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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 ****************************************************************** COMPANY STATE CERT OR REGIST It CITY PROCESSING # SIGNATURE PLUMBER ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE OTHER ***************************************************************** COMPANY STATE CERT OR REGIST tt CITY PROCESSING It SIGNATURE SIGNATURE,^' . ",/') f ~,~i} j ;/ 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