HomeMy WebLinkAbout04-2939
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2939
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'1
Permit Number: 2939 Issued: 4/09/2004 I
Permit Type: GENERAL BUILDING PERMIT I
Class of Work: ADD/AL T COMMERCIAL i
Proposed Use: COMMERCIAL I
Sq. Feet: Est. Value: i
Cost: 54,000.00 Total Fees: 913.201
Amount Paid: 913.20 Date Paid: 4/09/20041
Address: 3946 COPELAND DR.
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: RYMAN CONSTRU TION CO., INC.
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: (813)782-0825 Lic:
--- Work Desc: WORK SHOP
CLYDE BISTON
3946 COPELAND DR
ZEPHYRHILLS, FL. 33542
Phone:
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/Clpr/t'Y 1t7: ZD
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PRE-SLAB I 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. I MISC.
DRIVEWAY : MISC. MISC. I FIRE 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:
I
I (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
I 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
1-~~'i!.O;':'~Y~~ii~~~~,,*:~:lo"tr:;;.""..:::~: .:~ "":':fn";:'r" :~!iif!,'i'~r
! improvements to your property. If you intend to obtain financin~, consult with your lender or an attorney
I before recording your notice of commencement."
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RS 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
3 - ,Yo--tOY
DATE RECEIVED --_
PLANS REVIEW FEE
OWNER'S NAME G I Y DC" '7> :-:::rh,,o
JOB ADDRESS ~q 4t e Q o~c"l (\.~ fs~\.J;'::> '
LEGAL DESCRIPTION: LOT(S) ~/~ BLOCK
PARCEL ID # :i),lj-d..lodJ-Dvw - C()/fXJ-D/y8
PHONE ''1 ~~, \ <.., fJ 2J
ZC:-ph.{ ((~\ \\<... ~
eCHO 0 SUBDIVISION ([uD CUD
(OBTATN FROM PROPERTY TAX NOTTCF.)
WORK PROPSED: ~NEW CONSTRUCTION
o SIGN
DADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
)QCOMMERCIAL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK '- \"uOI<:..\""_ Shcp
BUILDING SIZE G70 y. ~ 0 SQUARE FOOTAGE S;{BD
~
DMULTI - FAMILY
o INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
/fIe"
HEIGHT / -;
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
.~LDING
D ELECTRICAL
D PLUMBING
D ME CHAN I CAL
D GAS
D ROOFING
PERMITS REQUESTED
$ 5'-\)oou
2- C)(:;;
VALUATION OF TOTAL CONSTRUCTION
'')zJ FLORIDA POWER
AMP SERVICE
W.R.E.C.,
o
$
~fl / A-
Lon/A--
.
VALUATION OF MECHANCIAL INSTALLATION
c
C 'J 1
~.~ \
D SPECIALTY ''let OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
9:" STEEL D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES )xf NO
FINISHED FLOOR ELEVATIONS
BUILDER "'__)
SIGNATU~ ic:<\:.\"-,, ~-
COMPAN~R7fY\A~ (! 0 1\,j$...\.1t....-<-<\.c~ ~Cl '
STATE CER OR REGIST # eA>~ ' 035>/ .s '-/
CITY PROCESSING # ~ 7 t-f
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
******************************************************************
COMPANyCAc"tl\js.lc E_lec-kle
STATE CERT OR REGIST # ~ R 0 S'~ ;f,)G:,
CITY PROCESSING #
****************************************************
t1/A
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***********~******************************************************
COMPANY:
'--.IlIA-' STATE CERT OR REGIST #
-/ ' CITY PROCESSING #
~.........................:o:::~;......*........*......~.
STATE CERT OR REGIST #
CITY PROCESSING #
**********~******************************************************
J'i.. l"'V.l...L"""'l:t VI: }..Ji:..J1:J.'J ,K..t...~}~.~.J."--}.-..:.-......~
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 Guiden 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 aocument 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
*Arrny 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(9~ UE DO NOT NEED TO RECORO >NO POS~CE OF COMMENCEMENT".
~A:URE' ER OR AGENT ..c:" S GW::TU~~NTRACTOR
STATE OF FLORIDA P ~ STATE OF FLORIDA P ~
COUNTY OF COUNTY OF
The foregoing inst t was acknowledged ,/ The foregoing ins~~ent w~ acknpwledged. ~.
Befo me thi ay of fY\D>--+-~f1:lL~ Before me thi~~day ofm~'\.. , ~+
by ~u -~ ~ by
__ ~ of person acknowledged) _ ---lnarne of person acknowledged)
~o is personally known to me, or ~o is personally known to me, or
D who has produced
(t
f identification)
take an 0 th
i2 .....
acknowledgment
'f/;, BnhhIa I ".
Name typed, ~ 7l~~6iiir~
\;.. ~ Expires M8tch 31, 200S
~ Bobbie J.1Iurke
Name typed~, :i.P.~rlIIIlPR
........~ Expire. MM:h 31, 2001
Ryman Construction
3946 Copeland Dr.
SQ. FEET PRICE
MAIN OR LIVING: 5,400 $ 20.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 108,000.00
FEE SHEET $ 504.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 756.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 756.00
ELECTRICAL: $ 103.20
PLUMBING: $ -
MECHANICAL: $ -
RADON: $ 54.00
TOTAL $ 913.20
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
L
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WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
913.20 I
SIPS'11
97.5% $
2.5% $
- I
I
TIF'Sr
99% $
1% $
TOTAL: $
913.20 I
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
, BUILDING DEPARTMENT
DATE RECEIVED 3,/30/0,'1'
PLANS REVIEW FEE
OliOlER'S NAME ~'f__ ~/-"' k PHONE 7if'3 - /(, ,;:>J'
JOB ADDRESS 39 ~ ~e..Jc,--"A. WvJ -J 2~rfu cl.(, ~ ,
LEGAL DESCRIPTION: LOT (S) {)1..j(J BLOCKOOI"OO SUBDIVISION 000 'L..J
PARCEL ID # .;:;,t/--.;;;lJp.-dJ- ~-.CfL)fL'D_ O/~C' (OBTATN FROM PROPF.RTY TAX NOTTCF.)
WORK PROPSED: ~NSTRUCTION D ADDITION DALTERATION D REPAIR 0 INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o RESTAURANT
DESCRIPTION OF WORK s;:~~ '7 'e-
.rf'n /.y "'j' C"" / /. f"
BUILDING SIZE /\...A.-' <<- ^ <.7\. vC' (0
. .
~
RESIDENTIAL:
COMMERCIAL:
~ILDING
~ECTRICAL
o PLUMBING
D ME CHAN I CAL
o GAS
DMULTI-FAMILY
o INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
o MOBILE HOME
o OTHER
& HEALTH DEPARTMENT APPROVAL
SQUARE FOOTAGE --t~ /3 3
HEIGHT
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.
PERMITS REQUESTED
$ ;;r!;,- [XX)
~oD
\~ \f-
$ \~ \ f\
0"
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~ORIDA POWER D
W.R.E.C.,
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
~L
G OTHER
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
~ ~ COMPANY U -"' --I--y lJ..."--{.., "'-..
, ,~TE CERT OR REGIST #
. ~ . CITY PROCESSING # ..::> 7';1'
******************************************************************
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COMPAN~ I t.r Ie ~ .-J;~-+-n <L
STATE CERT OR REGIST # d t< 06..;L~~
CITY PROCESSING #
,
v
************* ***************************************************
Nr~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********~*******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********i********************************************~*~*******
1'\. l~V.lJ_,-J:.. V~ iit;l''';ii .K.t.:Y!.'.:~-'.\.;'-'''J..'~'';'''
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive 1:hcln City regulations. The undersigned assumes responsibility for
compliance with any applicclble 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 n>>t
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 COMMENCEMEN "
6JJ~ 6~
SIGNATURE: OR AGENT
STATE OF FLO~DA j)~
COUNTY OF -('l
The foregoing instfJUYfent w~edged "
Befo~'mhrJ.s3-q. 1!/ ~,...::J.~'
by n (~ --::::r: 1, ~
~e of person acknowledged)
-ErWho is personally known to me, or
SIGNATURE:
STATE OF FLORIDA n ~
COUNTY OF r~
The foregoing instr~ waMcknowle<;l.ged, "
Eefore,lJle this._~'9 ~a'y of;lc ~~"'--~1
by ~jhb, ~---.:r:=- .L::::,l-L r7~_
~ of person acknowledged)
~ho is personally known to me, or
D who has produced
(type
-Bdid not
~
of identification)
take an oath.
D who has produced --
(type of identification)
~not take an oath
acknowledgement
Name
:A ~MlISllNc#DD 1It2&1n d
: - EXPIRES: January 28, 2006
Bonded Thru NoIal'f Public Underwriters
Name t