HomeMy WebLinkAbout16-17250 CITY OF ZEPHYRHILLS
* 5335-8TH STREET
� (813)780-0020 17250
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17250 Address: 4823 20TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02400-0070
Improv. Cost: 7,055.00 OWNER INFORMATION
Date Issued: 4/15/2016 Name: HOY ANITA
Total Fees: 75.00 Address: 7524 MT LAUREL DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33540-2009
Date Paid: 4/15/2016 Phone: 813-997-1946
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 75.00
.�
Ins ections Re uired
DRY IN RO F SP
TAPE JOINT O SP
FINAL � '�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
lY .
C� �o�
CO TRACTOR SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_. _t-. ..._ .. ,
a��-�so-oaao City of Zephyrhilis Permit Applicatian Fax-813-780-0021
s Buliding Department
Date Receiveci ptiane Cantacf far Permitfing } � /�� -- ���`�
a,nmer�s tlame . � �R b Owner Phone Number U��� t� I� f �
,,... _._a-.a. ��.
4wi�e�'s:Address`.�, , � � 1_C�,..+�el �O�i ve Z��i��s 3� ��wner Phane Number �
Fee Simple Titlehalder Name Owner Phone Number
Fee Simple TitlehoiderAddress •
JOB�ADDRESS'•. Q�� IJ�� �• _ I 1 �r�l��� �1 ���..J�� LOT# [___��
su�n�visiaN ,PARCE�:.ID# I ���"�I - `C�)b "C�o��{�� V �C?�7 C3
� �(OBTAINED FRQM PROPERTY TAX NOTICE)
WOi31K t'Rt2POSEp' e N�W CONSTR e ADQ/Al.fi � StGN Q MOVE [� DEMOLtSFi
� ' INSTAU, REPAIR � ,
PROFOSED USE , � SFR Q CQMM Q OTHER — (}t} '
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL ' Q OTHER
DESCRIPTION OF.GWpORK� �C.(.l.'�Ot'f" ��''r� l C..1 ,.� �r�� V�11�I ��r�1�,.4 �fs �i� � ll �„� � ���o�7� �
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BUII.DING SIZE �— . �:- -.SQFUO.TAGE / �� HEIGHT
0 BUILDlN�, $�'=�� /,.�'�S)C; � ��� ,.VALUATION"OF TOTAL.CONSTRUCTtON ' �
. `�''�' ����7.����♦�.'�'� .. ,.
� E�.ECi'RICAL �$'—� � AMP SERVtCE Q PROGF2ES8 ENERGY Q W.R.E.G,
�
Q � f'�UMBING � � , ,
.�% '12�"�
Q, MECHANICAL $ VAGUATION 4F MECHANICAL tNSTALEATION �
�.— �-1 � 2 U� ? �"
[� GAS � RQOFII�IG � SPECEAl.TY Q OTHER
FlNISHED FL.00R ELEVATIONS � � FLOOD ZONE AREA QYES QNQ
BUI[,DER ' COMPAAIY
SIGNATURE REGISTERED Y/ N FEE GURRENT Y/(V
Address License# �. �
ELECTRICIAN , COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURREtJT Y/N
Address ` ' Liaense# � �
PLUMBEi2 . j COMPANY
$IGrIVATURE ' REGISTEREp Y/ N FEE CURRENT Y/N
I
Address Liaense# � - �
MECHANICAL CCIMPANY
SIGNATURE REC`.,ISTERED Y/ N FEE GURRENT Y/N
Address ' License# � �
O�FIER�'#,- .,,, /� /��� J Ct3MPAT�Y ��� �f}C.•' �
SIGNATURE�� (.� �W�; �� 1���� � �� REGISTER�p Y N FEE CURR NT Y/N
�i�aa�ess � �� ��'� 1 ii�'-5 ��JS� �`Lficense# �-/�-Z:�-�C;.��
RESIDENTIAL Attach.{2)Plot Plans;{2}sets of Bu3lding t'lans;{9)set of Energy Farms;32-O-W Permi#for new constructlan,
, ;-Minimum ten(10)working days after submittal date. Required onsite,Constri�ctibn Plans,Stormwater Plans w/Silt Fence iristalled,
Sanitaty FaciliUes 8�1 dumps#er,Site YUork Permik#br subdivisions/large proJects , .
` COMMERCIAL Aitach(3)sets of�Buitding Pians;(1}set of Etie�gy Forrns,i2-O W Permit far new canstrucfson: � - � .
I Minimum ten(10)working ilays after submittal date. Required onsite,Cons#ruction Plans,Stormwater Plans w/Silt Fence installed,
Sani k a t y Fac i l ft i e s&1 d u m p s t e r.S l t e W o r k P e r m i t f a r a l l n e w p r o]e c k s.A I!c o m m e r c t a l r e q u i r e m e n t s m u s t i n e e t c a m p N a n c e �
SiGN PERMIT � Atfach(2}sets of Engineered Pians. " , '
•`*`PROPERTY SURVEY required for all NEW construction. . , '
�ir�ctions: ' ' �
Fill out�pplication completely. � '
Owner&Gontractor sign taack of appiEcation,nota�tzed
tf over�2500,a Notfce'of Commencement Is required. (.QIC upgrades over$5000}
*" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�OVER THE COUNTER PERMiTTlNG (Ftont of Appiication Onty}
Reroofs Sewers � Service Upgrades A/C Fences(Plot/Survey/Footage)
Dnveways,-Not over CouPter;if on pubtic'�adways..needs ROW '' �� ,, ;���: "" ,�;- ` � '�� -- ��
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����� ���tl�/}__�' ��. 5%fee for oecdit card prbcassing-
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A Divisian ofl2yman Constructiori,Inc. Propnsal#
36413 SR SRF•Zephyrhills, Flo�da�3541 �Q' ���4'
INC. Phone($13)782-6094- Fax(813)78$-6773 Esbmate#GC�1`�- r1�,_
1-855-Go-Ryman{1-855-467-9626)• Lic.#�CC 1325505
Serving ali af Central Florid� Job#
OwrtedPurchsser ���f f'1'9 W ' Dats• 7.—/���
Clairn#: tnsuranceCompany: —
Policy#
Address: �1 Qr��tl �U'i'�` y�' _ � _ c�,v: Z�p��r 21����✓ Z�p: ����c7.
Kome#_ — —�eu#: �i5���`�`��� t 9� g�s�ness#:
�-Mail Adde25s:
[a/Complete tear off df existing '7���p ��r��f t�� Additionai Notes/Spscial Concems:
- � ,c.�el�e�
(�Secx�re all loose roof deckictg as needed according � ,
to Pivrida Building�od�s (�
t7d 11���1 S� • `�
[�toofdriedfnwith �u n �'�+.�C ]`+� ���' ��"'`�
C�i.`f" c/l
❑ stall new valley metal with galvan¢ed met I 3��' �j �..y�
[�Install new��°drip�ge calor. l'�c�r✓1 �f�r �� ��rc� ,��7�F
[yY'lnstall new lead boots
Q/install al!new general roof veRts
1� � c �
�nstall new (: �r�-,r�r� . �m,�is��o�Qc� _ -
� �
l�•-Manufacturer: �
p�G`o�or. 7='c/`c'e�I-�c..
[�Atl roof related debris removed fi'am job sits,pick-up loose - -
nails using commercial grade magnet
�11 materiais,labor a d permits fumished
�vide a laborwarranfy Total Investment$_, � �� +�
Additional Items: ' --
Payment Method: ❑ Check# ❑ Cash [] Financing ❑ lnsurance Claim
�[] Credit Card# �xp.Date CC lD#
Down Payment:$ �-� C3►-.''"? Amount F�nanced:$ Approx. Monthly Payment:$
PaymentTertns: ��%� ��Y! ,7Dt l�c� u� ��(��°"�
Extras:.
❑ p�fieient 1/2"plywoo4 replaced at a cost pf$ l��c� per sq.ft.in the roc►f field,which includes labor&materials.All other wood work(ad-
ditional I�bar,such as,but nQt limited to,valley rebuilding,rafter replacement, 1x decking,etc.will pe a rate of$ �$� +-'—'per man hour plus the
cost of materials_
TH�S BECQ6AES A BlND1NG COWTRACT UPON ACCEPTANCE OF PROPOSAL.Pl7RCNASER ACKNOtiY1,.EDGES REC�IPT dF A CDPY OF TH1S GONTRAC7.
I ACC�PT THIS PROP05AL AND HEREBY CERTIFY THAT I HAVE READ AND FULi.Y UNDERSTAND THE PROVISIQPJS OF THIS CONTRACT.
Purchaser. ~ Date: �'��' 1
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2016058274
PermitNo. PatceltONo � t_t^`i'yt,�! —��O�����✓V~�^�'�`�' �
I n NOTICE OF COMMENCEMENT + }{, p -
Stale of ������"`� County of I�`1.0`V
THE UNDERSIGNEO hereby gives naqce lhat improvement wili be made to certain real property,and in accordance viXh Criapier 7t3,Ftorida Statutes, �
the faitowing intormaUoa is pravided Sn thts Notice of Commencement:1 i
1 Description of Propert,y`: Parcel Identification No. 1 y-��-"�� � Un�b"��b� ���a i
Streel Address: 1��� ��� � ��r��y"' �� ����� �
2. General Description of Improvement
-�"flQ� d-�' d�-(t� .
3. Owner Infortnallon r Lessee information it Ihe Lessee contracted for the improvement:
�n;+� f�bv
"'�fe.l ,Q�� � �( �ttl 5 � 3�S`{U �
Address ly � State �� ��� '�Ct
Interesl in Property: ��y e � � ��
Name of Fee Simple Titleholder: �
(It diHerent(rom Owner lisled above) ,+�°`�O` . !�y '`�� �A
" � wr°� � a'�3�
Address � r� . � �i�Y State � � � � �
� ConlractOr: Q Q �[j} ,
/ �^u +.s •
Na �lD�t3 �11 �...i� 't���l �3J I� {,'� �, .
Address ���-��^y�l_ttQ�j Ci State �� � ,'�� ,
G� i!�V-r + '�
Contreclor's Telephone No. �
�
5. SurelY- ���• p • .�I. � I
Name
Address Ctty Slate � �
Amount ol8and: $ Telephone No.
6. Lender:
Name
Address C[ty State �� �
Lendefs Tetephone No, �2 U CCC111...� W
7 Aersons within the State oI Florida des(gnated by the owner upon whom notices or olher documenls may be served as provided by � ��W ��J U
Section 713.13(1)(a)(7),Ftorlda Siatutes:
uViz �Q ��p �
Name �' � ph � �� W
V—�U1 Z cA Q. �
Atldress City Stale � � � _I �
7elephone Number ot Designated Person: � W�a U �
B. In addilion lo himsetf,the owner designatea °{— �F���� �
I to receive e copy of the l�ienoc's Notice as provided in Sectian 1i3.13(1}(b),FCorida Statuies. � F Q. � Q �Y
Teiephone Number oi Person or Entity Designated by Ownat: V = � ��
9, Expiration dete of Notice of Cammeacement(the expiration date may not be belose the camp! ' n ot c'uG�Iru�,tipn a ddfij ai I�payment to the Q� � �� �V� �
' contracios,but wi14 be one year ftom the date of rewrding unless a difterent dale is specified): � � 7J �(� o< <�f/ � � � � � Q ...j
WARNWG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPiRAT10N�E NOTiCE Of COM MSNCE M EN T � � � � � a�
ARE GONStdERE6 IMPt2QPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN J W (� Z
RESULT IN YpUR PAYING 7WICE FOft tMPROVEMENTS TO YOUR PROPERTY A NOT}GE C}F COMMENCEiuIENT MUST SE !S� � � � } d-
F2ECpRDED AND PQSTED ON THE JOB SITE BEFORE 7HE FIRST INSPECTION. IF YOU INTEND Tp 06TAIN FINANCING,CONSUL7 � (� � i O
WiTN YOUR LENDER OR AN ATTORNEY BEFORE C6MMEi3CING WORK OR REC6RDING Y4UR NtJTiCE OF COMMENCEMENT O FO 2 (� �{� �
Under penalty of perjury,i deciare that i have read the foregoing noHce af commenceme�t and lhat trie tacts stated therein are true to the besl W � Q � WI`� �
o(my knowledge and belief. Q � � � ��_ �
S7ATE OF L RIDA � ��-� ~�"Q }
C4U u� Ati$ELAHAYWOt1D fd) F— i— O � d
?i1 r %'• potuy�ubiie•filtU o1 ftwida Signature of Owner or�essee,or Ow 's or Lessee's Authorized
.° �c+: - O�cerlDirectodPartnedManager
.• CommMNun/PF 81256t .
'� IAr Ciunm.Explro�Aup 2�,2Ut9
�4y��,�,a� �������, Si natary'sTittetOffrce t �+
^�� -}-� 4 V�
The toregoing instrument was aCknowiedged�be"to�r�e me ihis �O` day oi �t� .24{(pby �f("`- �
eg �(�.�t tX// {type o(authnrity,e.g.,o icer,irustee,atlOrney in fact)tor
(n rr1e at parly n�ybehAlf o1 who�m�Ins umen4 was ezeculed).
,-,/ l.(
Personally Knovm[l OR Produced Itlenti!caUfan}1cT Notary Signature tY ,,...
Type of Identl0calion Produced �L U` Name(Print) � t �+
Rcpt:17636A@ Ree: 10.00
DS: 0,00 IT: 0.00
04f15l2016 J. R., Dpty Cierk
PRULR 5 0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER'
04qR 8K ��35�m PG 1��