HomeMy WebLinkAbout04-3655
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3655
Permit Number: 3655
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,300.00
Date Issued: 12/14/2004
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 12/07/2004
Work Desc: RE-ROOF
Address: 6413 HUNTINGTON DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number:
Name: DAVID HILL
Address: 6413 HUNTINGTON DR
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
NO OCCUPANCY BEFORE C.O.
,/!/~ ~.
OR ~~L ~':INSPECTlON _ 8 HOUR NOTICE REQ:r~E~T OFFI . -
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
, BUILDtNG DEPARTMENT
DATE RECEIVED
PLANs REVIEW FEE
OWNER'S NAME ll))),o{ 1/ L/
JOB AnDRESS ((J 4/3 t/u. /)!/!:fJ f, 0.. f:> 7
LEGAL DES CRI PT ION, LOT; S I ' . B::;'CK SUBD IV! S ION
PARCEL I D # 03 -ora - a / - 61 J Q .-()C<){) (~- rf(!(fO 'QRTA TN FRO,,! PBOeF.Rn TAX NOTTCF.}
PHONE
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
OALTERATION
~REPAIR
o INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE:'~GL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMIL Y
o INDUSTRIAL
Off OF UNITS
o SWIMMING POOL
o MOBILE HOMJ
o OTHER
3
DESCRIPTION OF WORK
HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
QUARE FOOTAGE
HEIGHT
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 REQUESTED
.3, 3[J{) . OUVALUATION OF TOTAL CONSTRUCTION
,
AMP SERVICE 0 FLORIDA POWER
o ELECTRICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL
/ _.-.--'-\
OW. R . E,.-c:'~' i
/ ,/ I
/ ./) J
/11 ~~
. /'" fJJ
INSTALLAT~ON '
"--.-----
o PLUMBING
o MECHANICAL
$
o OTHER
TYPE OF CONSTRUCTION: 0 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
PLUMBER
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
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COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
OTHER h~ ~
SIGNATURE . . ...
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COMPANy ~~(f '1 (nn5ku (l,I)fY), )nc ,
~ ST.ATE CERT OR REGIST # f ('(', ~ ;..3ovic"')()<)
CTTY PRnr~QQTU~ n
D. UND~C~NSED 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 someon~ 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".
~ O~GENT SIGNbRAtf
;J tvOCO
__I
STNfE OF FLORIDA
COUNTY OF
The foregoing instrument vias acknowledged I
BefoK me th..iS.* day ~N 0 V '~. <...
by 12 ( ~~ 1/1/IU
(name f person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ~ac~owledg~ ~ '
Befor~ this ~day of ~::: ,1~(Yf
by Q(/~ tt/V10. "
(name 0 person acknowledged)
~o is personally known to me, or
~&U
Dwho has produced
(type
did "'-Q,did not
and who
, wledgment
Name typed,
/~
~'fmale ~(J.(J."1e9
A Division of Ryman Construction, Inc.
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Date:
/1/~(6'f
To:
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Total bid price $
~.3 6ZJ ,-
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 ~
B~
6
~~ 'J 33D
~~170 v-u ~z:;.7-.
Do liars ($
With payment as follows:
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
Per ~\ 4",~
Acceptance of Proposal .
The above prices, specifications and conditions are satisfactory and are herV accepted, You are a~th~rized to do the work as specified,
Dat~ "It 1;-/ Dr Signature: ~
Ryman Construction, Inc, Will not be responsible for
any septic tank, sod, or shrubbery damage.
Payment due upon receipt of Invoice
6\~'
.~ .
Please note: A charge of 1.5% will be made on all unpaid balances after 30 days. which is an annual percentage rate of J 8% applied to past due balances
For your convenience we accept
_=CiCIlII
37325 S. R. 54 W. . ZephyrhiIIs, Florida 33542
(813) 782-6094. License # CCC-1325505
&M t:r /t.~Q '9Cl 7-5/"93 f
111111111111 1111I 11111 11I11 1111111111 I111I 1///1 /1/1///1//11/
2004226691
NOTICE OF COlVIMENCEMENT
State of HC(I>)('.:A- Countyof Vfl:SC-11
-
TI-IE UNO ERSI G NED hereby gi ves notice that improvement wi II be made to certal n real property,
and in accord anee with C ha pter 7 13, Florida Statutes, the following i nformati on is prov icled in
thIs NotIce of Commencement:
I. Desc ri p ti 0 n 0 f Property: Parcel No. cr3 - ,-~(j, ~ (-;) 1- ry J- (l -CWXX-) --o~ cJ
(Legal description of the property and street address if available)
2. General Description ofImprovement ~ -!? mr3
Rcpl: 836512 Rec: 10.00
os: 0.00 IT: 0.00
12/07/04 ...--__._____ Dpty Clerk
3. Owner Information: Name UQ. lJ/d --;1(. ;ll/
A elel ress G; [II?; i/r .)fL-!; nJ~ Dr City lith'l //u, gc/ S talen:: J35Lij
Inlerest ill Property:
Name of Fee Simple Tilleholder:
(If other than owner)
JEO PITTMAN~ PASCO COUNTY CLERK
12/07/04 11rJ: 43am 1 10'0411
OR BK 6138 PG
Address
State
~ ',.. Contractor: Name
A leI - ,''':1)2.'\ ~-::;~ .c-' e..
C I e s S:j.. )c7'._) '-..J
L-l)
City
~Slate Fe 3.::t5Z,o
'5. Surety: Name
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
el oc ume nls may be served as prov i elect by Section 713.13 (1 ) (a) (7), Floriela S talutes
Name
Aclcl;"ess
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'l year from the elate
of recording unless a different date is specified.)
Signature OfOwll,e:r:
Sworn to and SUh.S~. ,\jibed b. efore.'. ~1J...e.~. tE t.,i.s._,__d/ day of
. ,() -(LlCtc Cj-r--~
Nnf~l nl PIlh] T0' Y 1'l/1Q .
R"'" i\. Angela Helms
. ~ ,; My Commission 00165587
'\ Of...'.I' EXpires January 03, 2007
,~ 'W~ r , 20 r"Y--7