HomeMy WebLinkAbout00-9345
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09345
Date ~ /2' 100
L/ G. $l
BUILDING
ELEC~CAl
Pmperty Own., ~~J 50~ '" !J.,,(
Job Address: '59 3 S _ _ - ~
Parcell.D. # '1- 2' .' ) 1- 0 ~ to. 00000
PLU~NG
ME\NICAl
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Ob<-(O
Zoning: Energy Code:
Description of Work _Qil - A. oo,.{
Radon Gas:
FINAL
~.//Lf~,1J
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
City License Registration #
State Certified License#
Inspector
Permit Fee ~. - ,
Signature S4'1~~ /7 J (1-~
Q
Company
Address .
Telephone# -75+- O~-)
Valuation or
Contract Price
s~oo,~
275
iLO ~ ~J
BUILDING
ELE
RICAL
MEC
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 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"""" -m:"
-. "'-_e "If
CARBON LESS
FORM 3850
u
~"U~U~ML.
TRIPLICATE .
PROPOSAL
RYMAN" CONSTRUCTION, INC_
(RCX>FING & ALUMINUM DIVISION)
37325 SR 54 WEST
ZEPHYRHILLS, FL 33541
PHONE: 813-782-6094
Work To Be Performed At:
Pro osal Submitted To:
Name
'-V ,\'f>09 . \\e,..y
~<1 3'S:l...~~.~y ~
Parcel I.D.#
Street J~ -~ lP~ \ -.~.3JO-::090 OO~()~'-I
Street
City 'Z_~ ~ltlt.\4:\\.s ) F\
Phone ,..., 8'..?-=28- S. ~
State 3.3 S'1 f
City .s~~ W~'.;J.I
State
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
'l,}'Gomplete-t-eal'-of.f.o.f. existing ... s h ing 1 es.
2.) Roof dried in with 15 lb. felt.
'3.)... Install..al-1new . vall eymet a 1 with galvanized metal.
4.) Installation of all new lead boots through roof.
5.) Ins t a 11.ationofnewdripedge . around perimeter .
6.) Installation of new ~,~ year fungus-resistant shingles.
7.) All. debris-removed .fr.om-t.he.. ..jobsite.
8.) All materials and labor furnished.
'''9,}'.Fi ve . year leak warranty.
, ,
.;:-:"B~~~RtJi.~ c:.~
PAYMENT DUE UPON COMPLETION OF
l1!t/,
JOB.
TOTAL BID: $
....'...dU'
3J"oo.
..... . EXTRAS. : Ba-d--p-l-ywood.-l'&placed.a,-t..... a,.. ..oost '. 0 f..,$,-40..,OO',...pe*...-shee.t.~_.__.._.,_
._......m.'.. ....,...... .., .. ,E*.'fRAS:l-ns.ta-l,l,at-ie-n--&fwne-w..,2..-x..4..'!......!-umb.er..and..-.l.,x-.6,'.'-,f...as..e-ia,.o.I'-w.._-..._
any other wood work to be replaced on a time and
. mat er ia 1.. bas-is, ..at- -a-labor. cost ...of.$-.,3.0..00..per..hour,.
per man.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
~~~_~t~:~~\b~~~_~~~~~~.__1j~~~~:Ple~~~.i~. a s~~~t_~~~_a,I'N:~~~:~~~~~" ~~I:r:r [$f03 ~o. ~m ~~
with payments to be made as
-..J,L(2Q.\l. ....t.Ook{2J.4.~!~.__...._
Any alteration or deviation from above specifications involving extra
costs, will be executed only upon written orders, and will become an
extra charge 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
e._.~~."_.".,__"'...~_"..~._.._...,.._e_..."...,,_.. '-""~-e.."...."~_,~~..<_.._,._,..--c.~,_ '~..__.~~_~____~~~_~_,~....~__.,_,___,."
Respectfully submitted "-~1'M.~.~.L._~.E~___.._..____,..
Per ._.B.....,~=r..._C.~ESZJ...
Note-This proposal may be withdrawn by us if not accepted
within days,
111111111111 1111I1111I1111I11111 1111I1111I """"" 1111 1111
2000034360
State of FT.01Hnll.
NOTICE OF COMMENCEMENT
County of _{?,C)S C-{)
THB UNDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property: Parcel No.
'do -db-c91 -d31D -oQOOOr-Off'fD
.
.
.
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1
.
(Legal description of the property and street address if available)
2.
General Description of Improvement
r/ - ((0{)
Repl: 399951
DS: 0.00
03/21/00
Ree: 6.00
IT: 0.00
Dpty Clerk
Owner Information: Name !)), /5(/r1 ~~,
lIddress .3<13:5) %fh.Arlcity 7l1; L~
~~92~~~~M't !~~CO fOUN1~ ClERK
OR BK 4332 PG 450
3.
I
I
..J
J
r
I
I
I
,
,
I
Sta teE ,-3551 (
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
;:"
4R Contractor: Name
Address ~7~'~ ~ R
5. Surety: Name
RVMlI.N r.nN!=;'I'RTTr.'I'TnN.TN(,
(ROOFING DIV.)
~4 TA7~S'1'
City ZEPHYRHILLS
State
FL
335'tfl
City
STATE OF FLORIDA
COUNTY OF PASCO State
THIS IS TO CERTIFY THAT TYE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR m: PUBLIC RE D IN THIS OFFI ' I ESS MY
HAND AND I L 'TH DAY OF
Address
Amount of Bond: $
6 . Lender: Name
Address
City
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.
9. Expiration dftte of Notice ot Commencement (the expiration date is l,year
fr~rn the date of recording unless a different date is specified.)
1'XtYl
his ---8l d~y of -mq /f (!. "J
d~
Hrf
,
Sworn to and subscribed before me
~
Notary Public: ~~c.
My Commission Expires:
itA
J- ~rL'kd'fI~
*- *My Co '.
~....:;' ElIPlr99"'::~on CC800247
APPLICATION FOR PEmaT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
JOB ADDRESS
~(!g!;t ~ Ny~~
PHONE 7 ?d-7 ;R5~
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # i;)-eJ u,-JI-a:31()-f'(X)CfJ-();Rt-IZJ (OBTAIN FROM PROPERTY TAX NOTICF:\
SUBDIVISION
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JADDITION
[JALTERATION
'~EPAIR
[J INSTALL
[] MOVE
[J DEMOLISH
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
~
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
(ll - 1r7z7J
SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
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.
[J BUILDING
$
cZRM'ITS REQUESTED
3,,~6. VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
[J MECHANIOO-
$
[J GAS
~OOFING
TYPE OF CONSTRUCTION: [J BLOCK
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
M&:CHANICAL
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
SIGNAT
COMPANY'
STATE CERT REGIST
CITY PROCESSING #
Iht].
OTHER
***************************************************
CU.l.\llJ.!..').'LU.f\l;j 1..).": .l.;:'.~.':{r!'L'..'}~' A.~'.~'L}JAV 11'
?,>-,'. . N~TICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whi'ch"' -
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet 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 governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A 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. JOBS UNDER
$2,500 IN VALUE DO NOT D TO RECORD AND POST A "NOTIC OF CO NT".
r-/~
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was,~~~n~w)~ge~~~
Befo~mJ.this -f?) dap of. %U;:~'jtl..QW
by QA If). . ;j:' 0
(name of person ack wledged)
7l~hO is personally known to me, or
o who
()a~(JJ)
STATE OF FLORIDA
~o
name of person acknowledged)
is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Odidb qid not ta7J.n oath
7.4 <f71 . J. .- --~
Si na ure per~~~~efMiknowledgment
*JiWr*My Comm; .
'1~.... ~pi..., JI:SlOO CC800247
Name typed, printed or sta~p~a003
,,~~fo Angela L Helms
aA M~ ev".rIla5lOO GC800247
Name typed, printed or sta ..
",," EXPIres January 3, 2003