HomeMy WebLinkAbout06-5607
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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:
5607
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 37344 DER YSHIRE DR LOT 97
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0120-00000-0970
4,000.00
3/27/2006
50.00
50.00
3/27/2006
RE-ROOF
Name: SCHUH, KENNETH
Address: 37344 DERBYSHIRE DR LOT 97
ZEPHYRHILLS, FL. 33542
Phone: 813782-3621
I OR
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REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
<,....-.....
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."
NO OCCUPANCY BEFORE C.O.
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RSIGNATURE PERMIT OFF I
( CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
~UILDING DEPARTMENT 5::\35 8"a St, Zephyrhi.11s, FL 33542
813-780~0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER' s NAM~Ka\.~.Jl S.~
JOB ADDRESS 3)344 b,e,r':1.:stw'~c- )),-
LEGAL DESCRI PTION: LOT (S) 9") BLOCK
- PARCEL ID # /0 - )C;-~/- O/:A. It:; - DO;Z:O - 0110
PHONE J>J3 72;< 56:/ f
v .~
. ,
SUBDIVISION
{OBTAIN FROM PROPERTY TAX NOTICEl
, WORK PROPSED: 0 NEW CONSTRUCTIO~
o ADDITION
o ALTERATION
o REPAIR
OY'fNSTALL
o SIGN
PROPOSED USE: ~ FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .~ <... t\~)'1
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL:, ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$ Ltetb.OO
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
. AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL $
o .GAS _ ~OOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
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(:Wi', ,'.I,~r\,,) "~ C' f',,'1 1\1 \ .c' ; ,',\ '1.,/" '( I "I' 1, t 1 I 'I {1;ll..' n"" 'J ',::;-" "J II, N:., \ .'1 ,}\.; J'j,')~J,y~ mli-~ I 'fr!,~'i~'j ~ [~~~I 11i.f ,\li'1l~I'Jli I:
I J~iE~~~ ~:.:.u~':: 1'1.' ~1;1',I!)ii-:~~ ,- .~, 'J ~'~;;;j_. h".hr~'l
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST *
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
.'
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MECHANICAL
, COMPANY
"
SIGNATURE
STATE CERT OR REGIST *
J '" U-
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COMPANY ,/~ !toP:)
STATE CERT OR REGIST * Lt'.e~ iJJJ. 10 r-
A. NOTIC8 OF D8ED RESTRICTION~
The. undersigned understands that this permit may be sub.ject to "deed restrictions" w'rrich-
may be more restrictive than City regulations. The unde~signed assumes responsibility for
compliance with, any applicab~e deed restrictions.
B. - UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
If the owner has hired a contractor or co~tractors to undertake wo~k, they may be required
to be licensed in accordance with ~tat~' 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 int~nded work, they are ~dvised to contact the
City of Zephyrhills Building Department, 813-780-0020:
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign pOftions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contracto+, ~ou are indicating that
you, +ather than the contractor, are responsible for the work. If the contracto+ wishes
you 'to sign as contractor that may be an indica~ion 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, pave 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 applicaqt is ~Omeone other that.the "pwnerUj I cerify that I
have obtained a copy of the above qescribed 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
be tione in compli~nce with all applicable laws regulating
- development.
Appli~ation is hereby made to obtain a permit to do ,work and installation as indicated. I
certify that no work or install~tion 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
_cer~ify that I understand th~t th~ regulations of other governmental agencies may apply ,to
the intended work, and that it is my responsioility 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, Cyp!ess Bayhea~s, Wetlapd Areas,
Altering Watercourses
*Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmenta~ Protection Agency-Asgestos abatement
I also certif~ that, if fill material is to be used in Flood Zone "A" or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu will be submitted which
is prepared by a professional engineer r~giste~ed 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 proyisions of'the technical codes,
nor Shfll issuance of a permit prevent the Building Officiq+ from thereafter requiri~g Q
correc ion of errors in plans, constru9tion, 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 la
- pel'iod of six months after the t~me the work is commenced. On~ 90 day extension o,f time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building qfficial. An approved inspection must be logged d~ring each six
month period, or .the project will pe consid~red abandoned. '
WARNING TO OWNER: YOUR FAILURE TO RE~ORD 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 ~N ATTORNEY.BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500.IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
/~~
~~~#NT
STATE OF FLORIDAI?~'~/~
COUNTY OF ~d.
The foregoi~g rument w~~S~9~ledge~,
Befo me t ' day of~ zrf.X./
by
(name of p son acknowledged)
~ho is person~lly known to me, or
accurate and that-' all work will
construction, zoning, and land
~2{~;:--
SIGN~TURE: C CTOR
STATE OF FLQRIDA 12., /J/l /
COUNTY Of ~~
The foregoing instrument.w~Aacknowledge~~~
Before e th s ay or/"IC'~jl , 2cf.J.5:t:::.
by ,
\u. (name of rson acknowledged)
~ is p~rsonally known to me, or
o wl10 'has produced
~.~type ot identification)
apd ~d t take an oath
of identification)
take an oath.
//
and
Name typed,
person taking acknowledgement
~ --......
. . My Commission 00165587
pr i ~,~fJ'eU. 2007
.....
/~~
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1<9maft 1<oO&tft9' 'lftC,
s~ ~?~ SiIeu 1910
37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
customer:-k ~^I\t' ..\-'h..
~ hLJ>. '"
Address: '373Yy
Dr )-t,-I5h I' R. LT:
Zip:
Home Telephone: ~q~ -36d.1
Alternate Phone #
Business Phone #
~comPlete tear off of existing shingles
CD' Roof dried in with # ~ felt
0/ Install new valley metal with galvanized metal
lia>Re-secure all loose roof decking as needed
ur / Install all new lead boots as Flee8eQ
I:li /Install all new drip edge :;Ii: R888eel
IB' /Install all new 30 year fungus-resistant shingles t) I ~
iZ' /Shingle Color ..4---.\,; ~L\2.. S itA.\(.. L \\o(
(k( ."All debris removed from the job site
flY' All materials, labor and permits furnished
Additionalltems: ~r I' Cs2- "!:nc.\L...y:,l.u Lj /) \ oF
fl e J.-v" Q: & 9<- V~-t S ,
Total bid price $ 4000, 00
Extra's
o Bad plywood replaced at a cost of $ L..l5: OD per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ ~'5. 00 per man hour plus the cost of materials,
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner.
2. All agreements contingent upon strikes, accidents Qf:delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work.
3. Labor warranty does not cover damage to roots caused by lightning, hurricane, tomado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due
to settlement, distortion, failure or cracking of roof deck, walls 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 materials 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 otherwise stated herein.
6. This contract is subject to final approval by RYMAN ROOFING, INC. and is the entire agreement of the parties and no other written or other forms will be recognized.
7. A charge of 1.5% will be made on all unpaid balances after 30 days plus charges incurred for non-payment p"focedures.
Ryman Roofing, Inc. will not be responsible for
any septic tank, sod, shrubbery or paint damage.
Payment due upon completion of job.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
Purchaser:
I~~~
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Date:
"';Z:.. - '".1.. i -0(.
c=J - do. \ ~ c..? (.,
Estimator:
l.-.
Date:
State of
NOTICE OF COMMENCEMENT
+1ClD04.-- County of ~
-
THE UND ERS! GNED hereby gi ves notice that improvement will be made to certa in rea I property,
and in accordance with Ch a pter 713> Florida Statutes, the following in formali on is pro v lded In
th is Notice of Commencement:
I. Descr; pli 0 n 0 f Property: Parsel No. i b -. J.., -:1. - i':>,:uz, .. m= . f'l9 7 CJ
2. General Description of Improvement ;:s~. ~4--
(Legal description of the property and street address if a va i lab I e)
11111111111111//111111111111111111111111111111111/11111//111
2006060581
3.
Rcpt: 982524
os: 0.00
03/27/06
Rec: 10.00
IT: 0.00
Dpty Clerk
Owner Information: Name ~~
Address ,~-X~44Uerb7~lV'<- b,-
Interest in Property:
3~l-u.~
City Z"f\ kAf- kU3
eli
Name of Fee Simple Titleholder: _
(If other thcm Owner)
Address _ City
Contractor: Name \')"'-"V) ~~,J>>.n.'1 I ~,~ \<."""-1-"')
Address 3-););). '-',2;,Q. ~ City Zf'~ r:: ~iAJ
Surety: N allle
State Q 5'~.s-4'J..
JED PITTMAN PASCO COUNTY CLERk
03/27/06 09: 57am 1 of 1
OR Bk 6904 PG 434
S ta te
5.
Address
City _
. StaleJa 5:.S<j ~
Amount of Bond: $
State
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices Or other
docu ments may be served as provided by Section 713.13 (I) (a) (7), Florida S [atutes:
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 d'ate
of recordi ng un) e.ss a di fferent date is specified.)
Notary PUbl{:
1Vly COlllmission Expires:
SignatureofOwner:~ ~~ ~rJl. ,
,e tJ!?'l da~~~ _
, 20&.
PC930:=i:indR/ l\
'~o,...'# Expires January 03, 2007