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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
(813) 780-0020 ~u
a.9-
~ Sewo,Cann
Water Conn:
1792
P f) > 29' b.iJ
C~ c..' ~LECT~
Date
/ -2/1- 0 :s.
Zoning:
OescriDtion of Work
,
y /tL t"
Property Owner:
Job Address: '7t.
Parcel 1.0. /I ,~1-~tp.:u-Z>/1)'D -}f)o
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
l.f - '/?.s - oJ
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Llf.l #f~
Valuation or /J
Contract Price .." d 0 0' -
City License Registration # c2 '7 ~
State Certified License#
Permit Fee
ignature--
ompany
Address
~pnon~ '77a-0~:;:;'-S
7-/1 J:
~e..
ILDING EL
tl70
Ftr. /I:~O-O? R..U;J Tp.Serv. SLB
Pre SLB ./ 1....,~O-03/lc...,. Rough In ../ ?,-IK--03 ~lV.:l#J1-ub Set
Lintel ~;2-/~-(): I-IJ'"itP"Meter Can Water
FRM. :;~- ~ - D ~<.. ~'(,5t:onst. Pole Sewer
Insul. CL ~/ J -2/-03 Rt'f ~~ool Final
WL Pre-Meter
Final 1/ if ~ 1.. $- 03 R [.'1 rlllJo
MECHANICAL
Breakers
Ducts Insl. /j'..../F-P3 I2c..Y.lt!vo
.....
Compressor
Final
Driveway
N~ off - Z- L l . ~ 3 1ll(.. H:r'o
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
ADDRESS DATE PERMIT ."
S ~ S- I ~ f:; )~ . II z 9 () .s 177 Z
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
. /":vt w~t S't.<A.l1 be ~" Pe<f \V~ +h lv~lclf, V""Uf r'4e:S-L,
I ^ (1... (', 'f C) J We..../
, (
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, unlilthe proper inspector has had ample time to approve
the installation.
AFTER CORRECTIONS ARE MADE CALL
lBO-OOrt?'. 0 0 RE-INSPE/CTION
INSPECTOR 1 A tt?~
/ /
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
, .. /..., ..
) GJJ!td 1-9-(}3~
l_
D~TE RECEIVED 1'- 8'-' () 3
PLANS REVIEW FEE
PHONE 8\3 )78c ... %33
,
I-Do{> "L~h\'1t\-\\us., \=L-. 333l.f-L
LEGAL DESCRIPTION: LOT (S) -.J -c... BLOCK X SUBDIVISION c:JAv~\lN
PARCEL ID # -31-:>5;-21-Q\OO -~ "'Ol2..C (OBTAIN FROM PROPERTY TAX NOTICE)
JOB ADDRESS
-=r-~ -:blaz
l"2..2.0 \-\ \ Io"-t.-AN.O
OWNER'S NAME
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
~ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLI SH
PROPOSED USE~GL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
D MOBILE HOME
D OTHER
~
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK CoN~ t\\c;:.W ~1 ~\-t\ O~ ~d- E.:~.IS11Nu.. HoMt..
BUILDING SIZE --!,to X , 2. SQUARE FOOTAGE l52 HEIGHT ~ r W-l\~
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 NEW CONSTRUCTION.
'j!i BUILDING
Ji('ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
~ FLORIDA POWER
o
W.R.E.C.
o STEEL
D OTHER
.tuRd E~ev~
" '/:~
)"N;
IS PROJECT IN FLOOD ZONE AREAD YES
BUILD~ ~
SIGNAT~ -=>
**************************************************************** *
COMPANYRYM.71_~r CmraTRUCTION,
STATE CERT OR REGIST #
CITY PROCESSING 274
ELECTRICIAN COMPANY E~ ST FA SCO :iL:iCT:RIC'
STATE CERT OR REGIST # ER-0014591
SIGNATURE 7~ ~~ ( CITY PROCESSING #
******************************************************************
PLUMBER
No ~1-_1^t-f\ 0/1'fG--
SIGNATURE
ME~
SIGNATU \I)~
* ** ** * * ** **.************ ****** ** ** * * ** * * *** ** * * ** ** **** * * ******* ** *
COMPANY R lU.lR S r-ll c::: ~ ND ll;l C'
STATE CERT OR REGIST # CAC-043498
CITY PROCESSING #
*****************************************************************
OTHER ~ COMPANY RYMAN CONS'T'RTJC'T'TON. TNC_
~ STATE CERT OR REGIST # RC-0061648
SIGN~ CITY PROCESSING #
~ ****************************************************************
.l"\. ",VJ.J.I....t:. V.c 1J.t:.~1J H.t:.:JTHJ.I...TJ.V1\I;)
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
comp1iance'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 N T NEED TO RECORD AN~D POST A "NOTICE OF COMMENCEM..ENT".
~~ ....
URE: CONTRACTOR
STATE OF FLORIDA IJ,. ./1/1 '"
COUNTY OF ~~
The foregoing instrument w~nOWle~?:~~
Before,)l"e this~day of~ , ~~
by M..JJih ~~ -"--
(name of person acknowledged)
~ is personally known to me, or
STATE OF FLORIDA?~b
COUNTY OF
The foregoing instrument was acknowledged
Bef~\~e th~~ day of::r-ll...v) ,~
by , () JY) '/yn~
~ (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type
and whoD did ~id not
Name typed,
person taking acknowledgement
~ ::.-ea: IX""'"
pri~ tiPlra1JIlftIIl1!IIi.2OO7
Name
(fj}j Angela Helms
~eu.,"I~~~
typed, or s a
0, '" 'EXPires January 03. 2007
Ryman Const.
7220 Highland Loop
Room Addition
SQ. FEET PRICE
MAIN OR LIVING: 192 $ 50.00
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: - $ -
VALUATION $ 9,600.00
FEE SHEET $ 80.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 120.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 120.00
ELECTRICAL: $ 39.20
PLUMBING: $ -
MECHANICAL: $ 39.80
RADON: $ 1.92
TOTAL $ 200.92
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
I
I
I
t
WATER METERI $
IRRIGATION METER $
SUB-TOTAL $
200.92 I
SIF'S:I $
97.5% $
2.5% $
- I
- I
T IF'S :1 $
99% $
1% $
TOTAL: $
200.92 I
Uet.LO. LUUL IL:J~~M lilY U~ Lt~HYKHILL0
ciTY OF ZRPurRHXLLS BUILOING DBPART.HBNT
-::J Ac- \c.. 1-) l ~\2.
JOB LOCATION tCZc \-\l~~D J.-.ooe ~P~tJ..\:\u.s. \ ~L.
PARCEL I.D.'fI ~-2S-2.1-()lCC-~_O\~
NO'LDIU
~. III
OwNER
SUOH ALL BXISTING & PROFOSBD STRUCTURES GIVlNG nIHBNSIOHS & SETBACKS.
89' ,
?~Po5~jJ
I\OOrTlOH '37 '
/0)< 12
lip
12 \"Z.
UlSnM0-
l-Io ~E-
IlS/
~
\7 I
UTILITy BUILDINGS
MUST ShOW SIZE &
FOUNDATION INFOR-
MATION.
,
.33.
/ /
-:n~~~WA.1
~ .
.//
FRON
/ r
PROPER'ry LINE
(NOTE EXAMPLES 1 & 2)
STREE'r
~ I (of.\LAt..\D ~~
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACXs FOR R3 ZONING
- 60'
10'
p E
R J(
0 I
10' p s la'
0. or 1 0'
S I
E N
D G
.20 '
FRONr PROPBk'l'T LINE
,- ,....
10'
10' EXISTING 10'
1 0
PROPOSED
20'SGL FAH 30'DUPLBX
FRONT l'ROPERTY LINE
'III'" "'" ""'11I11 "'" '''II "'" 1/1" "11I "ll' /I" /II'
2003004659
S t.a te 0 f -f7cl (to Cl.
NOTICE. OF
Rcpt: 645584
DS: 0. 00
COMMENCEMENT 01/09/03
County of I!J,CZ!-(0
Rec: 6.00
IT: 0.00
Opty Clerk
THE UNDERSIGNED hereby gives not.ice that improv~ent will be made
to certain real prope.z:ty, and in accordance with Chapter 713,
Florida Statues, the fallowing information is provided in this
Notice of Commencement:
(Legal description of the property and street address if available)
2 . General Description of Improvemen t ~ Ot>>'- fld,d I /) '~,
3 . Owner Information: Nam<>'Ji-<> Vf11. .14 e 1""2 ~
Address7c.l~, .1h'J" Ict<-d lory? City P.0. 1"1,, / / ~ )StateFL ~/
Interest in Property:
l.Description of Property: Parcel No.9'!'')''J'J/-o/on.. r~ -0(.:>--0
.
Name of Fee Simple Titleholder:
(If other than owner)
JED PITTMAN~ PASCO COUNTY CLERk
01/09/03 00:43am 1 of 1
OR Bk 5197 PG 922
~.~:~',_.'~;.. .
~~""~J
, ';;;.,
Address City
4.Contrac.tar: Name RYMAN CONSTRUCTION,. INC.
State
Address 37325 S.R. 54 w.
S.Surety: Name
Ci ty ZEPHYRHILLS
StateFL 33541
City
State
Address
Amount of Bond: $
6 . Lender: Name
,.Persons within the State of Florida designated by owner upon Wham
notices Or other documents may be served as prOvided by Section
713.13 (1) (a) (7) I Florida Statutes:
Address
City
State
Narn.e
Address
City
State
8.In addition to himself, OwneL deSignates
of to receive a copy 0 f 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
speci fied.)
Signature of Owner: ,: Print /,/~ {l.fv./01~ j),,:, Ie..
Sworn to and subs=ibed .... th1.s ~ day af ,j {L.-1A..1 A -0 AI{;::}:;~ .
20 {).., . ),1 I U
NO:::-~ubliC: r;J~J~ ~
My Commission Expires: -(tJ Ange/a Helms
. . My CommiseIon DD185S87
'ClIO ~ Expkea.lanualy 03, 2007