HomeMy WebLinkAbout03-1784
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1784
(813) 780-0020
~~.50
BUILDING ~G
Property Owner: ~1<.lS ~
Job Address: 6~O{d Qr~be.Y(1 L(.
Parcell.D. "
~
EL~~I~AL
35'~
MECHANICAL
Date --1- :J.. ;) -0 -'3
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
~4 Sp' f-t.
R~6
~ -' -to Ej(/sll~
~
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
1/:51)
City License Registration #
State Certified License#
:L,tf
Permit Fee / ~.5-: /0
~ignatur~Cl-{)n ~'~0
Company
Address
~Telephone# 7:?:? d - ~ 5
~S\ p^)(.;O Ere ( ,
tfL'I3Y
Valuation or Ll :2...66J' ~
Contract Price_f I
Ftr. t/
Pre SLB
Lintel
FRM. ;/3 _:2/- 03
Insul. CL
WL
J-,~o.- {J 3 ~l 'I
l//'."io-o~ ~D
SLB
Tub Set
Water
Sewer
Final
~ d-~;lfk
JI../7
MECHANICAL
~~ ~ 7-IVC .
BUILDING
ELECTRICAL
Tp. Servo
Rough In t,/J-II.-()3IlOf
tIiP
Meter Can
R.Uf~~onst. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl. ..~-/A"-p J /(t...'1.J /J:fO
Compressor
Final
Driveway
~;.l ~fr; - 1--'1.-l- tl~ (tlY lrt.{'50
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.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
0'" . 79
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job
. will be accepted.
.
&b l~ '0-l.tS5 (\0+ brc.c.el per f'u,., ~ ~.
/
( w' \ \ ;." ~ fed (3 ^ 'f", S~" ( 4.+ /' ~.-"\
ADDRESS
lO~
19 re,Q", . 4-rl,
Gri
PERMIT .,.
""
'J,"I ~ t1~ <..f. on )
,
\JA&~ ~biV?~ l'l't", ~
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.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
INSPECTOR
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
',0v~-<(J /- 5t'.3
C_
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME ~il-lS ~~Lt..~ PHONE fBJ....IJ.ll
JOB ADDRESS < ~~a<o G~~ ~~. ,~"''J~\U-~
LEGAL DESCRIPTION: LOT(S) 5~ BLOCK SUBDIVISION~\NOOi)
PARCEL ID # LO-~ - 2J - 0\2.0 -Qn'D - 0540 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION )l(ADDITION DALTERATION o REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE:~SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
~
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~\)\) ~ ~ ~"\ ~~ ~'IC bl~ Qf- ~ ~ ~.
BUILDING SIZE _lo'8't)( 8/ SQUARE FOOTAGE B5 HEIGHT e: W~~
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
.~ BUILDING
}'{ ELECTRICAL
o PLUMBING
Jiit'MECHANICAL $ ~4cp
o GAS )&ROOFING 0 SPECIALTY
$ 8, <X:(J.~
VALUATION OF TOTAL CONSTRUCTION
€..)(.1':>\J /"<6- ax::>
AMP SERVICE
o FLORIDA POWER
)(
W.R.E.C.
MO~ ~Stt f(b-U,.(f\ ~~
VALUATION OF MECHANCIAL IN~TALLATION
TYPE OF CONSTRUCTION: 0 BLOCK
o OTHER
)(' FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS M~ ~~""t1~
IS PROJECT IN FLOOD ZONE AREAO YES ~NO
BUIWER~
STATE cERT OR REGIST #
SIGNATU CITY PROCESSING 274
* *************************************************************
COMPANY R Y'Hl\.N
ELECTRICIAN
~M~
SIGNATURE ~
COMPANY
STATE cERT OR REGIST
CITY PROCESSING #
******************************************************************
Nf\
PLUMBER
SIGNATURE
COMPANY
STATE OR REGIST # RF-05260
CI ROCESSING # 19 :)A:J
MECHANICAL
SIGNATU~A..u :1S~
***********.*******************************************************
COMPANY: "R1U..lRC:: Gac:: ~ND A/(,
STATE CERT OR REGIST # CAC-043498
CITY PROCESSING # 11
~
\
*****************************************************************
OTHER ~\~G,.. COMPANY RYMAN r.ONSTRTJr.'T'TON. TNC.
STATE CERT OR REGIST # RC-0061.648
CITY PROCESSING # ~1?
SIGNA~ ..:...:..........................................................
li... l~VJ.j.\...J:, V~ UJ:,J:,U ,K.t,..; -"-<.J.l-TJ.U.N::i
The undersigned understands that this permit may be subject to "deed restrictions" which
may~e 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 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".
~AGENT ~
STATE OF FLORIDll-r . rII (J--:\ ~~ STATE OF FLORIDA r:-)O (,/lA /2 L'."
COUNTY OF .LJQ(I14:.t1 ~ COUNTY OF r l_ IUlO ~
The foregoing i strument walJ;aCknowledged The foregoing instrument wasdcknowledg. ed..~
'~'?\F\'\ ~~l1P.R'
Befo e me this day of ~ ,.L~ Before;tlJi! this day of ~_ _ _ , ~
by by f'WII1 ___
(name of pe son acknowledged) (name of person acknowledged)
~who is personally known to me, or ~o is personally known to me, or
o who has produced 0 who has produced
(type of identification) (type of identification)
and whoOdid Odid not take an oath. and who Odid QlJ~ nJt~ake an oath
~/ia_ ~ ~A_ fu ~
Signature O~~~~e~~~~ acknowledgement Sig~:;~f person taking acknowledgment
~~MY Commission CC800247 ""6"~ Angela L Helms
.. * *My Commission CC800247
-,'.. ...... Expires January 3, 2003
Name typed, printed or stamped Name typed~",~ ~~~ n'8l~ 3S?e<a\nped
Ryman Construction
5906 Greenberry
Room Addition
SQ. FEET PRICE
MAIN OR LIVING: 85 $ 50.00
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: - $ -
VALUATION $ 4,250.00
FEE SHEET $ 55.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 82.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 82.50
ELECTRICAL: $ 36.75
PLUMBING: $ -
MECHANICAL: $ 35.00
RADON: $ 0.85
TOTAL $ 155.10
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
155.10
SIPS:I $
97.5% $
2.5% $
T IF'S :1 $
99% $
1% $
TOTAL: $
155.10 I
CITY OF Z EPHYRHILLS BUILDINC DE PJ\RTIolEN'1'
~e.~Ir0 R'{M~
8 LOCATION GO+ 'lr' SLt lo=~l^'x:'nC\ ~A-N6R-. :'5qb(,,~Q=a
' .1 D ~ Z<o - g. \ - 0 \'2.0 - ()()()()D - 0 S"-l- Q ~,_
. .....:......
. ,<,
'-'ARCEL r', D. ff
"
-~. '.
SHOW ALL EXISTINC & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
I 5"7
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1'1 tw (!c' ~ ~ e.et... s lu
(., 'K ZZ
,
E..:~. ,.:)-\-. to:) 6-
\ (,4 ~ . <<0\a6~\
lDrf
~II~'
\ rr (v
8S
UTILITY BUILDINGS
~\ \.l S'\' J H O\~ J 1 7.. fl ~{
FOUNDATION INFOR-
HATTON. .
I
.20
FRONT PROPERTY INE
STREET
G~~'1i~'
(NOTE EXAHPLES 1 & 2)
1 . SETBACKS FOR R 1, R2 ZONING
60'-
101
P E-
R X "-
0 I
I 10' p S 10'
0 T 1 0'
S I
E N
0 G
20'
FRONT Pl10PERTY LINE
.'
2. SETBACKS FOR R3 ZONINg
60'
10'
::l:" .:"
. "
la'
EXISTING
10.1.,
...
" 1 'cf.i:,
PROPOSED" .:!.)F~f~:~t~}
20 I SGL FAM 30 I DUPLEX ....:,,,. :,,'
FnONT PROPERTY LINE.
'I
'", ' . ........
1111111111111111111111 "IIIIIIIII'III'I'IHIII""'II~II"I
2003004661
Rcpt: 645584
OS: 0. 00
NOTICE. OF COMMENCEMENT 0,1/09/03
State of R 0(1 (}) q County of -fa ~O-(J
Rec: 6.00
IT: 0.00
'-._.~ Opty Clerk
THE UNDERSIGNED hereby gives not.ice that. improvement will be made
to certain real property,. and in accordance with Chapter 713,.
Florida St.atues,. the following informat.ion is provided in this
Notice of Commencement:
L Description 0 f Property: Parcel No. 'cl -':;'(r:) I -rydo. - i2[j)(X'r c:7I 0
(Legal description of the property and street address if available}
2. General Description of Improvement hfY){r{1
t~'1 rl n,)-Y/
. ,
3.Owne-r Information: Nam-e-Uo{"ILJ
Add ..cA -"1 (I /.", ~Y' (1.J
ress../ It I c .--~I ffl.L(#lII(._1 -'/.
I
Interest in Property:
)-Iubl.(~/L
- City 21 ~Jld-j///t)
~
Sta t.eFL. :5 -3:52/ /
Name of Fee Simple Titleholder:
(If other than owner)
J0EO PITTMANd PASCO COUNTY CLERK
1/09/03 00:43am 1 of 1
OR BK 5197 PG 924
R"'~'"
. ~.'''~.1_
, . ~!)('j
.. .,~::.;.
Address City
4.Contrac.tor; Name RYMAN CONSTRUCTION,. INC.
Address 37325 S.R. 54 w.
State
City ZE.PHYRHILLS
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 or other documents may be served as provided by Section
713.13 (I) (a) (7) 1 Florida Statutes:
Name
Address
City
State
8~In addition to himself,. Owner designates
of to l:eceive a copy of the Lienal:' s
Notic.e 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. )
~
Signatu.:r:e of Owner:.>C_) d<---i~Jj~~
SWorn to and subscribed before me th.:Vs .~
20 r.a.
:Print Na.rneLb1i:'5 I~"H~J
day Of:.5~ Ill1l{.;r-- U
Notary :Public:.
5~d(} r!tUv:J
My Commission Expires:
r: Angela Helma ~
~
. . My Commlaaion 00185587
~ 01...'.1 Expi.... January 03, 2007
,:-~ litf'. \ ';~-I