HomeMy WebLinkAbout07-6434
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6434
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:
6434
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5446 11TH ST HISTORIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13800-0170
15,088.00
110.00
110.00
2/06/2007
METAL REROOF
Phone:
,.- I)
I- \ (1Q L.u:Y
i..\ J-i -07
l~
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."
NO OCCUPANCY BEFORE C.O.
<=: CO CTOR~I NAT, RE . ~M~
AU OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6434
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:
6434
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
15,088.00
110.00
Address: 5446 11TH ST HIS
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13800-0170
Name: GRAY, LINDA F.
Address: 5446 11 ST -HISTORIC
ZEPHYRHILLS, FL. 33542
Phone: 813 782-1043
METAL REROOF
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.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
l;:sforIG
City of Zephyrhills Permit Application
Building Department
Dale Received
Fax-813-780-0021
1f~ 4 Jff
Owner's Name
Owner's Address 16",-/
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I ~ 3
Owner Phone Number I
JOB ADDRESS
Fee Simple Titleholder Address I
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PARCEL 10#1
WORK PROPOSED
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NEW CONSTR
INSTALL
SFR
BLOCK
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OTHER
STEEL
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OTHER
PROPOSED USE
TYPE OF CONSTRUCTION
ADD/AL T
REPAIR
COMM
FRAME
11-)&- )1- (XJ/O - /3800 ~ 0/ "70
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
SUBDIVISION
DESCRIPTION OF WORK
SQ FOOTAGE I
HEIGHT I
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BUILDING SIZE
D BUILDING 1$ / r- tJdt. ""0 I VALUATION OF TOTAL CONSTRUCTION
,
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C.
D PLUMBING 1$ I ~Dt,/
D MECHANICAL ~- ROOFING ~ VALUATION OF MECHANICAL INSTALLATION
D GAS D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
I II II' I III I' , II , ' , , IIII J III I II 11111111111' , , 1111' IIII " 1111111111 " II " I " 1111 J III' " II , I' 111111' " II' 111111 II III " I " " I IIII' " I II , I " I' " ' , " III
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BUILDER
SIGNATURE
Address
ELECTRICIAN r-
SIGNATURE ~
Address I
PLUMBER r-
SIGNATURE '--
Address I
MECHANICAL r-
SIGNATURE '--
Address I
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OTHER
SIGNATURE
Address 1.3 -)3 ;Lj- ..J
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 onsile, Construction Plans, stormwater Plans w/ Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permil for subdivisions/large projects
COMMERCIAL Attach (3.1 sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construcUon.
Minimum ten (10) working days after submittal date. Required onsile, ConstrucUon Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Slle 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.
1I111I11111111111111111111111111111111II111111111I11I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application complelely.
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 (PloVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RES1RICTIONS: 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 ere advised to contact the Pasco County Building Inspection Olvlslon-!.Icenslng Section et 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 'contrector Btock" of this application for which they wtll be responsible, If you, as Ihe 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 bf
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 Trensportation Impacl Fees and Resource Recovery Fees must be peld 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 AN 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 applicatioh, 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 efI1davll prior 10 commencing construction, I understand that a separate permit may be required for electrlcel wor~,
plumbing, signs, wells, pools, air condlllonlng, gas, or other Installellons hot spectftcelly Included In the appllcallon. A
pennlllssued shell be construed to be a license 10 proceed with the work and noles euthorlty 10 violate, cenoel, eller, or
set estde eny provisions of the technical codes, nor shell Issuance of a permll prevent the Building Official from thereafter
requiring a correcllon of errors in plans, construction or vlolallons of eny codes. Every permillssued shall _ometnvalld
unlesS the work authorized by such permills commenced within six months of permit tssuance, or II work authorized by
the permit Is suspended or abandoned tor a period of six (6) months efter the time the work is commenced. An extension
may be requested, in writing, from the Building omclal for e period not 10 exceed ninety (90) days and wlti demonstrate
lustlftable cause tor the extension, If work ceases for ninety (90) oonsecullve days, the job Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT!liAY RESULT IN YOUR
PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WI H Y RN Y BE ORE REC RDING YOUR NOTICE OF OM ENCEMEIIT,
FLORIDA JURAT (F.S. 117.03) ~
CONTRACTO. ~
Subscribed and swom to (or affirm
I by .
Who 1~lare personally known to me 0 asfhave produced
~mml~~;~hJ~~
Notary Public
Name of Notary typed. prlnted or s
Al'l9eta Helme
My CommiIIlOIl 00611711
expires 0110312011
Name of Notary typed,
State of
Q~J~
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following informatIOn IS provIded In
this Notice of Commencement:
County of P Me c;.
1. Description of Property: Parcel No. II - 'Ie. - ).1- 0010- I ,Sac; -0 I/O
S' t I -g. -7 0 00 ( S$'<& II Ii. .iT
(Legal description of the property and street address if available)
2 . G en era IDes c ri pt ion 0 f Imp 1'0 V e 111 en t {,~ 1111111 11111111111"" 111111111I11111 111111I11111111 "" 1111
2007019549
Rcpt:1070489 Rec: 10.00
DS: 0.00 IT: 0.00
02/02/07 -___ Dpty Clerk
3.
Owner Information: Name
L.d d7 (LJAlbf/- Gf24y)
City ?r';".L-dJ'
Address 04,,~ 1/+'- .S,s
Interest in Property:
- Slate F( 3.3S'lIJ
Name of Fee Simple Titleholder:
(If other than owner)
JED PITTMAN, PASCO COUNTY CLERK _
02/02/07 11: 19am 1 {fS1..2
OR BK 7371 PG ~
R4
Address City
Contractor: Name. I<lv,,, ,qo~ / AY'IW.A /l,~:.y
I I
Address :S)?J C .'V.. :r'j City 2/.'{{J
Slate
s. Surety: Name
Address
Amount of Bond: $
6. Lender: N alne
Address
Statej=[ ?SS'Yl
Ci ty _
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documen ts may be served as provided by Section 713 .13 (I ) (a) (7), Florida S latutes:
City
State
Name
City
State
Address
8. In adelition to himself, Owner designates.
of.. '. . _ to receive a copy of the Lienor's Notice as
provlCled In SectIon 713.13 (1) (b), Flonda Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the elate
of recordIng unless a dIfferent date is specified.)
SignatLlreOfOwner~.- ~A...:/ ~t-dt:~~
o
Sworn to and subscr' ed before m this _ day of Rf";il.UiA.
, 20UL.
Notary Public-
My Commission Expires:
PC93053048/A
bllcState 01 Florida
My CommlJaion 00611711
Expi~1J 01103/2011
City of Zephyr hills
BUILDING PLAN REVIEW COMMENDS
~ V ~tUt tJ'~
2-5-0 7
S1-~b /I~ 0;1-.
PermitType: - iUeI-J IOJ)~ 'j
,
Approved wino comments: ~ Approved withe below comments: 0
Contractor/Homeowner:
Date Received:
Site:
Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
?;
uilding Official
Z't5
Date
Contractor and/or Homeowner
(Required when comments are present)
B