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HomeMy WebLinkAbout04-3551 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3551 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: 3551 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 39219 HEI AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 6,240.00 11/02/2004 65.00 65.00 11/02/2004 RE-ROOF Name: DORIS GORRECHT Address: 39219 HEIGHTS AVE ZEPHYRHILLS, FL. 33542 Phone: 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 "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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE CoO. 4 ff? (t;/ ~ ~-~ ? ~cTok SIG ATURE PERMIT OFF I 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 ~~~ ~~~~ OC PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION /J -C).(p -cJ,/ ,--OO30-oD!.r; r()-O/3 OORTATN FROM PROPF.RTY TAX NOTTCF.l PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION o ADDITION OALTERATION ~REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM] o OTHER ~ DESCRIPTION OF WORK & HEALTH DEPARTMENT APPROVAL BUILDING SIZE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING ~ PERMITS REQUESTED $ '~L/{)"L)(:) VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C., o PLUMBING o MECHANICAL o GAS ~OOFING $ VALUATION OF MECHANCIAL INSTALLATION o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD 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 MECHANICAL * * * * * *** * * *.* * ****** ** * * * ***** * * *** * **** ** * ** **** ***** * * * ** * * **** ** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OnmR 'h~ SIGNATURE' - . . -~ 4 ***************************************************************** COMPANY ~~(f Vj lnn5fy-u (li)fY), )nc. STATE CERT OR REGIST # (' (1(', ~ /,,~~,~")C)5 CITY PROCESSING # a )..,:'5 ***************************************************************** comp~lance 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 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". ~NE~ SI~~RA~ - STATE OF FLORIDA ~ STATE OF FLORIDA O~~C~ COUNTY OF I a,C.CD COUNTY OF Ll,g The foregoing instrument was acknowledged , (The foregoing instrument was ackno~dged . 'I' Before Ilj.1_this ~ day of (}."\fro)i(p/, l:.a.~ Before mT) this -ID-day of 1'lcj;~~k2I , J..9..~ by .N_ffL.\--K\_~..~ by ~~r'l!~ 72-qvvL~_ (name of person acknowledged) ~. (name 0 person acknowledge 1S(who is personally known to me, or ~ is personally known to me, or Owho has produced (type t;!did not -- - - - ".._~ ~u U '-U,,"'''' J.. C~ jJUU::i-LDl-L 1 t: Y 1:0 r Name erAlfgela ~ng acknowledgment o My Commission D0165587 07 printed or stamped - ~ ,...... ~~~ ~ ~~ e~,'l~. Roofing Division 0W7~45 To: n 0\\..5 3 cL~ ,q 2-h,\\S C..., 0 r-re c:.J'\\- \i-e...i j h~ ,-:t \/e , eL- I . 1. Complete tear off of ex~g shingles 2. Roof dried in with # ~ 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 ~S year fungus-resistant shingle 3--+~~ 8. All debris removed from the job site .4 9. All material and labor furnished ' "'..\.\ ~ ...sk..~ ~L\~ t,J) '\0 -3 ..5~ P\1lN',oc7~"""'~) ~ P "-~~~ Co \0; ~,~ Date: /0 - 15 -0"1 For 3.0 -;~ \:J'iV\~.s,lcJ~\ .s~,'').5~ 0\j~ 1 S<Jo. oC) ;If ?r.'u- 1.t)c..\V\~ or=- ..50'\0-1 p~\. fw-wu, \ ., ~\\c.e.. ~\V\k) D\LC~ 1=-\ O\~ Total bid price $ b~cJO 6;).~oo ~.- - Extra's Bad plywood replaced at a cost of $1 S- per sheet in the roof field. All other wood work sue" as valley rebuilding or rafter replacement will be a charge of $LJ 0 per man per "our plus t"e cost of materials All material is guaranteed to be as specified, and the above work to be done in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of With payment as follows: uPOr\ c... O,yJJ I <"'\-\0) Dollars ($ Any alteration or deviation Irom 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. Acceptance of Proposal The above prices, sp..eci~cations and conditions are satisfactory and are her~by a7cepted, Y~~uthor~e9::_!~"1l~he-work a; spc::~ified, /"71 Z.. X / . d ~ (...'/7 Date:,. ).'~ '. ;;2 ~ G.2c:'.d.1;7- Signature: / c.../ cc- ;5/-,.-1 // \...,./" "(:-:t:2--{J~~~7 /' . c ~ Ryman Construction, Inc, Will not be responsible for . any septic tank, sod, shrubbery or paint damage, Payment due upon receipt of Invoice. For your convenience we accept 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 .C!CiCI. 37325 S, R. 54 W 0 ZephyrhiIls, Florida 33542 (813) 782-6094 0 (866) 993-76630 License # CCC-1325505 ,- State of --1-'Jf'I"t (~ il_ 11',11,11111111111111111111111111111111111 11111 1111111111111 2004204948 NOTICE OF COMMENCEMENrr '1 County of y( f ~7('.~C\ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the folIowing information is provided in thIS NotIce of Commencement: 1. Description of Property: Parcel No. td--J... L -,~ / -- DC'3C- L.t. L; Ci,)-O/Z)() 2. (Legal description of the property and street address if available) '----., /1. General Description of Improvement r -1L <[' {'-7 ~ () Rcpt: 821986 os: 0.00 11/02/04 _. Rec: 10.00 IT: 0.00 Dpty Clerk 3. Owner Information: Name br'(/I') Address ~--:F;,) (j 1'1/..... ; -1,- . .1 i , I ,Ill . ) , j -- f)l 't ( />'1 (:5 {,ll '.() C/ L.i- City '7 (?It I filii. IG State IL3'3.5ZjZJ Interest in Property: ..., 4-. Name of Fee Simple Titleholder: (If other than owner) Address City . ~.~ Contractor: Name 'f)'jll'(.I", / r)CDti'K . Address ~-'-' "2. ~:-:J U./ ~y 7 e ,'lv.dluliu - I ' JEO PITTMAN~ PASCO COUNTY CLERK 11/02/04 1~:43pm 1 of 1 OR BK 6092 PG 646 _ State I' '~'f' .hi" ~~:'i 5, Surety: Name State n 3 ::JJ!) <~ Address City State Amount of Bond: $, 6, Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8, In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 'I year from the date of recording unless a different date is specified.) Signature of Owner :+: f2~ ~L ~S::-~~)7/ Sworn to and subscrib d before.!. m. e thti$.... ......... P ~ day of t{ijnhi / / f." " v- Notary Public: ',/' 0' / /~) ." Helms R 0 My Commission 0016 o '" '\.... '.I Expires Janual'/ 03, 2007 .~"'''' , 20 Lf--/ My Commission Expires: