HomeMy WebLinkAbout05-4934
I Ii
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4934
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Dese:
4934
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 38404 S UTH A
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
6,725.00
9/19/2005
65.00
65.00
9/19/2005
RE-ROOF
Name: ROBERT CRANDALL
Address: 38404 SOUTH AVE
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON FEES: When extra in paction 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) Plarls not at job site (g) Work not accessible
The payment of inspection fees shall be ade before any further permits will be issued to the person owning same
"Warning to owner: Your failure to r rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com encement. n
Complete Pia s, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
,NO OCCUPANCY BEFORE C.O.
! ~-~
OR SIGNATURE PERMIT OFF I
CALL FORI~iSPECTION - 8 HOUR NOTICE REQUIRED
~ROTECT CARD FROM WEATHER
I I'
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDtNG DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME .-Kel:)ert V04'IJa II '
JOB ADDRESS 38~Ol{ ~-:P-k ~e.. "33SLj1.
I -:;>
LEGAL DESCRIPTION: LOT(S) ~')I<f -.:J BLOCK 10
PARCEL ID it ll.j-,U-11-(,)la::o-Cyr)~
,PHONE DC~-"/~&- - ~') 51
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION
(ORTATN FROM PROPF.RTY TAX NOTICF.]
o ADDITION
DALTERATION
~EPAIR
o INSTALL
o SIGN
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
3
DMULTI - FAMIL Y
o INDUSTRIAL
Djt OF UNITS
o MOBILE He
o OTHER
o SWIMMING POOL
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAl,
~_. ~7'>f
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) P~OT 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
$
0)JS.
00
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
~OOFING
D SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST it
CITY PROCESSING ~
ELECTRICIAN
,
*************~****************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST it
CITY PROCESSING ff
PLUMBER
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING it
SIGNATURE
SIGNATURE
**************~***************************************************
' ,
!
I
i
MECHANICAL
OTHER CoMPANY 'M~a '1 l ~"'7fn.J 0.1) IYJ I ) 17.c. .
STATE CERT OR REGIST # r ('(', ~ 1..~~,~"")!)5
CTTY PRnr~aaTU~ II
I
************* ***************************************************
COMPANY
STATE CERT OR REGIST it
CITY PROCESSING ff
u. Ul~.l.d_L;t;N.:;t;lJ CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they nlay 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 owner has hired a contractor or contractors, he is advised to have the
contractor Is) 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 pennitting 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 someone 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 ~he 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 th at no work or ins talla tion has commenced prior to is suan ce 0 f a permi t 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 "ay 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 allo\oled 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"_
~~NER OR AGENT
STATE OF FLORIDA \J.... L r\.
COUNTY OF ~:2L~
The foregOing i strument vias acknowled1:~ . __
Before me thisl day of ~(/r , l~
by ,
(name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type
~not
~t ~ ___
ATURE': ~ TRACTOR
~~~~~yO~FFLORIDA ~CL~(l~~
The foregoing instrument was~cknowledged
Before me this day ofpr , ~
by
~. (name of pe on acknowledged)
~ is personally known to me, or
of identification)
take an oath.
o who has
and who
produced
(type of identification)
_ id not take~
7J~~~ acknowledgement
. . My Commlsslon 00185587
~ 0,...'.1 Expires January 03, 2007
Name typed, printed or stamped
Sign.
I I'
NOTICE OF COMMENCEMENT
~'_.\
S ta te of \~ \ or- i L)0~
COlllltyof f'~,
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. Descri ption of Property: Parcel No. \1'1 - Ji-::,-,.1.\ - C'CAC- (-) \(':c,C.- C')C> \S
~-::'y.I-.JCII.. ~,,~.'; /, I L 1\., .-) ;::"-"'J.
->,) ;' "\ ~,-j', l. .~-L'.' .'~l'- '\..., l' :> '-I
(Legal description f t e property and street address if available)
2. Ge nera I Descri p t i on of Improvement f G . Cd:' 11I11111111111111111111111111111111111111111111I1111I1111111
2005195185
Rcpl: 924152
os: 0.00
09/19/05
Rec: 10.00
IT: 0.00
__._ Dpty Clerk
3. Owner Information: Name &26\.;e..it (~6:.ii\{~U
Address ,35 4 6<..( ~:{;,t.J-k. l4ue
City Z-;i ICi-- LL. (13
State R 5~St.i:J...
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
JEO PITTMANJ PASCO COUNTY CLE~K
09/19/05 l.1.:59am 1 of 1
OR BK 6591 PG 389
Address
Rcontractor: Name \'v'"", K.r""",
Address '~l31S- :"j, 't, 5L(
City State
) 'if vl-Iv,/'\ (~l.\ In U~ 60/ l
I
City Zef 11.7'-1,l-~ \ \i
State H 5:;S'-d,
S, Surety: Name
Address
City
State
Amount of Bond: $
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), Floricla Statutes:
Name
Address
City
State
8. In addition to himself, ~wner designates
of I to receive a copy of the Lienor's Notice as
provided in Section 713d3 (1) (b), Fiorida Statutes.
9. Expiration c1ate of Noticle of Commencement (the expiration c1ate is 1 year from the c1ate
of recording unless a diflferent date is specified.)
Signature of Owner:
day of ,-)p p/PYt-lk..o 1/
,200::S.
Notary Public:
My COITullission Expires:
PC93053048/A
"",Ult.. n
!~..... My Commission 00165587
\.c I EypirA" .lanualY 03, 2007