HomeMy WebLinkAbout06-5561
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5561
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:
5561
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
2,390.00
3/15/2006
45.00
45.00
3/15/2006
REROOF
Address: 5122 RID EST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0040-00100-0110
Name: BLECHA,MARY
Address: 5122 RIDGE ST
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTION FEES: Reinspection 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 y property, If you intend to obtain financing, consult with your lender or an attorney
before recordi y r notice of commencement."
NO OCCUPANCY BEFORE C.O.
. ~-~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI!l'Y OF ~J!i.t'n.l..t\n..............1.;;I .110......_-....- ~----~----
BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, E~ 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
OWNER'S NAME
GONTACT FOR PERMITTING
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # \O-~ -2-\ _Ob40-00\6b - C)l(O
(OBTAIN FROM PROPERTY.TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE Hm-
O OTHER
BUILDING SIZE
AP~ROVAL
DESCRIPTION OF WORK
HEIGHT
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.
D BUILDING
$ rJ-3 r 0
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
AMP SERVICE
D Progress Energy D
W.R.E.C.
o MECHAl'-lICAL
$
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 AREAD YES D NO
BUILDER
COMPANY
SIGNATURE
****************************************************
ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MEC~ICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *
********************************************~****i***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTICE OF DEED RESTRICTIONS
Th~ unde~signed 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 appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner, has hired a contractor or contr~ptors to undert,ake work, 'they may be required
to be licensed in accordance with state and local regulations. If the contractor is no.t
lieensed as required by law, both the owner and contractormay"be cited for a misdemeanor
violation under s~ate 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 portions' of the "<;:ohtractor. Sections" of this application for which they
will be responsible. If you,' ,as the owner signs as the contractor,ydU 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.. TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECT~ON FEES '
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,. AS AMENDED)
I certify that Ii the applicant, hay~ been provided with a copy 'of "Florida's Construction
lien ~aw _ Homeowner's ,Protection Guide" prepared by the Florida Department or 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 "owne.ri, prior to commencement.
E. . CONTRACTOR'S/OWNER'8 AFFIDAVIT
I certify that all the information in this application'is accurate and that all work will
be done in compli~nce with all applicable laws regulating construction, zoningt and land
development. ..,
Appliqation is hereby made to obtain a permit to do work and instaliation 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 sta~dards of all laws regulating,construction; City 1
codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also i
certify that I .understand that the regulations of other governmental agencies may appiy todl
the intended work, and that it is my responsibility to identify what actions I must take t
be in compliance. Such agencies include but a~e not limited to: *Department of I
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive I
Lands, Water/Wastewater Treatment' I
*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 Treat~ent, Septic ~anks .
*U.S. Environmental Protectiori Agency-Asbestos abatemen~
I also certity that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a;~compens~ting'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'~o be a license to proceed with the work ~nd not as
authority to violate; .cancel, alter, or set aside any provisiona of the tebhnical 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
period of six months after the time. the. work is commenced. One 90 day extension of time
may be allowed for the permit with teedharge of $1.5.00. The extension shall be requested
in writing to 'the Building Official. An approved inspection must be logged during each si*
month period, or the project will be considered ?bandoned. ,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOT~CE 0
$2,500 IN VALU DO NOT NEED TO RECORD 'AND POST A '\NOTICE ~/
//
81
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me, this ~ay of '" 20_
by
(name of persor acknowledged)
[1ho is personally known to me, or
Owho has produced
(type of identification)
and who Odid O:iidnot take an oath
STATE
COUNT OF
,The foregoing instrument was acknowledged
Before me this _ day of , 2Cl..:.-
by
, (name' of person acknowledged)
Owho_is personally known to me, 'or
Owho has producep
(type of identification)
and wlioO did Odid not take an oath.
Signature of person taking acknowledgment
S~gnature of person taking a~knowledgement
Name typed, printed or stamped
Name typed, printed or stamped
A. ~artlett itnnfing (@f Qrentral 1Jilnriba, 1Inr.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE.
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic,#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years.
Name
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Date '3 - { 0 '6 h
Address
Phone
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AMOUNT .
I he C. Bartlett
THANK YOU
Your Business is Appreciated. ~
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All ~- ,,"..."""'" ''''''', ",_ M "'"Y' __ om ,_. ""'"' to "'0/"', """'" "" _ OO=""l'mw",",, ~'-"
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecling this bill. ) '1 (; n
Rotten wood is an extra $35.00 per sheet (4-ply). Rotten fascia is $2,00 per linear foot. Total' ..... ~ /. J
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