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Home My WebLink About94-3807 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N C? _ 380713 /-d) 7 -J?Y Date BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn < ~~ Property Owner: A Job Address: J..s- m~. ~ ~ ~ Parcell.D, # Water Conn: Water Meter: T.I.F.'s: ~::~~t;on of wo,; ~ ~de Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL n"} 1- I. -'DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, C.O. DATE Inspector W.A. Permit Fee Signature Company Address Telephone# 1#~ ~ rr Valuation or Contract Price '-/d.-9'O. c/O " City License Registration # .....5r State Certified License# '~{4t ~I BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl, Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ,...':.....'~. \,., " ,...' ,: . I, ~ ,:', ~i~, )~'I2 . c ;11 ~"5l..J , '11 4 }~.~. ./ RYMAN CONSTRUCTIONi INC. "'- .,,<-:.', 37325 S.R. 54'WEST'. ::/i',,';":ll-, ".;, ZEPHYRH'ILLS, FL .;'!t~~~ 541 ( 813) 782-60'9'4;0/ (,f( RESIDENTIAL & COMMERCIAL ROOFING LIC # RC 0061648 INSURED & BONDED PbO:~~~ T~ ~/;~ (I'; ;' (1 it !.;,/ ./'i.f i :;/;.;t/.:..,,.,,,,/ L I/t// PHONE #: 7:] 2 - 77'7' )"- .-- .' 2' DATE: oJ......:!. ,;:J - 'I ./ JOB NAME: ------------------------------------------------------------ ------------------------------------------------------------ WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE FOR THE COMPLETION OF THE FOLLOWING: 4'''- COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES. _', BAD PLYWOOD REPLAC-ED AT A COST OF $ Ya ~() PER SHE'ET. INSTALLATION OF NEW 2X411 LUMBER @ $1.50 PER LINEAL FT INSTALL cvt~ NEW VALLEY METAL. INSTALLATION OF I-J~-I-li~EW LEAD BOOTS THROUGH ROOF. INSTALL NEW 15LB FELT. INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER. INSTALLATION OF NEW 1 () 'j -ell(" ;:/,,;-, SHINGLES. , ALL DEBRIS REMOVED FROM THE JOB SITE. FIVE YEAR LEAK WARRANTY. ALL MATERIALS AND LABOR FURNISHED. TOTAL BID: $ Lj;l. 'f~. .f{() Pr;)~:~/~ D;;:7('..~PO~-e~~MPk~~O~ OF JOB. ~. IlJ.,.~,,/ F)GI>/~"'.',-,' C),V /.),,_,,/' I~/'/ h,.. /J/-;", r'" .J.i/,'~.;' .' <- ,!f</v /") '1 .. '-,' ~. ,.~1 . ,. /1/ .. /1 J '... ':~~- f<' ~ ,I .' ."'" .< .J'EF'F"BROWN, CONTRACTOR PREMIER SUNCOAST ROOFING, INC. DATED: ')'- 2......,.. <;: , '" .. i~~~r o NER. GNATURE.. . DATED: ).3616 PASCO COUNTY BUILDING PERMIT APPUCA nON SHADED AREAS FOR OFFICE USE ONLY CENTRAL PERMITTING OFFICES: · Dade City: (904) 521-4206 410 E, Meridan Ave" Rm 234, Dade City · New Port Richey: (813) 847-8126 7432 little Road, New Port Richey /' . Land O'Lakes: (813) 929.6Qii.. 12- t;.fwIo' 9930 Land O'Lakes Blvd, (US 41), Land O'Lakes THIS APPUCATION MUST BE TYPED OR PRINTED IN INK AND IS VOID IF NOT PERMITTED WITHIN 6 MONTHS .... ...... -----------------------~------------------ i~~t~f~!t:~t~~g:;~~q~~~~~;.x- o . FEE SIMPLE T~TLEHOLDER.S NAME (II other than owner): address (II applicable): CITY STATE ZIP ~ESCRIPnONOF~~---~-K~F-------------------------- ~ UVING AREA: PAnO: GARAGE: ENTRY: TOTAL UNDER ROOF: g , BEDROOMS , BATHROOMS: _-_ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER: 10 5 ~ c.. a: o l/) W Q .......... ............ :::::::;':.;';:::;:;'::::::::::::::::;::::::..:::;",:: :...::....../f~r::::::t~\t\;~...i ::;:: .::::: ::~<:::. :', Ijl'lli'Jli~~jl;lil~II~~illiliillllli,jiil:!::i:!!,!!:lijijij::,:!!:.!!i!!i'!:,!!,'!,;,,:,!,;!'!!!i;;!!,i!,;,I!':::!;!~[I 'IF MOBILE ~E ~R~MAKE . WORK CO~PLANSON FILE? MODEL NAME: YEAR SIZE o NO 0 YES VALUATION: $ Lf 2. 4&. tPI.7 ----------------------~---------- . BONDING COMPANY: .SC ADDRESS: CITY STATE ZIP 9 . ARCHITECT/ENGINEER: 10 CITY STATE_ZIP a: ADDRESS: w i= . MORTGAGE LENDER: 0 ADDRESS: CITY STATE ZIP --------------------------------- , CONTRACTOR: SIGNATURE: ::.: ADDRESS: 9 STATE L1C, (il applicable): 10 a: e ~ a: ~ z o o PHONE' ( . CITY STATE ZIP PASCO CO COMPUTER 10#: . ELECTRICAL CONTRACTOR: SIGNATURE: ADDRESS: STATE UC , (if applicable): POWER CO: PHONE # ( CITY STATE ZIP PASCO CO COMPUTER 10': SAWPOLE: AMPS: . MECHANICAL CONTRACTOR: SIGNATURE: ADDRESS: STATE UC, (il applicable): o NEW 0 ALTERATION VALUATION: $ PHONE # ( CITY STATE PASCO CO COMPUTER 10': (Required) ZIP . PLUMBING CONTRACTOR: SIGNATURE: ADDRESS: CITY STATE UC , (it applicable): , FIXTURES: . SEPTIC PER #: PHONE # ( STATE ZIP PASCO CO COMPUTER 10': SEWER: WATER: , OTHER CONTRA TO SIGNATURE: ADDRESS: STATE L1C, (If applicable): TYPE CONTRACTOR: J( i''';() F, ',<, J , ( PHONE'(~ 7fl.l- hCJ~~ 7: - I C STATE ZIP J J S""'1.f I PASCO CO COMPUTER 10': . 2 / VALUATION: $ l.j 2.. "e;;. e:".e; - - - - - - - - - - - - - - - - - -- - - - -- - - - - - -- -- ~..:..; OTHER FEE TYPE: JOBS UNDER $2.500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENr ". "'. ....... ",' : ",... . TOTAL BUILDING PERMIT FEE: (permit lorm 10/91) EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACQEPTED BY CENTRAL PERMITTING STAFF PC93043032 . . "" NOTiCE""." BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND SIGN THE REVERSE SIDE OF THIS APPLICATION CONDITIONS OF PERMIT AFFIDAVIT A. NOTIC!;= OF DFED RESTRICTIONS 1he under&igned understand lhat lhIa permil may be subject 10 "deed restriclions" which may be more restrictive Ihan COUIlty regulations. The undersigned assumes r8&ponalbiUty for compIlanc:e with any applicable deed resbictions. B, lJNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES II the owner has hired a contractor or contractors 10 undertake work, they may be required to be licensed In accordance with state and local regula- tions. II the conb'actor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law, II the owner or intanded conb'actor are unoertaln as 10 what lloenslng requlremenlS may apply lor the Intendod work. they ate advised 10 contact the Pasco County Bullcllng Dlvl&lon. Ucenslng Section at (813) 847.8009. Furthennore, If the owner has hired a conb'actor or contractors, hela advised 10 have the contractor(s) sign portions of the "Contractor Block" of this applicalion lor which they will be responsible. !f you, as the owner sign as the contractor, you are Indicating that you, rather Ihan the contractor, are responsible for the work. II the contractor wishes you 10 sign as contractor, lhat may be an Indication that he is nol properly IloenSed and Is not entitled 10 pennll1ing privUeges In Pasco County. ' C. TRANSPORTATION IMPACT/UTILlTI!=S IMPACT AND RESOURCE RECOV!=RY FEES , ) The undersigned understand thai Transportalion Impact Fees and Resource Recovery Fees may apply 10 the construction of nfIW bullcllngs, change of use In exlsling builclings, or expansion of existing builclings, as specified III Pasco County Ordinance numbers 89'()7 ancI GO-o4, as amended. The undersigned also understand that such fees as may be due will be 1cI11ntlfl8Cl at the lime of permitting, It is further understood that Transportation ImpaC1 Fees and Resource Recovery Fees m:JSt be palcl prior 10 rec:eivll\g a "certificate of occupancy" or final power release. II the project does not Involve a certificate of occupancy or final power release, the fees must be paid prior 10 permit issuance. Furthermore, If Pasco County Waler/Sewer Impact fees are due, they must be pald prior to permit issuance, in accordance with applicable Pasco County Ordinances. D. CONSTRUCTION LIEN LAW (Chapter 713, FIorIcIa Statutes, as amended) If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Construction Lien Law. Homeowner's Protection Guide" prepared by the Rorida 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 desaibed document and promise in good faith to deliver it to the "owner" prior to commenoement. E, CONTRACTOR'SIOWNER'S AFFADAVIT I certify lhat all the Informalion in this application is accurate and that all work will be done in compliance with all applicable laws regulating consb'uo- tion, zoning, and land development. Application is hereby made 10 obtain a permit to do work and If\stallalion as Indicated, I certify \hat no work or Installallon has commended prior 10 issuance of a permlt and that aU work will be performed to meet standards of all laws regulating construction, County 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 10 the intended work, and that It Is my responsibility to identify what actions I must take 10 be In compliance. Such agencies include but are not limited to: o Deoartment of Environmental Reaulation - Cypr8S& Bayheads, Wedand Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment o Soultiwest Florida Water Manaoement District. Wells, Cypress Bayheads, Weiland Areas, Altering Watercourses o Armv Corns of Enaineers - Seawalls, Docks, Navigable Waterways o Daoartmenr of Healrh & Rehabilitarive Services Environmental Heallh Unit. Wells, Wastewater Treatment, Septic Tanks o US Environmental Prorectio~ Aaencv - Asbestos abalement I understand that the following restriclions apply to the use of fill: o Use of fill is not allowed in Flood Zone "V" unless expressly permitted, o If fill material is 10 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, o If fill material is 10 be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only 10 fill the area within the stem wall. o If fill material is to be used in am'. area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found 10 adversely affect adjacent properties, the owner may be cited for violating the conditions of the building pennit issued under the attached pennit application, If I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the pennitting conditions set forth in this affidavit prior to commencing construction, I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be consb'ued 10 be a license 10 proceed with the work and not as authority to violate, cancel, aller, or set aslcle any provision of the technical codes, nor shall issuance of a permit prevent the Bullcling Official from thereafter requiring a colTection of elTors In plans, construction, or violalions of any code. Every permit Issued shall become invalid unl8S& the work authorized by such permit is commenced within six months of permit issuance, or If work authorized by the pennitls suspended or abandoned for a period of six months after the time the work is commenced. One or more extensions of time, for periods not 10 exceed 90 days each, may be allowed for the permit The extension shall be requested In writing 10 the Building Olficial. An approved inspection must be logged during each six-month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORDA 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. SIGNATUREfxi~~Nfl. +~ SIGNATURE .%~I!:?Z.- MY COMMISSION EXPIRES DATE \ " 2 c.a - q4- ~~~~<=--- ~ #\tl\Y'~ - ~ KEVIN L RYMAN MY MMISSION ~ni!. ~ . KEVIN L RYMAN My?ommissionCC320125 EXPIRES *:-- * My~ommissionCC320125 , 997 "'.!i-- , ':'1'1>.... S....., .so, 11197 "It Of It DATE~- -z..t.c ~94- NOTARY AS TO OWNER OR AG