HomeMy WebLinkAbout21-271413
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• BGR-002714-2021
Issue Date: 08/23/2021
Jill lilly! lill ! I I ! I ! I I ! I I i III I I I I III - #
REMMMME313B�111412 1 1 111- 111
707, 1 low
JLL� accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4
'0 1
CONTRACTOR SIGfTURE PlEfAIT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
il�F�11
17T6109-7
Building Department
9,�
,21 _7 1/ Y
1-1 1 1 1 1
Owner's Name Mf6aPjJaAiri1,tCTom ull Owner Phone Numbed SO - JU- -13W) I
Owner's Address ( 54 WA h m Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION I Ct
WORK PROPOSED
El
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE F —,,5 o o
LOT #
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR
ADD/ALT
SIGN MOVE 0 DEMOLISH
INSTALL
El
REPAIR
SFR
COMM
OTHER
BLOCK
F]
FRAME
STEEL = OTHER
Wco) voc UOL I F1 U
SQ FOOTAGE HEIGHT
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
PROGRESS ENERGY
0 W,R.E.C.
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL
INSTALLATION
$
GAS
ROOFING
SPECIALTY
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
F]YES =NO
+il+H+ttttt+H+tti+t+H
BUILDER
SIGNATURE
i COMPANY
REGISTERED
L_Xl_ NJ FEE CURRENT
I Y i iA
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
Y/N
Address
License # E=====
PLUMBER
COMPANY
��FEE �CURRE�NT��
SIGNATURE
REGISTERED
Address
License
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
FEE �CURRE�NT��
Y/N
Address
License #
OTHER
COMPANY
rn
T)c
#ii-ENT
SIGNATURE
0
Y/N FEE
Address I3(,0q(3
I
License I
Sg 5q -&0hV(hiq�) icl
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 wl Silt Fence installed,
Sanitary Facilities & I clumpster; Site Work Permit for subdivisions/large 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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
A 0 1 a
NOW
.0
permit issued shall be construed to oe a iluense R pl'#R;e6#
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 I 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, CONSUL . T
WI BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S.filr7.03)
6L
CONTRACTOR(!
owl OL k b ore me his
scr d thif b jri d and swo (or irm
0. re a nd s w1v 0 t (or rimn ) beTor
OL CL WLX) by
Who.s.a.- -.--.ialykn n to me or he /have produced Wh is/a e personally kn n to me or as/have produced
as identiflcation. —as identification.
Public Notary Public
'N_ame -ofNdtpry typed, printed or st
KELLI B. RYM;�N
,LfLLI B. RYMAN -State of Florida
___K - 41,�',_Notary Public
iotary Public -State of Florida Commission # GG 348302
Commission # GG 348302
My Commission Expires
My Commission Expires July 30, 2023
J.IL30, 2023
INSTR#2021176503OR BK PG 334 Page 1 of 1
08/19/2021 08:12 AM Rcpt: 2341719 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Parcel ID No .� - -___ _._--
NOTICE: OF COMMENGt-114FN7 4
lJ 1 1 County r„f
THE 11 NDER SIGNFD hereby glues IK)HC6 that trnprovern ant will be made to cedain real property, and in accordaoco w!th Chapter 713, Florida 8tolLit es,
Eha folirtvfing Informalian 1s provided in lilts Notice of Conrmencm tUtnE: �} tt J'�(^� ( () -I
b `� h 0 .., 01
1. DLso Con of Pro r€ . Paicat Idenlificafion No. 4 t� p `^ F ~ t^' kJ f 4^J w� :J.l,,d ..__
p F� y' ,
_ Sfrest Address:_ — - -
2, General Doscriplran of improvement _ 6 __
r c
3, op In` rmation or Less nfonnal oil If the Loss ce eoniracted for 1118 iirrprovemeol: __-
_
Address
Interest in Property:
Name of Fee Slmpte Titleholder:
(if different from Owner listed ebovo)
4, contractor:
Contractor's
v. Surety:
Am ount n"Bo j ij��
6. Lender:
Name
Telephone No.:
State
Sfate
{
State
State
_. �-. __.... State
Addresa City
Lender's 7elaphone No.: _ __, ------
7. Perlw-fs within the State of Florida designated by the Owner upon whom novices or other docllnents may he served as provided by
gK�) ta13.13(i)(aj(T}, Hod,"r tatutos:
Name
`ielepttoneN'umberoflaasignaledPerscn �.._
6. in addition to hirnseif, the ownerc+eslgnates-
ta recolva a copy of the Manors Notice as fzo.idod In Section 7'13.13(f)(b), Fla:ida Statutes.
Telephone Member of Person or Entity Designnted by Owner;
9. Expiration date of Noiica ai Cornnrencernent (the expiratinn dnlo may not he hofare [lie comp, .' xn of cor ruetion and feat payment to tho
or L'aclor, but will be one year from the date of recording unless a different date ij specified)
WARNING To OWNER: ANY PAYMENT$ JIVADE BY THE OWNER AFTER THE EXPIRATION OF THE NflT[CE OF Gt7MMENCEMcNT
ARE CONSIDERED IMPRCIIL-R PAYMENTS UNDER CHAPTER713, FART1, SECTR7tJ71313, FLORIDA STATUM9 AND CAN
RESULF IN YQUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST 13E
RECORDED AND POSTED ON I Hlz JOB SITE t3EFORE TNF FIRST" INSPECTON. IF Y[T.1 Itd7t=ND TO OBTAIN PINANGINC, ('ONSUt_i
WITH Yc)UR LENDER Oft API ATTORNEY BEFORE GOfNMENGI,',)G WCRI< OR f ECORDiNF3 YOUR NOTIG6 OP COMMEt�fCPMENI .
Uncierpenakyef perjury, I ds6lare that I Lava read the foregoing natfco of commoncernant and lis'l the facts statl Ihereln are free to the best
of my knowledge and (relief.I-•` "r
Eft OS'T tr � tZ
sTa"r ESP
COUNT F q '> Nntt�fy P abifc Slate of Florlde _------
- ` otafy ttaslic 958320 Signature cf Owner or Lessee, of Owner's or Lessees Authorized
ire5 OfficrrlDirectorAr rnarlfYanager
;tea My Cornmissioft Exp
' February 09, 2024
Signator} s TiUe.16`fca �„�,�
I"ho roregalrg 6>_strurnerst twos act<nowiadged befrae nta iI day
ash ay ?� (type of authority, c g., officer, tnrstoo, attorney in fact) for
(nsn:a of part; an hehilfo�twham h7stiamentwas exeautc-I),
Notary
Persnnnlly j<n,ey.r (",j 4R Pror u ed identi'caGo - -�
Typeafldentitfcatio[rProduced _ 41 ('r,:^ , Name (f r=n1)�-
wpdatal47e,?rotioecommencramertt, pct153t7g8
, . .
0
��������� ���������� Inc.n�"""^�°" ""~�~�""""��v °°°~~
A Division of Rymon Construction, Inc.
38418GR54- Zephyr iUo.Flohda33541
Phone(813) Fax 13)788-6773 No.,
1-855-Go-Rymon(1-855~467-9026)�Uc#CCC1325505
vmmw.RymanRoofing.onm
Serving all of Central Florida
Michael Turnbull
Insurance Company:
PoUcy#
Job Address: 5546 10fh Street includes in lBVV bQildi
Mail to
Mome#: 813-778-7860 Cell�_____
[�Comp��t�r���*���
-- One layer included
�� secure all loose roof decking auneeded according
toFlorida Building Codes
�� Roof dried invvith Peel and stick
C�
Z
install new valley metal with galvanized metal
[�
Install new 6 ^ drip edge oolor
Install new lead boots
L4
install all new general roof vents
|neiaUnmw [Z]Shingle
[—lM�a|
[:]Tile
�_/
K8odifiedB --�n
--
�-�TP0
�_/
L4
Manufacturer (smno/e, metal or tile)
Manufacturer (Tpo or Mod, o/*°°*
Z
Color: (8hing|e.Metal orTi|*)
Color: (TP0orM0D.Bitumen)
All roof related debris removed from job site,
pick-up loose
nails using commercial grade magnet
All materials, labor and permits furnished
Provide 5 year
labor warranty
Additional Items:
Payment Method: �lCheck ------- ���_/ �h# �o
L_]
LJ Credit Card #
Down Payment: $
PaymontTe
z%fee kvcredit card processing.
Fens =Mj
�024�0
Estimate
Job#
OQ City: ZeDhV[hi||S Zip: 33542
E-MailAddrenn:
Business#
Additional Notes/special Concerns: |OC|UdeS
Install GAF Timberline H|]7 30 yearlifetiDle Lk1
dimensional/archittural shingles
Resisto peel and stick underlayment
Permit and scheduling of inspections
Base Price* 1�*a^� x�,�������.yv/��
|
��
| Financing | Insurance Claim
Exp. Date CC0#
Amount Financed: $
35% down and balance upon completion
Approx. Monthly Paymer�$
OlDeficient
Price does NOT i dud unforeseen oon�asdeaohbedbebwun�ua|ndiva�din�dd�ono Items" above
�p�oedataoos of$ per sheet inthe roof fie�.wh�h��udealabor &m�eh
��� ab,/U|'
na||obor,auohaa.butnot|imited(o.wa||eyosbuUd|ng.mafterrep|amament.1xdeukiog.etc.m/iUbeareteuf$ 7.�Lper lineal foot plus the
cost ofmaterials,
DGE�RE�BPTOFA�DPYOFTH|�C0NT�ACT
THIS BECOMES AB|ND|N�CONTRACT
|AC�EPTTH}�p urum DTHE PROVISIONS OFTHIS CONTRACT.
Purchaser: Date: 8/10/2j
� �r Ed
Purchaser: Estimator:
City ofZephv/hiUs
5335 8mSt
ZephyrMU|oFL38S42
AClOFING INSPECTION AFFIDAVIT
licensed under Chapter 468, Florida Statutes as a/n\:
Contractor \e""Engineer_ Architect-_ Building Inspector_
License
{)norabou 1AL did personally inspect the:
�~
Check: Roof Deck NeiUn~ L~,""Dry In— ~~- Flashing and Drip ed '—
Check which was used: 30#fe/t___ 0the//L|st
Atthe following ��
address: ^D'�^4 v� �I��
Based upon that examination, | have determined the installation was done according tuthe Hurricane
Mitigation Retrofit Manual (Based on Section 553,844, Florida Statutes).
Bgna1
STATE O�-FLORIDA,-
I/� �
�X�Ymk�
and Subscribed before this
Notary Public State of Florida
P &.", K ANGELA HAYWOOD
Notary Public - State of Florida
Bonded through National Notary Assn.