HomeMy WebLinkAbout04-2664
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2664
Permit Number: 2664 Address: 38619 PIEDMONT AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squal1e Feet: I Subdivision: ALPHA VILLAGE
Est Value: I Parcel Number:
Improv. Cost: 2,655.00
Date Issued: 1/21/2004 I Name: GUY HANSON
Total Fees: 45.00 I Address: 38619 PIEDMONT AVE
Amount Paid: 45.00 I, ZEPHYRHILLS, FL. 33542
Da Paid: 1/21/2004 ~______~_ Ph~ne:__.
-- Wor Desc: RE-ROOF
, i i
---"-----.___.....L, '_'__...__ ,_~. ______,.__
REINSPEC1l0N 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
IJ:1e paymen!.ofJ!:lspectiol1 fe~~_hall 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 your payi'ng twice fOr----
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before re(:ording your notice of commencement. II
------ -- Complete Pla'ns, Specifications and'Fee Must Accompany Applicatio-n.------ __u__
.. ,-- ------ ___AI'-~().r!<.?ha'!..Pe performed in accordance with City Codes and Ordinances _______u_______._
NO OCCUPANCY BEFORE C.O.
--_._-_.-._-.._---~."._-- -----------
I~ ~J:::J ~
R SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILD!NG DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
t4\ } f/a n:s{"~
~'36{~J9 ltednUlYLf !hJ(.
JOB ADDRESS
PHONE / I(X- /(J3 J
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # 35-;):f--dJ -C(Y50-0()!Jco-tf-./,) 0 IOBTATN
BLOCK
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION o ADDITION OALTERATION ~REPAIR D INSTALL
DSIGN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
FROM PROPF.RTY TAX NOTTCF.}
~
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~f, -ru~
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.
D BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
o GAS ~OOFING
TYPE OF CONSTRUCTION: 0 BLOCK
$ dl/~C55
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.,
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDJ!:R
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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PL~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MEC~ICAL
***********.*******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
0"",,", , 1,~ COMPANY ~~(/ "1 l m5fr1.l (' -;, fY), } nc .
. ~ ,~ STATE CERT OR REGIST # (1 rr. - J,~~,-5"l5tl5
SIGNATURE . · - ~ - CITY PROCESSING # 07-1
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~
The undersigned understands that this permit may be subject to "deed restrictionsfl 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
vi01ation under state 1aw. 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 Zephyrhi1ls Building Department, 813-788-6611.
Furthe~ore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerH, 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 perfo~ed 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 governmenta1 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 ~AH or "A,etc.H, 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 a110wed 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".
4~~GENT S~T& ~
;~~~~yO;FFLORIDA ~~~ ~~~~~yO;FFLORIDA ;?~~~
The foregoing instrument was acknowledg~~~{ The foregoing ins,trument w~nOWledged "j'
Befoo/^me th~ day of :::Ta..n ,~~ Before f\l~, this d~ day Of~"---- , 19a&---,
by A.JJ.,{f!tj~ ~ by M/f!1. __.111'~
, (nam of person acknowledged) ~. '(name of person ackno dged)
~Who is personally known to me, or ~o is personally known to me, or
identification)
e an oath.
C_.--
o who has produced
(type of identification)
~~ not tak
f pe on taking acknowledgment
1IJ Angela Helms
. . ~CommIIslonDD185587
Name typedX ~IisJaliUafit~_fJd
Dwho has produced
(type
id not
Name typed,
n c~nowledgement
. My eornrniSSlon 00185587
03. 2007
ed or stamped
State of
NOTICE OF COMMENCEMENT
\-'I . //
4-/or/d fY~ County of rfl"oC{)
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and In accordance wIth Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. 03..5..,;)5,;) /-005 U-May) - u-/) 0
(Legal description of the property and street address if available)
2 . General Description of 1m pro v ement{~ f!.r,~ 1/111/1/11111I1111I1111I1111I1111I1111I111/1111/11111I11/111
2004010770
Rcpl: 749311
DS: 0.00
01/21/04
Rec: 6.00
IT: 0.00
Dpty Cl....k
3. Owner Information: Name 0U.l1 !-bn5dYl
Address .59cp J Cj Rf cl.n IOJ'..;/- fht City ?.R. ph '1 ('hi /1-5 State fL ]15-/ ()
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
J0EID/2P1I/TT"A0N~ PASCO COUNTY CLERK
04 ... : 4!Pm 1 of 1
OR BK 569~ PG 1950
~.. - '.\'''':',
Address City
i4'. Contractor: Name""XLjVl)Cl~ C()J18frW Ch~}L
Address 37~3.:5 ') 71_ ,.:5C! W City '? -l thy .'r JJ 1// S
State
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
State FL-. 335(Q
City
State
City
State
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), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provfded 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.)
Signature of Owner: X~ ~~
Sworn to and subscribed before me this d I day of
Notary Ptlblic: ~ 1ft rt./t~
l~
-
,20af-.
My Commission Expires:
PC93053048/ A
'~ 1\ngelll HllIllI"
! . My Commission 00165587
~'t or,..-.I Expires January 03. 2007
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To:
Date: I ~ J--O /() Y'
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1. Complete tear off of exist~ shingles
2. Roof dried in with # I.) felt
3. Insbll new valley metal with galvanized metal
4. Re+secur-e all loose roof decking
5. InstaU aU new lead boots through the roof
6. Install all new drip ~ge around the perimeter of roof
7. Install all new ,R~ year fungus-resistant shingle "3.....;ln- b
8. All debris removed from the job site
9. All material and labor furnished
It?) V.:'ku& 5 ,R ~/'L/I'-C/~J 5.~ /-..:J.tf{., '51Cj/'fl..../ (15/l.c.l..vz-e)
II) '::(i...c/4 dJ s,f'tl ) 1l/.e.J 0 -< I/-R A/ r 5
I.~ ) '%1-1 cI (,1 cl<:. S /U- ;:-1.11~- )I-/A/-j -5 A1:.I[ 19-y ~
Total bid price $
Extra's ......tf1
Bad plywood replaced at ~fost of $' 0( per sheet ill the roof field. All other wood work slIch as I'alley rebllildillg or rafter replacemellt will
be a cltarge of $' L/ Or "per mall per Itollr pills tlte cost of materials
7.& )~~ lJ'!
All material is guaranteed to be as specified, and the above work to be done in accordance with the drawings and specifications submitted for above work
and completed in a substantial workmanlike manner for the SUIll of \
With payment as follows: l.~'~Lf'Yl-
Any alteralion or devialion from above specifications involving ex Ira costs, will be executed only upon written order. and will become an extra charge over and above Ihe eslimate, All agreements
eontingenlupon slrikes, accidents or delays beyond our control. Owner to carry fire. tornado. and olher necessary insurance upon above work, Workmen's compensation and public liabilily
insurance on ahove work to he token oul by Ryman Construction, Inc.
~-&ho,J
Dollars ($ Z G, )s-: (,TzJ )
Per
~I"
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
Date: Signature: .X~ 44. ~+..,/'
Ryman Construction, Inc. Will not be responsible for
any septic tank, sod, or shrubbery damage.
Paymellt dlle UpOIl receipt of III voice
Plea5C nole: A chilrge or J .50/11 will be made on all unpaid balances after 30 days. which is an anmml percclllage rale of 18% applied 10 pasl due balances
For your convenience we accept
-C:S=iCI.
37325 S. R. 54 W. . Zephyrhills, Florida 33542
(8]3) 782-6094. License # CCC-1325505