"Sc1 jO \q'L.... >1"" 'uf"i"u ill'l t-,' '))_1.
2. General description of improvements: R~ j?.ocP
JEO PITTMAN PASCO COUNTY CLERK
07/15/05 10:26am 1 of 1
OR BK 6475 PG 721
3a. Owner Name: d r- : <,7IlVe. 1)- (A,UJ D Y
Owner Address: 5910 ICj"T1- )-r' Lepl..l{~h'\\~ \.i LS)S-Y~
3b. Owner's i,nterest in site:
3c. Fee Simple Title holder (of other than owner)
Address:
4.
Contractor Name: ~ l' fY\ A~ ~J: : ~'
Address: ') J) L...<- <) ~ (:>/ '"lLt~R. \-.' \15 F'- 1)<; Y 1...
Phone:
5. Surety Name: Amount of bond:
Address: Phone:
6, Lender Name: Contact:
Address: Phone:
7. Person within the State of Florida designated by owner upon whom notices or otlier documents may be served as provided by
Section 7,13,13(1)(a)7, Florida Statutes.
Name:
Address:
Phone Number:
8. In addition to himself, Owner designates the following person 'to receive a copy of the Lienor's Notice as provided in Section
7,13,13(1)(b), Florida Statutes.
Name:
Address:
Phone Number:
9. Expiration date of Notice of Commencement (expiration date is one (1) year fro ate of recording unless a different date is
specified).
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
,
i-.J
jLl t~ ,2cC2l. by
who s) (are) personallv known to me or
as Identification, who did/did not take an oath.
The foregoing instrument was acknowledge before me this
C'nm-hrV VYru~
produced
(Driver's License #)
;it~ ~~ t~~
~ ture - Notary Pu lie
date of
(A copy of any bond must be attached at the time of recordation of this Notice of Commencement)
'~~ Angela HeImI
! · My Commlsslon 00165587
~ Of""'./ Expires JanU8IY 03. 2007