HomeMy WebLinkAbout00-9356
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09356
Date s/2&/00
L4 ~
~O,
BUILDING ELE~AL PL~G
P,"perty Owne" Lie.. (..... % F<-<-Il.. r
Job Address: ~ <0 ~ 1 _ u <;,.e C t
Parcell.D. # 0-1& -2 (- O"J I 0 ~ OCoco - 03(, 0
MECH~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Description of Work _e,,< - r () 0 {
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O,
~>~,.&
DATE
NO OCCUPANCY BEFORE C.O,
DATE
Inspector
Permit Fee :to. ~
"-Signatur~ fIR -€/l/l LJ
Company
Address
- Telephone# '72?)-- 0'3,*5
Valuation or
Contract Price
Sb'i5. po
City License Registration #
State Certified License#
(2
"'" Cu..,
(A
BUILDING
}75
EL CTRICAL
PLUMB NG
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,
APPLICATION FOR PE1WIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME C }{lren(JJ, J)~ fu laJv
JOB ADDRESS 5~a3 (l71.J~~ Ci ~
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # Id-" d.lJ;~d J -b3JO-()(){x)-()~() (OBTAIN
.
BLOCK
SUBDIVISION
FROM PROPERTY TAX NOTICEI
WORK PROPSED: DNEW CONSTRUCTION
o SIGN
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
~l - mof
BUILDING SIZE
SQUARE FOOTAGE
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.
o BUILDING
PERMITS REQUESTED
$1~ 4::5 . D~uATION OF TOTAL CONSTRUCTION
AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
o ELECTRICAL
o PLUMBING
o MECHANICAL'
o GAS ~ROOFING
TYPE OF CONSTRUCTION: 0 BLOCK
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 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
* * * * * * * * * * *,* * * * *** * ** * * * * *** * * * * * ** * * * * * ** ** * * ** ** * * * * * * * * * * ** * * **
MECHANICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
\f?~*************************************************************
OTBBR~~U t'),/L,/n('~ COMJ!w;~fW)J1- ~D>7,//C.
STATE C R OR REGIST #____________~---
SIGNATURE '. , CITY PROCESSING # (}'7-!5
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTO~S 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 .~EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,5 0 IN VALUE DO NOT N -RECORD AND POST A ~NO CE OF CO EMENT".
acknowledged
~
STATE OF FLORIDA jJ~
COUNTY OF ,
The foregoing instrument w~~ed~
Before ~ t'ts 5!:f::day rg;j., ,<JcJe)
by ~ It .
I r7CJ' (name of person ac owledged) -
~o is personally known to me, or
o who
Name typed, printed or stamped
cii",,,~
County of
Rcpl: 401634
DS: 0.00
03/28/00
JED PITTMAN PASCO COUNTY CLERK
03/28/00 0~: !Slam 1 of 1
OR BK 4336 PG 828
p~
Rec: 6.00
IT: 0:00 '
Dpty Clerk
1111111111111111I1111I1111I111111111I111111111111111 11111111
2000037720
State of
~(
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made
to CeI:tain I:eal PI:Ope.z:ty,. and in accoI:dance with Chapte.z: 713,.
Florida Statues,. the following information is provided in this
Notice of Commencement:
1.Desc:r:iption of PI:ope:r:ty: Pa:r:cel No. /:2.. -;:10 ~ - 03/0--(YJayo-C8t:,v
(Legal description of
Address 5'~5
the property and street address if available}
Rb,R~
Name~~,..~'
~'l. LljCitY~tateFL
2.General Description of Improvement
3.Owner Information:
Interest in Property:
,
Name of Fee Simple Titleholder:
(If other than owner)
Add:r:ess City State
R 4.Contractor: Name RYMAN CONSTRUCTION, INC.
Address 37325 S.R. 54 w. City ZEPHYRHILLS StateFL 33541
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 OI: othel:: documents may be se:r:ved as p:r:ovided by Section
713.13(1) (a) (7), Florida Statutes:
Name
Address
City
State
8.In addition to himself,. Owne:r: designates
of to :r:eceive a copy of the Liena:r: IS
Notice as provided in section 713.13(1} (b), Florida Statutes.
9.Expiration date of Notice of Commencement (the expiration date is
1 year from the date of recording unless a different date is
specified..)
Signature af CMnar.(!jtJhI!Ml'L P.~ l?r.int Name
Sworn to and subscribed before me this~ day of h\~ J
2000. ~e6
Nota:r:y Public: __, " ~_ ~
My Commission Expires:
"'II(;'JCIlllIIW__ ,.,
,......~eoo IIOfft!wwoo Aw "M"
IllIMl8 r e,qqog "":;'.:'-
~ IIatleIeJ....
t.,* AttCommlIllon CCl14443
.".....'.t' ~ Marcll3!, 2004
~
CARBONLESS
FORM 3850
o
PROPOSAL,
TRIPLICATE
Pro osal Submitted To:
Work To Be Performed At:
RYMAN CONSTRUCTION ~n~~OSAL
(ROOFING & ALUMINUM DIVISION)
37325 SR 54 WEST
ZEPHYRHILLS_ FL 33541
PHONE:813-782-6094 LICENSE:RC006164
Name . fIJR.,
Ev)k"Vl.
Parcel T. Dr#
StreetSG~ S-()\....,S~ c'"'!""":
CitY~hiB...~~\\ ' , 1.EJ
Street
State~L
City
State._.
Phone...
Date of Plans,.
Architect_.___.
We hereby propose to furnish the materials and perform the labor necessary for the completion of
~..~..~.,..gg-Il!.e,;L_~_t~__.t e-~E-=,Q.~i.._<:).!_~~..t~_ti.!l9._s h.i n..9J._~~_~.__...._,.".,.. .'..__.______.....________.____
2.) Roof dried in with 15 lb. felt.
----..--..-......----..]_~.l_J...!l. s t _a 11 all new _ va 11 e y me tal wit h ..g,a l,y.a n j.,z e d met a 1 . ______.___._....
4.) Installation of all new lead boots through roof.
"",. """---. .-------!:).~_..l.!1 s_~ a !,!.a t i on of n ew___d r _.Le..__~ d.9_~_ a r 0 u f}..9..__~ rim e t e r...!...___.._.,_________...
6.) Installation of new ~~ year fungus-resistant shingles,
--_..__..,.___.__.?~J__A !,;L__Q~,l?..;-J s -_r:-~lll<:)..Y~_(L!E 0 m_..i..Q.~.__i,Q!L.~ (t~.~,., ..___.._..__...._________._____._________
8.) All materials and labor furnished.
-------~-~oef:::'~es~ oJ w~'!~. .ik.--~fr- -- -----------
-~'_.__.._..,,"_.._,,"_.."' "._.-._--~"~.."-_...,.-,.._".,,-_._._,,_._-_._.._-~_.__.,_._._"_._--_..._'----,~..__.-._--,._.,_.."--------.~--_..._.._"~-"---_._-~~-_.__.._~--~_."- . ..... - --~-...,~-'~"~._-~--------~------,~~_.---.......~----
PAYMENT DUE UPON COMPLETION OF JOB.
------_...._...,_._--'_.._.._~_.._.._--_._...._.__..,_..._-,,-~,-._-_..._-~._.."".,..,.._---_........"...._--.,"-,--,._,_....,,-_...,-~-----
TOTAL BID: $ :$/.,.'1<'
,-.,....- ,~~'!' R.~~ ..~ ,. - ~C;l_~_J2_-!'l,"!I_C!..9.9 ,.E~E,;L~.9_~9. ...~~ ...Ci.~<:)_~"L ,.c:>.~,.. "$.,,-j-()~,Q.Q..-f>~-~__~.h~~_~L,_.__.__._
EXTRAS: Installation of new 2 x 4" lumber and 1 x 6" fascia or
--..-----. "'''''''----. ....------- .... an'Y:"oETi"er"'wood"wo r k..'Fo-.b.e..-repI~;c-ed--..o"n-a....FTme-a n (f-----.....
'--"-" . ...,. '!' C;l!~E_!~.!._!>..~~.!.~ L._ ~~.._C;l_..,;L a E_9..!'....,_q,9 s..~. .c:>..~_,,$...._~_Q . 0 q per .!l.9J:!!'...':....____
per man.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
-------.....-----...-...----.....--,..,....--....."..,. Dollars [$ .36 W.co ],
with payments to be made as fOllows:....,C' ,..... , . ,. . ',,"_ ,... , .' ._...'...____....,_.__..._......".._, .,.
,\,}-?..o.w-'~f~~~.. ....,... "",'. .' .',,_..___." __ ..._________._,...__.._........__.__
Any alteration or deviation from above specifications involving extra 0 ""'\ () (\
costs, will be executed only upon written orders, and will become an Respectfully submitted._. .k.,~dU'l\;\J.._,.. J::..oo~ . '^-~_..,__~__,
extra charge over and above the estimate, All agreements contingent ~ T ~
upon strikes. accidents or delays beyond our control. Owner to carry ~ G e F1J I.' .
fire, tornado and other necessary insuranca upon above work, Work- Per __ vA..!.___, I ~__________..
man'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.