HomeMy WebLinkAbout06-5392
CITY OF ZEPHYRHILLS
5335 - 8TH STREeT"
(813)780-0020
BUILDING PERMIT
5392
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:
5392
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 611218 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0190-00000-0390
8,200.00
2/06/2006
75.00
75.00
2/06/2006
RE-ROOF - ASPHALT SHINGLES
Name: SALISBURY, DIANE
Address: 6112 18TH ST
ZEPHYRHILLS, FL. 33542
Phone:
\~\)
~ \O\Q
(;.J'l\q,'V\ (l)
REINSPECTION FEES: Reinspectioi'l fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
~-~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrY OF ZEPHYRHILLS PERMIT APPLICATION
BUI~LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
I 813-780-0020 FAX: 813-780-0021
DATE RECEIVED
I ~Q
I PHONE CONTACT FOR PERMITTING ~''t-, Wo '-4'11
OWNER'S NAMED,ClrQ ~CS~l1
JOB ADDRESS lo\ \~ \~~Y\ ~ 1 Cef)hqJ1illJs J r:L ~'3 S'-\~
LEGAL DESCRIPTION: LOT(S) 6~9D BLOCKDocoo
PARCEL ID #~Q.g.~'a\ ..O\<1D'CCXX::O -D39 0
PHONE: <83-acG.519~
SUBDIVISION
O\'1D
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: ~L FAMILY DWELLING
o COMMERCIAL
o ADDITION
~TERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
O. OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK Ttni.- O,{ MJ ~CO~ ~\ 13 Of) ~ 5ha '8Iop.t '4J! ~ t ~~es
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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~LDING
$ <S~~
PERMITS REQUESTED
~
'.
VALMATION OF TOTAL CONSTRUCTION
~
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~ _,~__"~"_,_. ,_'" _ ~____~~__~~_ _ _.__.., _ 1___ --.-----~-- -- - . - eo. -. ---, ' ---., H --- - (-"'=O~---
11.: I " II I I I' 1 ,I , I, j I' J, J I l II! I ':~~lfUI,l~t~;r;I}T:l
1 I 11'1 It I t i I I, I It' I "I I "I \ ,:I, ~, .... fir ;i!f
l..:l~~~.-2~_~~_~_~L-l_"''- ~~"'_....... ~ _...-ol _~I~___~_ __~_____ "~__ ~__ ~_ ~_ ~_..:-~_~~_L~!.-____-L-_ . !~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
-
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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:::f-~~~:- -
II
COMPANyQuaL"I1/ ~l&@=~'
STATE CERT' OR REGIST # 0
~,<"p"~,..{.:;",.-
A. NOTI~E OF DEED RESTRICTIONS
Tha undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED 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 state and l~cal 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(s) sign po~tions of the "Contractor Sections" of this ~pplication 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 indica~ion 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 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 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.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation 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 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 "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 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __ day of
by
acknowledged
,20_
(name of person acknowledged)
Owho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
SI
STATE OF FLORIDA \-\i\\~~
COUNTY OF \
The foreg.oin? instrument w~acknOWledged
~;fore ~~'tvlli~~~ o~~J~" 20~
~name of person acknowledged)
~o is personally known to me, or
produced
(type of identification)
[Uid not ta~ an oath
acknowledgment
I This space for use by Clerk of the Circuit Court only.
. ~ . I
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2006018824
Rcpt:964685 Rec: 10.00
OS: 0. 00 IT: 0. 00
01/31/06 ___ Dpty Clerk
~i93~~~~M~N8~3P1ASCO COUNTY CLERK
. am 1 of 1
OR BK 6816 PG 1992
State of Florida
County of Hillsborough
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with
section 713.13 of the Florida Statues, the following information is provided in the NOTICE OF COMMENCEMENT.
1. Legal Description of property (street address required 02-26-21-0190-00000-0390 ZEPHYR BREEZE SUB PB
14 PGS 141-142 LOT 39 OR 13886 PG 1779 6112 18TH STREET ZEPHYRHILLS, FL 33542
2. General description of improvements: TEAR OFF & RE-ROOF
3. Owner Name: DIANE D SALISBURY
3a. Owner Address: 6112 18TH STREET ZEPHYRHILLS. FL 33542
3b. Owner's interest in site: OWNER
3c.
Fee Simple Title holder (of other than owner) N/A
Address:
R4.
Contractor Name: Qualitv Roofina of Florida. Inc.
Address: 6601 North 50th Street. Tampa. FL :Jqt:,/ () Phone Number: 813-620-4797
5.
Surety Name:
Address:
N/A
Amount of bond:
Phone Number:
6.
Lender Name:
Address:
N/A
Contact:
Phone Number:
7. Person 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 Statues.
Name:
N/A
Address:
Phone Number:
8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided
in Section 7.13.13(1 }(b), Florida Statutes.
Name: _N/A
Address:
Phone Number:
9. Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a
different date is specified}.
2 74
// " .;~...
.{.~~./t:tA
Signature of Owner
or
"'~~~\:;:~'" SUSAN R. ERWIN
f~m. 't-.... Notal}' Public - State of Florida
~. · : . EMY Commission Expires Mar 30, 2009
;.~~ ~? Commission # DO 412766
"'..'ff.r.~.." Bonded By National Notal}' Assn.
(A copy of any bond must be attached at the time of recordation of this Notice of Commencement)