HomeMy WebLinkAbout05-5005
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5005
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:
5005
RE-ROOF i
ROOF REPLACEMIENT
SINGLE FAMILY R~SIDENTIAL
Address: 39512 8TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5,060.00
10/11/2005
60.00
60.00
10/11/2005
RE-ROOF
JAME ULLO
39512 8TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTION FEES: When extra ins ion 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 esulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
nWarning to owner: Your failure to .rd a notice of commencement may result in your paying twice for
improvements to your property. If yo iintend to obtain financing, consult with your lender or an attorney
before recording your notice of comm ,.cement. II
Complete Plans pecifications and Fee Must Accompany Application.
All work shall be rtformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
I RE ~~
{/' CALL FOR IN pECTION - 8 HOUR NOTICE REQUIRED
PR TECT CARD FROM WEATHER
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
' BUI1D!NG DEPARTMENT
DATE RECEIVED
PLANs REVIEW FEE
OWNER'S NAME . .::r-o."U,,, ~I (')
JOB ADDRESS S q ,) I ~ ~ +1- AV<'_ Z "jJ t Y ~ l... /1<
LEGAL DESCRI PT I ON: LOT ( S)I ~ ~ I BLOCK
PARCEL ID # I ~ - J<(.-,JI .43\ 0 - C'XX'Y"f'\ -CXF:, )~
WORK PROPSED: ONEW CONS~RUCTION. 0 ADDITION ,.'
PHONE
SUBDIVISION
(OR~ATN (ROM PRO~ER~Y ~AX NO~TCFJ
DALTERATION ~EPAIR 0 INSTALL
o SIGN 0 MOVE 0 DEMOLISH
PROPOSED USE, ~GL FAMILf DWELLING OMULTI-FAMILY Olt OF UNITs
o COMMERCIA):. 0 INDUSTRIAL 0 SWIMMING POOL
:=; 9 RESTAURANT, HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~~) f
o MOBILE He
o OTHER
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) lLOT PLANs & (2) SETS OF BUILDING PLANs 6: (1) SET ENERGY FORMS.
ATTACH (3) ETS OF BUILDING PLANs & (1) SET ENERGY FORMS.
PROPERTY SU VEy REQUIRED FOR ALL NEW CONSTRUCTION.
I PERMITS REQUESTED
$ 5fl<i,p. (J() VALUATION OF TOTAL CDNSTRUCTION
-+-- AMp SERVICE 0 FLORIDA POWER 0 W. R. E. C.
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANI GAL $ i
I
o GAs ~OOFING 0 SPECIlfLTY
TYPE OF CONSTRUCTION, 0 BL1CK
FINISHED FLOOR ELEVATIONS I
VALUATION OF MECHANCIAL INSTA1~LATION
o OTHER
o FRAME
o STEEL
o OTHER
Is PROJECT IN FLOOD ZONE MEAD YES
D NO
BUILDER COMPANY
STATE CERT OR REGIST II
SIGNATURE CITY PROCESSING ~
~LECTRICIAN
.............. ...................................................
SIGNATURE
J
COMPANY
STATE CERT OR REGIST II
CITY PROCESSING II
~LT1MBE.R
................,.................................................
I
..........~...t..................................................
MECHANICAL COMPANY_
STATE CERT OR REGIST 11_
SIGNATURE CITY PROCESSING It
-
COMPANY
STATE CERT OR REGIST II
CITY PROCESSING II ____
SIGNATURE
OTHER
............... ,................................................
SIGNATURE ~
~-~
COMPANY 'Y.!5r'(7 '1 r.. QJJI-ru 0.1) 00, ) nc. .
STATE CERT OR REGIST II f' ('f, ~ /jd:7~"lrJ"')
CT~Y PPnr~aaTu~ il
u. Ul~LJ.Lt;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 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 SectionsN 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.e 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 "ownerN 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 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 corrunenced 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 ~AN 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 conunenced wi thin
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 allm-led for the perIni t 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".
~/LJ:; .
SIGNATURE, -, ~ OR AGENT
STATE OF FLORI DA /l 4) 7\
COUNTY OF tlJ.{LJ.. AL
The foregoing instrument Has acknowledged
Be for e me t hi s I () day 0 f C.J:'.::h)/:;1e./:"1 i){XY:5
by Chool'-:t ~IA A(LY\__
(name of pe son acknowledged)
~ho is personally known to me, or
~471-.
SIGNATURE: ... TRACTOR
STATE OF FLORIDA f~~
COUNTY OF
The foregoing instrument was acknowledged
Before,me this 'B~ day of Ce7[)~ ~ 1"9 ~
by Ctno d )/v. nA_
(name of person acknowledged)
~ is personally known to me, or
Dwho has produced
(type
"'is.d.i dot
of identification)
take an oath.
o who has produced
(type of identification)
~ n t 0 oath
f ?/jOAnglllaMeltns; ac)cnowledgement
. . My Commlaslon 00165587
\;... ft.;! Expires January 03, 2007
Name typed, printed or stamped
Signature 0 person takinq aCk, nowledgment
-. , a\. Angela He ms
! . My Commission 00165587
...
Name typed, s-amped
<._~~,..._---_..,~.-,.....>.~-,_._-,--",-"
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NOTICE OF COMMENCEMENT
State of 'ft,r,J,,- County of ..\;:::.""c.o
THE UNDERSIGNED hereblY gives notice that improvement will be made to certain real property,
and in accordance wi th Chapter 713, Florida Statutes, the followi ug in formati on is provided In
this Notice of Commencemen~:
1. Description of Property: ~arcel No. \). - dG- ~I- 03\ C) - CCCXr-l _(':>(; le)
(Legal descrfPtion of the property and street address if available)
2. General Description of Improvement 11<- - f ObC-- 111111111111111111I11111/1111111111111111111111I111111111111
2005214554
"0 c' j' IIl'/} z~. J, II fl. '
~~ L) 1.J. I Hue I ,,/J u,-I4. II i 3~ s-~~
f .
3.
Owner Information: NaI11~ ,J (\ lv/...e-S,
Address ,~oI0) 1. 8' I~ IlltJe
Zr Af I (~) J / I ~J" :2 <-.-U c:;
{
City zrL,,-l. "It
State
[:1
Interest in Property:
Name of Fee Simple TitleHolder:
I
(If other than owner) i
Rcpt:931749
os: 0. 00
10/11/05
Rec: 10.00
IT: 0.00
Dpty Clerk
Address
R4.
Contractor: Name
1
i{eo 111
I
City
4 I?'
'rtP..", . reI ,>'lP<4,
I
City
State
Address ~-t~ ~ C
s./e
i '\'(f.
I'""
I
1(00 'Z/..,
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Z(/~rL'fls State 3SY~/ J
JEO PITTMAN. PASCO COUNTY CLERK
10/11/05 02: 36pm 1 of 1
OR BK 6634 PG 519
State
s.
Surety: Name
Address
City
Amount of Bone!: $
6. Lender: Name
Address i City State
I
7 - Persons within the State of florida designated by Owner upon whom notices or other
documen ts may be served ap provided by Section 713.13 (I ) (a) (7), Flori da Statutes:
Name
t
Address
City
State
8. In addition to himself, Owndr designates
I
of ; to receive a copy of the Lienor's N oti ce as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice oflCommencement (the expiration date is I year from the date
of recording unless a differemt date is specified.)
Signature of Owner:
1/\
,
, ()/Q
day of OC17)~ r
, 20[L:) .
PC93053048/A
Angela Helms
'l; My Commission 00165587
" ap{ n~ 2007
.. I:xph.." JSAU
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