HomeMy WebLinkAbout04-3617
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3617
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:
3617
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 39511 9TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0300-00000-0210
4,700.00
11/29/2004
55.00
55.00
11/22/2004
RE-ROOF
Name: LAFRENIERE, FlORENCE
Address: 39511 9TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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:
(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. n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
/-~/ . ~ ,~r-D ~.
c6N RA&JR SIGNATU E PERMIT OFFI
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 FjorQ/lfJJ . ~f.n)er~
JOB ADDRESS ?>CZ511 0'71 Are ~
PHONE
LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION
PARCEL ID # ii.. -;?&~? / - D,~b ~rcC'r~e:n)@R'PATN FRO~
WORK PROPSED; DNEW CONSTRUCTION o ADDITION OALTERATION ~EPAIR o INSTALL
D SIGN o MOVE 0 DEMOLISH
PROPOSED USE~ FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOM]
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
PROPRR'PY 'PAX NOTTeRl
<J
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
-p e f2ro-F
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
& (1) SET ENERGY)~~
FORMS. /._, \
,/ \
/... I
@ff;7
o BUILDING
$
41"700
.
PERMITS REQUESTED
AMP SERVICE
o FLORIDA POWER
o W.R.E.C..
o PLUMBING
o MECHANI CAL
$
VALUATION OF MECRANCIAL INSTALLATION
o GAS ~OOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o OTHER
o FRAME
o 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
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
***********,*******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
OTImR h~
SIGNATURE .Ar
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COMPANY h~{111 (nn5ku (1.1) fY), ) nc.. .
STATE CERT OR REGIST # r ('(', - /..~~.~"lt)5
rTf'J1V onr\r...1':'t"',...,........_ "
compJ..~ance w~th 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".
~~T ~o~
STATE OF FLORIDA () L:.... /l STATE OF FLORIDA 0/\ c::...,/1 .I,
COUNTY OF ~L~ COUNTY OF ~~
The foregoing ins ument watrcknowledged ~f jThe foregoin.g instrument was~~ckn)Wledged
Befa e me this day of .p::U) V , ~51 Before mll,~hi~8 day of- ~ ' NJOfrJ!
by by ~.( rj<C_f .rV1_ _
(name f pers n acknowledged) ~, (name 0 person acknowledged)
~ho is personally known to me, or ~is personally known to me, or
-.--:;}---.......
L c:,:) .'-:1 '.....,,'.' .:::! _'_.'..J _1_ _'_:_ ~.=.. y
~:.. ,:).":
Dwho
Owho has produced
(type of identification)
and who ~ not ta
~fibY1a ~~~ng acknowledgment
~ j My Commission 00165587
llI' .~ inJIjfElS Jentlllr 7 o~ 2007
typed, printed or s amped
Name
Name
'"
~;~
.
i!!.~ e~, 'lite.
Roofing Division
00,;).1,.5" ~/~
To: )="\Ore....f"'><-~ L,......+-fte_/\\ OL} <ot.
:s 9.s-11 1 +-'-' ,4Ve... I
..7 ~\..., \\..5. FL.
Date: 11-)' - o-<{
* p,.c <.. ""1:Ac...\....J u
oF ~ \ J. s e.- v.e..'\+-.
b 0 -t"l- .
1. Complete tear off of existing shingles
2. Roof dried in with # 3 0 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 30 year fungus-resistant shingle D; 'V"\t..~ i O."\G\ \
8. All debris removed from the job site
9. All material and labor furnished
~.U~\hr "'-'':;0&
Ct:\ K.)
Extra's
Bad plywood replaced at a cost of $-4 5' per slteet in tlte roof field.
be a cltarge of $4 0 per man per Itour plus tlte cost of materials
Total bid price $ ~O 4}00. 00
All otlter wood work suclt 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: uP 0" c....o", P I<'-\-I ~
Dollars ($
Any altemtion 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.
R"P"d'2
p~ .'
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are ~racc.epted. You are authori~~/o do t~7 work as specified.
Date: / ) - ) J. d r; Signature:' -7 _.j >"7 .:.e ..JtA~ c--. // c?-~ c.J.., c...<<::.'
. ----/ ./:
Ryman Construction, Inc. Will not be responsible for
any septic tank, sod, shrubbery or paint 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
_==iCI_
37325 S. R. 54 W. . Zephyrhills, Florida 33542
(813) 782-6094. (866) 993-7663. License # CCC-1325505
111111111111111111111111111111111111111111111111111111II illl
2004216813
State of
NOTICE OF COMMENCEMENT
Mond ~ County of -p(l-O(~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No.
). ;<' ~ J ~-<X'" . (v,",,""'Pv-"\ /\;~ J7\
;' , -, ((; -[ -0,- j("') ,- ","-.')I..._"'-A.-"- LV / U
. .
(Legal description of the property and street address if available)
...~
2. General Description of Improvement
Rcpl:832141
DS: 0.00
. /' 11/19/04
LcL+ir? /J/(Lr~
"--'
City Z~-,{J./~y ,1v..M
Rec: 10.00
IT: 0.00
Dpty Clerk
3.
-
Owner Information: Name h D reJl{!J
C{1-1J Ilz,'( _'
State fL32i5G
Address ':.2'{j.,7) J
-
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
JED PITTMAN, PASCO COUNTY CLERK
11/19/04 02:311:: 1 ,i/ 1-
OR BK 6111 PG --,9 {
,./
Contractor: Name
State
Address'=j/2.~5'
S. Surety: Name
'YkJ
r---- ? ~~
Stateh _u 7~.
Address
City
State
Amount of Bond: $
6, Lender: Name
Address
City
State
c-./
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:
..:C.J
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 clate
of recording unless a different date is specified.)
'f
~
Signature of Owner: , ,/,. <r'/l.,(;i/C': ("'I;y."'-".'2C.~'r"--'-
-'
Sworn to and subscribed before me th s /1 ... day of
i"1\ Angela Helms
Notary Public: . . MyCOlnmisslono0166687
0, ll'es January 03, 2007
,~/..-i
,
My Commission EXDires:
-,
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