HomeMy WebLinkAbout03-1933
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1933
(813) 780-0020
Date
.3 - / g-05
.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. ,
~A$
,i<x-C\vo
!;}2tfJ (V~~
I :c Av ~ .
Water Meter:
T.I.F,'s:
Zoning:
Descriotion of Work
12~e~g~
Radon Gas:
FINAL~- /(/ -cy
DATE
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
flcro d- j?(~
Permit Fee ? S'~
~ignaturft7h~ & J 0\ I) /~k::::)
Company
Address
)7elephone# 1J3-71ZJ -()-)? Y....- ''')
Ia f'v'.."vV'-
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-M
Final
Breakers
Ducts Ins
Com~
Fi
SlB
Tub Set
Water
Sewer
Final
MECHANICAL
BUilDING
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.
APPLICATION FOR PEBMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
~__ '1
OWNER'S NAME -1!lf)fv\O<) I!1)llf1LQ. 6'10/1'\
JOB ADDRESS 3t94D 1.:;1- I9-u-L
LEGAL DESCRIPTION: LOT(S) ~
! 1-:1(p -() 1- D a/'6 - ;))&00 -()OJ O(OBTATN
PHONE
7"1i)- dO O,J-
BLOCK
SUBDIVISION
PARCEL ID #
FROM PROPF.RTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
~PAIR
o INSTALL
OSIGN
o MOVE
o 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 7?e. -1Lcx').?-
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.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANI CAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS ~OOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
***********.*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*****************************************************************
OTHER
....,,-
COMPANY '~~{t Vj (JlYl.J!-rU {li)(Y)j )nc .
STATE CERT R REGIST # (l rr. - /..~(~:5/)t)'5
CITY PROCESSING # a ?~1
SIGNATU
*************************************************************
A. NUT.L I...:t; U~. Ut;t;U Kt;:::'l'.KJ.I...:'l... ~ ^';.;
The undersigned understands that this permit may be subject to ~deed restrictions" which
m~y be 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 cha~ge 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".
~~~
SIGNATURE: R OR AGENT
..... ...--
~-
STATE OF FLORIDA f./' A
COUNTY OF _ ~l ~
The foregoing instrument was acknowledged
Before me this -1-1- day of7J1'J2.fCh , l'9.2Q:)3
by
(name of person acknowledged)
~WhO is personally known to me, or
~CTOR
STATE OF FLORIDA /J~ , '"'\
COUNTY OF V () 5 r: ,,(~
The foregoing instrument was acknowledged _
Before me this ~day of MA..-IrJlr\, l-9(~'~
by
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
~ffdq ~
Signature of p~rson taking acknowledgement
~"" \ng," H.Im.
Name typed, ~~~'r
o who has produced
(type of identification)
~'d not take an oath
Name typed,
person taking acknowledgment
~--
. . My CommiIIlon 00165587
p' ~JnfIX~7
'... ,_.T ~T_.~T ~
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Ryman Construction Incorporated
37325 S.R. 54 W.
Zephyrhills, Florida 33541
(813) 782-0825. eBe # 035134 FAX (813) 788-6773
RC # 0061648
CX>4lpO
TO: '\';m ~D ehR..\'S:. Mep..\\J,o.I\)N~ -I~:J #~OC>~
-3 eq 40 ,~o.. \J<..
"Zq:>n~f01,nS J 1==(
DATE: Z t Z2.t 0..3
4""\0 ~~S :r.... ~9
I. COMPLETE TEAR OFF OF EXISTING SHINGLES
2. ROOF DRIED IN WITH # \ S" FELT
3. INSTALL ALL NEW VALLEY METAL WITH GALVANIZED METAL
4. RE-SEClJRE ALL LOOSE ROOF DECKING
5. INSTALL ALL NEW LEAD ROOTS THROUGH THE ROOF
6. INSTALL ALL NEW DRIP EDGE AROllND THE PERIMETER OF ROOF
7. INSTALL NEW30 YEAR FUNGUS-RESISTANT SHINGLE-Dfr\'\,e.~If))'\)1Q \ ~~~
8. ALL DEBRIS REMOVED FROM THE .JOB SITE
9. ALL MA TERIAL AND LABOR FURNISHED
10. FIVE YEAR LEAK WARRANTY 'I
Il.) "::t-N~. O~~ :10~~1+- .,.t="o..u-~ ~~) P <(l.OOoD CDn ~O CJ~
lZ)~OU ~tUm{. c;.t..J:\t.fL$ TOTAL BID PRICE $ 0'""\ U
EXTRA'S
BAD PI. YWOOD REPLACED A T A COST OF $40. 00 PER SHEET IN THE ROOF FIELD. ALL
OTHER WOOD WORK SUCH AS VALLEY REBUILDINU OR RAFTER REPLACEMENT WILL BE
A CHAR(iE OF $40.0() PER MAN PER HOUR PLUS THE COST OF MATERIALS.
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. - ~Ipo ~ Co ,,^-?le~o N
Dollars : $
An\' alteralion or deviation from ahove specilicalil\ns in\'ol\'ing exlra costs, will he executed onlv uron \Hillcn ordcr. and will hcwll1e
lIn extra chargc ovcr and aho\'c thc cstimatc All agrccments conting.enlup0n strikcs. accidcnts or dcla~'s bcyond our c,'ulrol. t )\lner 10
carry lire. tornado and other necessar\' insurancc upon aoovc work. Workmcn's compensalion and puhlic liahilit\' insurancc 011 ahl".c
work 10 be [akcn oul by.
RESPECTFULLY SUBMITTED
PER 1-< eO, tV 'i<. 'Y I'^-A-"">
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.
SIGNA TURE
DATE
SIGNATURE
Payment due upon receipt of Invoice
PLEASE NOTE: A CHARGE OF t.S% Will BE MAOE ON All UNPAID BAlANCES AFTER 30 DAYS,
w....,.... Ie:: ..... ANJJlIlI ~~A"CNTAnl= IU-n: nF 1A" APPI u:n Tn PA~T nlt~ RAI ANr.r~
1111'" "'" 1111I 11I111111I1111I '1'" 11111 11111 '~II 1111 ~II
2003047241
S ta te 0 inn\,!! d 11
Rcpl: 663882
OS: 0.00
03/18/03
NOTICE. OF COMMENCEMENT
Pa:;f'JJ
Rec: 6.00
IT: 0.00
Dpty Clerk
County of
THE UNDERSIGNED hereby gi vas notice that improvement will be made
to ceJ:tain J:eal PJ:operty, and in accoJ:<iance with Chapter 113,
FloJ:ida Statues, the fOllowing information is PJ:ovided in this
Notice of Commencement:
L DescJ:iption of PJ:OpeJ:t y: PaJ::cel No. /1- ,')(r ;) / --on 10-;) /Ip ()() - od / (J
(Legal description of the property and street address if available)
2. General Description of Improvement '/1 {I -7 Qr\ f----
3.Owner Information:
'Aili~[)
Address ,:) ,
Name ...--,- h (Jb11051l7r ff/ ua 11 CL:{~ )
/71- /fLf-f.. City '11 ,.::JhliI1tdu St.at.eFL.33590
Interest in Property:
-
Name of Fee Simple Titleholder:
(If other than owner}
JEO PITTMAN PASCO COUNTY, C1ERt<
03/18/03 08:35am 1 10969
OR Bt< 5277 PG
(b~~ ~ess City
~J~~i 4. Contractor; Name RYMAN CONSTRUCTION,. INC.
W iiI;..--~ Address 31325 S.R. 54 W. City ZEPHYRHILLS
~
State
5.Surety: Name
State.FL 33541
Address
,{
City
State
Amount of Bond: $
6 - Lender:. Name
Address
I.Persons within the State of Florida designated by owner upon whom
notices OJ: other documents may be seJ:ved as PJ:ovided by Section
713.13 (l) (a) (7) 1 Florida Statutes:
Ci ty_
State
Name
Address
City
State
a.In addition to himself, Owner designates
of to J:eceive a copy of the LienoJ:'s
Not ice as provided in section 113.13 (1) (b), Florida Statutes.
9.Expiration date of Notice of CommenCeffi0nt (the expiJ:ation date is
1 year from the date of recording unless a different date is
specified. )
/1 ,
. , ",<'..ot. .f-.- _-0
Signatw:e of OwneJ:: ~i L-,' / r,- '-:: ~----'l'rint NroneK f1.-eM~ ,'.
swo.rn to and subs=i ed b,.ifor.e.~ of\n~
20C~.. . #I. ~/! _ _' '_
Notary Publ~c: _ --D( ~ _
.-
My Commission Expires:
{....{ {; j.:. I.... v A A,;' J, ,-I-
~..~ &~ J Slllll.
:~ * My Commission CC91......3
"\~..I expires March 31, 2004