HomeMy WebLinkAbout17-18184 CITY OF ZEPHYRHILLS
5335-8TH STREET
.� ' (813)780-0020 18184
BUILDING PERMYT
�E�MIT INFORMATION LOCATION INFORMATION
Permit Number`: 18184 Address: 39047 SOUTH AVE
Permit Type: RE-ROOF ' ZEPHYRHILLS, FL.
Class of Wc�rk: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: �
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04600-0000
Improv. Cost: 32,200.00 OWNER INFORMATION
Date Issued: 2/24/2017 Name: UGO REBECCA
Total Fees: 540.00 Address: 39036 1 ST AVE
Amount Paid: 540.00 ` ZEPHYRHILLS, FL. 33542-5205
Date Paid: 4/14/2017 Phone: (646)388-0419
Work Desc: REROOF/22 SQ MODIFIED/A/C CHANGE OUT 3 TON 14 SEER W/ELECT/WATER HEA7
CONTRACTOR S APPLIC�4TION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL
60.00
RYMAN MECHANICAL INC ELECTRICAL FEE 67.50
RYMAN CONSTRUCTION OF FLORIDA IN MECHANICAL FEE 112.50
EAST PASCO ELECTRIC, INC BUILDING FEE 225.00
CONTRACTOR CHANGE 15.00
BUILDING FEE 60.00
- Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP ��f
FINAL Y�;u/
BUILDING FINAL �
ELECTRICAL FINAL
MECHANICAL 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 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
•, '; (813)780-0020 18184
BUILDING PERMIT
PERMIT INFORMATION - ' LOCATION INFORMATION
Permit Number: 18184 Address: 39047 SOUTH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04600-0000 �
Improv. Cost: 31,600.00 OWNER INFORMATION
Date Issued: 2/24/2017 Name: UGO REBECCA
Total Fees: 480.00 Address: 39036 1 ST AVE
Amount Paid: 480.00 ZEPHYRHILLS FL 33542-5205
Date Paid: 3/16/2017 Phone: (646)388-0419
Work Desc: REROOF 48 SQ SHINGLE/22 SQ MODIFIED/A/C CHANGE OUT 3 TON 14 SEER W/ELEC'
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 60.00
' RYMAN MECHANICAL INC ELECTRICAL FEE 67.50
RYMAN CONSTRUCTION OF FLORIDA IN MECHANICAL FEE 112.50
EAST PASCO ELECTRIC, INC BUILDING FEE 225.00
CONTRACTOR CHANGE 15.00
��
, Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP /
' FINAL '3- �l
�1k(��v1.�'C� ,�`�e:li-cG�' �7
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall im ose a fee of four times the amount of the fee im osed for the initial ins ection or
P P P
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 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
N Y
O OCCUPANC BEFORE C.O.
�_ '
�
C TO SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TN STREEC
. ', (813}78Q-o020 1$1,84
BUILDING PERMIT �'l��.
PERMIT INFORMATION LOCATION INFORMATION "
Permit Number: 18184 Address: 39047 SOUTH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: AfC CHANGEOUT Township: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Btock: Section:
Square Feet: Subdivision: CITY O�ZEPHYRHlLLS
Est. Value: Parcel Number: 12-26-21-0000-04600-0000
Improv. Cost: 31,600.00 OWNER INFORMATION
Da#e Issued: 212412Q17 Name: UGC} REBECCA
Total F�es: 465.00 Address: 39036 1 ST AVE
Amount Paid: 465.00 ZEPHYRHILLS FL 335�2-5205
Date Paid: 2/24/2017 Phone: (646)388-0419
Work Desc: RERQOF 48 SQ SHINGLE/22 SQ MODIFIED/R!C CHANGE OUT 3 TON 14 SEER W/ELEC'
CONTRACTOR S - APPLICATtON FEES
RYMAN ROOFING INC REROC�F RESIDENTIAL 60.00
MARTIN E�ECTRIC E�ECTRICAG FEE 67.50
RYMAN MECHANICAL INC MECHANICAL FEE 112.50
RYMAN CONSTRUCTIQN OF FL�RIDA IN BUI�DING FEE 225.OQ
Ins ectians Re uired
D YINR OFIN P
TAPE JOINTS ROQF INSP
FINAL
REINSPEC7'xON FEES: (c)Wifih respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
laca!government sha!! impase a fee af four times the amount of the fee imposed far the initia! inspectian ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this perrrtit, there maybe additional restrictions app{icable to this praperty that
may be faund in the public records of this caunty, and there may be additional permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"1Narning ta owner: Yaur failure ta record a notice of cammencement may result in your paying twice for
impravements ta your property. If yau intend to abtain financing, consult with yaur lender or an attorney
before recarding your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All wark shall be performed in accordance with
Ci Cocles and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFt3RE C.O.
NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{�TECT CARD FROM WEATHER
�2.- 2�»�-Z�-b��7- b�(o(�O�(X�r=c� 1 N-�'
Permit No. Parce!ID No � B�
idOTIC�OF CC1ftfl'AflEP10EME1dT '' a a
State of ������• County of ��O ' W�
� ,p"_�
THE UNDERSIGMED hereby gives noiicethat tmprovement will pe made to cedaln real property,and in accordance with Chapter 713,Flarida Statutes, �;—
the folluwing information Is provided in ihis Notice oF Commencement•
9. DescrlpGon of Ptoperty: Paxcet Identificatibn Na. ��'�f<'"' ��` ���'' ¢�'�d"�� ' �
7j�iD�l'Y �u.,�k�-► �.TC�Ohc�rh��, �115 � (2, 335�1Z. r
Street Address: �—
2. �eneral Descriptlon ot tmprovement ��-' rCU�� ��f?t�� `�G �t� �
' ��
..�
3. Owner tn9armation ar Lessee informafion if the lessea cantracted for-the impravement: "�=
Y�'✓�G�CC.�. Ul.a�o ' •�=
3�1 a�{�t S;��h f�ve. �h����t�, �2�35�fz , �
Address �� Ci#y State • �
Interest tn Property:
Name of Fee Simple Titiehoider.
(If d'rf're[ent from Owner listed above)
Addre'ss r.'� ' � ,���„��� ,�n� Gity State
Contractor. K�
1?b�{13 Na�31� 6�, ��'l�tr�w115 C��3rJ�'1 ��N N f�D
Aifdress T Clfy�i Sta#e ' �"�
Contractors Telephone No.: �C�''��'2-0�2,'S � N@�
5. Surety: @ t�9 W
Name • • -
� J Cfl
Address - Gity State �''�
3 W
Amount of Band: $ Telephone No,: . '
6. Lendee: 1�rv�e.(3�idc1� �inct�e.�i al 5'erui�e s ��c• I �i°� Reci.l Es�t"a� M-k�. Netwa-k. , ?'i�
Na e �� ` '
j'28 `�._h�'ano `7r�� Sc�i�c.. Zoi �A�na.�lalts �� 2�`�°� � c{4s
Address �a — C(fy State '� ����
Lendes'sietephoneNa: �55~ U�3� ��� ' ,C m�
t
7. Persons within the State of Florida designaied by the owner upon whom notices or other documents may be served as pravided by � � �
Sectldti 713.93{1){a){7j,Florida Statutes: i m
'f
Name �
Address City State '
Telephone Number of Designated Person: �
8. !n additian to himselP,the owner designates qf—
� to receive a copy of ihe Lienot's Notice as provided in Section 713.13(1)(b),Fiorida Statutes.
Teleghone Num6es of Person or EntSty Destgnated by 4wner;
9. Expiration date of Notice of Commencement(ihe expiration date may not 6e before the completion qf constructian and final payment to the
+`' -�
contcactor,but wii!6e one year frorn the date oE recerdiag untess a diEferent date is specifie[�: Gl�3 C' < < �N c
WpRNtNG TO OWNER: ANY PAYMENTS MRDE BY THE OWNER AFTER THE EXP1R4T10N OF 7H5 NO't'iCE OF COMMEt3CEMENI' ��D
ARE CONSIQERED IMPROPER PAYMENTS�UNDER CHAPTER 713 PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �„�
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOIJR PRQPERTY. A NOTICE OF COMMENCEMENT MUST BE u'
REGORDED AND PQSTED ON THE,108 SITE SEFORE THE F1RST tNSPEGTION. !F YOU SNTENp TO OBTAtN FlNANGiNG,CONSULT � ��j o
WlTH YOUR lENDER OR Ai3 A'i'3'4RNEY BEFflRE GOMMENCiNG WCYRK dft REG4RDlNG YOUR NQ3iCE OF G4MMENGEMENT. �Z
e-►m
Under penalty of perjury,I declara that I have read the foregoing notice af commencement and ihat the facts stated therein are irue to the best ' ��J�
4P my knawiedge and beHef. � �Lq�
STATE OF FLQRIDA �_
COUNTY OF PASCO '��� I ��v
�S}� na e a4 Ovmer orlesses,ar Ownets or Lessee's Autharized ��°
CfFfEceriDirectodPartnerltutanager D
� �
'�
0
9ignatory's Ttle(Ofr1ce ��'`m
�.1 �Zi�r'Gtw 1? `�2CC�- � �
The faregoing instrument was acknowledged before me this day af�,2o ,by �O��
as •{type o4 aulhoriiy,e.g.,o i er,trustee,ariomey in factJ for
� �
(name of party,a eha whom instrument was executedj. ; ��
Personaily Known L�,0,�Produced Ideniitication❑ Notary Signalure —� i �
0
Type of idenf�c�tion Produced Name(Print} �i�u1 ��� � m
. A
�r�J
;p�Y PU�^ Notary Public State o[�torida
, Tammy Verdadero
y 4 �oQ My Commission FF 184019
�aFc+,t3' Expires 1?11&t2418
C �
I
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� a�a=�ao-ooao City af Zephyrhills Permit�ppljca lon Fax-$13 780=0027 '
Bullding Department (
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Date Recelved �,r �Z-�"('1 phone Contactfor Perm[lting -
�+ —J:-!Z� .. � ( �
Owner's Name ,���E�c�'�(�r;l„, �.�.r. �% Cevunor,plToi o IVumber � . �j.`'i I�(� `' :.?;_:'t.� lJ'�1��-�
�
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Ownar's Address ����i�r� `;��'�+'�'�a '�L�''. �uirne�Piin. e Pdumbet
Fae Sitnple Tiftehoi�er Nanrse � ._ _ _ �� 4tvricr'Pt3oasc Namher � � �
.
Fee BEmple T1tlehalder Address , �
J(]16ADDRESS , ���"'I����'�� �.f,"u.:ti`�`� �S"�V� �, �Y.,YJ�'7i{f'{;1����, I"G, %�,°��.����%. LOT-� ��. �
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SUBDtVIS1iDlV PpRCEL ID# �� �%"" l.�+ ,�?�( � �.��r'.f��,*r ,, C�i:f l;(:�: , t'�,_'i':t`a �
i ' - -- {OCiTt�NED�ROPA PRUA[f2iY TAX t+IQ'flC�a i
WORiS PRGIFOSEp, h1EW CONS'rR AOQ/ALT � SiGN: (� Q GI�MClI:ISFI �
e IN57AI.1 � REPAIR - - - - '
��o¢os�n usE � sF� � cor�s� 0 c��r�a�� ' I
TYPE OF CO[dSTFiU;C710N �] BLOCK [� FRAME �� '81"ECI: � -- ' ' LL ,
D�3CRIP7idtdOFYYORK �'�E:'_t(:�t:{•" t��3��'i�' �j���Yt�irttJte•,5„ � ('!.�'�<�. �:;ftt' iV1n,�t�•i���ir�, �-��1�����r't� .`_it,;:�.Yt U�i.i'�ji�f�° Sd.�sii-1
BUILOINCnSlZE .���_,-._.__.�..� _�� , l�� .. , � ��� �`�ta1 i �����:.:�_r 4crra��s}�:�• �
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�BUlLDIIUCa�� $ ;: - : . .. . - l�{x,,,-';..:: � �:��.yls•i..:�.1 +,'�.§i� �
1 J t t {4._ �'�"`�Y VRLilATION�F TOTA�G4NST.f2U_� lCiN {
f,'-L, j 1[cF��t._�', �
0 ELECTi�ICAL 9� � ����, .� � ANiP SERVICE � PROGFt�SS ENERGY Q W.R.�.G_ I
��,,,.r. j�f �' ( '�'"� I
�]PLUMBING $ _ _ ,;` _.�j �. ! C7 I�
�E�, � ��t� i
�MECHANI�AL �- VALUATION OF MECHANICAI.INST LIATION �� '� ������ �
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�A� ,. . `�''ti �, ���., ,� .
�] `' � ROOFING Q SP�CIALTY � 07HE. `�'1� �, _+��7/`-
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Ft4Vt51-IED FLOOFi Ei.EVATIf}NS F�.OQD ZbI�E Af2�A YGS: NO I._'.'_,j ,� �`��`' i
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SIGfJATUR� �'�4�.�.s 1.! � �4 if"S��' RE[iIST�2E0 'Y`l � FEECUfiREt+ - '.(sj - , #
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Address i'��4�•�l%� -_'>t?, �r��t.(� ��,�.��..�.t',I I +6, f2 �>`�'f I � � Llcense# ���'?�`•=��� �'_�r.��;�� I
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ELECTRiC1A4d � f �� s_^��Cm�PANY �1/�rt,Y�.{"�vy. i=,�t;r'':9C i t; �� .,�.{'ri`7_`:.• - - f j=' �l f �It�r�
- '��C.i_ ,i' � �,
SIGNATURE _ _ � 2 t REGySTEf2ED ('Y}I'N F@E CURREA �"�(y'J� ' --- - � '�
;Addr�i�fi. _ 1"}��. �:?,'�, ��':ka�.t�. �'t#i„� �.,..'3�5Z.{� , -- l.lcense# �C,P 3C1C?/"��,';3 ,�
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�Pl:t11U]HEE2"t _i;� � G�C}tUi�'AtNY /���+ ,,,a m'. ,�� .r{,
r a j� �j ��a�-'���� ..�G .+�} �. $T O ELECTRIC (RlC..._
FSIC,tiN I��URE.- '�V�4r�✓�� REOISTCR[D ��Y l��1'v EE CURRE� Y 1{Vt ��4� ?�-��`�`
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ry' aaaress.� � � � " 'I`tl 'DADE`C1Tlt-F� r3525. � u�$nse# ., � k
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�MEG#PtAE1CAL �-� �'"•`•••.•-r�� ��t CQIVlP'At1iY ��',(t v�n<r 4 (1,IL•t_.t �„�;��' ,� I'�;;� -
Sic3NATURE ������'�'G-r"� � ;Rs�i�rr.��o: r�Y! h( FEE CURRET �Y�!N
Add1'ess �:�L��;i�1 '=•fi_ =f�� � ���,��{'�4��-�'+��tl�,t-i"t' '�:."�`?��:((� Etee e ��t��'F� ��` � "���_ �
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att��R � ( (r,�1 ,, ���.). comaa,r,nr ��'�,�r�v��� `{�'�� f���� _t r i< . —�,
SICaNATi,t12E ���}r-._••�- �J •
'-R£CdlSTFFt�i] �Y}J,'�I FEE CURRESi t Y=1 N
Address �a',dr'{a"3 �ih;a '�'j�(i� �d�;�t,�'l4�-t�1� (a� �L' ;'�,,�;,4(i � l.icon � '�-!�'1t� ( �?�j•s�= ,
� se � �,
e o n � o � i � o,�u a � o � � a � a a�� e � � � e � a ��e a A o n � e a � n.u���n ��:p.�e e o'� ��:�:� fl �-�u ��� e�a�a e.'a�a o�o q �.'���o �
t2E51DENTIAL �ttach�2)Plot Plans;(2)sets of�uilding Plans;(�I)set of Energy FoYms;�Ft-Q=, Rerrriii for now const�uction,
Mlnlmurn ten(10)working days after supmlttal det�. Reqwired onsite;�conativa'tkon�t��e,na;Sivtinwtat�r P1ans Wl SIII f=�rice.l�gtAlletl,
�an�tary Fac9iH,ies&1 dumpster;S(ta Uitark Permii for subdfvisior�sliar{�e praj�c.i;� " '
COMP�fERCiAL Attaoh(2)compiete�ets of Building Plans plus a Life Sefety P�ige;(.1),se�t ot,Eii�?rgy Forms.Fi-G-W,Permtt fat new,ctinsfruckiori.
�llinimum ten(10)warkfng days after submlttal date. Requfred onsita,Construotion Plen§.Siarmwater Plans.wl�s!!1'F,�ncn�ina4a!led:
_ _ ._ _-' ___ -__- ' _ __- ___ ' \.
Fax-813-780-0021 I
'.813-780-0020 City of Zephyrhills Permit Application �I
Building Department
i�
Date Received ����`j� Phone Contactfor Permitting
Owner's Name P.��C�C'Q, � C2wner Phone Number ,_`'�� "" �8b �b`'i�� �
Owner's Address ��6�� �� ��'• Owner Phone Ptumber �— �
Fee Stmple Titleholder Elame �— � 4wner Phane�tumber �� �
Fee Simpte TitCehotder Address
.�oa raao�ess �qb�-{`� '�Ct�--tih �ile . h rh�t 15 �2, 3"3 5N 2. ��T� �
suea�visiow � PARCELID# 12.- 2h- Zl- oocx�-- 6uf�UU� - �
(dBTAIHED FROM PROPERTY TAX HOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � Q DEMOLISH
e INSTAIL 8 REPAIR
PROPQSED USE � 5FR Q COMM 0 OTHER
'EYPE OF CQNSTRUCTtON Q BLQCK Q FRRME � STEEL Q
DESCRIPTION OF WORK �e"(0� "'�fj 5 . ���S��i'1JG1es i 22'S . (�t'1 F (Vlbc����etc� �'i�u(►�+"�� `J� �-+ ���")
� � �� �_� �M-�r,t�MGt.ke���Cz..
BUILDING SIZE SQ,FOOTAGE NEIGHT rl-
�BUILDING $ 7 VALUATION OF TOTAL CONSTRUCTION 1Y�����" ��e��CG�t a��'�
22.� S Cb ^�.� (�.s ►�etr�le�l• .
--��
�ELECTRICAL $ I 'I�� AMP SERVICE � PRO�RESS ENERGY Q W.R.E.C.
o����g��� $ � -�j��J��� �f 81 f3� � �sz7�-
���
�IVIECHANICAI $ � ��_ VA�UATION OF MEGHANICA�INSTAI.[:ATIOiV � � /•,,
� /:�vti
(��J
�GAS � F2{?OFIRlG Q SPECIA�TY � C?THER ~ `�[ " ��� ��`
FINISHED FLOOR EI,EVATIONS FLf70D ZONE AREA YES NO �� � - IS �/
_ .... �
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BUI�t3Ef2 �^���� � � CONlPANY t1L{(�L ��S"�tRC.T��'Yl t -��.
SIGNATURE �� REGISTERED N FEE CURRE� Y/N
Address �J�s�{3 S(Z 5{{ � r-h�t{{ 6 �2 �35�t License# ��� ��{ �'�`7 t �
,,,.....,, ,,....., �
ELECTi21C1AN .^ ~� �-�'�����O�PANY �CM��'�'lYi ��[;�r'it; � ...ZL'�^
SIGNATURE REGISTERED / N FEE CURRE� /N
. t3oK �3Z l�►�te C� �. �75z10 �� _$3
Address License# C t 3oc�l3. _
�ttlfK(�1BER' � GOMPANY �U1
SIG �A URE REGISTERED Y I N FEE CURRE� Y/N
`' � t �'`
Addres �icense# �� �
r � rr,a.rt Mer.�lao��cc.,lL, �"..v►c •
ECHANlCAL i�� ��` ""� �� GOMPANY �{
SIGNATURE y � REGISTERED / N FEE CURRE� N
f►ddress 3lci4�3 StZ- 5�l s �?ht�rh'yli �'c. 335�-II Cicense# �lU1C 12.50'�t'"t3 �
OTHBR ( � �,,,�,p �/r COMPANY M�n 1�`�n ��•
SI�aE1ATlI12E 1 REGI81Ei2ED I N FEE CURREP Y}/N
Address ,�b��3 SiZ Cj�{ �C h ���5 12- ��5y� \ �icense# G�CC I 3255b5 �
� � � � j � � � � � � � � � � r � e � � � � � � � � � r � s � N � � e � eo � � � eeQ � r � � ei � � r � � � � � � rr � � � � e �
RESI!]ENTIAL Attach(2)Plot Plans;(2)sets of�uilding Plans;(1)set of Energy Farms;Ft-O-W Permit for new construction,
Minimum ten('10)worKing days after submitta!date. Required onsita,Canstruction Plarts,Stormwater Pfans w!Siit Pence lnstaifed,
Sanitary Faaiiities&1 dumpster;Site tNork Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days a€ter submlttai date. Requlred onsit�.Canstrucfion Ptans,Stormwater Plans wt Siit Fence insta!led,
Santtary Faciiities&1 dumpster.Si#a Work Permit for ail new prajects.AII cammercial requirements must meet compiiance
SIGN PERMIT Atkach(2)sets of Engineered Plans.
•"**PROPERTY SURVEY required for all NEW construction.
I Directions:
Fill out application complekely.
Qwner&Contractor sign back af application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor}ar Power of Rttorney{for the owner}would be someane wiih notarized letter fram owner authorizing same
OVER THE COUNTER PERMlTTING (capy of cantract required)
Reroafs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage�
Driveways-Not over Counter if on public roadways..needs ROW
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RY M A N�_
Lic.#CMC1250473
February 21, 2017
City of Zephyrhills, Florida
Permitting
RE: AUTHORIZATION LETTER
To Whom It May Concern,
I, Drew Worthmann, President of Ryman Mechanical Inc. authorize the following individual to apply for, pay for
and pick-up permits on my behalf.
• Tammy Verdadero
• Kristie Eager
• Jennifer Greene
If you have any questions or concerns, please contact me by phone or e-mail at(352) 682-9507;
drew@rvmanmechanical.com.
Thank you.
Sincerely,
�
Drew Worthmann
President
State of: Florida County of: Pasco , �,
The foregoing instrument was acknowledged and sworn before me on this o2�� day of F 20 �7 by �
1�.�,, ws��lnr�,n(1 ,who is personally known to me. � '
—1 �� -�l. ��ca�M�.�+t�CY '
Signature, Notary Public—State of Florida
�""'•'•c��, JEM11P1iFER N TRAMfutELL
Notary Public: c,c1��l;�t�' J�1-TaM�� '� �"= MY COMMISSION#FF
:a. 938073
; �"'.?o:�,,• EXPIRES January 15,2020 �
�nnh� ��_ aoay� �,luT�398-0i53 FIw�GiNoteiyServ�cu.cwn
My Commission Expires: ��,��,..�v� ��,
36413 State Road 54•Zephyrhills, FL 33541 • 813-782-0825 • Fax 813-788-6773 •www.rymanmechanical.com
'�,t' ',�,`"� n Invoice 1Vumber:022117
�CG6� �j4�zvivlC��C:�.�.�svZ� lGl�'i. Purchase Order:
Residential Division Sales Rep.: Ryman,Kevin
Invoice Date: 02/21/17
- INC. License# CGC 1517771 Due Date: 02/28/17
Page Number: 1 of 1
Customer: 616
Location:
Ugo,Rebecca/Zavisa,Robert 39047 South Avenue
1001 West Cleveland Street Zephyrhills, FL 33540
Suite A
Tampa, FL 33606
Quantity Unit Description/Part Number Unit Price Tx Price Extension
1.00 4,428.0000 4,428.00
HVAC and Roofing Contract $44,280.00
10%due upon signing
Invoice Net 4,428.00 '
36413 State Road 54•Zephyrhills, Florida 33541�Telephone: 813-782-0825•Fax: 813-788-6773
www.rymanconstruction.com
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f,:
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS -
Contractor/Homeowner: I`G��'►'1G�r� (.�GY��S 7�"�CC��
_ r
Date Received: �2- �� _-� �
Site: ,�� �� � 7 •�1tiYGi �y'�--
Permit Type: ,��rc 2 ZS' M�r�'�
y
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
, � �
Z�_j,
�
Kalvin ' i e ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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BCIS Home `: Log In ( User Registration ( Hot Topics � Suhmft Surcharge � Stats&Facts � Publfcations ,� FBC Staff ' BCIS Site Map C Ltnks � Search �
�q�(ti�
;-� � Product Approval
.�;' � �; ,USER:Public User
a`�'� /R'<:.r,?3
Wr.��:s:��:
Product Aooroval Menu>Product or Aopliration Search>Aoolication List>Application Detail
'�..�,a-��s „� FL# FL5680-R17 �T����V DAT� �
._� = Na ���I 7
Application Type Revision � °A T OF t�
Code Version 2014 P�'1��XQ 21�1'PAn� Y�
Application Status Approved '`°�'�l��Y����s
Comments
Archived l.-:
Product Manufacturer GAF �L�w
l�hiFQ
Address/Phone/Email par sppany, NJ 07054 F R��A���NG COOES��������`
(800) 766-3411 ����Q�A S(J��p�N�CODEr
mstieh@gaf.com �L�C7.�+C
�!�'��'����Y'��I�'��aR�INANCEB
Authorized Signature Robert Nieminen _
I indareith@trinityerd.com
Technical Representative Beth McSorley (current)
Address/Phone/Email 1 Campus Drive
Parsippany, NJ 07054
, (973) 872-4421
bmcsorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
�= Evaluation Report- Hardcopy Received I
Florida Engineer or Architect Name who developed Robert J.M. Nieminen �
the Evaluation Report I
Florida License PE-59166 i
Quality Assurence Entity UL LLC
Quality Assurance Contract Expiration Date 04/22/2018
Validated By John W. Knezevich, PE
t�; Validation Checklist- Hardcopy Received
Certificate of Independence FL5680 R17 COI 2016 O1 COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008
FM 4470 1992
FM 4474 2004 �
TAS 114 2011
Equivalence of Product Standards
----- - — '
`�� ' � Certified By
y v Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/14/2016
Date Validated 12/15/2016
Date Pending FBC Approval 12/19/2016
Date Approved 02/07/2017
Summa of Products �
FL# Model,Number or Name Description �
5680.1 GAF Modified Bitumen Roof Systems SBS and APP Modified Bitumen Roof Systems
Limits of Use Installation Instructions (
Approved for use in HVHZ: No FL5680 R17 II 2016 12 FINAL A1 ER GAF MB FL5680- {
Approved for use outside HVHZ:Yes R17.pdf k
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-465 Created by Independent Third Party: Yes
Other: 1.)The DP noted herein pertains to one specific Evaluation Reports
system. Refer to the ER Appendix for all systems and max. FL5680 R17 AE 2016 12 FINAL ER GAF MB FL5680-
design pressures. 2.) Refer to ER Section 5 for Limits of Use. R17.odf I
Created by Independent Third Party: Yes �
Ctack ritext
Contad Us :2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privaw Statement::Accessibilitv Statement:: Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by treditional mail.If yau have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.The emails provided may be used for offidal communication with the licensee.However email addresses are publtc recard.If you do not wish to supply a
personal address,please provide the Department with an email address which on be made available to the public To detertnine ff you are a licensee under Chapter
455,F.S.,please click here.
Product AppravalAccepts:
� � �� �
�_Gred'R CaCd ' .
Safe. --
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- �y,�sa� G�ao ' z,�l�c. ��,
Residential Division
INC. License# CGC 1517771
March 16, 2017
City of Zephyrhills
Please remove Martin Electric from Permit#18184, 39047 South Ave, as the Electrical Contractor and
add East Pasco Electric as the Contractor.
Thank you,
Kev L ym
36413 State Road 54•Zephyrhills, Florida 33541•Telephone: 813-782-0825•Fax: 813-788-6773
www.rymanconstruction.com
.
i1 _ �
CITY OF / / � / BUILDIN�
ZEPHI�RHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRESS DATE PERMIT�,
����-�� �����4 ��- /, �
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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R��,�,w. C��.� — c1i2� i b� P
(��(I �zcc� bc�e,G. <0 4�� �- 3 c�@i- 0���
� er ersons to
, �t is unlawFul tor any carpenter,contractor,Bui�der,or oth p , AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
' the installation. '�
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR ��i��'U�7�
I J