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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: ~