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Home My WebLink About03-1735 ~/t- BUILDING PERMIT . CITY OF ZEPHYRHILLS Permit N~ 1 735 (813) 780-0020 Date 1/2 //)3 BUilDING ElE~ICAl PlU~NG ME~~NICAl Sewer Conn Water Conn: Job Address: Parcell.D. , Water Meter: T,I.F.'s: .-D 0 I 00.' 0000 Zoning: Description of Work Energy C.~de: f-e - rOO t Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. ,-03 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE L r d- 11.5"0 Permit Fee Signature Company Address Telephone# 7 Ai -() 2.~Lj Valuation or L I ISO ~ Contract Price -, City license Registration # State Certified License# ~lr" (1 ro G~J'I ~h BUilDING Ftr. Pre SLB lintel FRM. Insul. CL Wl SLB Tub Set Water Sewer Final MECH Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 G1:i (Jf C/J IdAI' .h I II-:=) JOB ADDRESS ~ !i1l 0 '- ')" HIff_ - ( ~~~~~:j;) '/ . PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # /3-,:y{o.al-'oQX)-CJO/O()-r)(::D () SUBDIVISION WORK PROPSED: DNEW CONSTRUCTION o SIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL (O~TATN FROM PROPF.RTY TAX NOTICE) o ADDITION o MOVE DALTERATION 11 REPAIR o INSTALL o DEMOLI SH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING PO~L o MOBILE HOME o OTHER ~ DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT 1\PPROVAL ~L - {BAr 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 $ ~/15() . 00 REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER 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 SIGNATURE * * * * ** ** * **.* ** ***** ** ** ******** *** * *** *** *** * *** ******* * ******* * ** COMPANY: STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL ***************************************************************** OTHER ROOF COMPANY RYMAN CONSTRUCTION INC. STATE CERT OR REGIST # RC0061648 CITY PROCESSING # 275 ************************************************************** 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 fOI 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 aocument 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". ~OR AGENT ~~RACTOR STATE OF FLORIDA 11 STATE OF FLORIDA /J COUNTY OF rtti/.7t< .FJ COUNTY OF r /l,~-D The foregoing instrument was acknowledged The foregoing instrument ~~acknowledged Befor" m~ thiSif} day oCJiJ""M'ft ~ Before I"J', this '* day ~"1- ~l() by J~..I J//') "'; Jy}t2--,l. __ by KJlL,lh", ~ /1.1~ , (name of p rson ack~wledged) , (name of p~~~n acknowledged) ~who is personally known to me, or ~o is personally known to me, or Owho has produced (type of identification) 'Md not of identification) t ke an oath. fj Angela Helma Name typed, p . t~~~5587 .,~ ExpIres JeIlU8ly 03,2007 Signature of p taking acknowledgment ii ~ Helma · . My CommIuion 00165587 Name type~ .....w.ua~~d NOTICE. OF COMMENCEMENT County Of~~CcJ 111'"' "'" 1111I11111 1111I1111111111111111111111111'11I111I 2002195986 St.ate of F~, i< 1 ~Descr:iption. of Pr:oper:ty:. Parcel No. \~.. 2<....l(. 0000 .00'00" oo<::c) 3q 5~ 5o~ " "Z \'.l 'i="l. (Legal description of the prope y and street address if available} 2.General Description of Improvement -~-~ It., 3.Owner Information: Name . C.l~ o-t ?c..phll't..~Lll> Address 31:\'5'-10 s. Au-c. City ~l-\'t.w~ stateFL Interest in Property:. <::>L\.)N~~ - Name of Fee Simple Titleholder: (If other than owner} Rcpl: 640648 OS: 0.00 12/18/02 Rec: 6.00 IT: 0.00 Dpty Clerk Address City 4.Contractor: Name RYMAN CONSTRUCTION,. INC. I=i Address 37325 S.R. 54 W. State City ZEPHYRHILLS StateFL 33541 5.Surety: Name Address City State JEO P ITTMANof 4P3ASCO 1COUNTYf CL1ERK 12/18/02 0b: Am 10169' OR BK 5171 PG Amount of Bond: $ 6 . Lender: Name Address City St.ate 'j 7.Persons wi thin the State of Florida designated by owner upon whom n.otices or: ather: documents may be ser:ved as pr:ovided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City I S:tate 8~In addition to himself, Owner: designates of to r:eceive a copy of the Lienor:' 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 recording unless a differe~t date is specified. ) Signatu.r:e of Sworn to and 20Q) ~rnC9--n7-e.r' Pr:int Name ~::~~m.e ay of cJ.A? Notary Public:. ~h C/~ My Commission Expires: '.'~"'f Angela l Helms ~.~MY Commission CC800247 "., ,...,." Expires January 3. 2003 w~ ~ 'rV'- -' .-- ~ -(~OO3i:? ~ Ryman Construction Incorporated 37325 S.R. 54 W. Zephyrhills. Florida 33541 (B13) 7B2-0825. cae # 035134 FAX (813) 7BB-6773 RC # 0061648 TO: - t~+-i 0--& 7.e..p ~~ Q..~ ; ~\ DATE: \ l \"Z.. \ l oz- ~ A \R?oe~ rY)A. -0 ler(.YYl;,JA /-01,iP ~ 0 ~~~J. - C'v\. ~ b~ ~O'r f\) <) o'O'f:! 0 1. COMPLETE TEAR OFF OF EXISTING SHINGLES 2. ROOF DRIED IN WITH # l2. FELT 3. lNSTALL ALL NEW VALLEY METAL WITH GALVANIZED METAL 4. RE-SECURE ALL LOOSE ROOF DECKING 5. INSTALL ALL NEW LEAD BOOTS THROUGH THE ROOF 6. INSTALL ALL NEW DRIP EDGE AROUND THE PERIMETER OF ROOF 7. INSTALL NEW~YEAR FUNGUS-RESISTANT SHINGLE 8. ALL DEBRIS REMOVED FROM THE JOB SITE ~ 9. ALL MATERIAL AND LABOR FURNISHED ~ LO _1 ~ 41 so 0 ~ 10. FIVE YEAR LEAK WARRANTY , 10 LO ~o o~ - I\)J:I\..)~O~~ ~/\AaO &c:.- ~,u d4.!:>-cS TOTAL BID PRICE $ -r-t l EXTRA'S \...u 0 c::.DLU o"'-.\c.. BAD PL YWOOD REPLACED A T A COST OF $40. 00 PER SHEET IN THE ROOF FIELD. ALL OTHER WOOD WORK SUCH AS VALLEY REBUILDING OR RAFTER REPLACEMENT WILL BE A CHARGE OF $40.00 PER MAN PER HOUR PLUS THE COST OF MA TERlALS. All material is guaranteed to be as specified, and the above work to be done in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of With payment as follows. Dollars {$ Anv 1I1lemlion or de\~ation from above specitielltions invoh~ng extra costs, will he executed only upon mitten order, and will hecome an e:\1ra charge over and ahove the estimate. All agreements contingenlupon strikes, accidents or delays beyond ollr control. Owner to eany fire, tornado and other necessary insurance upon ahove work. Workmen's compensation and public liabili~' insurance on above work to be taken out hy. RESPECTFULL~MITTED PER \6.D ~ ~ ~UCVV'-~ ACCEPTANCE OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WO S SPE5I~. PAYMENT TOBEMADEASOUZLIN./- / p..?u.~. ~ _ SIGNATURE)S /' DATE SIGNATURE Payment due upon receipt of Invoice PLEASE NOTE: A CHARGE OF 1.5% WILL BE MADE ON ALL UNPAID BALANCES AFTER 30 DAYS, WHICH IS AN ANNUAL PERCENTAGE RATE OF lB% APPLIED TO PAST DUE BALANCES.