HomeMy WebLinkAbout96-6268
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
626Sif
",--
Su
G!LD~
Date
J/-/~- 96
ELECTRICAL
PLU~INr.
MECHAI"ICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
0trf sr~&~
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL ~- I 3-9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or ~ - Q t:.-'
Contract Price . ~ / tJ.:2 ~. -
-
City License Registration # d 70
~ Certified Lice~
(':1~",; UJitn@
BUILDING
ELECT81.C-A-L'.
...--
PLUMBING._______
.----
MECH~/
~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.00) 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.
APPLICATION FOR PERKIT /<
CITY OF ZEPHYRHILLS V
BUILDING DEPARTMENT
OWNER'S NAKE
JOSEPH HUMPHRIES
PHONE 782-0684
OWNER'S ADDRESS 5612 CYPRESS STREET, ZEPHYRHILLS, FL 33540
JOB ADDRESS SAME AS ABOVE
LEGAL DESCRIPTION: LOT(S) 0270
BLOCK 0000C5UBDIVISION006B
PARCEL LD.'
12-26-21-006B-00000-0270
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition ---Alteration LJepair _Install
_Sign
_.JIove
_Deaolish
PROPOSED USE: --!.-Sfngle Faaily
----1t/F _' of Units ----1t/H
_ec-ercial
_Indust. _Swill. Pool _Other
---..Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
\&R.-oW
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
---X,BUILDIHG
$
6,225.00
Valuation of Total Construction
_ELECIlUCAL
~CIIAliICAL
AHP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
----..PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fraae _Steel
Other
FlBISHED FLOOR ELEVAnONS:
Fr.
IS PROJEC'1' IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUIIJlER
COMPANY
State Cert. or Regist. .
City License Registration f
******************************************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration f
******************************************
SillllSlture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
Signature
HEGHAHIGAL
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
Signature
OTHER
COMPANY RYMAN CONSTRUCTION. INC (Roofinq Div)
State Cert. or Regist. 'RC0061648
:d.cense Registration t 275
* ***************************************
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pemit laY be subject to Ildeed restrictions II which lay be .ore restrictive than City
regulations. The undersigned assUles responsibility for cOIpliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they .ay 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 lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the cor.tnctrr, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - BOJeOWner's Protection
Guide" p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8011!0ne other than the
'owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to CODeDceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOIpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a perli t and that all work will be perfoIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlBDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llelltal agencies laY apply to the intended wort, and that it is
.y responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
t Departlent of EnviroDleDtal Regulation - Cypress Baybead3, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US HnvirODlental Protection Agency - Asbestos abatetent
I also certify that, if fllllaterial is to be used in FloOd Zone "All or "A,etc.", it is understood that a drainage plan
addressing a uCQlpensating volllleD will be sublitted wbich'is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisior~ of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued sball beCOle invalid
unless the work authorized by such pemit is cOlleDced within sil IOnths of issuance, or if work authorized by the pemit is
suspended or abandoned for a period of slllODtbs after the tile the lIOrt is c_enced. One 90 day l!ltension of tile, laY be
allowed for the pemit with fee charge of $15.00. !be l!ltension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each silllCDth period, or the project will be considered abandoned.
WARMING TO omR: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMBNCEMBHt' MAY RESUL! IN YOUR PAYING !VICE FOR IMPROVEMBN!S TO YOUR
PROPERTY. IF YOU INTEND TO OB!AIH FIWCIHG, CONSUL! WITH YOUR LINDER OR IN AnoRm BEFORE RECORDING YOUR NO'I'ICE OF
COMMENCEMBN! . JOBS UNDER $2,500 IN VALUE DO liO'l' HEED fO RECORD AND POST A "NO'I'ICE OF COMMBNCEMBHt'''.
~~~SI~~
STATE OF FLORIDA 0
COl'M'lY. OF ~. ~
The foregoing inst~.ent was acknowledged
before me this I~ ' 19~ by
~bb/€ ::r ~C-{ ,k~
who IS personally known to me or-w~$___
pradaced
as identification and who ~/did not
take~---rn_-L~ -
(Signature)
TNam~ Typed, Printed or Stamped) ----.-
NOTARY PUBLIC
~~,
II DONNA M SINClAIR
* * My <-c"nmission CC3826HI
Expires Jun. 14, 1998
~JtDF~
~~~~~iO~FFLORIDA P ~
The foregoing iDst~ent was ac~~ledged
before me this 1/ '.S" , 19 -Zt.. by
c:tD-hbt~ T BLl/rk~
who is personally known to me or who has
preduced
as identification and who ~/did not
take an o~~._.~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC #A' M SINCLAIR
",., . DONNA
. ~y PlJ8(~ * II * My Commission CC382619
lQr.';c . , j;:xpife~Jun, 14,1998
*.J " E';t~~: ~~~~,.
~JtIlF~
---- - -- ---- - -- -- --- - .~ ---~ ~--- --""-- ------- "-~, "---._" -~--
RYMAN CONSTRUCTION ~fl9.POSAL
ROOFING DIVISION)
37325 SR 54 WEST
ZEPHYRHILLS, FL 33541
PHONE:813-782-6094 LICENSE:RC006164
No,
'1'313
Date
//- /:2. ... 9'~
Sheet No,
6;2..(0
Work To Be Performed At:
Proposal Submitted To:
Name
::r~~
b'~/n,tPlrr/ .s
(! y f"r'~ :1> A v <.
Parcel 1.0.
#
LJ
Street
S6/~
ZJ::/'//
ZQ-G:. /- 9()1)
.-,
;"
Street
Phone
we-t-/c
State ~~,
iJ
"J."
.? p:z - 0 &. J>Y
City
State
City
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
i; Ll
i J
l,.
\.
....--"
; t','-
. i ~ \.
II .J fl'
):
1!5,rll"-
~ t. tr4
. l....
If ',. (h C.
'. '\ ,,/
., 't..:./"
!~/...
~~;i:I,~;ie~ei~.~~f{'~ 9;'~5'ei;~t~~i t ~hingles. ON t~~1c- sJ~ o~/y 1f1l,1!.-y
BCiQplYWood"'replaced at a cost ot~;35. 00 per sheet.
Installation' of new 2x4" lumber and lx6" fascia @ $1,50
per lineal ft..
@) Install all new valley metal with 20" galvanized metaJ.
~~J.Jn~tCillC\t!QI1 of.C\,ll new lead. boots through roof.
~) Installation of new drip edge around.perimeter.
H.l.In~;ttCillCition. ot.J1.ew... 'fJ(year fungus:-resis tan t shingles.
.) All debris removed from the job site.
@.l.FiveYearleak warranty.
cj).) All materials and labor furnished.
.,.,.~-
J' \
! .
i""
cPt
~)
3. )
4. )
PAYMENT .DUE. UPON COMPLETION OF JOB.
;7#$Ta./I. 1/ t 'f ~ 1f.,Pt,Pa NtJc: b )( / (p I
w,'tH
TOTAL BID:
~~ 'H1l"'~ .~ SpCL<1-
<:>___d 4_~_~-'~_ o~~
with payments to be made as follows:
liolJ
--
rl'o,.J1
0/. A 00
/ i.9t.1 J' ~_~
work to be performed in accordafl~:i~-th~~;,:J~s and
In a substantial workmanlike manner for the sum of
J II r~ ri ........" t) () 1
- 0 ars Lc:. .':s: ,)...;.:..._." .... _.
I/o "L S t:.
All material is guaranteed to be as specified. and the above
specifications submitted for. above work and completed
0''\
Any alteration or deviation from above specifications involving extra
costs, will be executed only upon written orders, and will become an
extra chflrge over and above the estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to carry
fire, tornado and other necessary insurance upon above work. Work-
men's Compensation and Public Liability Insurance on above work to be
taken out by
Respectfully submitted
,';rd, lOt ; · I
;41 ~ I <."':' /~
"",
r- ~~ 60 r.
/ IJ' ..-- >1(}
(e:.;,( .:: -S i
/
Per
Note-This proposal may be withdrawn by us if not accepted
within days.
~----,.~--,--_-//
.------.----....
ACCEPTANCE OF PROPOSAL )
The above prices, specifications and conditions are satisfactory and are hereby epted. you. a:r~e autho . 8d..._. ..~o the wor-k as specified,
Payment will be made as outlined above, '-;;'~ _:::rc. -:,/~Jl .
Si /,\ r~ /a~.-I~^-_""
Date ." Signat!,fre
Permit No,
11111111111111111111111111111111111111111111111111
96120197
... ,
NOTI CE OF COMMENCEMENT
Rcpt: 113456 Rec:
05: 0.00 IT:
11/15/96
6.00
0.00
Dpty Clerk
State Of
FLORIDA
County of
PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713 I Florida Statutes I the following
information l~ provided in this Notice of Commencement:
1. Descrl pllon of Property: Parce I No. ,-:1- .2 , - 2/ - 00" i3 - () 0 000 _ C.2 7 ~
if available)
2. General Description of Improvement ROOF OVF.R
]
I nterest in Property:
Address 5612 CYPRESS STREET
I
JOSEPH HUMPHRIES
JED PITTMAN, PASCO COUNTY ClERK
11/15/96 08:38a. 1 of 1
DR BK 3658 PG 645
3, Owner Information: Name
City ZEPHYRHTLLS
State FL 33540
owner
N.ame of Fee Simple Titleholder:
(I f other than owner)
Address
R' Contractor: Name
Address 37325 SR 54 WEST
5, Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
RYMAN CONSTRUCTION, INC.
State
City ZEPHYRHILLS
S ta te FL.
33541
7.
City
City
Persons within the State of Florida designated by O~er
or other documents may be served as provided by S"e'c 10
Statutes:
,QP.
orlua
Name
Address
City
~ Slale
"---.
8. In additi0n to himself, Owner designates
of to recel ve a copy 0 f the Li enor' 5 Notice
as-provided in Section 713.13(l)(b). Florida Statutes.
9.
Expiration date of Notic:e of Co:nIT1I?""r:~~.,..r.lnt (~h() e)(p:;-;;:~i:::"
the date of recording unless a different date Is specified.)
~I- ~..
~.... 0 \. \...
is 1 )/\':ot" from
sign::e of own~}J r:P ~A,
Sworn to and. subscribed before me this .I fJ ~ay of ~_
19~(, ,
Notary PUbliC:~
My Comrnleelon CCS4387t
ElCplr_ Mar. 31.2000
My Commission Expires:
~