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HomeMy WebLinkAbout05-5005 I I 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 I I 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 <._~~,..._---_..,~.-,.....>.~-,_._-,--",-" I I 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/.., .J 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 '~Of'"