HomeMy WebLinkAbout04-2637
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2637
I
'-
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2637
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5837 14TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,380.00
1/12/2004
50,00
50,00
1/12/2004
RE-ROOF
Name: CATHERINE HUGHES
Address: 5837 14TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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
I (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
i---o The payment of inspection fees shall be made before any further permits will be issued to the person owning ,~m~____.__
I "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
I improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
! before recording your notice of commencement."
I Complete Plans, Specifications and Fee Must Accompany Appliciition,-
l~n_l,,\Iork shall be performed in accordance with City Codes and Ordinances
1- NO OCCUPANCY BEFORE C.O. -_.._-,~--,._--~----------
, ~A~ ........... ~MITOFFI-._.-
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
, BUILDING, DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME CafA f2 t7 /LfJ/tjj!)//J
JOB ADDRESS 583/ /'-/ , ll-/f-'
PHONE l%J.-dICR(/7
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # J 1-()lp-c),J-OO/O --O-::5jCO-Dc)L/() (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION ~EPAIR D INSTALL
DSIGN D MOVE D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME
D COMMERCIAL DINDUSTRIAL o SWIMMING POOL o OTHER
')
DESCRIPTION OF
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK ~e 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
$ J,3xo
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C..
o PLUMBING
o MECHANI CAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********~*******************************************************
MECHANICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER 'h~
SIGNATURE I. r
COMPANY .-g~c1 V") lnn5frLJ (l.i)fY) , )nc ,
STATE CERT R REGIST # r rr, - h1a.l5lLJtY5
CITY PROCESSING # Q/75
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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
$2,5 0 IN VALUE DO NOT NEED TO RECORD AND POST A ~~~TH_
SIGNA: RE: UONT!Q>..CTOR
eih __o~aking ac~nowledgement
! . My commIIsIon 0018&587
typ~tit; ~~~~ped
STATE OF FLORIDA
COUNTY OF
The foregoing ins~ument was~~~~~ejged 'I.
Before me this day of If} ~O(
by
(name of person acknowledged)
~ho is personally known to me, or
Dwho has produced
(type of identification)
O::l.id ot tak
Po..?1 (l~
o who
of identification)
k an ath.
Sign
o~
Name
. '.'.' ':'.;~f1. ..'
NOTICE, OF COMMENCEMENT
-- " n~
state of +- lor/rid. . County of ----rV.06 )
111111111111 111111111I11111 11I111111111111111I111111111I1111
2004005695
THE UNDERSIGNED here.by gives notice that. improvement will be made
to certain real property, and in accordance with Chapter 713,
Florida Statues, the following information is prOvided in this
Notice of Commencement:
L Description. 0 f Property, Parcel No - 11- OICe- d / -00/0- O::J/ tXJ -Oc)<IO \
(Legal description of the property and street address if available)
2.General Description of Improvement
3 . Owner Info rma t~on: Ni31lle (' rrfh e /'/rt e CT In .I) A M "",_
Address -fS3./ /~f;"l11: Clty Z.er~lh,l6StateFL J],Jlu
Interest in Propert.y:
-
Name of Fee Simple Titleholder:
(If other than owner)
Repl: 746890 Ree: 6,00
DS: 0,00 IT: 0.00
01/12/04 __ Dpty Clerk
R
i :,
Addxess City
4 ~ Contractor: Name RYMAN CONSTRUCTION,. INC~
State
Address 37325 S~R. 54 W~
5.Surety: Name
City ZEPHYRHILLs
St.ate.FL 33541
Amount of Bond: $
City
State
JED PITTMAN PASCO COUNTY,C1ERK
01/12/04 0t:2!pm 1 2074
OR BK 569~ PG
,j'
Address
6 - Lender:. Name
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
Address
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_ )
S ignatur:e 0 f Owne", x:. r;" xr-wu."".1, (k,~ Print Namet"- ,,'ctl. ... 7" ~', e. ~ -Jlv;j1l"-5
Sworn to. and Sdubsc.ribed beforeame tthcfJl':~-,j) iz~daY of; XL1U.o. /tiJ
2 0 ()I../ . .
f
Notary Publ:Lc, . < _?-~ t? .c..
My Commission Expires: ~ ~HMM
r- ~ My Commission D01t1lKllSI
\,: '1 Expires January 03, 2007
'~o,,,
.....
,/''':'
~~~
~'IHeale ~ (J.(J./tIe9
A Division of Ryman Construction, Inc.
To:
1t1ts'. tJIII~~7~5
56,3'7 j'lH 5~i:,
2-AI/ls. Ii- 33)d-S~
/
?~2 -Z/(P~
Date:
1-13 -tJ4
1. Complete tear off of eXJs~ shingles
2. Roof dried in with # 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 e~e around the perimeter of roof _ .f:, 04/*) 5#--/v' 1.1~,t:../ ~-r
7. Install all new ~) year fungus-resistant shingle 3 ..- / A l~ ,
8. All debris removed from the job site t;J}.H-rC &t/e:'/)~
9. All material and labor furnished
li)J?du~5(3)Skls/'7~
I~ ~~ ~.
li0 LIt}A-h~~" ;tc/s -/-"(.) be- /U./~7dld
Total bid price $
Extra's /"1J. ID
Bad plywood rePla:Jt at i:?ost of $ ~ per slreet in tire roof field. All otlrer wood work suclr as valley rebuilding or rafter replacement will
be a clrarge of $ '0. per man per Irour plus tire cost of materials
338()( crJ
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:
~~
~~0P0
Dollars ($ ;3 380, triJ
Any 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
contingent upon strikes. accidents or delays beyond our conlrol. Owner to carry tire, tornado, and other necessary insurance upon above work, Workmen's compensation and public liability
insurance on above work to be laken out by Ryman Construction, Inc.
Acceptance of Pro po I
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
Signature: 'A ~ ~ r I~
~
Per
Date:
Ryman Construction, Inc. Will not be responsible for
any septic tank, sod, or shrubbery damage.
Payment due upon receipt of Invoice
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
For your convenience we accept
_=rciil_
37325 S, R. 54 W. . Zephyrhills, Florida 33542
(813) 782-6094 . License # CCC-1325505