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Home My WebLink About97-7000 BUILDING PE.RMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7000 p:5 Date 9, dS'Afr ~ P~- ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Radon Gas: Description of Work NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. FINAL DATE DATE Inspector ~o Permit Fee Signature Company Address Telephone# Valuation or Contract Price If ~I (/rS5""1 ~ , ---- City License Registration # ~7b ~~~~~. BUI G 'ELE~ ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~U~' M~AL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 iii. LUg" ....J in'1 UO Ii II-. '" ($~) shall be made for each trip for each trade: ~': ill> 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. APPLICATIOH FOR PERKIT CITY OF ZEPllYRHILLS BUILDING DEPARTHEHT OoD ~~ fl. ~ 1// \:Jf/ PHONE 788-7641 OWNER'S NAME DR. PAVATAR CHEEMA OWNER'S ADDRESS 38184 MED1CA! CENTER DR. ZEPHYRH1!!S, Fl. 33541 1\ II JOB ADDRESS LEGAL DESCRIPTIOH: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' 35-25-21-0070-00000-0051 (OBTAIH FROM PROPERTY TAX NOTICE) WORK PROPOSED:_Hew Construction _Addition --....Alteration -.:i....Repair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily ---1i/F _' of Units ---J{/D -Leo..ercial _Indust. _Swill. Pool _Other ~estaurant & Health Department Approval DESCRIPTION OF WORK: RE-ROOF BUILDING SIZE: x Square Feet, Height RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDIHG PLANS & (1) SET ERERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET EHERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. PERttITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. --.KECIIAliICAL $ Valuation of Kechanical Installation _PLUKBIHG GAS ROOFIHG SPECIALTY TYPE OF COHSTRUGTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVAnOHS: FT. IS PROJEC'l IN FLOOD ZOHE AREA? ****************************************** YES NO CONTRACTOR SECTIOH BU1LD~ Signature /" COMPAHY State Cert. or Regist. . City License Registration # ****************************************** ELECTRICIAN COMPAHY State Cert. or Regist. t City License Registration f ****************************************** SiQT1Ature PLUMBER COMPANY State Cert. or Regist. t City License Registration f ****************************************** Signature KECBAHIGAL COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature O~ :/ COMPANY RYMAN CONSTRUCTJON (ROOfing Div.) State Cert. or Regist. , RC0061648 ***:**************~::::-.:::~:~~:~:: L~~;:::::--) Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to -deed restrictions" which lay be lOre restrictive than City regulations. !he undersigned assUles responsibility for. cOlpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, 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 lisdeleanor violation under state law. If the owner or inteoded contractor are uncertain as to wbat licensing requirl!lents lay apply for the intended work, they are adrised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. Furtherlore, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the -Contractor Sectionsu of this application for wbich they Ifill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, 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 perlitting privileges in the City of Zephyrbills. 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 uFlorida's Construction Lien Law _ Hoaeowner's Protection Guide" p{epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the uowner", 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 coaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perlit and that all work will be perf oIled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other ~oveInlental agencieR lay apply to tbe intended work, and that it is .y responsibility to identify wbat actions I lUSt take to be in cOlpliance. Sucb agencies include but are not li.ited to: t DepartJent of Environmental Regulation - Cypress Raybeads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater !reatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, tnvirODlen.tal Health Unit - Wells, Wastewater YreatJent, Septic 'lanks t US EnvirODlental Protection Agency - Asbestos abat8lent I also certify that, if filllaterial is to be used in Flood Zone "AD or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating voluae" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. STATE OF FLORIDA COUNTY OF The foregoing ~i1/~ent was acknowledged before me this . , 19~ by ~~~ who is personally known to me or who has produced as identification and who did did not take an oat ~ p~ STATE OF FLORIDA ~ COUNTY OF ~ The foregoing in~.n ant wae acknouledged before me this ~ ' 19z:L by ~~~~ who is personally known to me or who has produced . as identification and who did[did nQt take an o~~ ~I'~ ~ ~_ (Signature) ~ (Name Typed, P ~#.ted or Stamped) NOTARY PUB ~~ BOBBlE J BURKE * * My CommInion 00543871 Expires Mar. 31. 2000 (Namt! Typed, Printed or Stamped). . NOTARY PUBLIC:\",,'1 ""#.1 .... 6 ~ BOBBlE J eURKE *.* MyComrnlnion OC543871 Expires Mar. 31, 2000 ~ ,,>" ..,,.,, OF f~O"~ ~- .vr.,~ 6'!f'@ FORM 3850 \......~#" TRIPLICATE Work To Be Performed At: RYMAN CONSTRUCTION :BROPOSAL (ROOFING DIVISION) 37325 SR54 WEST ZEPHYRHILLS, FL 33541 PHONE:813-782-6094 LICENSE: RC00616 Proposal Submitted To: City 2-#, /1 S Phone 7~~ -7'-' 'II Name Dt', Po.. Va.. ~r C Ii- e e 1""1 /:1r- Street..3? J ~ Y h1~c/ t'L#JL I ~<,.Jtp( ~('. State r/ .s~'$1b rf'b..,.J .3$ -:i...S - :z. / - 00/0- Ot:>Ooo - ODSI Street City State Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of e..eJYV'\-pl e fa. rr"c.... ~ .... (;) -12f; <l-=F' Jf?~;, oS f. NS ::;,t::',y-5 -fa../ ( ~..3 I b ~ a a.. .$ <:. $'#<::" C' 7""- ~AI . S fq. \\ ~ 0 (.b ~ ~tJ~ ..:;T;..).s,I<t1 ( ,A) ~'-"'"' 12 ' (Jr-oJeJ ~()a-f (Y\. ~~ m~fr:,..f t'~;o w "* ... f.- "- +1D(,- w> CI... H J /Jpp~ "}:2 EO ""'0 v ~ . f;-J oS 1-Q.. , I ~.slq II p9 I L 0 e ~V" , ~ F, l.1 ~ y,et,- ~e r"-e)V c4 ~ ~~ Ie. o,...J ~ Cl-Jl.7 ~ ~ V'<tt.. (( I7Nb 'F/~.s II, toJ.,) &c?~..s .Q,,~~ j'""ob S/1~ ~1-I~)..Jj '~.s JJ~.......JStll~ ~/~.s /9/( p ee-J '-~t:It-~ IA.J a... r ""OWN1-- 7' /11 q,. -+~f- ~ tl... l s 1- La... ~ 0 r- <:). Pc..r-,..,....:-rs ..3 il s-S: 0-0 , All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars [$.g(f'S-s' G>~ 1. with payments to be made as follows: f....JJ. ~~~ C~~ 793' /~cc. tJO ,6b..1C4.NQ.C D,.J (tD_;tJ/c.'/-"C.cgS Any alteration or deviation from above specifications involving extra ~ costs, Will be executed only upon written orders, and will become an Respectfully submitted % rYl a.... .--J extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry , J_ ~ . fire, tornado and other necessary insurance upon above work. Work- Per. ~ l ~ e r...J I ~ men's Compensation and Public Liability Insurance on above work to be taken out by 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 accept PaYI'11!:\ntVvill be madeal;ipl..lt;lfned above. Sifll1aturp natp..~~/97 Signature 111111111111111I1111111111I11111111111111I11I1111I 97107743 NOTICE OF COMMENCEMENT Rcpt: 18.3745 DS: 0.00 09/24/97 6:00' . 0.00 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 09/24/97 03:22p. 1 of 1 OR BK 3809 PG :1 059 Rec: IT: State of FlORIDA County of PASCO THE tmnERSIGNBD hereby gives notice that improvement will be made to c3rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencf'lI\clIl:: 1. Descr iption of Property: Parcel No. 35-25-21-0070-00000-0051 38184 MEDICAl CENTER DR. ZEPHYRHIIIS, Fl. 33540 (Legal description of the property and street address if available) 2. General Description of Improvement RE-roof 3. Owner Information: Name PAVATAR CHEEMA Address City State Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Address City State R4. Contractor: Name RYMAN CONSTRUCTION, INC. (ROOFING DIV.) Address 37325 S.R. 54 w. City ZEPHYRHl!!S State F.L 33'SVI 5 . Surety: Name Address City State Amount of Bond: $ 6. Lender: Name Address City State 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: Name Address City State 8. In addition to himself, Owner designates .of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ~ 199.+-. .~~~~ ~..,.... '~l l:A C " .. . .Q:~- - nEJ...... 'IY ommJ.ss~on Expl.res:: * * MvCommlnIonCCIU.'Ul7f ..... ~.. Explr-. Mar. 31, 2000 ""~ OF f~a"~ Notary Public ( ~a