HomeMy WebLinkAbout03-2321
CITY OF ZEPHYRHILLS
5335 . 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2321
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
2321 Issued: 8/27/2003
GENERAL BUILDING PERMIT
ROOF REPLACEMENT
NOT APPLICABLE
Est. Value:
9,675.00 Total Fees:
80.00 Date Paid:
I
80.001
8/27/2003 :
Address: 5904 7TH 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: MARION SMITH FLORIST
I Address: 5904 7TH ST
~ ZEPHYRHILLS, FL. 33542
Phone:
~-~-
.1 T
PRE-SLAB I CONSTRUCTION POLE ! 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL . PRE-METER : WATER . FINAL MECHANICAL
FRAME MISC SEWER I MISC
INSULATION WALL MISC MISC. ! MISC.
INSULATION CEILING MISC. MISC. ! MISC.
_ DRIVEWAY MISC. _ _ MISC. ~RE DEPT. FINAL
REINSPECTlON 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
"Warning to owner: Your failure to record a notice of commencement may result -in yo-ur paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
~fore recording your notice of commencement."
-~-_.__._._---_._-------_.._._~-
____ ~- __ _ _ _ ~O OCCUPANCY BEFORE C.O. ~ _ ___
-- CC/~ef&€sIG~ -- PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDtNG DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME 1Y}f'J:O/)Y\_,- ~~_ f7bi/5f-j My /:Jet:)!) Iile-, PHONE
JOB ADDRESS ~i1(Yi 1'f1L c5f-r~ ,
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # /J-;}lI- a J -(fbIQ-fX:>3Cf)-O/70
SUBDIVISION
(OBTATN FROM PROPF.RTY TAX NOTTCF.)
WORK PROPSED: DNEW CONSTRUCTION
o SIGN
o ADDITION
o MOVE
DALTERATION
D REPAIR
D INSTALL
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI - FAMILY
o INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
~(J_ -(8l76
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
$ qt;7!5
I
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o ME CHAN I CAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C..
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D 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
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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
OTHER ~ COMPANY ~~(1 '1 CJYl5frt.l (',iJrY), Ine- ,
. J If:::.- _H_ STATE CERT R REGIST # (' ('r, - 1,~a/5l")ty)
SIGNATUR , _ -A- ~ Trvwn-- CITY PROCESSING # 017,1
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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
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 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".
~-dR~ SIGNA~~ ~
;~~~~Y O~F FLORIDA Pa.5 cD ;~~~~Y O~F FLORIDA .fo 7 CA)
The foregoing instrument wa~ackno~ledged The foregoing in trument wasltc.kno~~edged A~
Before me this~ day of l:h J(jtfjt , :t9-.dQ2> Before e this ~ day of , ~LJ.:zr, 1~ ~~
by f)PA rt --fV10~ by
, (name f person acknowledged) (name of person acknowledged)
~ho is personally known to me, or )ekho is personally known to me, or
Owho has produced
(type
~id not
of identification)
take an oath.
Sig
u e O~'Id\ilIllliMing acknowledgment
r;.', . My eommllSlOn DD18IIIP
\: ~ ....11II1 03."
typed, printed or stamped .
Name typed,
Name
,...... ....,:~{f,
State. of
,......--
+-1 {r")l J'(I C-1.
NOTICE. OF COMMENCEMENT
County of Pa )C!D
1111I111111111I1111I11 111111111I111111111/111111111111111111
2003157892
THE UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter 7U,
Florida Statues, the fOllowing infonnat.ion is provided in this
Notice of Commencement:
(Legal description of the property and street address if available)
2.General Description of Improvement~f -~Cf)~
L DescriPtiott 0 f Property: Parcel No. / hit r-;).i -(j)/ 0-00 XCo-O; LO
3. Owne.r Information: Name --.iYr'..lI'On
Addre.ss .:J11Y-/
~ l ~p;j-
=
,:)f1Iinl f7cf 151-, Po. V lJetgji Ire.
Ci ty 2Q.phl{(f,'/I~ St.at.eFL 3a79'O
Int.erest in Property~
-
Name of Fee Simple Titleholder~
(If other than owner)
Rcpt: 710160
DS: 0. 00
08/27/03
Rec: 6.00
IT: 0.00
Dpty Clerk
Addxess City
~ 4. Contractor; Name RYMAN CONSTRUCTIONr INC.
\ '- Address 37325 S.R. 54 W. City ZEl'HYRHILLs
\
'-
5.Surety: Name
State
State.FL 3354L
Amount of Bond: $
City
State
JED PITTMAN PASCO COUNTY CLERK
08/27 /03 08:36am 1 05f91
OR BK 5510 PG 3
,r
Address
6 - Lender ~ Name
7.Persons within the State of FlOrida designated by owner upon whom
ttotices or other documents may be served as provided by Sectintt
713.13 (1) (a) (7), Florida Statutes:
City_
State
Address
Name
Address
City
State
8.In addition to himself, Owner designates
of to receive a copy of the Lienor's
Not ice 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
spe.cified. )
Owtter: . -<--<- Print Name.k-~~ F. Aynu
subs=ibe e ore me this ~:;-day of ~ 1V0>7
Notary Public: ~(C~~;
My Commission Expires:
SignatW:e of
Sworn to and
20 q)~
-
~ A.."",,. Ilell...
! . My Commlasion 00165587
~= -;" E>p;... ,,_ OJ, 2007