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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6276
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 12/04/2006
Work Desc: ALUMINUM ROOF OVER
6276
RE-ROOF
ROOF NEW
NOT APPLICABLE
Address: 38741 CR 54 L T 87
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SLEEPY HOLLOW T.T.PK #2
Parcel Number: 02-26-21-0010-05000-0030
1,600.00
Name: TOOLEY,ROBERT
Address: 38741 CO RD 54 E L T 87
ZEPHYRHILLS, FL. 33542
Phone: 207 323-2107
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REINSPEcnON 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."
NO OCCUPANCY BEFORE C.O.
C,:Z U<<" .. ~..
CONTRACTOR 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
6276
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: ALUMINUM ROOF OVER
6276
RE-ROOF
ROOF NEW
NOT APPLICABLE
1,600.00
Address: 38741 R 54 E L 87
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SLEEPY HOLLOW T.T.PK #2
Parcel Number: 02-26-21-0010-05000-0030
Name: TOOLEY,ROBERT
Address: 38741 CO RD 54 E L T 87
ZEPHYRHILLS, FL. 33542
Phone: 207 323-2107
60.00
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."
NO OCCUPANCY BEFORE C.O.
~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Wle '}1 (p
Date Received
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Owner Phone Number
Owner Phone Number I
Owner Phone Number L
Owner's Name
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Fee Simple Titleholder Address
DESCRIPTION OF WORK
B
D
D
I
NEW CONSTR E3
INSTALL
SFR c==J
BLOCK c==J
A i-urY\ (AIU/\-t
,
I SQ FOOTAGE I
2~#/LL5, ~C. .--J LOT #
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PARCELID#IO;(-2b-2/- OoID- 0.5"000 - 003 c
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
D
D OTHER
D STEEL D
o Cj elL
I HEIGHT I
DEMOLISH
SUBDIVISION
I 3 1) 7t.f / co, IUJ 5-'1 E/lq'"
15cEEPY !--Icx-~CLU 7L I
JOB ADDRESS
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
R Oc;y=
BUILDING SIZE
11...111....11........111......11.....11.11...11......1111111..1..........111.........11111.....111....11.11"'111,".""111111"'."1111111111111
D BUILDING 1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D D
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VALUATION OF TOTAL CONSTRUCTION
ROOFING
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c==J
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AMP SERVICE
c==J
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
SPECIAL TV D
FLOOD ZONE AREA
OTHER
DYES
DNO
ELECTRICIAN
SIGNATURE
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Address
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111 1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111
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 NC Fences (Plot/Survey/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 violatioh
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 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 Wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
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 thah 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical 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 Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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.
FLORIDA JURAT (F.S. 117.03) .
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Notary Public
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Notary Public
Commission No.
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Name of Notary typ
Name of Notary typed. pri
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387 41 L~ 5t/ [
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Perinit A-pplication Review Comments
By: Bill Bmgess
Date:
Address:
Type:
.
~fC(~ilto€ r:xJe~rs ~c
, No Comments
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3610 Coats Road
Zephyrhills, Florida 33541
CREATIVE EXTERIORS, INC.
State Certified Contractor' No. RXl1066764
licensed . Insured
(813) 782-0316
AGREEMENT
DATE
1I~27-Z),6
;Z - 1/ / L.-~-.5
(CfIY)
,RoB ciI'12- 7' /' DOL 2'/
387f'/ CfJ. ,e/). 5i
(STREET)
P"L
(STATE)
e
Lor 2>7
dO '1-- 323 -2/07
(PHONE)
BUYER'SNAME
(HUSBAND AND WlFE)
ADDRESS
The undersigned seller agrees to sell and the undersigned buyer(s) Uointly and severally. if more than one) agrees to purchase the below
described goods and services which are to be furnished or used in the modernization. rehabilitation, repair, alteration or improvement of real
property located at bu~r's address given above or at
(STREE1) 2~M P (CfIY) (STATE)
for the cash price upon the terms and conditions as set forth herein
DESCRIPTION OF GOODS AND SERVICES
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Repn:scnlative of Seller is nol authorized to make any promises nol
cOIHnined in writing in thi.s Agreement.
BUYER'S NOTICE OF RIGHT TO CANCEL
This is a hume solicitation sale. and if you do not want the goods (Jf ser\'ices.
you may cancel this agreement by mailing a notice to Ihe .seller. Creative
Exteriors, Inc. 21St> Edythe Dr., Dunedin, FL 34698. This notice musl indicate
that you do not want the goods or services, and must be posunarked before
midnight of the third business day after you sign this agreement. If you caned
this agrcem~nt. the seller may keep all or pan of any cash paymenl. nut to
exceed the,;: lesser of 5 percent of the cash price or $50.00.
The buyer(s)hercby acknowledge receipt of this Notice of Buycr.s Right 10
Cancel this __ _ day of
Creative Exteriurs, Inc.
BUYER - Husband
By
Signature and Title
BUYER - Wife
NOTICE TO THE BUYER: Do nol sign this before you read il or if il contains
any blank spaces. You are entitled to an exact copy of the paper you sign. You
have the right (0 pay in advance the full amount due.
Buyer(s) acknowl~dges that this contract was completely filled in prior to
execution and acknowledges receipt of an executed copy of this cash cont["J.ct.
Loan Proposal
Buyer(s) may at any time between start and completion of above-described goods and services, request seller to arrange a
loan in the amount necessary to cover the price under this agreement. If seller is unable to arrange such a loan. the agreement
isautom~
Because of the large n~ where seller may arrange such a 10' ause each of them have various methods
of computing the loan cost, it is immposibble to' e statement as required by law, until such time as seller
is able to obtain an "Agreement to Loan" from on ot er ma ' he buyer(s) should request the seller to
arrange a loan. a full disclosure statement e furnished immediately Ull n obtaining an mentto Loan",
onthly payments (excluding in-
Under no circumstanc , owever, will repayment of loan exceed
surance but inc g finance charges) will not exceed
An "Agreement to Loan" from another financial source is cu
Creative Exteriors, Inc.
(Seal)
BY
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/ SIGN URE
(Seal)