HomeMy WebLinkAbout06-5965
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5965
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:
5965
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5846 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04900-0140
5,300.00
7/24/2006
60.00
60.00
7/24/2006
REROOF
Name: TAVERAS, JUAN
Address: 5846 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813715-4173
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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 your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement. n
NO OCCUPANCY BEFORE C.O.
~;J0r-> ~-~
ONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
\...1111 VI ...-t'IIJ......-. _.--
Building Department
Date RecelveQ
Phone Contact for Permittin
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
z/~~ 3&s((l;L. I LOTi 1{)I;fO
PARC~L1D#1 / / :L{... c2j ()OIO On <De
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
o
o
o
DEMOLISH.
SUBDIVISION
DESCRIPTION OF WORK
B
o
o
I \" \
AD DIAL T
REPAIR
COMM
FRAME
OTHER
STEEL
I
D
WORK PROPOSED
OTHER I
SQ FOOTAGE I
HEiGHT I
BUILDING SIZE
D BUILDING $ o3OD
D ELECTRICAL I$)J ILJ I
D PLUMBING 1$ IV I ~ I
D MECHANICAL 1$ ;1/ I ~ I
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I, I FLOOD ZONE AREA DYESDNO . ..
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111
/){l--jf.L; COMPANY I ~.:!LI1I' l . I
REGISTERED I Y I N I FEE CURRENT I Y I N I
License # ltee. i 32- (;6921
I
I
I
Address License # I
MECHANICAL I COMPANY I
SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
Address I License # I
OTHER I COMPANY I
SIGNA lURE . REGISTERED Y I N FEE CURRENT Y I N
Address I I License # I I
1I1111111111111111111111111111111111111111111111111111111111111111111111111I111111I111111I111I111I111111111111111111111111'111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date, Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requlremenls must meel compliance. .
Attach (2) sels of Engineered Plans.
"'~PROPERTY SURVEY required for all NEW conslructlon.
~.I111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Irections: . .
Fill out application complelely.
Owner & Conlractor sign back of application, nolarlzed
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.* Agent (for the contractor) or Power of Attorney (for the owner) would be 5omeone with notarized letter from .owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
71
COMPANY I
REGISTERED
Address
ELECTRICIAN
SIGNATURE
Y I N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/Foolage)
Driveways-Not over Counler if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to .deed~ restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 local regulations. If the
contractor Is not licensed as required by law, both the owner and contractor may be cited for a mlsderneanor violation
under state law. If the owner or Intended contractor are uncertain as to what licensing tequirements may apply fot the
intended work, they are advised to contact the Pasco County Building Inspection Division-licenslng Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the .contractor Block", of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an Indication that he Is not properly licensed and Is not entitled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact' Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use In existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will b,e Identified at the t1tne of
permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a .certiflcate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
fees are due, they must be. paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the "owner", I certify that I hav.e obtained a copy of the above described document and promise In good faith to
deliver it to the "owner" prior to commencement. .
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
commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regu.latlng
construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
. _ Use of fill Is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material Is to be used In Flood Zone .A", It Is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting Which is prepared by a professional engineer
licensed by the State of Florida. .
If the fill material Is to be used in Flood Zone "A" in connection with a permitted building uSing stem wall
construction, I certify that fill will be used only to fill the area within the stem ~all.
If fill material is to be used in any area, I certify that use o~ such fill Will not adversely affect adjac?nt
. properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit Issued under the' attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan Is required.
If I am the AGENT FOR THE OWNE~, I promise in good faith to Inform the owner of the permitting conditions s~t forth In
this affidavit prior to commencing construction. I understand that a separate perm!t may ~e required for electnca.' work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included. in the application. 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 B~lIding Official from the~eaft~r
requiring a correction of errors In plans, construction or violations of any codes. Every permit issued. shall :eco~ei tn~a~d
unless the work authorized by such permit Is commenced within six months of permit Issuance, or .f wor aut or ze . y
the ermit is sus ended or abandoned for a period of six (6) mon.ths after the time the work is commenced: An extension
ma: be request:d in writing from the Building Official for a penod not to exceed ninety (90) days an~ wIll ~emodstrate
justifiable cause fo~ the exte~slon. If work ceases for ninety (90) consecutive days, the job Is consldere aban one .
~~:~~~EO::EI:;P.fo~~~~ ~~~:~~~~E~~~;~g~I~N~~:~~N rr.JA:~~~.Td~N~~~~
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sWorn to (or amnned) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or amnned) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped
NOTICE OF COMMENCEMENT
I \U\II 11I11 UIII I111I I11I111II111I1I IIIU 1111I IIUI 11I1 1111
2006149321
'" . Rcpt.: 1017858 Rec: 010 0~0
O 00 IT..
DS: . Dpt.y Clerk
07/24/06 ____----
. 0 COUNTY CLERK
JED PITT"'Ar0.I~:; 1 of 21
0::2B~07097 PG 91
Permit No.: . .
Parcel I.D. No, //...1,1" 2/- bDIO- 0'/1'0. O/yo
State of Florida
County of Pinellas
, .
I
THE UNDERSIGNED hereby give notice that the improvement will .
be made to certain real property in accordance with Chapter 713, Florida
Statutes, the following information is provided in this Notice of
Commencement.
I.DescriotioD oforop.erty (legal description of property and address if available)
~846 6TA ST .' Z/HILLS
FL 3354i~
2. General description of improvements
MOBILE HOME ROOF-nUFR Nn ~Oq
3. Owner information
a) Name and address JUAN TAVERA,
b) Interest in property 5846 16TH ST
c) Name and address of fee simp~e titleholder (if other than owner)
....J' 4.Con~actor (n~e and ad~ress) AMRFM-1 T Nr. ~
~ 1~764 W.RENA Sf ..,. LARGO FL
5.Surety
a) Name and address
b) Amount of bond
6,Lender (name and address)
'- .,.
~-
Z/HILLS ~,.
335'+2
. ,
33771
'( 7, Person within State of Florida designated by owner upon who notices or other documents may be'serveda
provided by Section 713.13(1)(a)(7), Florida StatUtes.
Name and address
8.!n addition to him or herself, owner designates
of to receive a copy of the Lienor's Notice as providedin:Sec
713, r3 (1 )(b), Florida Statues.
9.Expiration date of Notice of Commencement (the expiration date is c
from the date of recording unless a different date is sDecifi.ed).. .
ST A TE OF FLORIDA {~\~,~ ~y.co~~:~~uri~5549; \~' X -1 J I' ^' . I 'JC;....A. Cl ~ A
\?i'..&i.-~! EXPI"iES:August28.2009" " U ~ ~- '-.:Y' .,
COUNTY OF PINELLAS "~Rr.1\'..'" Bondedl'hruMtaryPulllcUndelwritel$ Signature of Owner
The following instrument was ackno~ledged before me this~day of JLt. ty ,200Je.,byj;:;;~
who is personally known to me or who produced <y~ L-. ' '. ';'.. . 1 ~~s identificatio:
After recording, return to: Notary S~gnatur~({zdN'{
Name Name(pnnt) io;.0,,<Ki''''- 11- & ....00
:~ddress'" Title or rank . O.:.~~."c-,c.
City Serial number; ifany r-, l~ '-f~S4 r"}
FOR.MS\NOC.rvsd2000
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City:
AMS,. Layout Sheet
CUSTOMER kJYU-B
Address: 67511.0 It:;, k 8[;t. t.A-
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EVERYTHING PROMISEDAS PARTOFTHISCONTRACT ISCOVERED IN THE ABOVE.
CUSTOMER Signature
- --.---- _..._-~..,,"
Date
,...a~ 1 ':l?RJ:\Q?
AMSEM-1, Inc.
ADVANCED MOBILEHOME SYSTEMS
13764 W. Rena Drive · Largo, FL 33771
OWNER: Mr. ~ \--<.. "Mrs.
Address: 6~Vb lIP 8~ty:
~
I &D 9/(1,
INSTAllATION AGREEMENT
CRC 1326592
1-800-282-3572
CaNT. NO. \.."':S; 0\ <;I. 04 TfJ 0 (
SOURCE PRODUCT
Phone # (gl.3 ) 1/6- 17
~ NAME ~t.( "-- ~
;;Z.er~t<ffi Z1p33~... _Park. IV~
/' Rent _ Land-Own / Rent _ RIP #
County
Address
(out of Florida): City State _ Zip
o AMSEM-1, INC. ("AMS") proposes to furnish all materials and labor for the job(s) specified below:
Home-Own
Phone#( _ )
(Out of Florida)
,jar rJl!~<LIi?
1f~
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o CUSTOMER AGREES TO PROVIDE A NEW ROOF GAS VENT, PRIOR TO ROOF INSTALLATION. UPON COMPLETION HAVE SYSTEM
STARTED BY LICENSED GAS CONTRACTOR AT CUSTOMER EXPENSE. INIT. INIT.
o ELIMINATE GAS VENT _ _ OGAS BURNING UNIT HAS OR WILL BEEN REMOVED BY CUSTOMER _ _
INIT. INIT. IN IT. INIT.
o SEE ADDITIONAL SHEETSFOR ADDITIONAL SPECIFICATIONS INCORPORATED INTO THIS AGREEMENT
AMS REQUIRES A 30% NON-REFUNDABLE DEPOSIT, WITH THIS AGREEMENT AND BALANCE DUE ON COMPLETION ,.::J
CONTRACT AMOUNT $ (U.S. DOLLARS $) $ SS rD .
IiiIl I YlSA I _ . Sales Tax $
~.J,5;;2-:57b7 /9330117 Mo.0yR.o9 CHK# TOTAL $ ~~~ ~
~ . ~DATE CASH DeposltAmount$ rd
C...CHOUlERS'....T\J.. ~S7ZJ 7 if (oe. Balance Due on Completion $ 3 8 rv
A separate written warranty relating to the Weather-Lok⢠Roof system will be mailed when contract price is paid in full and a completed application
for warranty is received, A copy of the form of this warranty is available upon request.
AMS is authorized to furnish all materials and labor required to complete the work described in the above proposal, for which I/We agree to pay the
full amount specified in said proposal, and in accordance with all terms of this Agreement.
THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE
COpy OFTHIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND
AGREES TO BE BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE.
This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the AMS's commencing performance,
Upon such acceptance or commencement of performance, this Agreement shall constitute the entire contract and be binding upon the parties hereto,
there being no covenants, promises, warranties or agreement, written or oral, express or implied, except as herein set forth or as created by applicable
law.
BUYERS RIGHT TO CANCEL
THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY
PROVIDING WRllTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIl. THIS NOTICE MUST INDICATE THAT YOU DO NOT
WANT THE GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER
YOU SIGN THIS AGREEMENT. IFYOU CANCEL THIS AGREEMENT, THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT.
-n<~O BUYER: THE TERMS AND CONDITIONS ON THE BACK HEREOF ARE PART OF-THIS AGREEMENT.
(INI,~ X EVERYTHING PROMISED AS PART OFTHIS CONTR ~ERED THE ABOVE.
ACCEPTED AND AGREED: BY AMS REP.
~1 .
~() ~,'~ o~ SOCIAL SECURITY # Date Of-
X
(BUYER'S SIGNATURE)
SOCIAL SECURITY #
Date__ 20__________
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AMS,. Layout Sheet
CUSTOMER MV'Lra
6751-Co Ih k!S[;!-(J-
Address:
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EVERYTHING PROMISEDAS PARTOFTHISCONTRACT ISCOVERED IN THE ABOVE.
CUSTOMER Signature
- -----..- -........-....'"
Date
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