HomeMy WebLinkAbout05-5253
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
.'
5253
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:
5253
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39150 10TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,000.00
12/15/2005
45.00
45.00
12/15/2005
METAL ROOF OVER EXISTING ROOF
Name: WHYTE, JOSEPH W.
Address: 39150 1 OTH AVE
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.
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.~
~A~ ,{,
NTRACTOR SI ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERM1T A~~~~~~~~u~
BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL33542
. 813-780-0020 FAX:B13-7BO-0021
DATE RECEIVED
/2 ~~- D~-
PHONE CONTACT FOR PERMITTING
OWNER'S NAMEI' ~ 4/. ~~ . . P~ONE
JOB ADDBESS ~ /04 r Jr#:~
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 10' /-:;2-c:Jjp~:;;/--- 06;2/7.... 0;2&00-00/1 (OBTAIN FROM PROPERTY TAX NOTICE)
.. .
;>?/:3 - 78;1.- 8 CJOb
~ 335tf..2.
.
WORK PROPSED: (JNEW CONSTRUCTION
(JADDITION
(JALTERATION
(J REPAIR
o INSTALL
(J SIGN
o MOVE
(J DEMOLISH
PROPOSED USE: (JSGL FAMILY DWELLING
(J COMMERCIAL
(JMULTI-FAMILY
o INDUSTRIAL
(J. OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
,~ RE~~T;::;/H ::T:ENT.~A.PPRO:AL I ~
DESCRIPTION OF WORK "d~ ~ '-" "-"-"'...J.
BUILDING SIZE h 5 X#-O SQUARE FOOTAGE ~;; 00 HEIGHT
21'/
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
(/;J- 5.3/)
~-
$
~ 00 .'
~, 0
,~-
\Ef BUILDING
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
i
AMP SERVICE
o Progress Energy []
W.R.E.C.
o PLUMBING
o MECHANICAL
o GAS 'tsI ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
(J OTHER
$
TYPE OF CONSTRUCTION:~ BLOCK
(J FRAME
(J STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
~OMPANY Z/<~/ ~
o~~
SIGNATUR~~ P~(.~L:~;?f---- STATE CERT OR REGIST * .
~ ******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST .
*******************************************************k**********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
*******************************~**********************************
MECHANICAL
. COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU which
may be more restrictive than City regulations. The unde~signed assumes responsibility for
compliance with any applicable deed r~strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES ,
If the owner has hired a contractor or contractors to undertake work, they may be requ1red
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, 813-780-0020~ ~ ,.
Furthermore if the owner has hired a contractor or contractors', he is advised to have the
contractor(~) sign po~tions of the "Contractor SectionsU of this application for wh~ch they
will be responsible. If you, as the owner signs as the contractor, yOU are indicat1ng that
you, +ather than the contractor, are responsible for the work. If the contracto+ wishes ,
you to sign as contractor that may be an indica~ion that he is not properly licensed and 1S
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 Guideu prepared oy the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that.the "pwner"; 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 aone in compli.ance with all applicable laws regulating construction, zoning, and land
development.
Appliqation is hereby made to obtain a permit to do .work and installation as indicated. I
certify that no work or install~tion 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 th~t 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 ~f
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wet lard 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.u, 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 Shfll issuance of a p. erm1.'t prevent the Building Official from thereafter requiring a
correc ion 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 la
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 ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500.IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGN~TURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OJ;
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
of identification)
take an oath.
(name of person acknowledged)
C1ho is personally known to me, or
o whO . has produced
(type of identification)
and who Odid (Jdid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped