HomeMy WebLinkAbout03-1783
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1783
&l~'(t'O
BUilDING
lOb' ?-D
ELECTRICAL
(813) 780-0020
C);;l'SO
PLUMBING
Date ~ - ~ :J. - 0 "3
~ s . ;J-O
MECHANICAL
Sewer Conn ~ d 7 ?" ~"tJ
Water Conn: 3So . t9-'D
W I ~o. c-D
ater Meter: _ d'
T.I.F.'s: -
s:r F IiJitIj.
Property Owner: ~ M~ ~
Job Address: .?7<fl.{'1 MAt1~~("Lf C--L.
Parcell. D.' I 0 - :l.(, . - ;J.I - Ol;).t) - 0 mlXJt9 - 1/ 3 CJ
Zoning:
Descriotion of Work
Energy Code:
SF;)
Radon Gas:
/~ .t:;'3
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
(;-;&/-CJ3
DATE
~ ;;LO ~ tJ3
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee 01, 700. 3 3
~ignature ~c,;L~ k1~
Company
Address
~Iephone# '7';; {)--a8 at-5
Valuation or
Contract Price
7/( .5 rrc. t9D
~'7'f
City license Registration #
State Certified license#
;'12t M.'~~' Ml'\R."T;N Ele.c. U~l'\I'~ W;Il,~<;: Bc;hR~ C."'O~Af.
.\t-l~d-O #' I.,
BUilDING ELECTRICAL PLUMBING MECHANICAL
Ftr. /.;l-5 - 03 #iJiJ-2L~ Tp. Servo SlB /' ~-/1-/} 1 ,.({,,,;,4'lOBreakers
Pre SlB 12-/7-b3/bt> fJ..~ Rough In 1/ ?-II-()3 /uod'{YTub Set 1./,j'-':;/~3 Rt7J.~~ts Insl./~../~-43 Ilt"f.l!f,Jo
lintel Meter Can Water Compressor
FRM. V 3"";J./~3 Const. Pole "-7--/lf-()31?(~ewer j/S',d/.-t?.3 PtrJIlToFinal /(r~D--03 ReI.(
Insul. Cl./.'3-.J/-O] Pool Final,/' t; - ;;LbO-5 ;<L';
Wl Pre-Metenl ? -/I-p 3 ,e LI/ ,
. _ -'0 Final / t -.;2(7 -03 12ly' . kJl(,E'/! - ~77~~ - ~!:t:
D"~eWaV\/P(C 31tStJ~tJfZHl .'0 5hefY'<~ V:~iP1d-;f~~~
}f Ii/,Ff ..?-.2J-()J - - -/ C(- t'..3 J. ~ ~"tbl!
1'#1/ HSo' ~
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.
~.~, Tssc.J~cf
r?...... ~i/ ~o:3
I ~/ lfJ
"'--
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZI;PHY,RHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
J 0 I' I ~
I ADDRESS OATE PERMJT.. I
~'1~ "'mC\~ ct.. 3-\W-~3 /'133
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
~-tr'~~f~.
~.ch ~^.~~gQ1t~-{ct1.-o.olcl~~/o1~C~
DO NOT REMOVE
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR Cjiij) j.A/()
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPAR~
, 0 -, 1,,'- .1\
~~ C-~- f)'~ Kk
---- ~
DATE RECEIVED /2.., 20.... eJ ?-~
PLANS REVIEW FEE
OWNER'S NAME ~'/M.PdJ GN~\\Ol\\
3'7~Af9 _ ~~<t-~I b- \ ~(>~'jt'tHI~
LEGAL DESCRIPTION: LOT(S) \\~ BLOCK
PARCEL ID # lo - '2io- 2.l- 0,,'2io - ~ - \ \ ~O IORTATN FROM PROPERTY TAX NOTICF,1
PHONE
7'€,2-Q8?_ ~
JOB ADDRESS
SUBDIVISION
\;..h:,o<i'i:.Waon
WORK PROPSED:~EW CONSTRUCTION
o SIGN
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~N~~'"\ ~ ~<e..~ S14<o~ ~\l-'f :b<t:.\'~~ ~""-~
BUILDING SIZE 3f.o X 54/~/f SQUARE FOOTAGE _l<.o~3 HEIGHT 8/WJt\\..ls.
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~. BUILDING
"g(' ELECTRICAL
PERMITS REQUESTED
$ ~. <X::<) ....Q::) VALUATION OF TOTAL CONSTRUCTION
200
AMP SERVICE
o
FLORIDA POWER
)(
W.R.E.C.
'lit PLUMBING
)i: MECHANICAL $ 2 ~ ac:o. co VALUATION OF MECHANCIAL INSTALLATION
o GAS ~OOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK )R:" FRAME
I(
FINISHED FLOOR ELEVATIONS ~ ~~.~~
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAo YES
~NO
BUILDER~
SIGNATU
COMPANY RYMA N r.ONS'T'RTTr.'T'TON. TNr..
STATE CERT OR REGIST # r."R('-()~c)1 ~4
CITY PROCESSING # 274
******************************************************************
ELECTRICIAN
SIGNATURE ~ ~
COMPANY MAR'T'TN "RT."R(,'T'RTr.
STATE cERT OR REGIST # ER 013449
CITY PROCESSING #
******************************************************************
PLUMBER
SIGNATURE~ W~
COMPANY DENNIS WILLIAMS
STATE CERT OR REGIST # RF-O~?nO
CITY PROCESSING #
MECBAmCAL ~
SIGNATU~' ~
******************************************************************
. COMPANY. BAHR'S GAS AND A/c
STATE CERT OR REGIST # CAC-043948
CITY PROCESSING #
*****************************************************************
OTHER
COMPANY RYMAN CONSTRUCTION, INC.
STATE cERT OR REGIST # RC-0016148
CITY PROCESSING #
SIGNAT.
**********************************************************
A. NOTICE OF DEED RESTRICTIONS
The ~nderslgned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
Gompliance 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 nowner", 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 ncompensating 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 consider andoned.
WARNING TO OWNER: YOUR FAILURE TO RECOR NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO Y ROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTO EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT TO RECORD AND POST A" TIC CO
STATE OF FLORID~ C
COUNTY OF -:5 Zl
The foregoing instrument was~knOWledge .
Before me this _ day of ~{ ~.a~
by
.~ (name of pe n acknowledged)
~nuO is personally known to me, or
o who has produced
~ (type of identification)
~u~d ot take n oa h.
of p son taking a knowledgement
(~ ==A CC11&&87
Name typed, p <!xPiMiJ~~~7
~ Angela Helms
'f\
Name typed r '*~~
~ 01 r;:J ExpIres January 03, 2007
Ryman Construction
37449 Mayberry Ct.
SQ. FEET PRICE
MAIN OR LIVING: 1,209 $ 50.00
OTHER AREA UNDER ROOF: 434 $ 25.00
OTHER: - $ -
VALUATION $ 71,300.00
FEE SHEET $ 368.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 612.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 612.00
ELECTRICAL: $ 106.20
PLUMBING: $ 92.50
MECHANICAL: $ 65.20
RADON: $ 16.43
TOTAL $ 892.33
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
I
,
I
I
l
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,700.33 I
SIF'S'I $
97.5% $
2.5% $
- I
- I
TIF'S'r
99% $
1% $
TOTAL: $
2,700.33 I
//11I/1//11111I1/1111I11I1111I1/11I1/1111111111111I11/11/11I
2003004662
NOTICE. OF
Rcpt: 645584
DS: 0.00
C~~T 01/09/03
County of U CO(~
Rec: 6.00
IT: 0.00
.. --.. Dpty Clerk
St.ate of
hrJ(,{:ll q
~
THR UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter 7:L3,
Florida Statues, the following information is provided in this
Notice of Commencement:
LDescription at Property: Parcel No. IO~~("--"t- Dile, -nt){)<)c --/(3-6
(Legal description of the property and street address if available)
2 . General Description of Improvement IIJ, 1() . "?rr~l(
AddressJ73d5 5~ i}
~ (I.
Name- y (j'lQ/ll i'w>sHU f.l-f" i';)l,~ (
<::':(( C . t Z /
oJ (,.U J. Y L,;JlI{//ItII/.~
, I
f7j-.." to ~i{ fS.(f,< c<;F
jnc~
3.Owner Information:
Interest in Property:
Stat.eFL d:-kJ9;J
.
Name of Fee Simple Titleholder:
(If other than owner)
JED PITTMANA PASCO COUNTY CLERk
01/09/03 0D: 43ilm 1 Df251
OR Bk 5197 PG 9
Ad..dr:ess City
4.Contractor: Name RYMAN CONSTRUCTION,. INC.
Address 37325 S.R. 54 w.
State
5.Surety: Name
City ZEPHYRHILLS
StateFL 33541
Address
City
State
Amount of Bond: $
6 . Lender: Name
Address
City
State
7.Persons within the State of Florida designated by owner upon wham
notices or ather 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 date of Notice of Commencement (the expiration date is
1 year from the date of recording unless a different date is
specified. )
Signature at Owner~-. Print NamelleJi)I') '1f1jfrC2~
;~o~ to. and Sub~re me t; ~y of:J('A'; Cd"/']
Notary Public: otf~Ce:.~/'(\" ~'--.:J (
.' O.
My Commission Expires:
~1\ Angela Helms
! ~.i My Commiulon 00165587
~o,~ expire, Januaty 03,2007
I.
- ".-.- -..,
996786
~
PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
b ~ -- ~Co ~ (
CITY OF ZEPHYRHllLS
ZEPHYRHIUS, FlORIDA
WATER ACCT. NO.
DATE / ~..;2;2 - 03
l'
OWNER/
RENTER
.71"'- ~
:<S -<Y- ~CJ .
MAIUNG
3'7 '14 '7 M,b~(/t cT . ~
o ~~R
t13
SERVICE ADDRESS
SHUT OFF SERVICE
TURN ON SERVICE m/'
INSTAlL ME~R ru/
READ ME~R 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~ITY
o OUT CITY
/
--'-- No. OF UNITS
- DEPOSIT AMOUNT
h (, LJ:iir;v;;Jw
- AMOUNT lAST BlU.
_ DATE
- MISC. CHARGE
WORK COMPlETED BY
& DA~ COMPlE~D
ORDER lAKEN BY
1-d2c;; - &5 /cr-
ORDER GIVEN BY
Retain white farm in office at all times
~ pink & yellow farms to Water SEirvice Dept
Water ServICe Dept. to sign yellow farm & return. to offICe.
;'~,
.
11'
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, .
PASCO COUNTY, FLORIDA
Permit No. _ /'7 83
Date Permitted /-010 --03-
Builder Name/Owner Name /~'f Yl-,\ _ ~fh~)(Y(.(C<lliYgontrol #
County Parcel No. I-~ (p . d ./ - () / Ii () --o()(){}).~ 1130sUbDlv:
Address/Location __~'7LILICJ ~/Yf t-+
ClasslflcatlonlType of Use
TRANSPORTATION IMPACT FEE
Rate:
Exempt [J Yes 0 No
Sq Ft Unit:
How Determined
Impact Fee Amount $
Zone No.
SCHOOLIMPACT FEE
TAZ:
-=
Account
(056)
(057)
(058)
j,123)
U Yes
Single-Family Detached House
Mobile Home
Other Residential
Collection Fee
o No How Determined
Amount $
----------
Exempt
PARKS AND RECREATION FEE
Land Account . Land Credit
Recreation Account
Land Total
Recreation Credit
Zone
Recreation Total
TOTAL AMOUNT $
--
Exempt 0 Yes 0 No
TIBRARY FEE
Land Account
How Determined
---------
Land Credit
Facility Account
Land Total
_ Facility Credit
---.~._-
Exempt 0 Yes 0 No
_ Facility Total
How Determined
RESOURCE FEE
TOTAL AMoUNT
Total Amount
at), I/}'
ERU
-..--------
Prepared By
_ Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acl<nowledgemenl below doe. nollmply acceplance of concurrence, bUI simply recelpl of 9 copy of Ihle form, placing
the bUilding permit owner on notice of thIs assessment and the condlllons of payment for same.
DA TE RECEIVED BY
------ '\
RECEIPT NO. &9&0&2 DATE &J h~} '? BY _ ,::::, ~~~S