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Home My WebLink About05-5084 II" .. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5084 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: 5084 RE-ROOF ROOF REPLACEM NOT APPLICABLE 4,600.00 10/31/2005 55.00 55.00 1 0/31/2005 RE-ROOF Address: 5039 20TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-21600-0065 Name: AGREN, STEPHANIE MAE Address: 5039 20TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra in ~ion trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 $hall 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 i spection when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be m e before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y u! intend to obtain financing, consult with your lender or an attorney before recording your notice of com cement." Complete Plan, !Specifications and Fee Must Accompany Application. All work shall berformed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. ~. PERMIT OFFI $PECTION - 8 HOUR NOTICE REQUIRED cj)TECT CARD FROM WEATHER R SIGNATURE CALL FOR I P I r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . BUILDtNG DEPARTMENT ItJ -3)-0::;- DATE RECEIVED _ PLANS REVIEW FEE PARCEL ID # JOB ADDRESS PHONE c8l3 7/S- 7<09'3 OWNER'S NAME BLOCK f1 / C; SUBDIVISION WORK PROPSED: DNEW PER~Y ~AX NOTTCF.l Os I GN PROPOSED USE: ~L FAMILY o COMMERCIAL o ADDITION ,_ OALTERATION rn"P:E PAl R o INSTALL o MOVE o DEMOLISH WELLING OMULTI - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HaM] o OTHER :? DESCRIPTION OF WORK & HEALTH DEPARTMENT APPROVAL BUILDING SIZE RESIDENTIAL: COMMERCIAL: SQUARE FOOTAGE HEIGHT ATTACH (2) PL T PLANs & (2) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. ATTACH (3) SE S OF BUILDING PLANs & (1) SET ENERGY FORMS. PROPERTY SUR Y REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED /{)~i J o BUILDING o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION o PLUMBING AMP SERVICE o FLORIDA POWER CI W.R.E.C.. o MECHANICAL $ o GAs ~OFING o SPECIAL Y VALUATION OF MECHANCIAL INSTALLATION D OTHER TYPE OF CONSTRUCTION: 0 BLOC D FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE: AREAD YES 0 NO BUILDER ELECTRICIAN COMPANY STATE CERT OR REGIST # SIGNATURE CITY PROCESSING it **************** ***************************************'k********* COMPANY STATE CERT OR REGIST # CITY PROCESSING l SIGNATURE PL~ COMPANY STATE CERT OR REGIST #. SIGNATURE CITY PROCESSING #_ **************** ************************************************* **********~***** *~*********************************************** MECHANICAL COMPANY STATE CERT OR REGIST it. SIGNATURE CITY PROCESSING # OTHER COMPANY h!j'n(1 'J r on5fru (l.7\fY), /rle. . STATE CERT OR REGIST # .JrI ('I, ~ /.,~~,"7c"lt)5 CITY PRnr~QQ?U~ li **************** *********************************************** D. U~LLC~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 stat~ 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'e 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". AGENT ~T~ STATE OF FLORIDA () {"O , COUNTY OF r f"'.lL/~~ The foregoing instrument w~_acknowledged Befor7"1me this ~day of ~~{l'- , I"9~ by ""'A\(LC} h2 ~J4I)O ____ ~_ (name of pe~ acknowledged) ~ is personally known to me, or STA'rE OF FLORID~ ~ COUNTY OF <00('....( The foregoing in trument was acknowledged Before me this day of ~~-r-, ~~ by 0 (name of person acknowledged) ~who is personally known to me, or of identification) oath. Dwho has produced (type \.o:u.cl n s of identification) take an oath ..... '/'~ ~L~ '1mal't ;l<oolil't9' 'JHC, s~ (!edtzat 'J~ SUiu 19iO 37325 SR 54 * Zephyrhills, Florida 33542 Phone: 813-782-6094 Fax 813-783-2465 License #CC C 1325505 Customer: Date: \ 0 - d..b - 0.5' City: .z~,"" r-\-. i\ \.<\ Zip: '3'S""'1 d.. Business Phone # 7 ~ - S S d- \ X,3oD Address: Home Telephone: 7/~- 7bqg ~comPlete tear off of existing shingles uti Roof dried in with # 3.a- felt ~ / Install new valley metal with galvanized etal I:il' ~e-secure all loose roof decking as nee ed or ~stall all new lead boots ~i RQQ9Gef !k( /Install all new drip edge :u: RQQQQd aa' Install all new yearfungus-resista tshinglesD.~LnSo~\ OJ Shingle Color 0& Ilt /AII debris removed from the job site I1l' All materials, labor and permits furnishe Additional/terns: -P1\ t..L.t~d~' 4 G> \ c9F /J. l!;..fje.. Vh t . Extra's o Bad plywood replaced at a cost of $ replacement, will be at a rate of $ \"(")5+0.. \\0...-\,(.71\ ~ 37 \ of: ("\ - ",,' :; ""~ I..s O.t'\ ().~~,l +~~\ ..t; 4 (? 00 ~ Total bid price $ 4 btxJ. on per sheet in the roof field. All other wood work, such as valley rebuilding or rafter per man hour plus the cost of materials. o f"\ f r~+ or h o~ o..--.~.3 ~ OlM\,s POU\ -\- ..s THIS BECOMES A BINDING CONTRACT UPON ACCEPTAN EOF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COpy OF THIS CONTRACT. 1, All material is guaranteed to be as specified and complet d In a substantial workmanlike manner, 2, All agreements contingent upon strikes, accidents or dela s beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work, 3. Labor warranty does not cover damage to roofs caused b lightning, hurricane, tornado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion, failure or cracking of roof deck. w lis or foundation of a building. 4, Workmen's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING (a subsidiary of Ryman Construction, Inc.), or it's sub-contractors, 5, RYMAN ROOFING, INC is not responsible to provide any $terials or to perform any work other than what is described above, Replacement of deteriorated decking, fascia board, is not included and will be charged as an extra unless oth rwise stated herein, 6. This contract is subject to final approval by RYMAN ROO lNG, INC, and is the entire agreement of the parties and no other written or other forms will be recognized. 7, Ryman Roofing, Inc, will not be responsible for any septic nk, sod, shrubbery or paint damage. io-tc\ \ b.\~ Fh'Q. \ 05"0, 00 ~ (\M fi?r Q. (Y'"\'\.."'-$ c.s +~~'" ~. Po-.:'t~ + -:j 4 s8. 0.3 Acceptance of Proposal The above prices, specifications and conditi n$ are satisfactory and are hereby accepted. You are authorized to do the work as specified. Purchaser: Date: \ 0 I ~l.o 1-oS- /0 ~ ~ 6- 05 , Estimatoc Date: Please note: A charge of 1,5% will be made 0 <ill unpaid balances after 30 days, which is an annual percentage rate of 18% applied to past due balances, For your convenience we ac ept most major credit cards. A 4% fee will be added to all credit card orders. NJ~ICE OF COMMENCEMENT I I Slale of Fio ~. .1-.. County of ~'.,,",," TH~ UNDERSIGN~D here~y gives notice that improvement will be made to certain real property, "ndlll accordance wIth Cha ler 713, Florida Statutes, the fOllowing information is provided in this Notice of Commenceme It: 1. Description of Property: Parcel No. 1/- x- J 1-0010- :J/~()O - OO~S- 2. (Legal description of the property and street address if available) G en era IDe sc ri p ti 0 n 0 f 11 pro v e men t 7?..~ if"" j' ""111111111111I 11111111I111111111111111I111111111111111111 ,/ 2005229704 3. Owner Information: Nm e3'!-e;L>IUL;(/e Jt1A.c-- Aa/'"GVC I ~ City Z;d;.~/.~ 1/, Rcpt : 937597 Rec: 10.00 DS: 0.00 IT: 0.00 10/31/05 -_____ Dpty Clerk Interest in Property: State.4 ;3,:SS'<t~ Name of Fee Simple Titl holder: (If other than owner JED PITTMAN, PASCO COUNTY CLERK 10/31/05 09:20am 1 4'!. OR BK 6666 PG 41 Address State i).:c(,:,:: H4. Contractor: Name Address S. Surety: Name 'I ,''-;) \..~ -j{U (Ii; c)/{ /pr. { City ZcLlkt-L. \\~ State FT. 3354 J. I Address City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State 0 !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, Ow ltr designates of to receive a copy of the Lienor's Notice as provided in Section 713.1 (1) (b), Florida Statutes. 9. Expiration date of Notice ft Commencement (the expiration clate is 1 year from the date of recording unless a diffe ~nt date is specified.) Notary Public , 2C0':S , Signature of Owner: /' My Commission Expires: PC93053048/ A #4P jt~ Angela Helms . ~ . My I':nmmlulon 00185587 ,~ 0, ,,,',/ Exr':"p.~ ,January 03, 2007