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Home My WebLink About96-6299 BUIL~!~!;:Hy~!RM!! Nt - 629GB (813) 788-6611 ' ? Date / I - J - 76 ~ ELECTRICAL PLUMBING P,"perty Own." _~ 7/ ~rJ a/I jJ Job Address: (3 ~,-"5.6 /.:? ~ Parcel I. D. # Zoning: Energy Code: Description of wo;;- X.o ...A~ MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: FINAL (, NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ~r?v / 0-0 Inspector Pe,mit Fee -t. S2 . -2 . Signature ~) ~ ..".,.. ---~ Company Address Telephone# City License Registration # State Certified License# J-7 S- ,~ Rr~ 0~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERMIT CITY OP ZEPHYRHILLS BUILDING DEPAR'fHENf OWNER'S NAKE TOM VENGARD PHONE 782-0419 OWNER'S ADDRESS 38636 B AVENUE Zephyrhills, FL 33540 JOB ADDRESS SAME AS ABOVE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' 14-26-21-0010-03000-0010 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition --...Alteration ~epair _Install _Sign ----'love ->>eaolish PROPOSED USE: _Single Faaily ----'I/p _' of Units _M/H _eo..ercial _Indust. _Swim. Pool _Other ----Restaurant &: Health Departlllent Approval DESCRIPTION OF WORK: RE ROOF BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : 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-BUILDING $ 2,880.00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAHICAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY l'YPE OF CONSTRUcnON: _.Block _FrSlle _Steel Other FINISHED FLOOR ELEVAnOBS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRAcrOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature ELECTRlCIAN COMPANY State Cert. or Regist. f City License Registration # *******************~********************** SiQJIature PLUMBER COMPANY State Cert. or Regist. f City License Registration # ***********************~****************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration . ****************************************** Signature 2I11ER~~ COIIPANY RYMAN rDN~'I'RTlr'l:H1N. TN~ (~oof i n~ . State Cert. or Regist. f R(, nnhl h4R Signa . c- City License Registration f ? 7 r:., . **************************************** Division) APPLICATION APPROVED BY PERKIT OFPICER. CONDITIONS OF PERMIT AFFIDAVIT A.. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wort, they lay 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, e.re responsible for the work. If the contractor wishes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. 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 _ Haaeowner's Protection Guide" p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of tht! \Wove described docUlent and prOlise in good faith to deliver it to the 10wDer" prior to coaenCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDIental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODJental Protection Agency - Asbestos abateJent I also certify that, if fHI laterial is to be used in Flood Zone "A" or "A,etc. ", it is understood that a drainage plan addressing a "cOlpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, Jay be allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COWoiENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHEMTS TO YOUR PROPERTY. IF YOU I1ft'EHD TO OBTAIN FIMAMCING, CONSlir.T WITH YOUR LEMDER OR AN ATTORMKY BEFORE RECORDING YOUR NOTICE OF COKHENCEHEN'l. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A tlNOTI KHENCRHENT" . ~~~~ SIGNATURE: OIiMER OR AGE1ft' . STATE OF FLORIDA COmy OF P f+,S....c 0 The foregOing instrument was acknowledged before me this JI) 0 v ~ 'I , 19.!/.iL by STATE OF FLORIDA COUNTY OF P /l~ ( 0 The foregoing instrument was acknowledged before me this NCV ~~f 19~ by ~~~~~~i;'~~~'~~y or who has produced -- as identification and who did/did not ~:h~. ~~AA' (Signature) c;; is p~OnallY ._~~~~ or who has produced as identification and who did/did not take ~:h. . L.Ie' LA. ~ . t!LA (Signature) (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC ",.,., ,.~ " ti to DONNA M SINCLAIR * '1i:ii1r * My Commission CC382619 ~ , Expires Jun, 14, 1998 "'~~ OF A-lfli'-~'" (Name Typed, Printed or Stamped) NOTARY PUB~"'., ".~~ it DONNA M SINCLAIR * * My Commission CC382618 ~ ..4>'" ExpiresJun,14,1998 ~ OF A-1J'l'" '--~-:;-~l.'."".. - ~ ,~~~ ~~ :~~1~ ----., ";..j ',~;r. .....,~. CARBON LESS '<~:~~2~.3850 '.~.-' '. :, 1:''-11.;" ~--- -.;;. PROPOSAL ~~1MAN CONSTRUCTION TN!:. 1\10. i~: ){JFTNG DIVISION) ~ /325 ,SR 54 WEST Dote ~~PHYRHILLS_ FL 33541 PIIONE:B13-782-6094 LICENSE: RC00616 ,~eetl\Jo, .. ,~ . , '. ~ // _2 (' ~. " ~ () /%6 Proposal Submitted To: Work To Be Performed At: Name '''To, "'-,-',"- .:::r. ~~5a.1l'-~ )j/ IS,A . Parcel I.D. # 19'--':1t -2/- Oo/().' 030{:O-[)()/{7 Street Street ';" :: - p / ~ _.~ ~ 'j' ~ '" " , City -, ".// -" ( . -"" r '. -. , State FJ;.' , f 'A City State Phone .~) ,:,:) :L - () (./ l <2 Date of Plans Architect We he: aby p'C pO:ie to furnish the materials and perform the labor necessary for the completion of ~ Complet etear-offofexi s t i ng Sli i n(Jles. Ropf dried in with 15 lb. felt. Bad plywood r.eplaced a t a cost of $35.00 P,,:'l:' sneet. Installation of new 2x4" lumber and Ix6" fascia @ $1,50 per.lineal ft. c5).) Inst811 all new valley met,=,1 wi i,:~ 2()" '-,/Ol\l,'I: i:C:i;;cl :lii.'l.dJ, 1b3.) Installation at all new lead L'OGtb through!. 0f. CJ).) Installation of new drip edg(" around per'irnet,:c. ~) Installa t ion of new z$' yea r fungus-resis t ant sh i ng leE>" ~~ :~;ed;~~~.sl~~~o~~~r~~~;.the job site. ~) All materials and labor furnished. ~~~~~ ~i1;:t(~t"~~~' + POO-\! ~ O'wc~' ~~ r"',l~;)<< '> ~ ;.i ~;'k~e ':i~"MENT vUE UPON COMPLETION OF JOB. $~ 3.) 4. ) ...... '1"\ 7" t:: r .~ I :3 "IU I! We> ()J ';'CTi\L F' Jf); ,~~ ~~_?_;<[) /. (.' '2.~~ All me: elld :; [uaranteed to be as specified, and the above work to be perfor'med in accordance with the drawings and specifi .anc!r; !.ubmitted for above work and completed in a substantial workmanlike manner for the sum of Dollars [$ ') C'~ /1 (" () J :,?t-. :'~; ,;.,";1 1.--', ~".._,- with pel {nwn tJ be made as follows: I i I ! I ~ \ The ablJ\e 'Jicl:,", :ipecifications and conditions are s~~s~;~:~~~~~: ~:r~:~:c~~Pted You are authorized to do the work as specified I Payme-,:; Ii! e made as outlined above, '.' '." ,':.'....'", :", ',__' ~ ::-., I Sionatw'c" . , Any alte costs, \J\ extra ch upon str fire, tori men's 01' taken au ti, r a! vi cion from above speCifications involving extra b: x, '!e only upon written orders, and will become an g( e i! d bove the estimate, All agreements contingent 3S .x i '1t Dr delays beyond our control. Owner to carry j( " d -' :Ie necessary Insurance upon above work, Work. IP' r ,a! a 'c Public liability Insurance on above work to be JY Respectfully submitted ~ '-'):i f:.~ Per,<J;/ . ,.i.-;_;#' .::-' ~r'_' -~.> <'!' / ...-,-.-, '-. Note-This proposal may be withdrawn by us if not accepted within days. Date Signature I I i / trI'oPj: FCI,it\" :I:JE,;) DUPLICATE MADE IN U,S,A, ./"' .1--J.- ~ . NOTICE OF COMMENCEMENT 11111111111111111 1111111111 111111111I11111 illlllll' 96124873 Rcpt: 116051 Reo: OS: 0.00 IT: 11/27/96 Permit No. 6.00 0.00 Opty 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, Florida Statutes, the following information is provided in this Notice of Commencement: 2. 1. Description of Property: Parcel No, \ 4 - 2.~ . ~ l - ()O \ 0 _ b 3CYl5b _ COI () ~8~3 ~ Ave.-- Legal description of the property General Description of Improvement _ Q.e _ ~ available) JEO PITTIA., PASCO COUNTY CLERI 11/27/96 09:51a. 1 of 1 OR 81 3663 PG 171.5 3. Owner Information: Name \0 N\ Address -:S)S'6"3 ~ ~. Ai.>< Intere'st in Property: ~^'~ N,.ame of Fee Simple Titleholder: (If other than owner) t ) O./v'\ (fu.. cO , City ~~~Statef=\ Address f\ ; Contractor: Name .J .,.-. -Address 37325 City State RYMAN CONSTRUCTION, INC. 5. Surety: Name SR 54 WEST City ZEPHYRHILLS State FL. 33541 Address Amount of Bond: $ C!ty_ State 6. Lender: Name Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)[a)[7), Florida Statutes: . City State --- Name Address 8. In addition to himself, Owner designates C i t Y State ----- of to receive a copy of the lienor's Notice as provided in Section 713.i3(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year frorn the date of recording unless a di fferent date is speci fied. ) Signature of Owner:\. ~ J V ~Y<'Y1-& Sworn to and SUbSC~i~.d before me ;hiS_t--V day of 1\.m. 19~'~~ ~.,~ III AN Notary PUblic:"" ',-, Ic>nC)C32Q1215 , Ellp hp. . My Commission Expires: ~a'~