HomeMy WebLinkAbout08-7683
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7683
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:
7683
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5339 BELTRAM DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR HEIGHTS
Parcel Number: 12-26-21-0030-00300-0090
4,700.00
3/27/2008
55.00
55.00
3/27/2008
REROOF GAF SHINGLE
Name: NELSON, HILDA
Address: 5339 BELTRAM DR
ZEPHYRHILLS. FL. 33542
Phone: 813782-3264
REINSPEcnON 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 our notice of commencement."
~
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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St1U1i119 ~ 'J1.MUt4 SiMe 1910
37325 SR 54 . Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
Customer: ~\ J,.~r>- JvL\~'"
Address: 5'3~q }\. \-~r~ b,-.
Home Telephone: ~ - ~d bLJ Alternate Phone #
if Complete tear off of existing shingles
~ Roof dried in wittnl felt
GI" Install new valley metal with galvanized metal
GV Re-secure all loose roof decking as needed
Ia Install all new lead boots Iii AlIQg9g ~..k-.
lJ Install all new drip j9ge ~6'
12( ,Install all ne~ year fung\!,s-resistant shingles
~ Shingle Coior ~~~ :i.~^ <.,A-l=-
r3 All debris removed from the job site
if All materials, labor and permits furnished
Date: 3/d.s/o8
City: ~...,'"" :))<., Zip:
Business Phone #
Additional Items: ~VbJ 1t~~ .~';\ .~
i~\\ . ('i 3' _=-\:$ ~.~ Ve-,1-
t~(~lt>~~~ ;a.-~~~~:1te~~
rv,.,~ ; ",. \~dJ N '''' ~r,,,-. .., 'I" .'. r-
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Total bid price $ 4'700. ,,0
Extra's
Q Bad plywood replaced at a cost of $ "-1,5'.00 per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ SS'. ..x.1 Rer 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 woriunanlike manner.
2. All agreemenls contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insuranca upon above work.
3. Labor warranty does not cover damage to roofs caused by lightning, hurricane, tornado, heilstorm. 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 foundalion 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 deSClibed above. Replacement of deteriorated decking, fascia board. is not
included and will be cha'lled as an extra unless otherwise stated herein.
6. This contract is subject to finalepproval by RYMAN ROOFING, INC. and is the entire agreement of the parties and no other written or other forms will be recognized.
7. A cha'lle of 1.5% will be made on all unpaid balances after 30 days plus charges incurred for non-payment procedures plus attorney's fees.
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:
Estimator:
3/;lt?/~
Pleased note: A charge of 1.5% wiU be made on 8/1 unpaid tNllances alter 30 days, which Is an annum percentage rate of 18% applied to past due b8JanC8s.
STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO
FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.27, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT
AGAINST YOUR PROPERTY. IF.YOUR CONTRACTOR ORA SUBCONTRACTOR FAILS
TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS,
THE PEOPLE' WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR
PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO
PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR ORA SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO
PROTECTYOURSEL~YOUSHOULDSTWULATEINTBISCONTRACTTHATBEFORE
ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU
WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS
PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW
IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
I HEREBY CERTIFY THAT I HAVE READ AND FULLY UND RSTAND THE PROVISIONS OF THIS CONTRACT.
By: 3/::J.0rl'{j
Date
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itle
Purchaser:
Purchaser:
.City of Zewrhills
BUILDING DEPARTMENT
RE: Pemrit # 7683
9117/07
Inspection Affidavit
I k~\f, ^ ~i~C"M'\
(please print name aod ciP:l. Lie. Type)
Jiceused as a(n~Ar1:bitect,
Building Inspector*
License#; CCJ:- 13c2~S
On or about 3 /' ;}~/tS ~: 30 PfV\ , I did personally inspect the roof
(Date &. time)
ark at ~~3q 'b:.\-+~ tr.
(Job Si= Address)
2...Ph"lr h to 'is. J:.L 3 J s"t ~
Based upon that ex3!lJination I have detemlined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
~
Signature
STATE OF FLORIDA
COUNTY OF
Swom~~edbefim:mc~dayof ~
B~ '.
Notary Public, State ofPlorida
.2008
AIi' ~!Ct. N_,., Publle ''-Ie 01 FIoIlOll
'~I"" CIlrllllln Rymllll
;"c ~; My CommiHlon DD751610
-"a,"'. ~... 01'2~'2
LLt"u +i~ J\~",",~
(Print, type or stamp name)
Personally known / or
Produced Identification_
Type of identification produced.
Commission No.:
· GII1n, Buildins, ReBid_till, or Roofing CoDIrIICtOr or eny individwll ctJI'tifiCld undllr 468 F.S. to milk. such ID
inspectimL lAc:luc1c: photographs of CIGh plBD.e of the roof with the pennie # or addn:ss # clearly shown mBrlced on 1hc
deck for each iaspectiOD.
lOO/lOO III
xv~ L~:90 800G/lE/EO
813-780-0020
City of Zephyrhills Permit Applicatiofj.,
Building Department~1
r-aX-O'.)-IOV-UVL.1
Owner's Name
Owner Phone Number
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2 ~ ~vh ; 1 0Wne' Phone Num'"
Owner Phone Number I
Date Received
ty,
Fee Simple Titleholder Address I
SUBDIVISION
Be \1-nA r'Y\ ~r 2~ ph~ r-h . " \ ~ F c:..- ~s sCjd.....
I PARCELlD#k~-~6-~\-OO30 -cxj~oo- COqo
(OBTAINED FROM PROPERTY TAX NOTICE)
n NEW CONSTR E3 ADD/ALl 0 SIG~ 0 MOVE 0
D INSTALL REPAIR ~oc+-
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL 0
DESCRIPTION OF WORK 1 ~-e... - coef I sh i i1 ~/.Q$
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I
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JOB ADDRESS
15~5C\
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LOT #
DEMOLISH
WORK PROPOSED
OTHER I
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1$ L-\ '1 00 . ~ I
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1$ I
1$ I
1$ I
D GAS ~ ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
Y/N
I
I
I
I
I
I
I
I
I
I
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y I N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
Y/N
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
I
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
Address
MECHANICAL I
SIGNATURE
Addm" ~ /.
OTHER~/~---'----'-- _.
SIGNATURE ~~,.- ----..... .
.-/'
Address
COMPANY
REGISTERED
License # I
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Y I N I FEE CURR I Y I N J
License # I C.CL l ~S 5 05
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Requlredonsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvislonsllarge projects
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 onsite. Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
DI~~~ti~~~':' . . . . . . . . . . . . , . . . . . . . . . . . . . . . . I I . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . I . . I . . . . . . I . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . .
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 AlC Fences (Plot/Survey/Footage)
5i-1~
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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
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 "qontractor 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 and
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 Constructi.on 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 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, WaterlWastewater 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 "N, 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 ~hat a s,eparate perm~t. may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorJ~y !o. vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~'I.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Every permit Issued. shall become. Invalid
unless the work authorized by such permit IS commenced Within SIX months o.f permit Issu~nce, or If work authoFlzed. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the~ob 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 YO R LENDER 0 ATTORNEY BEF~RE RECORDlNGYOUR N~TI COM ENCEMENT.
FLORIDAJURAT(F.S.11? /,/~~ _=--.-:.---. --.
-.;:<~.~>-.-.:.-------- CONT'
OWNER OR A~.------- Subscribed and sworn to (or affirmed) before me this
Subscribe~rn to (or affirmed) before me this by
by d d Who is/are personally known to me or has/have produced
Who Is/are personallv known to me or has/have pro uce as identification.
CW.~~b1"
CommIssion No. · P
cr?2&-
Notary Public
~3~)I:2()09
111111111111 1111I11I111111I1111I111111111111111 11111 11111111
2008046124
Rcpl: 1170315 Rec: 10.00
OS: 0.00 IT: 0.00
03/27/08 Dpty Clerk
JED PITTMAN PASCO COUNTY CLERK
03/27/08 12 : 43pm 1 10'331 6
OR BK 7796 PG
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. 'd. - d (0 - d1 - (JO 30 - 00300 - (X.)<1 0
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
2...eoh\j1-- ~-Q...\o..",+S P6 5 p~ So p , .
l.Description ofpropert1 (legal detcription:) Ln-t (3 fwl( 3 CJ~ 'if-Clb 6-- Co~
a) Street Address: 5~~q &ti..r~YY'\ t\r. 2...Qph.'{H1' \ Ft;- ~~ ~
2.General description ofimprov~ents: of-
e.. '- '10
3.0wner Information . Q _ .-
,a) Name and address: }\ " \cla E- tv ~\ So Yl '5 3 ~q r~Q..H-v-a..vY1 b,.. z ~~ irh \ It s ~ 3~S4;)....
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractot Information ~
B a) Name and address:. r'Y\ o...n Jq \)O~ {f")~ +:nG .. ., 7~ S
b) Telephone No.: ~ 7<6CiJ.. 00 'f Fax No. (Opt.) .
. urety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
S~ s 4 2~'i;4, I ~3 pe-
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section
713. 13 (l)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me thisdk- day off'C\.('1Yc..~ , 20~, by t-\, \~
.....) Q.\.SO~ as (type of au ority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf ofwh' was executed).
Personally Known ~R Produced Identification _ Notary Signature
Name (print) CJfAa. ct~\ft.c...c ('..4 i-'\
. ,-
Type ofIdentification Produced
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief. -
Signature of Natural Person Signing Above
FORMS/NOC,rvsd2007
~~1 p~ Notary Public State of Florida
Chad Steven Ryman
. ~. My CommtSsl('1 00467226.
\;"/
OF'" Expires 08(30/2009 J