The URL can be used to link to this page

Home My WebLink About04-3164 I -I I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3164 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: 3164 RE-ROOF ROOF REPLACEMENT COMMERCIAL Address: 38438 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-16700-0055 26,500.00 6/16/2004 165.00 165.00 6/16/2004 RE-ROOF Name: NEUK M,GEORGE Address: 38438 5TH AVE ZEPHYRHILLS, FL. 33542 L_ Phone:___________________ .~. ,---J- . . 0 fL. ~ J.. /- ( 1 ;./:fu I . . I I I - ---.--.------.-.-.--....L-----_.__._________L._____________~__._________._______ 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 _J!!~-'~_a'Ll1lent.c:'fJ'!5Pect~n f.~~s!1C3!ll:>e made before any further permits will be issued to the person owning sa~ "Warning to owner: Your failure to record a notice of commencement may result in you.. paying twice for-- improvements to your property. If you intend to obtain finanCing, consult with your lender or an attor.ney before recording your notice of commencement." ------------------Complete Plans, Specifications and Fee Must Accompany Application. - ------------- .------ .... - ___~I'_~o_'"k_s.!!~I_b~_ perfo-,"-r:T1.~J..n accordance with City Codes and Ordinanc~~__ --___u__________ -;; iLiPisT~-~~Qf~UPANCY BEFORE C.O. r~~,~ 0: -- ---- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDtNG DEPARTMENT {; -/~-c)t/ DATE RECEIVED ___ PLANS REVIEW FEE OWNER'S NAME 0tDrgL fl)t wKun ) JOB ADDRESS ,~??q j ~ ,-5711- Ifue_ PHONE 'i/ --3 - 7 2!J-to ~og LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 11-rJ,W-d/-80/iJ--//o'7CO-()(J5) SUBDIVISION WORK PROPSED: DNEW CONSTRUCTION (ORTATN FROM PROPRRTY TAX NOTTCRl o ADDITION DALTERATION ~EPAIR o INSTALL DSIGN o MOVE o DEMOLI SH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER ~ DESCRIPTION OF WORK BUILDING SIZE 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 $ o ELECTRICAL ~ERMITS REQUESTED ~&ISOO VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER /~ Ow. R. E..,,{:./ \ /' ~' I & 4 ) INSTALLATION ~ o PLUMBING o MECHANICAL $ o GAS )! ROOFING VALUATION OF MECHANCIAL o SPECIALTY o OTHER TYPE OF CONSTRUCTION: D BLOCK o FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D 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~ SIGNATURE . - - - ~.-L-- ***************************************************************** COMPANY }1~(f V") lnn5ff-U (l,i)fY), )nc . STATE CERT OR REGIST # (l ('r. ~ /..~~\-5;"')Cr) CITY PROCESSING # a 7..-1 ***************************************************************** ----- _U~~ I:""'.L.......... "Llc1Y De 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 contrclctor 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, bo1:h 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 "An 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~ ~~CO&OR STATE OF FLORIDA L1 ",,/) (\ STATE OF FLORIDA . ') c:. {I " COUNTY OF O~ D COUNTY OF .Y(l~_j__ A.-l. The foregoing instrument was acknowledged! I The foregoing in~trument was acknowledged . ( j Beforel2e thi:s ~ day Of~fi"\..L. , l~, Before this day of -.Je QAA...J) , ~CZC0 7 by~.e(~llr1l0... by A (name of person acknowledged) (name f per n acknowledged) ~who is personally known to me, or ~o is personally known to me, or Owho has produced (type of identification) ~id not tak In o~th --- ? i:J.J )__1.-"" p~t)on taking acknowledgment ~ "!40. Angela Helma !' \1""1; My co",........lnn 00165587 pri~~M\i8f903. 2007 and Name typed, \~ rson ta ing acknowledgement ij-"""' ' ~.. - . My COmmIssion 00165587 P ri1t 5Fl"S'd.'W.~~' ~OOT identification) e r.. oath. O-t.U and who Signat Name typed, ..... /,A:. ~~~ ie ,male ietJ.tJ.ltIe9 A Division of Ryman Construction, Inc. To: ~-j)~ ~<6 C{ ~ 5 -!!l- 4% 26p~R~iUS,. P~. Date: ~- q- ot /) RE: emf <de-A\JE' (206f OVt'e -a.ef\.H r v.e( 370e.t J) R€ eoof HE. 74/ Roof OV t"e , AJSU,e.lJNCf o.f'?rCE 3)~A1f<.. .3k lI-- fftfl ON M tTA- I R..oof. 4) j ~ CfLtOEO LAp 70 Lf SHE Ers of ,J)I Y WQ>() EXtRA 'oS) ., WITH &0 ply (AJrx;n REplACE) It1 A t'oSr of .It 1/6.~ pC/! A CIlItt€r€ of of 1./0.'" f~ ~IMJ P1t /lot/I<. .JUtE r IN fit€- ~ {',gIn, Total bid price $ ~(P5C(),~ 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: ~ CeYY1 ~ Dollars ($ J.~ 500.00 ) 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. 0 . Per ~ Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby ac Signature: as specified. Date: Ryman Construction, Inc. Will not be respon 1 e 0 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 _ClCiCI_ 37325 S. R. 54 W. . ZephyrhiIIs, Florida 33542 (813) 782-6094. License # CCC-1325505 State of N OTI CE OF CO MMEN CEMENT ~~~~IIllII~t~1111I1111II111I11111111I1111II1111111I1 Anrdn-._ County of f()S(~ THE UNDERSIGNED hereby gives notice that improvement will be made to ce.rtail~ real pl~opert.Y, and in accordance with Chapter 713, Florida Statutes, the following informatIOn IS provided 111 this Notice of Commencement: ! & 700 -Q'b::] 1. Description of Property: Parcel No. t'7.}- ().(~ f~ / -(YJ/()- _ > _-~ - (Legal description of the property and street address if available) 2. General Description ofImprovementhe- gQ.~ ~~~\,. ~:t32B 06/16/04 Rec: 10.00 IT : 0 . 00 Dpty Clerk 3. Owner Information: Name GetfCIJ-t. v Address '~f?43 2J ,~l ~ 11.p/4~j~ _ City -Z R i//J Lt ( /111/-:') I JED PITTMAN PASCO fOUNTJr CLfRK 06/16/04 12:3~m 1639 OR BK 590~ PG r --'::2 /'--1" ;, State 17_ /) )J c) - Interest in Property: Name of Fee Simple Titleholder: (If other than owner) Address City 4. Contractor: Name /~j 1'111:tf'\.- ''A{j)~1{j . Address3'-13.).,i:) ,~TL~/)4 LU CityU fJ/u, /-/u lIS l' State ,... :., 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address R r' State n.. 335c/:.;Z 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 provided 111 Section 713.13 (1 ) (b), Florida Statutes. } Expiratio.n date of Notice of Commencement (the expiration date is 1 year from the date of record1l1g unless a different date is specified.) ~ignature otowner:. <~~ -_ )worn to and subscnbed before"me thiS !-l day of.......J LlV"'-Z.. AI f I j l. .~---~ . "_:. ".' ,', ,,-,,~," . ~otary Public: (, }j(-...glC~ \. .C/,...) . 1y Commission Expires: "",...--I"'/(' al99UJe IlS'llIfwws:; ~ . . C93053048/A lIWI8H 8186uv '\t,,~ ~( I , 20C); . I ~ Angela Helms I. ~, My C?",m1l1ston 00165587 ;'A 'I !:xplres JanU8ty 03, 2007 "(),f\: -