HomeMy WebLinkAbout07-6464
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6464
Permit Number: 6464
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 5,260.00
Date Issued: 2/13/2007
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 2/13/2007
Work Desc: REROOF 500 sa FT
Address: 38021 MARKE SQUARE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-04000-0050
Name: HASHMI, HASAN & SALMA
Address: 38021 MARKET SQUARE
ZEPHYRHILLS, FL. 33542
Phone: 813 780-1543
~
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.
~~.. ~~
RACTOR SIGNATURE PERMIT OFF I
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8~13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date ~eceived'
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Owner's Name
Owner's Address
Fee Simple Titleholder Namel
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Fee Simple Titleholder Address I
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D NEW CONSTR D ADD/ALT D
D INSTALL D REPAIR
PROPOSED USE D SFR D COMM D OTHER I I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I
DESCRIPTION OF WORK I ~ Vlfl) ( 5 ~ 1 k<- c 17 ~ h If f- roc> f tJk.V( ('t- s I-c p s J 0 c.J4;
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I wi \' P ()
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JOB ADDRESS
LOT #
SUBDIVISION
PARCELlD#162-2[, -2/ -06/0 -()7"CJOO-OQ5"Q
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
WORK PROPOSED
DEMOLISH
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D GAS c;2Q ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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Address 1330\ () S'(L S-z. 10 130 ( \t~ License # Ice (. 0)7 r~J I
ELECTRICIAN I COMPANY I
SIGNATURE , REGISTERED Y I N FEE CURRENT Y I N
Address I License # I
PLUMBER I COMPANY I
SIGNATURE , REGISTERED Y I N FEE CURRENT Y IN
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BUILDING
1$
1$
1$
1$
AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C,
5, 2 (P 0
VALUATION OF TOTAL CONSTRUCTION
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ELECTRICAL
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
License #
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Attach (2) Plot Plans; (2) 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
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.
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. CAlC 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 A/C
Address
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RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/Foolage)
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 l:iny
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 descri~ed 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 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded.ln the application. A
permit issued shall be construed to be a license to proce?d with the work a~d not as authorr~y ~o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit IS commenced within SIX months o.f permit Issu~nce, or If work authorrzed . by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced., An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty (.90) da~s 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.
::~:A~~::~~S.~. CONTRACTOR~ ~ ___
Subscribed and swom to (or affil111ed) before me this Subsc:i~ed~nd swo~}o (or affirm~ b~fore me thIS .'
.' ,'7.1,'.7 ~ ,.ii I"':i,,; k,','",',,\- '_I"~I,,,'bY,.'" \1 "I:,,, L "
ers~~ny known to me or haslhave produced Who is/a~persorllitly known to me or haslh~ve p~odu~ed
as Identification. as Identification.
Notary Public
Notary Public
Commission No. ,,~t.~ Karen L. MUler
g:t 'i~ Commission # 0
Name of Notary t' XlD ber 29, 2010
,P,'.., Bonded Troy Fain .Inl"",nce, Inc 600-385-7019
Commission No.
f~~5~~~,~.~~~ ~:::s~:r~~=NCEMENT No, 5293 p, 2/4
, Stale oCt) 0'(" .,~ CoIIIIty of.JP. 'S(" n
THE UNDERSiGNED b<<eby gives Doti~ ~ improvement ~ill ~ ~ado to~i~ real p~ttyt
and in accordance with Chapter 713. Plonda Statutes. the foUowmg Information \s provided 1n
tbi. Notice of Commencement: .
X 1. DeScri~ttcm of PropertY: ParcclNo. Q'L-'2.l.9 - 2.-\ - 00 \Q - 0 LIDO 0 - ftYCSn, '. ~ I
i~tlU~.~$&f~e7~~;'~~~~~~~t; - ,
2. Gener~t Desoription of Improvement
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2007026257
X 3.
f:Ptyl~ 8A
Owner Infonnation: Name
Addtess3~\ ()\CtQ..~~ tA
J
" IS Fq m,'1l me.Ji'Cc'tJt5
dty].LpVl'-llll.aJS State FL 33S4;~
9n\rna.. ~:
l"cereRt in Property:
Name of Fee Simple Titleholder.
(If other than owner)
Address
R
at)':
Contraetor: Name S r;!J ~ ~ \pr \, nrV"'l ~
Addresseo .6b'y I ,'8B", ~~D\C\'<4l2'~ty
S. Surety: Name
t.~~-=; '11'0
State
~~\~~" \QL
StAteE L
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Addres.
Amount of Bond: S
6. Ldtder: Name
City ...
S~te
~;~t0 1:J3555 Rec: 18.50
02i13/07 IT: 0.00
Dpty Clerk
Ad~s
(,
a~ SW~
7. Persons within the State of Plorida desi eel ' .'
doCuments may be served as provided ~ccti~ ~nler3 u'p1)on( whom no~ces or other
. .' (1 a) (7), Flonda Statutes:
NsnGe' JED PITTMAN, PASCO COUNTY CLERK
02/13/07 12 : 085 1 of 2
Ad~s OR BK 738 PG 622
Ci~~ State
-4
8.
In addition to himself, Owner designates
~ .
~~,,:..,. ,.... ~.,...'n" "f I ~ " (., (h\ '"^!'t,.. ~t.h~iYe a copy 'of the Lienor's Noti"clt al-J'
h 25. 20~77 .3:37PM~ ZEPHYRHIL,LS FAMILY.M~DICINE:receiveacO'pyofth~N~~.~?~~rfs~'._~~a.U3
~rev)ded In Sectton 713.13 (1) (b), Florida StatUtes.
-9. Bxpiration date of Notice ot Commencement (the expiradon date is 1 year from the date
of recording. WJles5: . different clate is spccificd.).
X SilllltureofOwner: . ~ ~--
Swam to and subscribed before mQthfs ~~ day of _
Notary Public: ~'-=_~--}--OLru. A~ ( )--..(:c(J_""=-__
My Commission Expires: ~ ::).. J l :J" (C;Cj
flC~A
-s o..,--,'--'-Cu -r-: 20~
~~~l{I~ Laura L. Carter .
gf( '~-\~ Commission # 00451773
~;:~.. expires July 17 ,2009
"f,sr. flt\\'- IIIIlftCI Tilly '111I. Inlullnce, Inc 800-385-7019
OR BJ< 7385 PG 623
2 of 2
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Street:
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Date:
PropOSaJ
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1>0 SOl( JlU
33010 SR 52
SAl1 Antonio, Florida. 3~576
351-53"'663 OtSJJ..182..1330 )'u; J5.2-~"".9763
CCCOS79$1
,FLorida Modic.a1 Square
38021 Muket SOWU'e
ZephyrMl$ , State, Florida
180..154.3 FQ),:; 782-3254
December 18, 2006
,
-
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Zl.p: '-' ~) ~ <....--
'-'-"'-
(}pti()o I-
· Roof Over Lower Flat Roof Olily (I.eak Area)
o Remove: loose j1'ave! '
o Remov~ Two AC Unirs
o Tnst411 ~.. In..iUlation Boara
u Mtt.banically r....., . U year RUbberized Rooliua M"",bran. System
c.. Reset Two AC Unib
· Cleat1 Up and Haul Away.>\U oebri(S .--.."'-_ ~)__......,
· 5 year workmanship ~ty ~ 1
· $5,.260.00 /
~~~ /
· Complete Roof Over .__~
o Remove loose gravel
o Remove Two AC Units
() Install W' lnsu1atioQ Bow
o MechatUcal1)' fasten e 12 year Rubberized Root1.ng ~embmoe
o Re..~ Two AC Unit.~
It Clean Up and Haul Away All Debris
I 5 year workm.an.sbip WiUTanty
-
Payment Due iN Fwl On Completion. hopos41 is Coot/for 20 days.
Ally wll'MlfioJu 01 din'ialIUlr. ~ __I: spccifjQlll1~ 1n~!>lvuIl Q1la .,. will ~ ~ Oftly IIJl'lliC ~ ~. ~d ..ojl!
~OllIe III Cll"" ~ OVOl' and alx1\'e tile ~e. All 'er~ ~ ~ fll'i~!, ~'C1_! ",. dda)'f beyolld out U1l1m>'.
(~et Iv c8f)' lirr. t'-'"'* Md orhcr IUCI:fi~ iO\JUNlJco, Ot.a-~ .., ~ "" W~'; ~MlkwI Jn~,
· $22,950,(JO
Authorized Sianature_ ~W~.t.:-~__
-
Acceptance of PtopoW. '!l.t Hlwt prh:or, S(leci.fio.<td?lr.l cd .:lilodilicl>> lie ~y llllO .-e
ilffe!,y ~, '(w In ~ III ell> tlM: won; IV ~tllll, ""mellt will be lIllIde . OOUillco.4 ~.
, 114!Ol
~'1< of A'''~~i2~~~__
"lg:oature __ ~.. . " ___