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Home My WebLink About04-2890 I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2890 I Permit Number: I Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2890 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 4922/ 49244TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 4,030.00 4/01/2004 55.00 55.00 4/01/2004 RE~ROOF Name: THOMAS SCOTT Address: 4922/4924 4TH ST ZEPHYRHILLS, FL. 33542 Phone: , I -REfNSPErnONFEES:-uWhen-extra- hlspectlon trips are-necessary--due to-any-oneOf 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 __Th~_p~'iI11~l1..t of _Ln~p~!()11 fees sh~II~_I'!l~c:ie~f~~~ny' further per:mits will J:>~ i~sued to th~ person owning same "Warning to owner: Your failure to record a notice -of commencement may result in your paymgtwfce for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _~!fo~!ecord~119 JC)ur no~~eC)f cOI1!I!'~!lcem~_I1_~_____ __~____ ...____m_. ____u . _ .._ ____ .. Complete Plans, Specifications and Fee Must Accompany Application. ---- Ail work?.I1C1I1_~e p~rforrl1~~_II1 ac~ord~ncE!~ith ~it:y<;od~~n~ Orclil19.rl~E!s_______ NO OCCUPANCY BEFORE C.O. ____________ - _______ __ ___u. __ ______ _________ __ __ ____________ __________._. ~___._____ -Y4f1J~sT~yz--~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--L h rrlmQx::J JOB ADDRESS'-Rd~ /L/C)JL/ . ~ +}-J "- ~ / if rn J/-revj- PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # ;L-I-;}~--a)-WJ{)-f)j/ ()o- nil () SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION DSIGN (ORTATN FROM PROPF.RTY TAX NOTTCF.) D ADDITION DALTERATION Ir REPAIR D INSTALL D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL ~LTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER ~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 0-P ~(cy) 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. D BUILDING $ PERMITS REQUESTED LjOXJ.1)D VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANI CAL AMp SERVICE o FLORIDA POWER o W.R.E.C.. $ VALUATION OF MECHANCIAL INSTALLATION o GAS "00 ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 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 SIGNATURE ***********.******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL OTHER 'h~ COMPANY -g~O'1 lm5Hr.! (li)fY), /nc. R~_./ STATE CERT R REGIST # ('(lr_-/,1~,-5-l"')tl5 SIGNATURE - . - '""1/YW CITY PROCESSING # Ol ?,1 ***************************************************************** ***************************************************************** The undersigned understands that this permit may be subject to ~deed restrictionsH 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. Further.more, 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 perfor.rned 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 *Ar.my 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". s~ ~AGENT ~co~ STATE OF FLORIDA!? /.I /1C-O COUNTY OF -1./ te-. The fo..regoing iD:strument was acknowledged I Before me this day of-f'i}';vuo/-), N&.ci)L by Q,r. (name f person acknowledged) PUWho is personally known to me, or STATE OF FLORIDA 4 /YI ') COUNTY OF e.~_ The foregoing instrument was acknowledged I Before me this 37 day of ~ , ~--- by KO,r~~--f.41/V}~ I "(name 0 person acknowled~) ~o is personally known to me, or o who has produced (type of identification) and who Odid I:;l!'fid no/ lak/ ~ ~56Gln ~ Sig~t re of person taking acknowledgment ~ :::..: gg111181 Name typed, "'P~r8>J8nOil~ioo9 Dwho has produced (type of identification) and whoO did ~id not take an oath. r;d:::t !.;erso~OWledgement ~ Angela Helms ! . My CommIssIon 00165587 Name typed, n!~SdflU~d .... /#,Jka:.. ~L~ 'S~ / '. To: ~,.all ~(J(J'tIl9 A Division of Ryman Construction, Inc. ~ ~(0;/ t/ C; :;'2- / t19c;J. ~ 1/ -# 5-L 2-~//Is, k ' , Date: 3pdoc/ 1. Complete tear off of exis!!Jlg shingles 2. Roof dried in with # J 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 ~ 5" year fungus-resistant shingle "3 - IA--b 8. All debris removed from the job site 9. All material and labor furnished fa) ::rAXi~ t.~ -t-o(:J) .5;~r //yu~ ,..... Total bid price $ 1/03 a od Extra's r~ Bad plywood "p~ at a 'Mt of $ Ji.f... p" ,O"t in 0" ,"of fi"d All 0"" wood ~tk ,",0 M Mil", "buDding"t tajret "plaum,"t wW be a charge of $ o;;er 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: ~x..-- (!,~y- Dollars ($ tfO 3C1 tJiJ 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 control. Owner to carry fire, tornado, and other necessary insurance upon above work. Workmen's compensation and public liability insurance on above work to be taken out by Ryman Construction, Inc. ~ Date: Signature: 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 _~i:I_ 37325 S. R. 54 W. . ZephyrhilIs, Florida 33542 (813) 782-6094. License # CCC-1325505 State of NOTICE OF COMMENCEMENT ~o(ldt{ County of p{J.XO THE UNDERSIGNED hereby gives notice that improvement will be made to certai~ real pr.operty, and in accordance with Chapter 713, Florida Statutes, the following informatiOn IS provIded m this Notice of Commencement: 1. Description of Property: Pm"cel No. fl.-I -a.1R --c).l-OC/ n- [)I 11)0.-(; f I () (Legal description of the property and street address if available) 2. General Description of Improvement fJ(J _ 7J ~ 1111I11111111I1111I1111111111I111111111111111111111111111111 2004057963 Rcpt : 769905 Rec: 6. 00 OS: 0. 00 IT: 0. 00 04/01/04 ______ Dpty Clerk 3. Owner Information: NameJhD~ cO. 5{1..0* Address(-fqJ)-~ 'I9J.<f <j'fh Jf-. City '2e,[h l{(fh 1/5 State E-. 335'(// Interest in Property: JEO PITTMAN, PASCO COUNTY CLERK 04/01/04 12: 27pm 1 of 1 OR BK 5790 PG 103 Name of Fee Simple Titleholder: (If other than owner) Address PI Contractor: Name :. ~ rYP " Address, 37:;PS '5 (? __ $1 u.J . City ~rrrf))') ~ City phA{ (hi t1...<) State State ~33:5ZILj.- S. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City State City State 7. Persons wi thin 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 proVIded 111 SectIOn 713.13 (1) (b), Florida Statutes. 9. Expiratio? date of Notice of Commencement (the expiration date is 1 year from the date of recordmg unless a different date is specified.) Signature ofOwner:A d J &1T Sworn to and subscribed before me this 3/ day of--jY)(J!/L(t--l.'j Notary Public: c.:><1;vc g Po JJ~ , 20[Y-) . My Commission Expires: PC93053048/A (jfj Angela Helms . . My \iOlM118Slon 00 J 1l!l!lIlY \,. or f\.'# Expires January 03, 2007