HomeMy WebLinkAbout04-3187
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3187
! 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:
3187
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38332 A AVE
ZEPHYRHILLS, FL.
Township: Range:" Book:
Lot(s): Block: \' Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4,185.00
6/24/2004
55.00
55.00
6/24/2004
RE-ROOF
T M S on
38332 A AVE
ZEPHYRHILLS, FL. 33542
Phone:
.~~------.,-
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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
The payment of inspection fees shall' be made before any further permits will be issued to the person owning same
-'Wclnirngtoowner: Yourfailure 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 c~mmencement. II
-~ -~--~--------~--COmplete Plans, Specifications and Fee Must Accompany Application. ---------~------
----- --~ ---__~I'__~o-'"-~!1all~~perform~Jn accord~n~~""ith City ~desand...9rdina~es___~___~______
NO OCCUPANCY BEFORE C.O.
.---------.--..-----..----- --- ---- -...----------..--------------------------------------.--- -.---_._---_.-.._-----_.~------._-_._---.._----- --'--
J{_ ~~Jt~--~MITOFFI
I C; CALL FOR INSPECTION _ 8 HOUR NOTICE REQUIRED
~ ,PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDtNG DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME I 011 ~Co-ff
JOB ADDRESS ,?~ fJ, Hu-e
PHONE
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
/4-a&- c9/ -(JO/{)-O/(/CO-W/ L)(ORTATN
BLOCK
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION ~EPAIR o INSTALL
OSIGN o MOVE 0 DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING ~MULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL ~Ple~ o SWIMMING POOL o OTHER
o INDUSTRIAL
FROM PROPERTY TAX NOTICE}
3
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ ha:r
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.
o BUILDING
PERMITS
$ '-II i5. DO
REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C..
o PLUMBING
o MECHANI CAr.
$
o GAS
.~OOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
***********.*******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
SIGNATURE
******** ********************************************************
COMPANY ~~(f II") (' nn5/-tl, (li)fV), Jnc .
STATE CERT OR REGIST # r rr, - /..1~'~l"')t]'5
CITY PROCESSING # 0 ~l.5
OTHER
- ---__ t'-~..u..... may J.)e ::;UJJJeC1: 1:0 "deed restrictions" which
may be more restrictive than City regulations. The uncersigned assumes responsibiJ,i~y for
compliance with any applicable deed restrictions..
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractoJ:s to t:.ndertake work, they may be J:equired
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 conunencement.
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 conunenced 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 ftA,etc.", it is
understood that a drainage plan addressing a ftcompensating 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 conunenced. 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 N VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENTI/.
~&CTOR
STATE OF FLORIDA .'l
COUNTY OF rn..~.?(-D
The foregoing instrument was acknowledged
Before,fle this ~ day o;.:;s-:;:::.\..t ,~/
bY--R(J ri'i ~L{fV'l-^~
.?h (name of person acknowledged)
~who is personally known to me, or
STATE OF FLORID~ CA.,)
COUNTY OF ~
The foregoing instrument w~cknowledged ,'. 'I
Befor.,; this :sday of ~~, ,1'9..~
by ('fl tf'1XL
(n~me if pen o~ acknowledged)
~o is personally known to me, or
Dwho has produced
(type o~k;JZntificatiOn)
and whoD did lSl. did n~t" "t~,,~ n 0'
~Q,OCC tJ.-
gnature f er~a~ng ac~nowledgement
! . My CommIssion 00185587
Name typed,
or stamped
Dwho has produced
(type of identification)
and WhO, Ddid , ~id i~ oath
ckyOo, \
Signature of p~xnAW_ acknowledgment
. ~ j My COIMllIeIon 00165&87
\'1"'j &lip I... """., ea, i~
Name typed, prlnted or stampe
NOTICE OF COMMENCEMENT
State of ,J_ 1(...'1 I (iC\
'-.
-- ..
County of ./ {(J{f (~('.-.
-
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and 10 accordance wIth Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. I~ -Jt.p--:.Jj- (':1\/0 -DIYa) -eX)) (j
(Legal description of the property and street address if available)
2. Genera I Descri pti on of 1m pro vemen t 'h -f- t2o:f """111111 """1111 ""1/111'111111111"111I 111111I" 1111
2004118301
3. Owner Information: Name --jh(!j)7{t....'1
Address 3 ?~3') A. l-h .-f
-,
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Rcpl: 793872
DS: 0. 00
06/24/04
Rec: 10.00
IT: 0.00
Dpty Clerk
City
Ie 1.//)(1/ lu 'l~1 State -FL. .3Yi/
./
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
JED PITTMAN~ PASCO COUNTY CLERK
06/24/04 0A:22pm 1 of 1
OR BK 5913 PG 1256
Address
/J
~'~:':,>Contractor: ~ame J/);lj n 1:'7'
~. / Address '3 i) 1.;?' 5"-5 rC-,
'.~,.' -
City
/'~ .'---'
I, /' t1(()h/l S .,
5(,1 City '(1/ j--"Y;YI /]( /6
f
State
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
,..-- ....,~
Statt!L :35'~(/)
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 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.)
'---~~/ J'" '~./.~,/'~" '
I ,,;.;.- '? /.. " ,,\0"
"'-",.A'4' JI"::A:-::>t" .
Signature of Owner:
Sworn to and subscribed before me this
~ ?,
,'" /<,' 'r;\ ~::~'\( i' Co\.
-- ~ u
My Commission Expires:
Notary Public:
-{~3
c / ! c.
."
j
day o~ 1'1 '\. Q
;
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, 20(i!.
"-~
~ Angela Helma
! My ~91lV1li..loll on1AI;AA7
\;: 0,...-.1 Expires January 03, 2007
PC93053048/ A
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~ 'Hett", ~(J.(J,""'9
A Division of Ryman Construction, Inc.
To:
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,
j; h /UI MS-S'
38:?3V3f)3~i /f /JU;:'
2-j,/ls /i,
/
Date:
.;, lz 2.-/0'1
1. Complete tear off of exist9Jg shingles
2. Roof dried in with # I 5' 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 edge around the perimeter of roof '. \
7. Install all new ;l C year fnngns-resistant shingle 7/17n /4> (/"<.M < ,I L ~-"""-)
8. All debris removed from the job site
9. All material and labor furnished
l~) '~L/t.{.&::. (';). ) skL./s /Iy~
Extra's . ".. em
Bad plywood replaced at a cost of $ ~ per sheet in the roof field
be a charge of $ LfO. per man per hour plus the cost of materials
Total bid price $
'1/8(: (F~
All other wood work such 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
With payment as follows:
Dollars ($ if I f3 S; t.flJ
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.
Respectfully submitted
A<<oPtan<o:;'pb ~
Th' ,bow p,k~, 'P<c'",,"o~ ""d 'o"di"o~ ,re ,,,,,",etory ""d "" h~'ry #cp"d, Yo~ ,"" '~th~oe'zod to do th, woe'" 'p";"oo,
Date: Signature:~~4'.-/Jcff
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
-=eiiIJ.
37325 S, R, 54 W. . ZephyrhiIls, Florida 33542
(813) 782-6094 . License # CCC-1325505