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Home My WebLink About01-0421 BUILDING PERMITN2 0421 CITY OF ZEPHYRHILLS (813) 788-6611 Permit ~o. aU ...... Date 7/5/01 BUILDING ELECT~CAL PLUM~G MECHlNICAL Sewer Conn Water Conn: Property Owner: f q v; .hlr ~ . C ~ e ~ ."-'t c; Job Add...., )~ f1/Ie.I:CG.' ~kr \)r. Parcell.D. ~ Zoning: Energy Code: Radon Gas: Description of Work e.e - ,'" \J 0 .f' Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee 5'0. ~ cl Signature~~ ~.J'4-- Company Address -+-- Telephone# 1"6 Z - CJ g- 2.-S-- Valuation or Contract Price f...{O ~,32~,- r City License Registration # State Certified License# .(Lv~", (.:;. >"\ \~ ' I ( ") BUILDING ELECn ICAL PLUMBING MECH~ NICAL Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts Insl. Lintel Meter Can Water Compressor r FRM. Const. Pole Sewer Final Insul. CL Pool Final WL Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS --:Pc- V [+u.. (' -S, 3 15 6 2. 3> fY\-e. J ; L-~~ Lk.-e.eV'v\~ c.f-~ -t- 0\.. PHONE 7YQ~7&-1 / 2 -<--ph. '7' hIll s r-I. 3 3S~7"O OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTATN FROM PROPERTY TAX NOTTCF.l WORK PROPSED: (JNEW CONSTRUCTION DADDITION DALTERATION i?l REPAIR, D INSTALL D SIGN (J MOVE D DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER ~ DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL K,-e..... g~(")~ BUILDING SIZE SQUARE FOO'l'AGE 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. D BUILDING $ PERMITS REQUESTED S; 32 <6. ifo I VALUATION OF TOTAL CONSTRUCTION (J ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY o OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME [] STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D 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 ***************************************************************** ***************************************************************** SIGNATURE A. NOTICE OF DEED RESTRICT~ONS Th~ undersigned understands that this permit may be subject to "deed restrictionsff which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS j\ND 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 NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". e~ STATE OF FLORIDA (J~ COUNTY OF ,---------- owl edged The foregoing in:~ument w~~~ledged , ~Before z;;7 ,this da:t?of c/} d 0' N..€}aC)1 by l":;xy?P I~ ~,I --- (name of person acknowledged) ~ is personally known to me, or STATE OF FLORIDA I7.Q...-vi i\ COUNTY OF ~ The foregoing instrument was Before m this ay of by ~ (n~e of person acknowledged) Ciwho is personally known to me, or Dwho has produced (type o did not Sign re Jl!5.. eltDaking acknowledgment #b...... * JiiijJ *My Commi&Slon CC800247 ,~.... ExpIres Janu8Iy 3. 2003 typed, printed or stamped gnature of p son taking ack "'6"~ An eta L Helms *~*MY Commission CC800247 Name t yp edt:,...~ fffl!~a~ ~ iQlXlp ed Name 111111111111111111111111111111111111I11I1111I111111111111111 2001090965 NOTICE OF COMMENCEMENT Rcpt: 510579 DS: 0.00 07/05/01 Rec: 6.00 IT : 0 . 00 Dpty CI."k State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to ceJ:tain J:eal. PJ:oPet:ty,. and in accoJ:dance with Chaptet: 713,. Florida Statues,. the fallowing information is provided in this Notice of Commencement: 1.DescJ:iptio~ of PJ:opeJ:ty: PaJ:cel No. 38184 Medical Center Ave Ze h rhills FL 33540 .3:> - ZS - Zt - OOc _ CCOC- CO (Legal description of the property and street address if available} 2.General Description of Improvement Replacement of Roof 3.OWner Information: Name Pavitar s. Cheema" Address 38023 Medical Center A\City Zephyrhills StateFL 535 c;O Interest in Property: Ownpr ~.:~..,,~~ i~ . Name of Fee Simple Titleholder: (If other than owner} JED PITT"A~ PASCO COUNTY CLERK 07/05/01 0.:::31pm 1 of 1 OR BK 4658 PG 748 AqrlIess City 4.Contractor: Name RYMAN CONSTRUCTION, INC. Address 37325 S.R. 54 w. State Ci ty ZEPHYRHILLS StateFL 33541 ;.: 5. Surety: Name Address ',f,' J\\: l.lIt ~; ~i .,,1 ~l' ~~: City State Amount of Bond: $ 6. Lender: Name Address City State .~ . .. 7.persons within the State of Florida designated by owner upon whom notices OJ: otheJ:: documents may be seJ:ved as pJ:ovided by Sectio~ 713.13(1) (a) (7), Florida Statutes: .) ~1:,:, ;;,~, . it rF'~ ~~':. . Name Address ,..,J. ...._ . ........"":i '(Sta te 8.In additio~ to himself,. OwneJ: designates ','..-, of to J:eceive a copy of the LienoJ:'s 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 recor~in~ unle~s a differ~~4t date is speCified. ) :~l . ~i ;i~' ,~' . ... Signatu.r::e of ClwneJ:: SWorn to and subscr be 20 (9/ yo' s: C hQ..erY) '" Notaz:y Public: .....f ".41, Angeta L HeImS :yl.]: fo * lit *My COmmisaion CC8oo247 "-." ."....... Expires Januaty 3. 2003 ~ .t~ ;. ';':f.. .~{i. My Commission Expires: . 3'1'51.';) :S.K. .)'t 'Iv. Zephyrhills, FL 33541 (813) 782-6094 Pro osal Submitted To: Work To Be Performed At: p Name pavitar Cheema 015-0f &~~ 38184 Medical Center Ave. Street 38023 Medical Center Ave. Zephyrhills State Fl. City. Z~.pJ:yrhi lIs State Fl. City Phone 7 8 8 - 7 641 Date of Plans 7 - 3 - 01 Architect TOM We hereby propose to furnish the materials and perform the labor necessary for the completion of Complete removal of existing rolled roof membrane ,..__.,." ,-,,- '~'~~-'-"'-"_""~"-"""--""-"_"'~'''''''._,.,,-,~...,..-_ ,.." '_"__'_~'___~'_"~'" ~_. ... . '." M,". _'''~~~~_''~_'_''~,"__.~.~,.~.,~_". ...,.,_."_.-...__...._.<,_~.,___,._.._,,_~_,,~,',.~_.,._.,,~,..____..".._....'.'"_~,..~~,.." ~"___ ,_,_,,___,,_~'_,__--....._"._ All roof underlayment to be inspected and attended to, to bring the under- .. ""'._,-, .,._"-~"_..._",,.,,. '~'<'N' '~'-""'^<-'--'"-"'-'-'--"~-'''--''~_.'-''~ -"'-'__'__~'''_''_'''_'''_'''__'''_'''__''_''~ e. ,~",.~-~.~.~,.~--~_~~,__.~~__~_,,~. .__~~~_"_""".~.,...~~"~".__._,~_~..~~,,~,_~.._,,~~._..~_,,-~_'_~".-....,.______;~"~,_.,_,,~_,_._,,_._.~".".,._c-........__.................~__~ layment to code to install new roof membrane Install new lead boots and vent hoods through the roof Install new edge metal and prepare the cap metal of the fire walls to install new roof membrane Installation of a new bitinum torch down rubber roof membrane. All debris removed from job site. All material and labor furnished by the contractor. Five year leak warranty. ,.. . -"." "~~'~"'''''-"'-''"~''-'''-'''-'~'-''-~''~~..~-~~.--~~,.,,"....,.,.",,_._~--".._._~-,,_.~,,~"-,,~-- All extra labor to be billed at a time and material rate. Labor rate ~"-'".'_"~'__".____'~'C__-'C~._."..,~~,,_.._,~.._,................__,~.~~"~_.,_,__._._._,_._,._~"..........,._~.___ of $30.00 per man per hour plus the cost of material All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of """'''''',''N'_ Dollars [$ 5, 328 . 40 ], with payments to be made as follows: Pa ymen t due up()n ..C:()Il1J)!.~~~()~,~~,",J~!:__"~__._",__".,,___________,,, e"'~''''"''_e'''',,,''''",,_~,,,",_,.,,,,___,,-,, C' .,.,_....,~"'..__".,<~.,.,~_.....,_~_.,,~<__"..."........-.-_,_,____,_,.._-._.." ~"'~"'~'"'._,__-----..,__,___ 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 Respectfully sUbm;t:~ Note-This proposal may be withdrawn by us if not accepted within 15 days. WI'oPs. FORM 3850 ORIGINAL MADE IN U.S.A. .~ '~ ~ Ryman Construction Inc. CBC # 035134 06-29-01 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT RE: LETTER OF AUTHORIZATION I, KEVIN L RYMAN, GIVE PERMISSION FOR THE FOLLOWING PEOPLE TO PICK UP AND SIGN FOR PERMITS, ALSO RELEASE ANY PRINTS TO THEM ON MY BEHALF. THIS LETTER SUPERSEDES ALL PREVIOUS LETTERS. JTAMMY RYMAN .JRICHARD MCCARTY J BOBBIE BURKE J ANGELA HELMS 'THOMAS DOBCZYK ---.- , PRESIDENT TRUCTION, INC I'" .~ Angela L Helma 0: "_....uo""'" CC8OO247 *"EiiJf*My"""..._. '\~I' Expirea JanuaIY 3.2Of)$ 37325 S.R. 54 W. · Zephyrhills. Florida 33541 (813) 782-0825 · FAX (813) 788-6773