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Home My WebLink About04-3015 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3015 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 3,900.00 Date Issued: 4/27/2004 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 4/27/2004 -n_--~-Work-Desc: RE-ROCrF--~ __n__ 3015 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5006 8TH ST ZEPHYRHILLS, FL. ! Township: Range: Book: < I Lot(s): Block: Section: I Subdivision: CITY OF ZEPHYRHILLS ' - Name: CAMPBELL, DOUG I Address: 5006 8TH STREET ! ZEPHYRHILLS, FL. 33542 ______________ _~ __L Phone: -------~_. I______----------~-------- ______ 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 (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible _TJ:1e payment()f inspection fees.s~all be made befor~_~ll'{ further peJ:'!lits will be issueg to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for n improvements to. your property. If you intend to obtain financing, consult with your lender or an attorney ~efore re:!c::~!:CIing your no_tice of commencement. "__ ....~ .0____ Complete Plans, Specifications and Fee Must Accompany Application. m ~!~()rk shall be perform_E:!c:!in accordanc~~ith City C().9~s and Ordinance_~m_____ .___~_ NO OCCUPANCY BEFORE C.O. f~~ ~.... ___u_ f~;M~ 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 U()U 9- Ca VV{ () mJ I. I , JOB ADDRESS . -:5fYY J( -q-bt, -S~ /f- PHONE :g J3-7/5 Lid) I LEGAL DESCRIPTION: LOT(S) PARCEL 10 # J/-;:)(" -rl J -(1J/() --;;?JJ ()O-O/5tS ' I BLOCK SUBDIVISION (ORTATN FRO~ PROPF,RTY TAX NOTTCF,l WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS D MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER ~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~{' ~QUARE FOOTAGE DESCRIPTION OF WORK BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANs & (1) ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. HEIGHT AMP SERVICE o FLORIDA POWER SET ENERGY FORMS. --~ ../'".......-- / /)V/~ . .:-----7 o BUILDING $ '39 {)O , PERMITS REQUESTED o ELECTRICAL VALUATION OF TOTAL CONSTRUCT o PLUMBING o W.R.E.C.. o MECHANI CAt $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER ELECTRICIAN ****************************************************************** COMPANY STATE CERT OR REGI ST # __ CITY PROCESSING # _ SIGNATURE SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # PLUMBER ****************************************************************** * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL OTHER ~ COMPANY 11!:Jo:rl11'1 lnYl;'ftu (IiJfV], Jnc. e~~ - STATE CERT OR REGIST # {' ('('. - /,'lOl.~")C)'5: SIGNATURE .. . . .,-,~ . - CITY PROCESSING # 07-'5 ***************************************************************** ***************************************************************** COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ~ ___ _ _..~~ t-'~....uu.... Wc:1y ue :;UDJ eel: to "deed res t:rlC1:l0nS -- WOlcn may be more restrictive than City regulations. The undersignec. assumes respons:_):)i:_j_ ':y =00- 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 J:equixed 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". ~WN~ SI~T~ STATE OF FLORIDA n STATE OF FLORIDA (.'1 I COUNTY OF ~a' -0 COUNTY OF ~('.A ) The foregoing instrument was~a~cknowledged ,The foregoing instrument was~~cknowledged BeforCi.me this~ day of I~n I ' n...day..-l BbeyfOre,JJ1~ ,Jhis dtrJ ~:~ of IfP~ J , ~ by He (fU \Z \{ VV\n/Y\.~ ~L i3.A -- . ~Q:::3..-- (name of person acknowledged) ~ (name '..hf perion acknowledged) ~who is personally known to me, or ~ho is personally known to me, or Dwho has produced (type and whoO did ~did no of identification) take an oath. Owho has produced (type of identification) and who Odid ~id not take an oath r;;4mcta~ ~ Signature of person taking acknowledgment ~~ AngeI8 HeIm8 ;. . My Commission 00185587 Name typeCJ9' r~d&"8I!:Y~,~R9nped S~ person taking ac~nowledgement ~ AngeIe HeIrn8 . . My Commission 00185587 Name typed~ l~~allil'\a~ed "" /~~ ~~~ ~'Heale ~(J.(J.'tIe9 A Division of Ryman Construction, Inc. ~ To: '---,b--!'-f~J C /f-nP~ 50()(z' ~"1L ?-~.;j~ . Date: tf~/).r() f 1. Complete tear off of existing shingles 2. Roof dried in with # I r 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 :i.~e around the perimeter of roof / . '_ ''\. 7. Install all new '.' year fungus-resistant shingle y-- ~-6 ( 5/ /~ ~,I(,r/~) 8. All debris removed from the job site -r;, Ai )'1 ~ ee:4-e 9. All material and labor furnished l/f l~fl"C'1-c&.5 /lRfJI..JJr~.v? 'b1-c// /fn::jl).6~~f1 11),7PL/Uc~5 /~//ey ~A/"L Extra's J/t"t:6 Bad plywood replace,d (lJ cost of $ -D- per slleet in tile roof field. be a cllarge of $ ~ per man per lIour plus tile cost of materials Total bid price $ 3 9 tfJ~:J. &a ~ All otller wood work sucll as valley rebuilding or rafter replacement will 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 /J ".., t:?-::r;-' JV\. . Dollars ($'~ With payment as follows: ~' ~~~'- . 39'~d2J 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 heyond our control. Owner to carry fire, tornado. aod other necessary insurance upon above work. Workmen's compensation and public liability insurance on above work to be taken out by Ryman Construction, Ine. Respectfully submitted Per ~ Acceptance of Propo al The above prices, specifications and conditions are satisfactory and are hereby cepted. Date: Signature: X Ryman Construction, Inc. Will not be responsible for any septic tank, sod, or shrubbery damage. Paymellt 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 rale of 18% applied 10 past due balances For your convenience we accept -ClCi.I. 37325 S, R, 54 W. . Zephyrhills, Florida 33542 (813) 782-6094 . License # CCC-1325505 NOTICE OF COMMENCEMENT State of Bo(uia. , COllnty of Yro....A1C1 D THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the foIlowmg 1I1formatlon IS provIded 111 this Notice of Commencement: 1. Description of Property: Parcel No. II-cllo-d./ -()b/{)-J liDO -'0/3 (j 3, (Legal description of the property and street address if available) 2. Gen eral 0 escri p ti 0 n of 1m pro vem en t '?w e~ (3 W~~~~~~lWI """"111111"111111111 11111 11111111 Rcpt: 777221 Rec: &,00 DS: 0.00 IT: 0.00 04/27/04 Dpty Clerk A, fa ~/0~LL City (efJ)u{t!vIILJ , Owner Information: Name Doug J ax:::;; Address ,5('1\/...0 "'2Th ,--5+. Interest in Property: .c- ;;;;> -:x::::c! \ State /7._ ,J D (:;>I ..... .... ,. Name of Fee Simple Titleholder: (If other than owner) Address City Contractor: Name~yl'Y> 0 ----;;~'2;, Address37,-~d.;c) c~.p ,--~4 tU. City lePltll,l~~J6 JED PITT"AN~--PASCO COUNTY CLERK 04/27/04 1...: 29am 1 of 1 OR BK 5825 PG 1118 R4. State 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address Stateh:_ 3,~0- City State City State 7. Persons with in the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (I) (a) (7), Florida Statutes: Name Address 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. City State 9. Expiration date of Notice of Commencement (the expiration date is I year from the c1ate of recording unless a different date is specified.) Signature of Owner: X' B/Z~ g e~/' Sworn to and subscri ed before me this dd day of flvJ(J I a'~ F- ,20t..!/-,I. Notary Publi : . My Commission Expires: PC93053048/A R~ :;~:.~e:: nn185587 \;:",,..;1 Expires January 03, 2007