HomeMy WebLinkAbout07-6876
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6876
Permit Number: 6876
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6833 MEDICAL VIEW LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0290-00000-0010
25,000.00
8/07/2007
24,787.95
7,816.95
8/07/2007
INTERIOR B-OUT 6833/6841
C
MARTIN ELECTRIC
WILLIAMS DENNIS (INDIVIDUAL)
IN E
PLUMBING FEE
WATER CONNECTION COMMERC
FIRE INSPECTION FEES
TRAFFIC IMPACT FEE 1%
.5
55.00
1,273.45
30.00
226.00
SEWER CONNECTION COMMERC 357,00
FIRE PLAN REVIEW FEES 232,00
TRAFFIC IMPACT FEES 99% COM 22,402.00
~J
~ 1) 1__~/'-~1~
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--1'/(;. .- ,LPg. D2
FY\~Iu:!o1
lo't
I ULA
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC,
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC,
REINSPECTlON 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."
~tf~
CONT CTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
ADDRESS f DATE PERMIT ~. -fJ. -Xl
~~~~ ~D. v,~ If'\~ q ~pl '!!tQ{\D,
THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job
. will be accepted.
(~\.-L- ~YN~ rtuU~1-t ~l~L, A{\()~JG.JM'f;lsl~ D~.
b~ ~~S 1~;~~l(.~~'- ~~L \~~u.~~~
~ ~b~,..
(1) ~ '1YL\ '--- S \}+u- ~ lSuLm1i:V 0 N\\ '~ ~r<1 r lJ-==
,~~f~ OLL~~fi-S.
3>- .JJl~~6t) -:,ol L 5t)A-b- ~ ~~W 7<4~ ~
Yo()~~~ ( ~NQ1.li1lL j\()'f\ t... \7,- V1 ~ \i ]LbO,
It is unlawful for any Carpenter, Contractor, Builder, o,r other ,P8lSons. to ~~ CORRECTIONS ARE MADE CALL
cover or cause to be covered. any part of the work WIth floonng. lath. earth
or other material, until the proper inspector has had ample time to approve 780]00 F. OR RE-INSPECTION
the installation,
OFFICE HOURS 7:30AM-4:30 PM MON,-FRI, INSPECTOR J\)~9
DO NOT REMOVE
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT ."
C, - - View ;0 -S--07 ~ <6 1(,.-
THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections shall be made before the job
will be accepted.
i) /{jEEp
r4c1 / ,. II. ,{';-... r--,. J I' J
~___ ._. ~ 01'\. t-,'('<Il w"! 1#
( ItlVj I~ ~/('Cl-llJ;'\ " IJ nN, )
~) y(jCbD
.sOl I {r-Pttl_ ~U1 r JOC,/-,"P.r{ /'0/
I .
~~~~\J~~~~~~JJ!J
c ()f\f~ ( f
1:2>, 'slv/ i ~c/
s.. '4/
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Fro(
tIJ1~/14-e1
I
OFFICE HOURS 7:30AM -4:30 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0T FOR RE-INSPECTION
INSPECTOR "~ f t
II is unlawful for any Carpenler, Contractor, Builder, or other persons, 10
cover or cause 10 be covered, any part of the worlt wilh flooring, lath, earth
or other material, until the proper inspector has had ample lime 10 approve
the installation,
10/16/2007 11:17
8137886773
RYMAN CONSTRUCTION
PAGE 02/03
Print Date: 10/1512007
..:.' ".'" .J;t':~~~1'V:i:'~:lt~(~:~'R~0S:W&:\:~~~i:fff1l~i~N1V'~~?~)7:~0);:)~~!J~f:{J,t{;;X;~)T:~)::~~~,vj~{~A{~~~~~~
Final
Zephyrhills Fire Rescue
6907 Dairy Rct
ZephyrhDIs. 33542
Phone: 813-780-0041
Fax: 813-780-0044
~ InspectionDate:
InspectorName:
, j. spectionNumber.
~ InspectionCause:
10/1512007 4:00:ooPM
Kerry Bamett
1.113-07-0550
Periodic
Insoecl8d PartY
VACAKf
(000851 )
6833 MEDICAL VIEW LN
ZEPHYRHILLS, Fl33542
OccupsncyType: Healthcat'e
PropertyUseType: Vacant
VlolBtlonCounts: 3
Hrs: 0
~,~{1~5}';;;~~i<;::i:',~'t,,; }:~~~i.~:::i.:;.: :," :':'.:-~':';~~:~~~07r~;;~;\::<~-::~~g;:;; ~:': ~'...' .- : ':;,.':i,I::',~:,:;( :,,"~'::\\';;:~:t;:~~~~('<;:>:i;}::::.':'~:f;!~:;\.::::i'>:;:;>"";;~',~i;{~t~i
Ref: Numbe~ NFPA 1 (2003) 11.2 HAting. Ventilation, and Air Conditioning 11.2.1 Heating, Ventilating Ductwork., and Related
Equipm8f1t.
Air conditioning, heating, ventilating ductwork. and t'elated equipment shall be in ac::cordance with NFPA 9OA. Standard for the
Installation of Air.Condltioning and Ventilating Systems, or NFPA 908. Standard forthe Installation of Warm Air Heating and
Air-Conditioning Systems as applicable, unless approved existing installation shall be permitted to be continued in selVice.
(101:9.2.1)
Comment: Install lire dampelS in mechanical fOomS where return vents located in wall. Also Install duct detectors in all AIC units.
Ref. Number: NFPA 1 (2003) 12.3 Fire-Resistant Assemblies 12.3.1 Fire-Resistant Assemblies.
The design and construction of fire walls and fire barrier walls that are requited to separate buildings or subdivide a building to
prevent the spread offire shall comply with Section 12.3 and NFPA 221, Standard for FireWalls and Fire BanierWalls.
Comment Wood beams that penetrate the fire wall shsll be protected in a mannerth8t the 1 hour rating ;s not diminished.
Ref. Number: NFPA 1 (2003) 4.5 General Requirements 4.5.1.2 Authority Having Jurisdiction (AHJ).
Any requirements that are essential for the safety of building occupants and are not specifically provided for by this Code shall be
determined by the AHJ.
Comment: Mechank;al fOOffl doors shall have a sign on thtIm that states -NO STORAGE AllOWED IN THIS ROOM"
"' ..
Ref. Number: NFPA 1 (2003) 13.8 Portable Bdinguishefs 13.6.1.1 Portable Extinguishers.
The instatlation. miilinlenanc;:e, selection. and distribution of portable fire extinguishers shall be in ac::cordanoe with NFPA 10.
Standard for Portable Fire Extinguishers, and Section 13.6.
Comment: Certified FE's f8quired.
Comments:
Contractor has several issues to correct. Conditional final given at this time for closing only, hDYl!vpr, bUildl~ can not be
occupied until violations are corrected. cALL WHEN READY. ~ ~ ..pu"tJ.... Ch.ve.rsct-lt'(l'~ WI tRrrlj ID-/~ '~7.
D I< 4-0 tl.tJt1JtAL l!.o 11.JV-. ^D-t iLl- 'P::, I.V I d /1\J ~
oper-io p~b{"<. / f1-
Page 1 of2
RYMAN CONST-6833/6841 MEDICAL VIEW LN(BLDG.1)-PRMT #6876-
, INTERIOR B/OUT -DOCTORS OFFICE
SQ. FEET PRICE
MAIN OR LIVING: 5,498
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 15,000.00
FEE SHEET $ 15.000.00
ADDRESS
DRIVEWAY
BUILDING: $ 157.50
ELECTRICAL: $ 55.00
PLUMBING: $ 55.00
MECHANICAL:
SUB.TOTAL $ 267.50
RADON:
TOTAL $ 267.50
SEWER: $ 357.00
WATER: $ 1,273.45
IRRIGATION: $ -
TOTAL: $ 1,630.45
sewer treatment only
WATER METER:I $
IRRIGATION METER $
- I nla
nla
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 232.00
INSPECTION TOTAL: $ 30.00
PERMIT TOTAL
TOTAL: $ 262.00
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ .
nla
PARK IMPACT FEESI $
2,159.951 . ~ 'f 10/&,q,5 1Jf
\ (L~ DO 0 ,.~ Il.o,q 7 J 60
~ nla ~ecCj ~J~U- eJ C'J)
::J.S'i ()
nla
SUB-TOTAL $
TOTAL: $ 24,787.95 I
~^-
q'1o 5b6V' r..f 3
J blo S6,S7
$32,572.17 less $9,944(pd already)=$22.628
(.-.15- OJ d ~ 0~ if-
\ Iro8.'02.98 77 (I)
\ llo e>. 0 2... r OlD
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ .
TIF'S: $ 22,628.00
99% $ 22,402.00
1% $ 226.00
10/15/2007 11:17
8137885773
RYMAN CONSTRUCTION
PAGE 03/03
Notice of Preventative Treatments for Termites
(as required by Florida Building Code (FBC) 104.2.6)
1 st Choice Pe~t Services
4733 Allen Road
Zephyrhills, FL 33541
813-779-3731
Name of Builder L2 I G~ (" 1..?.,C L,'--f-
or Owner: ~t'\ ~ '.Jt7rr~ ", v; ,
bY' 33 -+- ~q~ I /f1t;,rul (ld.iAI LA-
Address of Treatment or LotlBlock of Treatment
~ 7..07
Date
10' QC)
Time
c ,~/t-.~
ApptiE'ator
..j _.
, .
.
i
-"
~/"1 C.
Product Used
~)L 1/1'/(
Chemical Used
(active ingredient)
Ko
Number of Gallons Applied
, 0(, 'f
.Percent Concentration
2CO
Area Treated
(square feet)
, ~~,/cl
Type FOUDdaJ;on Linear Feet Treated
As pel" 164.2.6 - If soil chemical barrier method for termite prevention is used, final exterior
treatment shall be completed prior to final building approval.
If this notice is f(lr the final exterior treatment, initial and date
this line
White - Company
Yellow - BuildIng Inspector
Pink - Builder
F,EESHEET COMM /' RES
b 8 ':r~_ 6' ~'t\ t\l\OO l4\L \!)o..~ LN
~~"vvfLL P lJL~ ~\<4i-
Square Feet
Valuation:
~415
Rate Computed At: ~
.. I5jDO~
_ (Use System Calc for Fees)
Radon: N\tr /57,So
Connection Fees: 'S~ Co> ~
Sewer: ~S7 . c~ SiA~ 55,':'~
'l~~\ bf'L\
Water: J 1. 7''1 ..,., ~'f\liJ\-
Water Meter:
~\f) =
~J"~
Size
%"
1"
1.5"
2"
3" &4"
Current $. 6/11/07 $
180.00 -220.00
250.00 320.00
. 650.00 725.00
875.00 990.00
Contact Louie for Quote
Irrigation Connection:
175.00
266.00
Park:
"-\'-A
~)1\
Impact Fees: 'School:
-r\f:
~ .
'1'21 5,2, r7
r~\
~,
~().
\
All Residentials
Plus Meter Charge Above
Based on size
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
Fire Chief Robert Hartwig
FIRE SERVICE US&~~_
Billing Address:
~~/hJ /l/!rh~/J
'31'''*.:) 5/tS-.y
:?:/1117d~'"/fJ? h
/Y2 --o:ff?.---5""
,.
Occupancy No.:
Plan No.: )--. -C~)
Business Name: ;1<~' 4-
BusinessAddress: ~ t t'(
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~Site Plan N/C
, Building Plans .04 sf
Revision ,06 sf
_~L-
Billing Phone No.:
Billing Fax No.:
Contact:
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
PERMIT FEE
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
~: ~:\
)' ~llV
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
o Automatic $15
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
o 26 plus Heads $60
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
D Detection $15
FIRE PUMP
D Per Pump $100
fJRE ALARM SYSTEM
rJ 0 - 15 Devices $30
o 26 plus Devices $60
FIRE ALARM SYSTEM
n System Acceptance $50
o Recall Acceptance $50
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
OTHER
Fire Wall/Smoke Wall
LP Gas
Natural Gas
Fuel Tanks
Tent
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
$15f'\.
$25
$25
$25
$15
$45
$45
$25
$45
GREASENENTlLATION
8 Hood/Ducts $15
Kitchen Suppression $15
I FALSE ALARM I
PERMIT TOTAL TOTAL.
q()
-"lV, _ j' ~
dY!-~/ I
GREASENENTILATION
o Hood/Ducts $35
~~
PLANS TOTAL ~
INSPECTION TOTArn
GRAND TOTAL
Comments:
7}~((c7
'kfrry &//vt#- ;::tt~
Date:
Inspector:
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief
Keith Williams
Bus (813) 780-0041
Fax (813) 780-0044
July 20, 2007
I have reviewed and approved the plans for an interior remodel located at 6833/41
Medical View Ln. I have attached the comments for the plan approval. If there are any
questions please contact my office at 813-780-0041.
1. Install knox box on front of building at a height of 7'. An application has
been provided.
2. Add additional exit and emergency lighting as noted on plan.
3. Door coming out of new hallway to swing out as noted on plan.
4. Firewall- if there are any structural penetrations an engineers approval shall
be required along with details of how it is to be completed. If this additional
space is ever to be leased or sold, fire rated doors shall be removed and wall
closed in to original rating.
Insp~c1ions Required
1.
2.
Firewall shall require screw inspect and final. ~ 1~\) .~.\~ ~
Remodel final. ;0 0 ~ ~~~~ \\'b-'\\\%)
-S~ r '" 0\ ~o ~\~ ~
~ ~caS~?J: ~\~e;
:<J y\te \\. ~~ ~{,.{)
\jJ #e
. ~'^ C,<)'
'N\\,v
813-780-0020
City of Zephyrhills Permit Application
BUilding Department
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
DatI Received
s+?
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
Ilocf~ "3 o!f 6 Pc..I/
lbRf~~
m~.JL J/~ L~ LOT# I
PARCELlD#1 O:(-.;J."fc-2../ - 0:170 - DOOD{) - Of) f 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
I
I
E3 NEW CONSTR ~ ADD/JL:T)
INSTALL t=1 REP~
PROPOSED USE D SFR czr COMM
TYPE OF CONSTRUCTION D BLOCK D FRAME
DESCRIPTION OF WORK I ;t;4-e-r; 0 "'" R~---e
BUILDING SIZE I/<DD I X ~ L/' I SQ FOOTAGE 15* & ~ HEIGHT I
[Ef'" '~~,~;~~ ' , ." , , . 'j;' . ~'~ · ~:'~' " ..",. , , i ' ., . . ~;:~;~:~~ '~; ;~~~~ ~~~~~~~;;:,~~' . , , ' , , , , , , , " , "" , . , , , ' , , , , , , , , ' , , , , , , · ,
~ ELECTRICAL 1$ I Af;1P ~ERVI~E ~ PROGRESS ENERGY
.---./ . 5, 0 00 . ~tS,.., "'ll
4LJ PLUMBING 1$ .b:. OOD I
1$ I
o ROOFING D
I
SUBDIVISION
WORK PROPOSED
D
D
D
DEMOLISH
OTHER I
STEEL D
OTHER I
D
W.R.E.C.
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
~G
o
o
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
Address
ELECTRICIAN
SIGNATURE
Address
License #
PLUMBER
SIGNATURE
Addressrl~ License # I
MECHANICAL II COMPANY I
SIGNATURE . . REGISTERED Y I N FEE CURRENT Y I N
Address I. License # I
OTHER I COMPANY I
SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
Address I License # I I
111I1111111I11I11111III1I1I1I1111I1111111111111111111111I111111111111111I11111I11I11111111111111111111111111111111111111111111111111111111111.11111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111/1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/Footage)
~~>~.
Driveways-Not over Counter if on public roadways,.needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
appycabie deed restrictions.
.# UNfICENSED 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 "contractor Block" of this application for which they will be responsible. If 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 undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior 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 work 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: .1 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, 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" will 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 fill will not adversely affect adjacent
properties. If use of fill 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 than one (1)
acre 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authori~y !o viol~t~, 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 violat~o~s o~ any codes. EveI!' ~ermit issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or if work authOrized by
the permit is suspended or abandoned for a period of six (6) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutIve days, the Job IS 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 A TIOR EY BEFORE RECORDING YOUR OTICE OF COMM CEMENT.
FLORIDA JURAT (F.S. 11 .03)
CONTRACTOR
L Subscribed and m to
c, I~ 18 by VI
t Who is/are personally kno~to me or
.1Lt-
U uL &j Nola", p"~.
Commission No. .
. My commission 0030643' .
.__~,oo
Name of Notary
?< V ~.(,--
C" N ~
"",mo."" o. ~ _ _ L,...........
. . My Commission 0030643\
Name of Notary typed, p OrtMimJt60ril 04 :;rOOF
Notary Public
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Rcpt: 1120090 Rec: 10.00
DS: 0.00 IT: 0.00
08/07/07 ___ Dpty Clerk
NOTICE OF COMMENCEMENT
COUNTY OF PASCO
STATE OF FLORIDA
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statues, the following information is provided in
this Notice of Commencement:
~ 4.
1. Description of Property: Parcel No. 02-26-21-0290-00000-0010
LOT L 6833 and 6841 MEDICAL VIEW LANE (TWO UNITS )
(legal description of the property and street address if available )Daughtery Road
Professional Center ITL PB 53 PG 024. Lot 1 OR 5532 PG 0577. Section 2. Townsphil'
26 South. Range 21 East
2. General Description of Improvement: INTERIOR REMODEL
3.
Owner Information: Name: KEVIN RYMAN
Address: 36413 S.R. 54
City ZEPHYRHILLS State FLORIDA
Interest in Property:
Name of Fee Simple Tittleholder:
If other than owner: Address:
City State
Zip code 33541
<.
Zip Code
5.
RYMAN CONSTRUCTION OF FLORIDA. INC.
36413 S.R. 54 West. Zephyrhills. FL 33541
813-782-0825
Surety: Name
Address
City
Amount of Bond: $
Contractor:
Address:
State
Zip Code
JED PITTnANA PASCO COUNTY CLERK
08/07/07 llC1 : 40am 1 of 1
OR BK 7!593 PG 711
6.
Lender: Name
Address
City
Zip Code
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
Zip Code
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.
Signature of 0
.Printed Name Kevin Rvman
Notary Public:
My Commission Expires:
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Oft\'
Notary Public State of I'I0rida
Bobbie J Knight
My Commission 00416222
Expires 03/31/2008