HomeMy WebLinkAbout04-3653
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3653
Permit Number: 3653
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 5,040.00
Date Issued: 12/07/2004
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 12/07/2004
Work Desc: RE-ROOF
Address: 5210 7TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16700-0150
Name: FOERSTER,JOSEPH
Address: 5210 7TH ST
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.
/ ~l~Nl~ [?~~.
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 -~. ) O_~pJ, F;:.e !..-JJt r
JOB ADDRESS ,5"'0> J 0 I'M 6)-
PHONE
LEGAL DESCRIPTION, LOT 1 S) BLOCK SUBDIVISION
PARCEL ID # II-~& -a J -('I, 10 -I (~ I Do - () /.5 €WrA TN ~ROM PROPERTY TAX NOTT GEl
WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION ~EPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING OMULTI - FAMIL Y Off OF UNITS o MOBILE ROM]
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
:>
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
1?~ - eC:l\-F
DESCRIPTION OF WORK
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH 12) PLOT PLANs & 12) 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. "
/" 5?
REQUESTED (--1t_ j f.------/
VALUATION OF TOTAL CONSTRUC~.~
PERMITS
$:5. ()4 () . () C)
,
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP S ERVI CE
o FLORIDA POWER
o W.R.E.C..
$
o GAS
~ROOFING
D SPECIALTY
D OTHER
VALUATION OF MECHANCIAL INSTALLATION
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES D NO
BUILDER
ELECTRICIAN
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
PLt1MBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
COMPANy ~~(? lr) (nn5fru (l.i)fY'), /nc .
STATE CERT OR REGIST # ~ ('(', ~ /..3oL'7;"")t)")
CTTY ?Pnrj;'<:!<:!T"... l.l -9
.20
u. u~L~~~N~~U 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".
S~N~NT SI~N~R --
STA'rE OF FLORIDA() /1 ........
COUNTY OF yo 6~
The foregoing instrument was acknowledged / i
Befo me this day of tUoj '~'-1
by
rYwho
STATE OF FLORIDA J1 1 L)
COUNTY OF hl.....( A
The foregoing instrument was ,cknowledged
Before me this ~day of fl0J , ~:}f
by ~ / fJJ ~ 1.,-10.1/-<-
. (~a of'p {son acknowledged)
~o is personally known to me, or
Dwho
Name typed,
person taki g ac~nowledgement
~--
'l . My Commlaslon 00165587
p EfdPI'!J'rla~~~
o who has produced
. (type of identification)
Ddid! 't:J1id nOt t~kfJ an oath
/ "'::-/
person taking acknowledgment
~ AnoeIa Helma
. . My~
Name typed, Pri~4! ~~~~
....
~~~
;;:~ e~, 'lHe,
Roofing Division
+t-f -\0 ~ ~,....~ c)."\
,/V\~,v. 'lJ- ',i"ot..S.
C) ();:;;.4 & cJ,,~
r.t ,.... ,
To: L.J I \\ rOE:...l..s +"" r-
S-.J. \ 0 "7' I." .j +, (K 1/\';" I: ~ tA..i l _I, t~ \ eN,> )
...:~? - ~" \ \S, r-:: L
Date: JI - J b - 0 <{
~/
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)" l.<V"\ 0 V '^ \
1.. Complete tear off of existing shingles
2.. Roof dried in with # '1 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 d. S year fungus-resistant shingle 3 - T a... b
8. All debris removed from the job site
9. All material and labor furnished
')ti")~\\(,,\-\0'\ of: P,J9<<... V~--\-..
chx,""t:,c;, c... \
(c'1AJ=)
~- \:)00J'y-...C/' ~ ~ 2\ w- -\0 ~ lA ji, ,-o-.NL
Extra's
Bad plywood replaced at a cost of $ ~ per slleet in tile roof field.
be a cllarge of $ -10 per man per Ilour plus tile cost of materials
Total bid price $
0-') 40 ~ ao
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
Dollars ($
With payment as follows:Woro.. GQry\.Ak:1- \ 01"'\
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 {:1lnstruction, Inc.
Respectfully submitted
"'~/ ." .----".
~
Per/7/f1 -., .
~.~ /. ~
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Date: (1)0 \,/ 11/ (j Lf Signature: ~~)
Ryman Construction, Inc. Will not be responsible for
any septic tank, sod, shrubbery or paint damage,
Paywent due upon receipt of Invoice.
You are authorized to do the work as specified.
w.f~
J
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
_==irI.
37325 S. R. 54 W . Zephyrhills, Florida 33542
(8 I3) 782-6094. (866) 993-7663. License # CCC-1325505
State of
1/111111111111111111111111111111111111111111111111111111I11I
2004226693
NOTICE OF COMMENCEMEN1'
<;':'-/ ()
~k' · 0 ((1 c~__ County of -( (l;:Jc~()
THE UNDERSIGNED hereby gives notic~ that improvement will be made to certain real property,
and In accordance wIth Chapter 713, Flonda Statutes the following information is provided in
this Notice of Commencement: '
1. Description of Property: Parcel No. I /-,).Ip-d )-00/0,- /0 7 (){)- lJ/S (')
(Legal description of the property and street address if available)
2. General Description of Improvement (\f;.
Rcpt: 836512 Rec: 10.00
os: 0.00 IT: 0.00
12/07/04 'n~.~__ Dpty Clerk
JEO PITTMAN PASCO COUNT~CLfRK
12/07/04 10:43am 1 10043
OR BK 6138 PG
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L/U~ -f-Mrv/e,"r--
City Zp flu l / iu./& StatefL. 335l()
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3. Owner Information: Name -.-J ()..5{J LJk
Address ,/1~3) () i17l.5 Ired
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
State
~ 4.
Contractor: Name '
3'..,.......;1.) , ../' . .' Z> -<t' I '; )
A ddres s .' :'l:...;J"'~ (J f..-. .......r- [./'--/ Ci ty
S. Surety: Name
State f7" , i35Cf).
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 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: '~1~' to,
/2 .
Sworn to and S~b~cri_,:d ~~f~re m,,-(i~. ,70
Notary Public: ,I) 7 (l~
day of
') ;f'e~i:S2R r-
, 20:::)<-,1
My Commission Expires:
prO<:lnO;<:lr\,1 Qt ^