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HomeMy WebLinkAbout03-2280 ~. I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2280 Permit Number: 2280 Issued: 8/07/2003 Permit Type: GENERAL BUILDING PERMIT Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 3,840.00 Total Fees: Amount Paid: 50.00 Date Paid: Address: 5754 16TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: RYMAN (INDIVIDUAL) Addr: 35267 SR 54 WEST ZEPHYRHILLS, FL 33541 Phone: (813)782-0825 Lic: RF 0037237 Work Desc: RE-ROOF Name: REED BILLY JR. Address: 5754 16TH ST ZEPHYRHILLS, FL. 33542 Phone: fI r<J f 1/ ~u3 I-(J (J I 1 U PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. i MISC. FIRE DEPT. FINAL . . REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 . "Warnirig 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 _~efore recording your notice of commencement." c~ SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. ~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ((4 () ( JOB ADDRESS '7 '7.5L/ -. , ~{J1d It (J T1 ..5'f1e1 Jj- PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # II-alp- a I -ClJ/tJ -o79CO-Oldr) SUBDIVISION (OBTATN FROM PROPF.RTY TAX NOTTCF.) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION ~REPAIR o INSTALL OSIGN o MOVE D DEMOLI SH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER ~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK .~~ f2rF:J F 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 $ PERMITS REQUESTED l ~gL/ O. 0 U VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE D FLORIDA POWER o W.R.E.C.. o PLUMBING o ME CHAN I CAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD 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 MECHANICAL ***********~****************************************************** COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** SIGNATURE COMPANY ~~(t V) CJ)Y15frr..J (li)fY), )nc . STATE CERT R REGIST # (' rr. ~ J,-=1~,-5'"L5t:r5 CITY PROCESSING # d, 7...5 OTHER ********************************************************* The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned a.ssumes .cespol1sibility for compliance with any applicable deed restric"l:ions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to unde.ctake "rork, 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 nowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the nowner" 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 nA,etc.", it is understood that a drainage plan addressing a ncompensating 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 $7N VAL"J, NgED TO RECORD AND POST A "NOTre OF ~z. S~TqWNER ~ STATE OF FLORIDA n... , STATE OF FLORIDA /) , COUNTY OF K1;/' 0 COUNTY OF ;/UJC~ The foregoing instrument was acknowledged ~ The foregoin~ instrument was/FcknoW~dged __ Befor me this day of ~eJ1"}r, ~O Before me th1.s ~day of t::/J..d~U7, ~0 by by V((2 (r '\I "Ii' ( f11 Q....-1L , I (name of person acknowledged) (name of person acknowledged) ~o is personally known to me, or Okao is personally known to me, or Dwho has produced (type of identification) ~ not take ~n oath C.'~ of identification) take an oath. , /el4::J Name typed, person taking acknowledgment .,P ~ Angela Helms fJ/ii ~ Col11l1lluion 00165587 pri Of ~pilit.f8ffllit'}ab, 2007 Signa ure of p son taking ac~nowledgement 1;.-- !".. . My CommiSSion 00165587 Name typed,~" n~s#l1:'Uagtl!~d ~ Stat.e. of r I ur i(l c\ NOT ICE. OF COMMENCEMENT County of _,.0 j"D THE UNDERSIGNED hereby gives notice that iznproVement will he made to certain real property, and in accOJ:dance with Chapt"r 713, Florida Statu"s, th" fOllowing information is provid"d in this Notice of Commencement: L D"scriptiOQ 0 f Property, Parcel No .11-) !;r.J / 'DC/ () -'0 7'fCX)-.:y J. 0 (Legal description of the property and street address if available) ~~J t:? ~ 2. General DeSCriPtion of Improvement~ Yi " . ~r,+-- 3-Owner Information: Narne (01?>1 ,l ?.R,-;) Addr"ss_ 17:5'-/ Ii;"" 5Ir--e.tf_ City. 7 PPltU-/1I/6Stat"tL ~ Intere.st in Prope.rty~ . Name. of Fe.e. Simple Title.hOlde.r~ (If other than owner) Addr"ss, City 4 . Contractor : Name_RYMAN CONSTRUCTION, -INC. State Addre.ss 37325 S~R~ 54 W~ 4..:::,:;'.- CitY_ZE.PHYRHILLs State.FL 335~ ~ 'J' 5 .:;;:~:~ Narne~ Ci ty _ State Amount of Bond: $ 6 - Lender ~ Name = Address City_ 7.Persons within the Stat" of Florida de.signated hy owner upon whom notic"s or oth"" documents may h" s"rve.d as provided hy Se.ction 713.13 (1) (a) (7) 1 Florida Statutes: State Name Address City 8~In addition to himself, Owner designates State of to r"ce.iv" a copy of the Lienor's Not i ce as provided in - section 713.13 ( 1) (h), FlOrida Statutes. . '..... ';..:~.h'. ..'.. N= 1.9= 1.9== w= .....= ~- w- w= .....- - m_ - - - - - - - - - - - 1.9 o::a QI (nn ........'U 1.9 ~ mlS.. ......(g..... 1.91.91.9 W ~ ..... w UI ::a Hill -tn ISm c. . 'U 1.9 1.9 ~ 1.91.9 o - lD .., >t' o 1.9(., ::a Qlm ......0 ~ ~"U ~ ......104 1S-t (JI~ .....1S:D .. Ol.Z -.J.. CD~ DIu. 3n o "U .....n Cl 0 c: Z <Oo-t .a::. ~ ~ CD.....J;; ::a ~ 9.Expiration dat" of Notic" of CommenC"Inent (th" expiration dat" is 1 year from the date of recording unless a different date is sPe.cifie.d. ) Signature of Owner:...K - ~ ..4, ~print Name><- c!.1IVl A. ewe/? Sw~".') to and subsa:ibed hefore me this f __ day of tI"J" .:;;:: 20.1...)- ~' J 'I).. ( l ~ ._ Notary Pubhc j:xj/lCt j()~ 'tv __- ~ _ _ '. , . ~~_ Angela Helms My COnunl S S l on Exp He S : "., .~ <om..... ~'AA"" \< ..,;': . Expires January 03, 2007 1. Complete tear off of exi~:tiJlg shingles 2. Roof dried in with # I j felt 3. Install new valley metal with galvanized metal 4. Re-secure all loose roof decking 5. Install all new lead boots through the roof 6. Install all new drip ~ge around the perimeter of roof 7. Install all new .;< c;- year fungus-resistant shingle 3 _~ L; 8. All debris removed from the job site 9. All material and labor furnished Ili0!!clil(~ j'lQ/hbv,..,-/ o,? /IJ~-/A-I CA/n";v~ f ~ II) ~,;Vclf,(d.R.5 t.k-r> -fc(3) ~~h /7rPnJI 1:2~ -S-fe/h<- tcKh<. W~L/TN'7 ... '/'~ ~~~ ~,ma,1e ~(J.(J.'tIe9 A Division of Ryman Construction, Inc. To: 11l~, ~. sl5"""'f. I~ IV 5-t 2----1-)/ //5 /f." :J<;)st4 ./ S~/k/J,vWrO [lIC} 13 /l4kJ tV E v-e:/.)~ Date: .. /1/J~ ~'~~/,..s-/d,vk/ '$~/~9/~r 16 39D.tfO .. -;;;i-A- / ,~i a 6~ /r} I ~ J/ldJ '.u .<1'../ 8 '-/I &0. (J1 0/1- P S~/~'1 Ie Total bid price $ 3 8. tfOr 6iJ . Extra's _ ; If) Bad plywood replaced a(J. cost of $$!. per sheet in tire roof field. All other wood work suclr as valley rebuilding or rafter replacement will be a charge of $ ~ per man per 1I0ur plus tile cost of materials '\Il 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 nd completed in a substantial workmanlike manner for the sum of , Vith payment as follows: LJ....pffl ~hcJ~ ny alteration or deviation from above specifications involving extra costs, will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements 'nringenl upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado, and other necessary insurance upon above work. Workmen's compensation and public liability surance on above \York to be taken out by Ryman Construction, Inc. . Date: Signature: Dollars ($ 38 ~ ( n vI~ Ryman Construction, Inc. Will not be responsible for any septic tank, sod, or shrubbery damage. Payment due upon receipt of Invoice Please nOle: A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate of 180/0 applied to past due balances For your convenience we accept -ClCiiIl. 37325 S. R. 54 W. . Zephyrhills, Florida 33542 (813) 782-6094 . License # CCC-1325505