HomeMy WebLinkAbout01-0522
BUILDING PERMITN~
0522
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
9:.- 6 -0 I
.~:~
P~MEe+1ANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
it ...i2!:!-
Valuation or
Contract Price / OJ tJ tJ 0 .
1-:=/
Company
Address
Telephone# 1~d--O-:Jd-:::5
"'rt6-
City License Registration # ~ ~
rtified License#
ELE
L
MECH
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
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 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
OWNER'S NAME GR:1\ND HORIZONS
JOB ADDRESS 7545 [;REF.N SLOPE DR. ZEPHYRHILLS FL. 33541
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 34-25-21-0090-00000-0130
(ORTATN FROM PROPERTY TAX NOTTCEl
WORK PROPSED: (JNEW CONSTRUCTION
(J SIGN
(JADDITION
(JALTERATION
(J REPAIR
(J INSTALL
o MOVE
o DEMOLI SH
PJ<OPOSED USE: (JSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
[]cOTHER
"'5
...
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
RF.-ROOF
BUILDING SIZE
SQUARE FOOTAGE
1:IEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NE;W CONSTRUCTION.
I
PERMITS REQUESTED
(J BUILDING
$10,000.00
VALUATION OF TOTAL CONSTRUCTION
(] ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
(J PLUMBING
(J MECHANICAL
$
(J GAS
II ROOFING
(J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
(J OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
(J FRAME
(J STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0' NO
BUILDEP.
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRiCIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
\aCHANICAL
***********.*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER
~~**********************************************
COMPANY R~(;~~ c.on,<s~rUc.-f:l\C""
STATE CERT R REGIST # r::2-CJX)(O 16, ~)(
CITY PROCESSING # ~~~
**************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undel'signed 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 CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be requ:,red
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 whitt
licensing requirements may apply for the intended work, they are advised to contact th,~
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 wish(~s
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 Construc'~ion
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
1'rDepartment 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 vlhich
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 aE.
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 wit:hin
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" ICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
STATE OF FLORID~~
COUNTY OF '
The foregoing instr a~Wledged
Befor me t~s day of .r , ~
by
ame of person acknowledged)
o is personally known to me, or
.
.....
acknowledgement
.----..
Owho has produced
(type of
~not
~
"Ii BobOle J Burke
Name typed, Print~ t~~CC914443
...'/ Expku March 31,2004
Name typed,
print!.fl;~~
~ . -: My Commlaalon CC914443
"..." ~ March 31. 2004
1111111111111111111111111111111111111111111111111111 "" 1II1
2001121286
State of
Rcpt: 525627
OS: 0.00
09/04/01
, NOTICE OF C<>>lMENCEMEN~
r 16 >(" \ ~ ~ Count:y of t CL,") C ("1
Rec: 6.00
IT: 0.00
Dpty Clerk
THE UNDERSIGNED hereby gives notice that: improvement: will be made
t:o certain real prop ert:y , and in accordance with Chapt.eJ: 113,
Florida Statues, the following information is provided in this
Notice of Commencement:
l.Description of Propert:y: Parcel No. ~ LI - 2. S- - 2. \ - f. () ? (J _ C {' cc~ 01:
(Legal description of the property and street address if available)
2. General Description of Improvement K~ - C,,"'c-: f
3. OWner Informa tion : Name c,''(C e .- r ..
b )
Address ") {p L{ ~ (; (-t:-~n .'){~e eity
.
Name of Fee Simple Titleholder:
(If other than owner)
&'e. u K e 1."V'\.
/ip/lyrA//h StateFL
J0E90 PITTMANft PASCO COUNTY CLERK
/04/01 0b:35am 1 of 1
OR BK 4709 PG 1164
Int.erest in Property:
R AdciJ::ess City
.,. 14 .Contractor: Name RYMAN CONSTRUCTION, INC.
Address 37325 S.R. 54 W. City ZEPHYRHILLS
State
S.Surety: Name
StateFL 33541
Address
City
State
Amount of Bond: $
I
,.
t"..
.~...:
',',./
*~~
"".,
':t
6. Lender: Name
Address
City
State
7.Persons within the State of Florida designated by owner upon whom
notices o~ othex documents may be se~ved as p~ovided by Section
713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
>State
':"
a.In addition. to himself.. Owne~ designates
of to ~eceive a copy of the Lieno~ls
Notice as provided in section 713.13(1) (b), Florida Statutes.
9.Expiration date of Notice of Commencement Cthe e.'{p-i.t:'a~ioO-'! ~ata :;'S'
1 Year f~vm the date of recording unless a different date is
specified.)
:,:
SignatW:e of
Sworn to and
20
I?z:int Name K~GkG\,~JLL 'Re..kbe~'-1
ay of , J
Notary Public:
,,; ~ Bobbie J Burke
~.* My Commission CC91#43
'\: If ,,:;' Elcpjres March 31, 2004
~
Ryman Construction Incorporated
13"" 37325 S.R. 54 W.
dOf2 .. 6 v Zephyrhills, Florida 33541
'3 '-/- 2. ~ -2. ( - a:/70 _ 0 (813) 782-0825' eBe # 035134 FAX (813) 788-6773
TO:
/f \ L I I/' I b 11 DATE: 'i<._ "'7 -0
L) &J/\ & \T 0 r ; -z.o t\ L-' \J No iJ '6€- v C:><
I~ 4: ~(t€A- 6(ope- Dr.
z.- k-u I s 33~--y I
I. Complete tear-off of existing shingled roof (excluding wall flashing behind vinyl siding, metal roofs,
roJJed roofing)
2. Roof deck prepped and plywood re-secured with pneumatic nailer and twisted shanked nails.
3. Roof dried in with #15 felt
4. Installation of all new vaJJey metal and eve flashing over metal roofs attached to building.
5. Installation of new lead boots through the roof
6. Installation ofnew drip ~e around the perimeter of the roof deck. ~. f....o...k-e.. i..t...:)e.o~ ?<._
7. Installation of anew OJ.::L year fungus resistant shingle. ~v
8. All debris removed from the grounds and roof area and properly disposed of
9. All gutters to be secured with original installation attachment.
10. All material and labor furnished.
11. Five-year contractor leak warranty and manufacture warranty.
12. Payment due upon completion
TOTAL BID $ /D, ()~ pC3
,
ANY PLYWOOD NOT COVERED BY TIllS CONTRACT THAT WilL NEED TO BE REPLACE DUE
TO SIGHT UN SEEN WILL BE AT A COST OF $40.00 PER SHEET
, ANY INSTALLATION OF ANY OTHER WOOD OR EXTRA FIELD CHANGE ORDERS WILL BE
BILLED AT A COST OF TIME AND MATERIAL. TIME BEING $40.00 PER MAN PER HOUR AND
THE RET AlUL COST OF MATERIALS
ALL MAlERIAL IS GUARANTEED TO BE AS SPECIFIED, AND TIIE ABOVE WORK TO BE PERFORMED IN
ACCORDANCE WITH THE DRAWINGS AND THE SPECIFICATIONS SUBMITTED FOR ~ORK AND I ) LJ'/ '" II
COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER FOR TIIE SUM o-ry-~~I N(...<.b~ ~ /~ U ~ S
WIlli ~ YMENT DUE AS FOLLOWS I I (II D
SD~ Du.,f\.. a:....~ CDo-r~ <XT COM-fkf~(J)^ RESPEC'IFULLYSUMBMITTED RY~At ~f2.-
TIllS PROPOSAL MAYBE WITIIDRA WN BY US IF NOT ACCEPTED WI1HIN t 5D~;- "^ 1))b t: l:. yl<.:
ACCECTANCE OF PRPOSAL
TIIE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SA TISF ACTORY AND ARE HEREBY ACCEPTED. YOU
ARE AUTIIROIZED TO DO THE WORK AS SPECIFIE. PAYMENT WILL BE MADE AS OUTLINED ABa
DATE OC-~7-0 I
--
SIG
:::-----
~
PLEASE NOTE: A CHARGE OF ~% WILL BE MADE ON AlL UNPAID BALAN AFTER 30 DAYS,
WHICH IS AN ANNUAl PERCENTAGE RAT!: OF 18% APPLIED TO PA,S DUE BALANCES