HomeMy WebLinkAbout06-6043
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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:
6043
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5504 5TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-06400-0131
13,800.00
8/21/2006
52.50
52.50
8/21/2006
RE-ROOF - METAL
HILL, J AN
5504 5TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813779-9697
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REINSPECTlON 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.
~~~~ ~.
CCONTRA'TOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6043
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: RE-ROOF - METAL
6043
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
13,800.00
Address: 55045 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-06400-0131
Name: HILL, JEAN
Address: 5504 5TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 779-9697
52.50
REINSPECTlON 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
nWarning 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.
~.
CONTRACTOR SIGNATURE PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81:3-780-0020.
City of Zephyrhllls I-'ermn AppllCi::ILlU11
Building Department
Date Received
111111111111
Owner's Name a..n
Owner's Address Is 50 y
Fee Simple Titleholder NamJ
511-.6+ 'L'~Us 33:,g~
Owner Phone Number ~ I
Owner Phone Number I
Owner Phone Number 1
JOB ADDRESS
Fee Simple Titleholder Address I
ISSDY s+!. S+ 2'h,tlls J F/ 33~S4L I LOT# I
I I PARCELlD#II/ t2 b:l/ 00/00 f; L./-OD 0/3 /
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR c=J ADD/AL T 0 SIGN D MOVE 0
D INSTALL D REPAIR
PROPOSED USE 0 SFR D COMM 0
TYPE OF CONSTRUCTION D BLOCK D FRAME 0
DESCRIPTION OF WORK I h2.t I20Df /V} e fa., (
I SQ FOOTAGE J-C; t;()
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER
STEEL
I
D
OTHER I
BUILDING SIZE
BUILDING
o
o
o
o MECHANICAL r--
D GAS ~OFING
FINISHED FLOOR ELEVATIONS
l3 'i?DO, CTlJ
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
o W.R.E.C.
ELECTRICAL
1$
1$
1$
VALUATION OF TOTAL CONSTRUCTION
PLUMBING
,JDG /
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy For~? ,
Minimum ten (10) working days after submittal date. Required onsite, Construct~ ~ns, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms. .
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
II}III!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111.1111111111111111111111111111111..111.1111111I1I11I111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
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 someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades Ale
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED I Y I N
. \\r\lIll/IIII11
\ . - , III.
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/Footage)
Driveways-Not over Counter 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 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 Pasco County Building Inspection Division-Licensing 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 be Identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate 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 have 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 regulating
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. addressl~g 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 of such fill Will not adversely. affect a?Jac~nt
properties. If use of fill is found to adversely affect adjacent properti~s, the. ow~er 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 OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
this affidavit rior to commencing construction. I understand that a s.eparate perm~t may ~e reqUlr~d for elect~lca~ work,
plumbing si:ns wells, pools, air conditioning, gas, or other installations not specifically 1n?luded. In the apPII~atl~n. A
. . ' , II be construed to be a license to proceed with the work and not as authOrity to Violate, cance , a er, or
~:~~~i~~s~~~ ~~:visions of the technical codes, nor shall issuance of a permit prevent the B~i1~ing ~ff~i~: ~om the~eaftl~~
reql Uirintgh a corrke~~~~O~rZ~~O~Sy ~u~~~r::;~:"~~:~c~~I':~~ ~~a;;;o~:sesoi :::'.n'Yt ~:::~~s:,'::'r nS :ark ':.,~~:d~ ~y
un ess e wor . f' (6) th ft r the time the work is commenced. An extension
the p~rmit is sU~Pde~~e~r~~n~b~~o~~~: f~Lifdrne~I~~i:ll~or a ~~~iO~ ~o~to exceed ninety (90) days and will demo~strate
~:Kfia~l~e:~:e ~o~ ~he exte~sion. If work ceases for ninety (gO) consecutive days, the job is considered abandone .
NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR :~~~~ ~~~:~~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CoNSULT
PAYING TWICE FOR IMPRRAONVAETTM ORNEY BEFORE RECORDING Y UR NOTICE OF COMMENCEMENT.
WITH YOUR LENDER 0 .
FLORIDA JURAT (F.S. 117.03) r
rR
Permit No.
Parcel LD. No. JI.:lftJ ~J 00100 "'4-Db 01..3 J
111111111111 11/11111111111111111111I11111111111 111/111111111
2006167237
Rcpt: 1024748 Rec: 10.00
OS: 0.00 IT 0 0
08/16/06 : . 0
Dpty Clerk
N(.)TICE OF COMIVIENCElVIF,r~T
State of Fl?~da
County of tlr5:C-u
~i~1~~~~MA0NA'0P4ASCO COUNTY CLERK
~. am 1 of 1
OR BK 7137 PG 1248
THE u'NDERSIGNED 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.
3.0wner information
. a) l-Iame and address ~ \-\-1 550 '1 5t~ St . ~~rn!1h,l7l ?.3S 4 p
b) Interest In property ~~ .
c) Name ai'ld address offee simple titleholder (if other than owner)
R,.,(+.COn}!.. ~or (name and address) -:J~~. ~j~leJ13? 2:-
"f},I.:ls ~ AI tl,-~ ,--~rJ/ a 'at ~ \-
5.Surety
a} Name and address
b) .~rnount of bond
6.Ler,der (name and address)
7.Per~on.within S:ate of Florida designated by owner upon who notices or other documents may be served as
provided by SectlOn 713.13(1)(a)(7); F1orid8~Statutes,
Na.rne and address
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My GommisaiOnIjoo87155
Exptlf!I.01/18J2009
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