HomeMy WebLinkAbout07-6672
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6672
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:
6672
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
3,115.00
5/01/2007
50.00
50.00
5/01/2007
REROOF
Address: 5548 23RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: HAZEL HEIGHTS
Parcel Number: 12-26-21-0070-00000-0040
LU E, A ARA
5548 23RD ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-5032
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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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'CTOR GN TURE PERMIT OFFI
/ CAt FOR INSPEcnON - 8 HOUR NOnCE REQUIRED -
PROTECT CARD FROM WEATHER
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37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
Customer: ~r6ro.. ~~
Address: S--) ~g ;;) .~ r:>' Sa t "
Home Telephone: ~ - 503a
Date: L.{-3.::;-o7
City:ZeJ.'h~rh.. ns Zip:
Alternate Phone #
Business Phone #
ur::eomPlete tear off of existing shingles
iiY Roof dried in with # ~ felt
D ). nstall new valley metal with galvanized metal
[AY' He-secure all loose roof decking as needed
~Install all new lead boots -- "nJ!~ \\1.-
u.r Install all new dri~ge ail Rn':'~';)d5 wh,.~
ijY'Install all new ~ year fUng~resistant shingles
D Shingle Color {,,~rl'i (...;0-'1 c"",'\-F
UY'"AII debris removed from the job site
llir"' All materials, labor and permits furnished
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Total bid price $ 1.).
Extra's . 0
ci( Bad plywood replaced at a cost of $ i..JD. 0 per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ 5-.5. Co 0 per man hour plus the cost of materials.
to 'teA! L.c-kor ~rOv\yt
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 or delays 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 by 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, 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 procedures.
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
Purchaser:
satisfactory and are hereby accepted. You are authorized to do the work as specified.
Date: J..j-}O .-OIJ
Date: ~ - 30 .. () "7
Estimator:
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address I ~ J If g :) 3 {il sf,
Fee Simple Titleholder Namel
Owner Phone Number g;.3 73).,
Owner Phone Number I
Owner Phone Number [
Fee Simple Titleholder Address
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TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I L K-{ ~!>U+ .<1.') ~s /) a
BUILDING SIZE I ISQ FOOTAL I HEIGHT I I
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1$ I
1$ I
1$ I
D GAS g ROOFING 0
FINISHED FLOOR ELEVATIONS/ I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
PROPOSED USE
D
D
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ELECTRICAL
PLUMBING
MECHANICAL
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PARCELID#II)~ :1&'-)'} - m'XJ~~~C'O ~()
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
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ADD/AL T
REPAIR
COMM
FRAME
DEMOLISH
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OTHER
STEEL
OTHER I
AMP SERVICE
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W.R.E.C.
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PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY c=J
FLOOD ZONE AREA
OTHER
DYES
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BUILDER
SIGNATURE
COMPANY
REGISTERED
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Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
license #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
license #
Y/N
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
Address
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanllary Facilities & 1 dumpster; Site Work Permit for subdlvlsionsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner auUlOrlzing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroors Sewers Service Upgrades A/C Fences (PloVSurvey/Footage)
OTHER
SIGNATURE
Address
Driveways-Not over Counter if on public roadways..needs ROW
license #
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" r'estrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the "contnJcto!" Block" of this epplicatlon for which they will be responsible. ff you, as the oWner sign as the
contractor, that may be an Indication that he Is not properly licensed and Is not entitled to permitting privileges In Pasco
County. .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The uhderslgned understands
that Transportation Impaot Fees and Recourse Recovery Fees may apply to the constructloh of hew buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 ahd
90-07, as amended. The undersigned also understands, that such fees, as may be due, Will be Identified at the time of
permitting. It Is further unde..tood thai Trensportatlon Impact Fe.. and ResoUrce Recovery Fe.. must be peld prtor to
receiving a "certificate of occupancy" or final power release, If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of wotk is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the .owner", I certify 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.
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 wll1 be performed to meet standards of all laWs regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill Is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material Is to be used In Flood Zone "A", it Is understood that a drainage plan addressing a
"compensating volume" wll1 be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material Is to be used In Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem Wall.
If fill material Is to be used In any area, I certify that use of such fin will not adversely affect adjacent
properties. If use of fin Is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less thah one (1)
acte which are elevated by fill, an engineered drainage plan Is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth in
this effIdev" p,lor to commencing construcllon. I understand thai a sepa",te penn It may be ,equlred for .Ieculcal wor~.
plumbing, signs, wells, pools, el, condlllonlng, gas, or olhN Installallons hOt specffically Included In the appllcallon. A
permit Issued shell be construed to be a license to proceed with the work and nol as authority to violate, cencel, alter, or
set aside any provl.lons of the technical codes, no' shell Issuance of a permll prevent tha BUilding Official from thereaft.r
requiring a correction of erro.. in plans, construclion or violations of any codes. Every permit IssUed shall becomelnvelld
unless the wort< euthorlzed by such penn" Is commenced within six months of pe,mlllssuance, 0' If work authorized by
the pennit Is suspended or abandoned for a period of six (6) monlh. after the time the work is commenced. An extension
may be requested, In wrttlng, from the Building Official for a period not to exceed ninety (gO) day. and will demonstrate
jusllffable cause for the extension, ff work ceases fO!" ninety (gO) consecutive deys, the job Is considered abandoned.
t.~~ 1;/!2 N~~P~~
ommrssion '. ~ DIe It'! J ~
Notary Public
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Angllla HelmS
MY <;gmmilsion 00611711
t;1I irlll 01103/2011
Name of Notary ty
ad
Name of Notary
.R"~"l\..
Angela Helms
\; ,4 My Commillion 00611711
OH~d' Expires 01103/2011
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State of . \{;r\'i"Jl
NOTICE OF COMMENCEMENT
THE UND ERSr GNED hereby gi Yes notice that improvemen t wilJ be made to certai n real property,
an e! in accordance with Chapter 713, Florida Statutes, the follOwing information is pro v idee! in
this Notice of Commencement:
County of _ P tt.k {'3
1 . Descr i p tio n of Property: Parcel No. _1.2, J{,. .2 I. 00 )0.- Cl?d<r '" _ Od 'f 0
2.
Y7t,.1 /J;;. /s-
11111111111111111111111111111I11111I11111111111 1111I111I111I
2007075537
3. Owner Information: Name A.,,~ ~-','- ~
Rcpt:1095756 Rec: 10.00
DS: 0.00 IT: 0.00
05/01/07 -_Dpty Clerk
Address 5Tr-g d 7 r~.( ..51
Interest in Property: _
- CitYL/~rJ..!lf
- State41'~]S-~;(
Name of Fee Simple Titleholder:_
(If other than owner)
k4.
li~
Address
Contractor: Name R/Kd<t lio"jj
I . .
Address:5?'\Jr S.~. r~
_ City_
D PITTMAN, PASCO COUNTY CLERK
~~/01/07 12: 43R1m 1 1t..1..
OR BK 748 PG 1:)15
Slale_
5. Surety: Name
City ?~~,-L!IJ
Aclclress
. State rj' 5 ( r-V,2
Amount of Bond: $_
Ci ty _
State
6. Lender:N ame
Adclress
7. Persons within the State of Florida designated by Owner upon whom notices Or other
e! oc u men ts may be served as provided by Section 713.13 (1 ) (a) (7), Florida Statutes:
City
State_
Name
_ City
State_
Address
)
>.
In addition lo himself, Owner designates
of [0 receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
Exp.iration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
gnature of Owner: X h (WJ-/')(..-l (;V
'!r/V~L-
I day of
~
m-!!J
2rO/.
'-
)tary Pu bl ic:
y Commission Expires:
Angela Helms
My Commission 00611711
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