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Home My WebLink About03-1856 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1856 Date 'd-;;n.-() 3> BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn ::::::~.31IJ;;~qn,~~ Parcell.D. # IJ -;;6-d J -q~D -~O - O~() Zoning: Energy Code: Radon Gas: Descriotion of Work '-;{-e - I ry);::- Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL 3- c.o. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or _# 3. c../j 5 Contract Price I 6 I DO Inspector 11 Pe,m;t F~ 0 Signatur _ Jq f:';p_A) .--- Company Address Telephone# 1:>1 0 -1')2J 7). .:=-) '70 City License Registration # ~te Certified License# --Jqj<<Y.t f ~ ~ SLB Tub Set Water Sewer Final NICAL BUILDING d- 7 ELECTRIC L Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. C::;~-~ S-~O * 0?L ~ to / II ~ .-1-0 s C/~~4 /~ ~/~ ~ . ~d--' tvH/7L" ~~~~ /, . t TO;~V' h/-'fl' 39~SZJ 9# /Ize- Z -:h/ / Is / If 3 3.s-~() (!J 0;;' 'I DATE: /J;r;b3 ...-:-' -j" ~ J /1/ '.e . I t? f/P'1 ; A 'j ~q I. COMPLETE TEAR OFF 0': ~ISTlNG SHINGLES 5';H tJ9 e f 10 2. ROOF DRIED IN WITH # 15- FELT '1 j-e,B, ~. I 3. INSTALL ALL NEW VALLEY METAL WITH GALVANIZED METAL t- ~ t 4. RE-SEClJRE ALL LOOSE ROOF DECKING 10 .-r/#.J ~ 5. INSTALL ALL NEW LEAD BOOTS THROUGH THE ROOF I J 6. INSTALL ALL NE~RIP EDGE AROUND THE PERIMETER OF ROOF ~C<I /:"" F 7.INSTALLNEW.2:L YEAR FUNGUS-RESISTANT SHINGLE 3/1'17.:3~? 8. ALL DEBRIS REMOVED FROM THE ,JOB SITE . 9. ALL MA TERIAL AND LABOR FURNISHED : n r d~ 10. FIVE YEAR LEt\K WARRANTY [,0'-:::> .' . /lL /J .:;t:/Jdt-d.Ls ~ e t/~r S J' ?j a/I tr(J II LI Cft'- ~Al&uJ2e_ ~ c>~~^..;8OfFAL BID PRICE $ C) 7L/.; '.(;7:' d~ EXTRA'S ~ "- <- ~~ { (lflJ) I r BAD PLYWOOD REP8!JCETJAT A COSTl . $40.00 PER SHEET IN THE ROOF FIELD. ALL ' 'I e,> OTHER WOOD WORK SUCH AS VALLEY REBUILDING OR RAFTER REPlACEMENT WIU, BE ~ tfl jl A (RAR(iE OF $40.00 PER MAN PER HOUR PLUS THE COST OF MATERI4I's. JUc:.~ L.0~Lvo~\L All material is guaranteed to be as specified, and the above work to be done in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Ryman Construction Incorporated 37325 S.R. 54 W. Zephyrhills, Florida 33541 (813) 782-0825. eBe # 035134 FAX (813) 788-6773 RC # 0061648 f/ 7M ~tJ/9 With payment as follows. Upt:J,v C1rm//e-l'~"cJ Dollars 1$ Anv alteration or deviation Irom ahove specilieations invoh'ing extra cnsls, will he executed onlv upon written order. Hnd will hCC"nlC an cxtra charge o\'er and Hhu\'e the estimate. All Hgreements cOlltingelllup<)n strikes. accidents or delays he\\'1lJ our c<lllln11 ()\\ nn to eam' lire, tornado and other nceessar.. insurance upon ahovc work. Workmen's eompensatinn and puhlic liability insurance Oil above '\(>rk to be taken out by. RE~ULL Y SUBMITTED , {J~b PER~~ 9p n )t" ACCEPTANCE OF PROPOSAL ri iJ 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. ~ / SIGNATURE ~_ /~/ \ SIGNATURE -\' Payment due upon receipt of Invoice fJ D }O;J :111-"' DATE PLEASE NOTE: A CHARGE OF 1.5% WILL BE MADE ON AlL UNPAID BALANCES AFTER 30 DAYS, WHICH IS AN ANNUAl PERCENTAGE RATE OF 18% APPLIED TO PAST DUE BALANCES. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDING DEPARTMENT . DATE RECEIVED PLANS REVIEW FEE OWNER' S NAME 7'\ '1' ! fll I..... S 1L ~ r? ')(1 I U 7U- (11=, J 4- JOB ADDRESS--3.945{j q -n-. Ilv~ LEGAL DESCRIPTION: LOT(S) C(Lj BLOCK PARCEL 10 # I;)--)/~-~J -()J cD-aoOrb -DJ.C;6' PHONE 7'&5-o?/CJ SUBDIVISION ~ ~1e3.L (ORTATN FROM PROP;R~Y TAX NOTTCR) WORK PROPSED: DNEW CONSTRUCTION DADDITION OALTERATION j'PREPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o CO.MMERCIAL o INDUSTRIAL o SWI.MMING POOL o OTHER ~ DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~p - '2(Y\C BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. PERMITS REQUESTED D BUILDING $ .3 J 2?r5. () 0 VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE o FLORIDA POWER D W.R.E.C.. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES D 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 ::~~ ***************************************************************** COMPANY ~~(t VJ (' nn'51-1(1 (l:f)fV), )nc . STATE CERT OR REGIST # (l (Ir. - /..~~,-5"L-"ft:r5 CITY PROCESSING # 0 '11 ***************************************************************** The undersigned understands that this perrrd.~ may be subjec~ ~o "deed res~ric~ionsn w~ic~ may be more restrictive than City regulations. The undersigned a.ssumes .r:-esponsibili t.y for compliance with any applicable deed restri<:.t:ions. B. Ul'iLICEN'SED CONTRACTORS AND CONTRACTOR R2:SPONSIBILITIES If the owner has hired a contractor or con1:.r:-actors to unde.r:-ta,ke work, thl~y m.ay 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, 00 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". OR AGENT < ~NTRACTOR STATE OF FLORIDA P n r: J:J COUNTY OF z? The foregoing instrument was acknowledged Befo~ i)e th~ day O.f. ctb, 1:'9~ by Q IV\. ~ ------ (name of person acknowledged) ~who is personally known to me, or ~~~~~yO~FFLORIDA ?J~ The foregoing instrument wa~acknowledged Before,ye ~his ~day ~ Q , ~~ by t+QA)/V\ ~11l.^-_ (name of person acknowledged) ~o is personally known to me, or Dwho has produced (type ~id not o who has produced (type of 'BU-d not identification) k an oath Name t'yped, inted or stamped 1t AngeI8 Helms . . MyCornmlulon 00185587 ~OI~ ExplrelJenU8lY03, 2007 Signature of p son taking acknowledgment ~-~ed~~d ~~ ~ 1/:; Angela Helma . . My CommiIIIOn 00185587 ~ Of:; ExpireI January 03. 2007 1111I111111111111 11111111/1111111111111111 111111111111111111 2003027122. . NOTICE OF COMMENCEMENT ~~h St t f i1--10 rJC~ .....aeo ~ _~ Rcpt: 655242 DS: 0. 00 02/14/03 Rec: 6.00 IT: 0.00 Dpty Clerk County of ?~) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and i.n accordance with Chapter 1:L3, Florida Statues, the fallowing infol:l11ation is. provided in this Notice of Commencement: L Description 0 f Property, Parcel No. / J:- ;;'60-;), 1_ 0360 -{)()[:O<'J ~ -'\ , (Legal description of the property and street address if available) 2. General Description of Improvement~ _ K ~ 3.Owner Infol:l11ation: Nam.. YX-lj/a,s l~l . Address :?fN60 qw, ~ CitY7-,p'ut'/h~/~tateFL3350 Interest in Property: . Name of Fee Simple Titleholder: {If other than owner} JED PITT"ANn PASCO COUNTY CLERK 02/14/03 00:31am 1 of 1 OR BK 5239 PG 1968 Addr:ess City 4.Contractor: Name RYMAN CONSTRUCTION~ INC. State '-J Address 37325 S~R~ 54 w. 5.Surety: Name City ZEPHYRHILLS State.FL. 335~ Address Amount of Bond: $ City State 6 - Lender: Name Address 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 (1} (a} {7} I Florida Statutes: City State 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. ) SignatW:e of Owner:" / /t''...~ /..--'./'/ Pri.nt Name 1);;'::9; ~ Swol:1! to and subs ibed before me,' this J 3 day of r:e 10 201"1 ~ .. Notar-: PubliC'~~ ~ My Commission Expire' : ~ AI1Q8l8 netmI · . My Commiaaion 00165587 ..:; -"'_".2007