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HomeMy WebLinkAbout05-5220 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5220 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: 5220 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5908 F T LN ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 10-26-21-0110-00000-0130 3,606.00 12/07/2005 50.00 50.00 12/07/2005 RE-ROOF Name: BERRY MARGARET Address: 5908 FOREST LN ZEPHYRHILLS, FL. 33542 Phone: jJ<f ()-' C,' (- (' \"J' ~ REINSPEcnON 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. ,dgJL~ ~~ CONTRACTOR SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIrING DEPARTMENT 5335 8!1!H st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 \ d -7-0 c:s " DATE RECE IVED PHONE CONTACT FOR PERMITTING <t5 \'3 - -"I \ '-\ - 0537 OWNER'S NAME ,;1~}f ~ JOB ADDRESS . /)-10 ~ ~ ~ PHONE ztJ1 .3 3Sc{-2- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # /10-210-;;2.-1 -() /I 0- 00000 - 0/30 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION o REPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Of OF UNITS o MOBILE HOMI o COMMERCIAL [J INDUSTRIAL o SWIMMING POOL DOTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL -~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. [J BUILDING PERMITS REQUESTED 5bOb~ VALUATION OF TOTAL CONSTRUCTION $ o ELECTRICAL AMP SERVICE [J Progress Energy [J W.R.E.C. o PLUMBING [J MECHANICAL $ [J GAS ~ROOFING [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME o STEEL . 0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO tL=~=-~~'_-=~~~_~~-=~~~~:~--~-~------~--~-=-:_=-=-' ----- - -~: ~- -:- _: ~- - ~- ~ _:_-~~~~---~~. ~--" BUIWER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE , STATE CERT OR REGIST f ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST * SIGNATURE &~~ ********************************************~******************** COMPANY ~~A. f<~ STATE CERT OR REGIST '* C. C ~ -0577 Y. "2- OTHER A. NOTI~E OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner. has hired a contractor or contr~~tors to undertake work, -they may be required to be licensed in accordance with state and iocal regulations. If the contractor is not licensed as required by law, both the owner and contractor maybe cited for a misdemeanor violatian under s~ate law. If the owner or intended contractar are uncertain as to. what licensing requirements may apply far the intended wark, they are advised to. contact the City of Zephyrhills Building Department, 813-780-0020. Furthermare, if the awner has hired a contractar or contractars, he is advised to have the contractor(s) sign paftians af the "Gahtractar Sectians" af this ~pplication for which they will be responsible. If you,..s the owner signs as the contractor, yon 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 CONNECTI.ON FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haYE;! been provided with a capyaf "Flarida's Canstruction lien Law _ Hameowner's.protection Guide" prepared by the Florida Department af Agriculture and Cansumer Affairs. If the appLicant is sameone ather that the "awner", I cerify that I have abtained a capy af the abave described dacument and pramise in gaad faith to. deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that ." 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. . . Appll"ation is hereby made to obtain a permit to do work and instaliation as indicated- I certify that no. work ar installatian has cammenced prior to. issuance of a permit and that all work wiil be performed to meet sta~dards of all laws regulating.constructian, City codes, zoning regulations, and land develapment regulatians in the jurisdictian. 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 nat limited to: *Department of Environmental Regulation-Cypress Bayheads, wetiand 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 Pratection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "~ or "A,etc.", it is understood that a drainage plan addreSsing a "compensating volume" will be submitted which is prepared by a proLessional engineer registered in the state of Florida prior to permit issuance. A permit issued shall.be .construedto be a license to proceed with the work and not .S authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shail 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 oxtension shall be requested in writing to.the Building Official. An approved inspection must be logged during each six manth period, or the project will be considered abandaned.. . WARNING TO OWNER' YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ir YOU INTENO TO.OBfAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT- JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORDANO POST A "NOTICE OF COMMENCEMENT"- .&1 1 V~P/\ SIGNATURE: OWNER OR AGENT subject to "deed restri~tions" which undersigned assumes responsibility for .~~} 11 J?/\.' SIGNATURE: CONTRACTOR acknowledged , 2 0.:..- STATE OF FLORIDA COUNTY OF The foregoing instrument was Befare me. this _day af by STATE OF FLORIDA COUNTY OF The foregaing instrument was Befare me this _ day af by acknawledged ,20_ (name af persan acknawledged) [1ha is persanally knawn to. me, ar (name- af per san acknawledged) Owho is personally knawn to. me, 'or o who. 'has praduced (type and wliaO did 0 did nat af identificatian) take an aath. Owha has produced (type of identification) and who. Odid [):lid not take an oath Signature of person taking acknowledgment Signature of person taking acknawledgement " Name typed, printed or stamped Name typed, printed or stamped IIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2005258550 State of 1!~ NOTICE OF COMMENCEMENT County of 9AS'C.D THE ImDERSIGNED hereby gives notice that improvement will be made to c8rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. ID-;2f.:.-J.J-OI/O- OorooO-013Q 5'10,;' ~,." ~ zUk 33s-~z- - (Legal descr1pt1on of the property and street address if available) General Description of Improvement _A.P.A' I 0 ----- ~ Rcpt:949059 Rec: 10.0 DS' 0 00 IT: 0.00 k . . Dpty Cl.r 12/07/0~ 2 . 3. O\mer Information: Name f1~ ~ Address !Y7D~ ~ ~ City State w Interest in Property: ~ Name of Fee Simple Titleholder: (If other th~n owner) Address JED PITTMAN, PASCO COUNTY CLERK 12/07/05 08:45am 1 tf11.6 OR BK 6731 PG ~ City State R4. Contractor: Name ~ ~ _ Address 37'f~7 U~kCity ~ % 5. Surety: Name . State '# 33:)2..": . 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), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Exp~ratlon date 01 Notice or Commencement (the expiration date is 1 year fr0m the date of recording unless a different date is specified.) / Sworn to and subscribed ~r>S day of 7)eA'.I~ , Signature of Owner: Notary Public: ~ s : J:J 00-.1 )(')1 2Q)q SHERRYWDNER My ~ ~, SIn, ufFJorfoa Com ExPIres, NoY8mber 20 2009 . No. DD492657 ' PC93053048