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Home My WebLink About03-1855 .;' ()O 4~-/ BUILDING ELEC~CAL Property Owner: ~). warJ. Job Address: 3' 7' 2 () 9 ~ Ave Parcell.D.N \L-2b-21- O()~A-O/)bOC).' 0050 BUILDING PERMIT Permit N2 1855 2/20103 Date CITY OF ZEPHYRHILLS (813) 780-0020 PLUM~G Kr: 11 ~Ol" MECHA~AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work Energy CocJe: ~e -rOu-\ Radon Gas: FINAL 3 -.] - () 3 NO OCCUPANCY BEFORE C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or Contract Price 2)20 I ~ Inspector Permit Fee 4 S', q;;.. 'I Signature ~~f ct fj fl. O~i /"- Company Address :x Telephone# /'6 ;)--o8cJ--.~ City License Registration # State Certified License# (( "'" ~'" BUILDING )75 ElEC ICAL Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts Insl. Lintel Meter Can Water Compressor FRM. Const. Pole Sewer Final Insul. CL Pool Final \ WL Pre-Meter Final Driveway REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDtNG. DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S N~ cm/rDI JSrl~~{)Y) . Ih fl;-e JOB ADDRESS -?;9 J 07 (() . . PHONE '} 72 -3-/-::;:3 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # I J..--:)(p-C) I - ODd;:; - OO{pOO.:-.(~$~A.ROM PROPF.RTY TAX NOTTCF.) WORK PROPSED: ONEW CONSTRUCTION D ADDITION OALTERATION ~EPAIR 0 INSTALL o SIGN D MOVE D DEMOLI SH PROPOSED USE: OSGL 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~L ~. P rY*' 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 $;)( 7r20. ill PERMITS REQUESTED o ELECTRICAL o PLUMBING o MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C.. $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES 0 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 MECHANICAL ***********.******************************************************* COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE 0,"""" ~ COMPANY tl~CI '1 (Jyn*r,1 r<iJlYj, )nc . -STATE CERT R REGIST # (' (1r_ ~ /,~~,-5-l5C)'5 SIGNATU - . ~_. . CITY PROCESSING # do 7.:1 ***************************************************************** ***************************************************************** The undersigned understands that this penru.t may be subject to ~ceec res~r~c~~ons" w~~c~ may be more restrictive than City regulations. The undersigned a.sst:mes .responsibilit.y for compl~ance ~ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Hod:, th,ey ma.y be required to be licensed in accordance with state and local regulations. If t:he c,::m1:r,ac:tClr is not licensed as required by law, both the owner and contractor may bEl ci.ted fo:r ,a misdemeanor violation under state law. If the owner or intended contractor clre uncerta.in as to what licensing requirements may apply for the intended work, they are advised b::> cl::>ntact 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 *Axmy 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". sd:%; ~~R OR AGENT ~:~TOR STATE OF FLORIDA:-:+' e;/' :-'\ COUNTY OF I ~l J.. ) The foregoing ins rument w~acknowledged Befor me this day of\::::e/V) ,~j by _ riJ., (name of per n ~..o is personally Owho has produced (type of identification) and Ddid not take a STATE OF FLORIDA COUNTY OF The foregoing instrument wa~cknOWledged'fY\c~ Before ~iS ~y o~~ by I V\ \. U ~ (name of person acknowledged) ~o is personally known to me, or j1J ;.fleD o who has Signature of person taking acknowle ~-- . . My CommIIIIonDD1e&587 Name typed, UlIJIhlOlllnulli~ Name typed, 11II11I11I11 '"11 11111 //11I 11111 ""1111" "'" /11""1/ "" 2003027121 . St.ate. of NOTICE. OF COMMENCEMENT ~r do... County of PaxJc:() Rcpt: 655242 Rec; 6.00 DS: 0.00 IT: 0.00 02/14/03 __________ Opty Clerk THE UNDERsIGNED hereby gives not.ice that improvement will be made to certain :r:eal property, and in acco:r:dance with Chapte:r: 713, Florida Statues, the following information is provided in this Notice of COmmence.ment: (Legal description of the property and street address if available) 2. General Description of Improvement 'f\,e _ Ib~' 1. DescriPtion of P:r:operty: Pa:r:cel No. U-diP -a / - 00 d A--6:)r,;; 0 ---rJO:3Q :>. Owner Information: NaJn€>.f' fJ/ .?;r e 1 '5 Ch--t~ Address '3 7 ;;L 00, {D ~ AN Ci ty? e u.." "1'< I Is Sta teFL3:3:?1 d ' [..- Inte.re.st in Prope.rty: . Name of Fee Simple Titleholder: (If other than owner) ~~91~~~~M'W8:r~;O fOUN~Yf' C'iERK OR BK 5239 PG 1967 7.Persons within the State of Florida designated by owner upon whom notices o:r: other documents may be se:r:ved as P:r:ovided by Section 713.13 (1) (a) (7) I Florida Statutes: Narn.e Address City State 8.In addition to himself, Owner designates o f to receive a copy of the Liena:r:' s Notice as prOvided in section 713.13 (l) (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..) ----- ." .At-'L7. Pr:int Name r:=..r1J 131!~/\. me 'this 13 day of r'€JJr~ .-, / /J I // ~--, Nota:r:y Public: SYf!:77 ~. OIjJ-t./', _1 My Commission Expires: Signatur:e of Sworn to and J2~ 20 .. r) '...../ ~HJ\ Al'V'lI.. lI.h,1I tJ . My Commluion 00165587 1~'1:..1 Expires January 03, 2007 I 1 ~ Ryman Construction Incorporated 37325 S.R. 54 W. Zephyrhills, Florida 33541 (813) 782-0825. cec # 035134 FAX (813) 788-6773 RC # 0061648 ()O)"O F t'J S'~~ O/W> TO: CLJ g/<-;"vs o~ ~9.;J09 lj;fi ~ . . /1- h Z-h, II'>, L g3)YO :?e16-313.:3 DATE: 2 /! Z/ C0 c;# ~ :;;/vo^- Ct #/4 ...-- :, (1'f6 I. COMPLETE TEAR OFF O~ptSTlNG SHINGLES 2. ROOF DRIED IN WITH # -IS- FELT 3. INSTALL ALL NEW VALLEY METAL WITH GALVANlZED METAL 4. RE-SECURE ALL LOOSE ROOF DECKING 5. INSTALL ALL NEW LEAD BOOTS THROUGH THE ROOF 6. INSTALL ALL ~E~DRIP EDGE AROUND THE PERIMETER OF ROOE 7. INSTALL NEWd:2.. YEAR FUNGUS-RESISTANT SHINGLE 8. ALL DEBRIS REMOVED FROM THE JOB SITE 9. ALL MA TERIAL AND LABOR FURNISHED (7)JV:;rE(A~~RRA(;) 7(2J ~RA,V"~ot5 BAD PLYWOOD REPLACED AT A COST OF $40.00 PER SHEET IN T, E ROOF FlELf). AU. OTHER WOOD WORK .""UCR AS VALLEY REBUILDING OR RAFTER REPLACEMENT Wll.L BE A CRAR(iE OF $40.(}() PER MAN PER HOUR PLUS THE COST OF MATERIALS. TOTAL BI .-J:, leA.. cU 5 :-; "vc;..- ~cL f'L!1 '7 . / ~ - '\ ;h:11r(),Iv!IOVk If (~ ) fiJ 70 PRICE $;2 7dC' r 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 .... A,,, "1<="",, ~ d"~~h"" ~t.::--:~'~;;'''rn ."". ,,,II '" "~"'"' ,.,, ""m '" "''" 'ml". ",," ",II I~,,,,, an cxtra chargc ovcr and ahOl'c the cstimatc. ^i1 agrcements contingclllupon strikcs, accidents or delays hCI"l)l1d our conln>/. ( )\\llcr III carrv fire. tornado and othcr nccessar~.. insurance upon above work. Workmen's compensalion and public liability insuT:lncc on ah",'c "ork to be lakcn oul bv. Dollars l~'~ rp ,}--l~r-;-Pt It f r) ~I ~ ~ ! ri dln/r;? PER L Y SUBMITTED ~ DATE X ACCEPTANCE OF PROPOSAL THE ABOVE PRlCES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT TO BE MADE AS OUTLINED. =-' J r SIGNATUREX 'Zt{ ~NATURE Payment due upon receipt of Invoice PLEASE NOTE: A CHARGE OF 1.5% WILL BE MAOE ON AlL UNPAID BALANCES AFTER 30 DAYS, WHICH IS AN ANNUAl PERCENTAGE RATE OF 18% APPLIED TO PAST DUE BAlANCES.