HomeMy WebLinkAbout15-16151 :
, CITY OF ZEPHYRHILLS -
5335-8TH STREET i
�si3)�so-oozo 1 1
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16151 Address: 38415 EVERGREEN VILLAGE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: 7,450.00 OWNER INFORMATION
Date Issued: 4/07/2015 Name: Z-HILLS LTD.
Total Fees: 112.50 Address: 38415 EVERGREEN VILLAGE DR
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/07/2015 Phone:
Work Desc: REPLACE FRONT & REAR DOOR UNIT 425-5
CONTRACTOR S APPLICATION FEES
AUL D.S HAPER CONST U TIO NC BUILDIN FEE 112.50
� � � � - lS,.-
v�.�
Ins ections Re uired
FOOTER 2ND ROUGH PLU B I N ULATION CEI
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one 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� 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.. .
% ' e�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recefved 3i � J Phone Contact for Permittin ��3 �g J' — �cl ol(7
Owner's Name � /d/�� �T Owner Phone Number ,3,5 d-' 0�.5 7��0��-'
Owner's Address �Q. x sas�-- Owner Phone Number
Fee Simple Titleholder Name � /�/� Owner Phone Number
Fee Simple TiUeholder Address V c7�' a�0�a�— Q� � " Q 5 '
JOB ADDRESS O J � � �+T L�� ���
i
SUBDIVISION �� 1 PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e N TALLSTR e REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK }C��- � � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ �i/�Q O VALUATIONOFTOTALCONSTRUCTION � �"' �� `
y ��-�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �`{'� � y��/11 A�jf�Q �Q��
� � ) �{ W u 1
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `J n"
OGAS Q ROOFING Q SPECIALTY Q OTHER (� (J"� �"
C��-�,G
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
BUILDER �aS V COMPANY � �
SI�NATURE REGISTERED Y/ N FEE RREA Y/N
Address / � Z �/ License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE R[-�isr�zEO Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
I
SIGNATURE REGISTFRm Y/ N �cuRttQ. Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnft for new cansVuction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWcUon Plans,Stortnwater Plans wl Silt Fence installed,
Sanitary FaGlities 81 dumpster;Site Work Pertnit for subdivisfonsAarge projeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstrudion.
Minimum ten(10)working days after submittal date. Required onsfle,Construction Plans,Stortnwaler Plans w!Silt Fence installed,
Sanitary Facili6es&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet campliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
`•••PROPERTY SURVEY required for all NEW constiuction. i
Dlrectlons:•
Fill aut application completely.
Owner 8 Contractor sign back of application,natarized
' If over SZ500,a Notice oi Commencement Is requlred. (A/C upgrades over 57500)
•` Agent(for the contractor)or Power of Attomey(for the owner)woWd be someone with notarized letter from owner authorizing same
OVER THE COUN7ER PERMITf1NG (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if an public roadways..needs ROW
, �
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more resVictive than County regulations. The undersigned assumes responsibiiity 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 Divisior�Licensing Section at 727-847-
8009. FuAhermore, 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 applicaGon 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 entiUed to permitting privileges in Pasco
County
TRANSPORTATION IMPACTNTILITIES 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 e�sting buildings,or expansion of existing buiidings, 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 fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. tf 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 WatedSewer 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 vaivation 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 Lav�Homeowner's
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',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 pertormed 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 govemment 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 8� 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 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 Offlcial from thereafter
requiring a correction of errors iri plans,construction or violations of any codes. Every permit 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)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days 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 L.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117
OWNER OR AGENT � CONTRACTOR
S � c},�pd swom to(or aifi ed bef re m hi' S �nb d a d swom to(or )before me 's
/5 by V J by . �
Who Is/are personalty known t m r has av o Is are personally known to me or ha ave pro
as identfication. �— as identification.
,,.t. �' �---�.1`-°`
H•_ � � o ary Publi Nota ublic
C misSioA' , y U P NE ALLEN �`���`c• � ic -State of Flofida
=���`c�; ub c-State o : : M Comm Expires Oct 25,2015
5 i �
Nafi$o o�� ed,�n�QBt�£'fa . Name of ot �in't o��e�sion
S�,y.y7 ;`�.'` °:= mmission# EE 131770 f '%,,,, „
(�+.'''��IIii�1�JP` �O �
�•�
:
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�si3)�so-oo20 16152
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16152 Address: 38415 EVERGREEN VILLAGE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: OWNER INFORMATION
Date Issued: 4/07/2015 Name: Z-HILLS LTD.
Total Fees: Address: 38415 EVERGREEN VILLAGE DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: REPLACE FRONT & REAR DOOR-SEE BP#16151 (UNIT 415-3)
CONTRACTOR S APPLICATION FEES
PAUL D.SCHAPER CONST U TION INC BUILDING FEE 0.00
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra inspection
trips are necessary due to any one 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 fl 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 properly 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ' e�sasaoozo City of Zephyrhills Permit Application Fax-813-780-0021
Bulding Departmenl '
Date Received phone Contact for Permittin ��3 ���— — C 10l l7
Owner's Name C— /�/[�� �7 Owner Phone Number ;3s�- a.s�-�o�:�-
OwneYs Address �(,i. � sa s�— Owner Phone Number
Fee Simple TiUeholder Name /J/� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O � � � � vr �� /���
SUBDIVISION PARCEL ID#
(OBTAINEU FROM PROPERTY TAX NOTIC�
WORK PROPOSED NEW CONSTR ADDlALT 0 SIGN Q Q DEMOLISH
e INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �Q XQJI� � � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING S �/1. VALUATION OF TOTAL CONSTRUCTION
7
QEIECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ •� ` � ( S�
I I
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
• BUILDER COMPANY � Gl�l,Q7Q� � �
SI6NATURE REGISTERED Y/ N � ��cuRrt Y/N
Address �� � V� �� �l Llcense# �'�5���
ELECTRICIAN COMPANY
SIGNATURE RECISrErtm Y! N FEECURREI� Y!N
Address License#
PLUMBER ' COMPANY
SIGNATURE tte�isrEttm Y/ N FEE CURREn Y/N I
Address License�
MECHANICAL COMPANY I
SIGNATURE rtE�iSrErtm Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTEFim Y/ N �cuRa�n Y/N
Address license#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion,
Minimum ten(10)working days after submfttal date. Required onsite,ConsVuction Plans,Stormwater Plans w1 Silt Fence instalied,
t Sanitary Facilitles&1 dumpster,Site Work Pertnit for subdivisionsAarge projeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsile,Construdian Plans,Slorm�+rater Plans w/Silt Fence installed,
Sanitary Facil'�ies 8�dumpster.Site Work Pertnit Tor all new projects.All commercial requireme�ts must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
Dlrectlons:•
Fill out appliration completely.
Owner 8 Contractor sign back of appfication,notarized
If over 52500,a Notice of Commencement is requfred. (A/C upgrades over 57500)
" Agent(for the contracto�or Power of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same
OVER THE COUNTER PERMI7l1NG (Front of ApplicaGon Onty)
Reraofs if shingles Sewers Service Upgrades NC Fences(PIoUSurvey/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
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 Divisior�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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: "fhe 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 occupanc�'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 WaterlSewer 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 "Fiorida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the°owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"priar 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 govemment 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,WatedWastewater Treatment.
� - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, WeUand 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 ceitify 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 buiiding permit issued under the attached permit application,for lots less than one (1)
, acre which are elevated by fiil,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 speafically induded in the application. 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 therea8er
requiring a correction of errors iri plans,construction or violations of any codes. Every permit 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 permft is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
4 OWNER OR AGENT CONTRACTOR �
�y'u��bYwom to(or ifi d before�rne t is Su 3,g an bwom to(or a firm �)befo E this
J !J
N o IsJ re personally kno to me or aslhave p Who Is/are persona Iv kno to me or asfiave Adeed
as i entification �� as ide ifica6oa
No Public a u ic
�`a+�PU''•., $U NNE A �n�Pnv o�A`'
''°•* •��No Commissi tr''•. _ SUZANNE
' -' �'_ , x ir Oct 2 , 15 = ; .= ary Public-State of Florida
-•:
�Nj9r O``` cary t��� 0 Name ot N p/ o � pe • es ct 25,2015
, oFf,,,, �,,,,,,,.� ommission#EE 131770
'i�f
�hm���
, CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 16153
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16153 Address: 38415 EVERGREEN VILLAGE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: OWNER INFORMATION
Date Issued: 4/07/2015 Name: Z-HILLS LTD.
Total Fees: Address: 38415 EVERGREEN VILLAGE DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: REPLACE FRONT & REAR DOOR SEE BP#16151 (UNIT 445-8)
CONTRACTOR S APPLICATION FEES
PAUL D.SCHAPER CON T U T O INC BU DING FEE 0.00
Ins ections Re uired
FOOTER 2 D ROUGH PLUMB M INSULATI N CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one 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� 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRAC SIGNATURE PERMIT OFFI R
P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ' a�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department ' i
DateReceived PhoneContactforPermittin ��3 ��� — ��lot(7
Owners Name � /�i/�� �7 OwnerPhone Number ,���' �Jr���a�3"
Owner's Address �(��. � s�s�— Owner Phone Number
Fee Simple TiUeholder Name /�/� Owner Phone Number
Fee Simple TlUeholder Address
JOB ADDRESS � �7 �/� " l �r L� Y'�S�
SUBOIVISION PARCEL ID#
(OBTAINED FROIN PROPERTY TAX NO710E�
WORK PROPOSED e NEW CONSTFi e ADDlALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �Q �ClL�� � � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C., ��
QPLUMBING $ �� I^ �
� �
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . ..
• BUILDER COMPANY I C
S16NAll1RE REGISTERED Y/ N �cuRrten Y/N
Address �� ti/ !� �3 License# (/ �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE cuRREn Y/tJ
Address License#
PLUMBER COMPANY
SIGNATURE RECisr� Y/ N �cuw�n Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE r�cisrEaEO Y! N FEECURREP Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIII111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWdion,
Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans wl Silt Fence installed,
� Sanitary Facilities&�dumpster,Site Work Permit for subdivisionsAarge projects �
COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)waridng days after submitlal date. Required onsile,Consttuction Plans,Storrrnrater Plarrs w/Silt Fence installed,
Sanitary Facil'�ies 81 dumpsier.Site Work Pertnit for all new projects.All commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
�I . ""PROPERTY SURVEY required for all NEW construction.
Dfrections:• • • • • • • • • •
Fill out application completely.
Owner&Contractor sign 6ack of applicalion,notarized
If over�25D0,a Nottce of Commencement is required. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(far the ovmer)would be someone with notarized letter from owner aulhorizing same
i OVER THE COUNTER PERMITTiNG (Front of Applicatian Onty)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIaUSurvey/Footage)
Driveways-Not over Counter if on public roadurays..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 compiiance 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 Iaw. 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 entiUed 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 occupanc�'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 WatedSewer 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 Lav�—HomeownePs
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 alI 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 Applicafion 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 pertormed 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 govemment 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, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways_
i - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Rurnvays.
• I understand tNat 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 ceitify 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 commenang 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 proceed with the work and not as authority to violate,cancel, alter,or
set aside any provisions of the technical codes,norshall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors iri plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such peRnit is commenced within six months of pertnit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justfiable 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,CONSUL7
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03
* OWNER OR AGENT CONTRACTOR
S ' �bswom to(r affi ed)befpre m this u 'b ti m to(or affi ed) f re me t L
y � r y
o Is!re personally knoxm to m or haslhave Who Is re personally knovm to e or ha ve pr
as identificadon. �� as identification.
,
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�����°iii��� :v, oe: mY Comm.Expires Oct 25,2015
���`cOF FI.�P`��
�•,,,,,,,, Commission�EE 13177p
�
, CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 16154
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16154 Address: 38415 EVERGREEN VILLAGE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: OWNER INFORMATION
Date Issued: 4/07/2015 Name: Z-HILLS LTD.
Total Fees: Address: 38415 EVERGREEN VILLAGE DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: REPLACE FRONT & REAR DOOR SEE BP#16151 (UNIT 435-2)
CONTRACTOR S APPLICATION FEES
PAUL D.SCHAPER CONST U TION INC BUILDIN FEE 0.00
Ins ections Re uired
FOOTER 2ND ROUGH PL MB MISC INSULATION CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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� 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ��
I
. • e��-�so-oozo City of Zephyrhills Permit Application Fax-a��-�saooz� I
Building Department • � �
Date Recelved Phone Contact for Pertnittin ��3 ��,' — C�10l(7
Owners Name � �/1� L� Owner Phone Number ,3..`i d-' �.5 7����3'
OwneYs Address �Q. 7� s�'s�— Owner Phone Number
Fee Simple TiUeholder Name /� /4 Owner Phone Number
i
Fee Slmple Titleholder Address
JOB ADDRESS � s7 t/� � ► �r - L-�F# y.�-7��'
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED NEW CONSfR ADDIALT 0 SIGN Q Q DEMOUSH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP710N OF WORK �CQ��. � � �
BUILDING SIZE SQ FOOTAGE� HEJGHT �
QBUILDING $ �/ VALUATION OF TOTAL CONSTRUCTION
N
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ V J � �/_ ��
��f �Q
QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
• BUILDER COMPANY � -P/
SIONATURE REGISTERED Y/ N � :�ECU n !N
Address 4� �I� J J / Llcense# C
ELECTRICIAN COMPANY
SIGNATURE RECISrE�EO Y/ N r�cuRr�n Y/N
Address License#
PLUMBER COMPANY
SIGNATURE ' aECisTeam Y! N FEECURRQ. Y/N
Aildress License#
MECHANICAL COMPANY
SIGNATURE REGISTFRED Y/ N �CuwtEn Y/N
Address License#
OTHER COMPANY
SIGNATURE. REC�srEttm Y/ N FEE CURRQ. Y/N
Address License#
1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Permit for�new consWdion,
Minimum ten(10)warking days after submittal date. Required ansite,ConsVuction Plans,Stormv�rater Pians w/Silt Fence installed,
� Sanitary FaGlities&1 dumpster,Site Wark Pertnit for subdivisionsllarge praJeds
COMMERCIAL Atlach(3)complete sets of Bu7ding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new co�struction.
Minimum ten(10)working days after submittal date. Required onsile,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consWCtion.
Dlrectlons:•
�� Fill out application completely.
Owner 8 Contractor sign back of appfication,notar¢ed
If over 5z500,a Notice of Commeneement Is requlred. (A/C upgrades over 57500)
" Agent(for the contracto�or Power of Attorney(for the owne�would be someone with notarized letter from owner authorizing same
� OVER THE COUN7ER PERMITIING (Front of Applica6on Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
• n
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions° �
which may be more restricGve than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restricfions.
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"contractor Blocf�'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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES 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 occupanc�'or final power release. If the project does not involve a cert�cate 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"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'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 worlc 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 govemment 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,WatedWastewater 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 ceri"rfy 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 induded in the application. 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 iri plans,construction or violations of any codes. Every pemiit 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)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justfiable 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,CqNSULT
WITH YOUR LENDER OR AN A'iTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117 03) /
OWNER OR AGENT � CONTRACTOR
��--_�
cri �a swom to( affi )bef m this S '¢ aqdswom to(or atfirm )bef re me t '
Od
.s� by 0 by
o Is/are pe on I kn i h uced Who Is/are personall kno or ha ve p�aAneed
as(der��fica i as identification.
- �����,,,, dNt ALL
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. , : N �y public- e Florida
"� 2015
=• `�+'= m.Expires 0 0�� publi .�`���v a;'�. Notary Publi
:N w a� 1�U ,�n ,-• N
� o-,: mmission# . „
C rf�� Commission N ~ ' ' •
��������� ;,,» _ oP; My Comm.Expires Oct 25,2015
, NameofNotarytyped,printedorstamped NameofNota typ ,�n�+� �Lrstam mmission#EE 131770
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�sis)�so-oozo 16155
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16155 Address: 38415 EVERGREEN VILLAGE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: OWNER INF012MATION
Date Issued: 4/07/2015 Name: Z-HILLS LTD.
Total Fees: Address: 38415 EVERGREEN VILLAGE DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: REPLACE FRONT & REAR DOOR SEE BP#16151 (UNIT 435-4)
CONTRACTOR S APPLICATION FEES
PAUL D.SCHAPER CONST U TION INC BUILDING FEE 0.00
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Sta#ute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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 fl plans not at job site g) work not accessible.
i
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that I
may be found in the public records of this county, and there may be additional permits required from other governmental I
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRA OR SIGNATURE PERMIT OFFI R
� RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i . ' 813-780-0020 City of Zephyrhills Permit Application Fax-8�3-780-0021 I
Bulding Departmenl
Date Recelved Phone Contact for Permfttin ��3 7�� — ��"Jot 17
OwneY's Name � /V/�� h-7 Owner Phone Number 3,5 d-' �.�7��D��'
Owner's Address ��• � sa'S�— Owner Phone Numtier
Fee Simple Titlehoider Name /�/� Owner Phone Number
F¢e Simple TlUeholder Address
JOB ADDRESS � � YJ� " 1 CJL �:� 'L�Y� 7✓-� �
SUBDIVISION 1 ,� PARCEL ID#
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �Q �GLI�.- � � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING S �/ ^ VALUATION OF TOTAL CONSTRUCTION
`V
QELECTRICAI $ - AMP SERVICE Q PROGRESS ENERGY q W.R.E.C.
�PLUMBING $ �� r�
� l
I QMECHANICAL $ VAIUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVA710NS FLOOD ZONE P,REA QYES NO
' BUILDER � COMPANY �� S G�Q�R/� CQt�� . ,
SIGNATURE aE�IS7�D Y/ N � ��CUa n Y/N
Address � p/� � � 3�� Llcense# L— �
ELECTRICIAN � COMPANY
SIGNATURE REGISTFRED Y/ N �cuttrtEn Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N �e cuw�n Y/N
Address License�
MECHANICAL COMPANY
SIGNATURE r�cisrEaEO Y/ N �CURr�n Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTFRED Y/ N �cuwtEn Y/N
Address License#
1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 t 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 .
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Forms;R-O-W Pertnit for new consVuction,
Minimum ten(10)working days after submftlal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Sift Fence installed,
* Sanitary Facilities&1 dumpster,Site Work Permit Tor subdivisionsAarge praJeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fomu.R-O-W Pertnit for new construction.
Minimum len(10)working days after submittal date. Required onsile,Construdion Plans,Storrmvater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projeds.All commercial requirements must meet compiiance
SiGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all NEW construction.
Dtrectlons:•
F�I out application completety.
Owner&Contractor sign 6ack of appiication,natarized
• If over 5z500,a Notice of Commencement Is required. (A/C upgredes over 57500)
" Agerri(far the contrdctor)or Povrer of Attomey(for the ovmer)woWd be someone with notarized letter from ovmer authorizing same
OVER THE,COUNTER PERMI7l1NG (Front of Applicalian Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contractors io 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 conVactor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Divisior�Licensing Section at 727-847-
8009. Furthermore, 'rf 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 entiUed to permitting privileges in Pasco
County
TRANSPORTATION IMPACTNTILI77ES 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 aiso 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 occupanc�'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 pertnit issuance. Furthermore, if Pasco County WatedSewer 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"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'priar to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I certity that ail the information in this appiication 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govemment 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,Navigabie 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 aliowed 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 certiTy 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 peRnit 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 consVuction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded in the application: 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 therea8er
requiring a correction of errors iri plans,construction or violations of any codes. Every permit 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)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.0 �
OWNER OR AGENT CONTRACTOR
S �he ��pd swom to r affi, )b o me this Su 'bed n swom to(or affi d) efore m thi
/� by � V by �
o Is/re personally own t or ha/ha Who Isla personally knovm o me or h /have prodd
�an.-+�•asi ni ca on as idenGficaGon.
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�,,,�.S,�Npm�a d,printed or stamped Name of Nota,. typLd)p or stampe
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: _ �.,Q,l-j S�-+`t G��� ��S�
Date Received: � r�j' �S
�(� -' �)` // [�►���---s 'f/3�_v
Site: 3 �Tl� ��'/�C'C'D'� !�/G l� �`�S `�
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Permit Type: � �Q__C�r 7"d�/C.,S �,�,(�-=3�
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ I
I
This comment sheet s 11 e kept with the permit and/or plans.
.. _ / r/� ..
Q�'
Kalvi % itzer P Examiner Date Contractor and/or Homeowner
- (Required when comments are present)
, Page 1 of 1
,
MI�C@ WE'��S PascoCounNProoedvAouraiser
Physical Address List for Parcei: 02-26-21-0010-05300-0020
Next»
Displaying Records 1 to 25 of 58 View in groups of: 10 25 50 100 500
Street Number Street Name,k Unit
38349 EVERGREEN VILLAGE DR
38349 EVERGREEN VILLAGE DR 1
38349 EVERGREEN VILLAGE DR 2
38349 EVERGREEN VILLAGE DR 3
38349 EVERGREEN VILLAGE DR 4
38349 EVERGREEN VILLAGE DR 5
38349 EVERGREEN VILLAGE DR 6
38349 EVERGREEN VILLAGE DR 7
38349 EVERGREEN VILLAGE DR 8
38405 EVERGREEN VILLAGE DR
38405 EVERGREEN VILLAGE DR 1
38405 EVERGREEN VILLAGE DR 2
38405 EVERGREEN VILLAGE DR 3
38405 EVERGREEN VILLAGE DR 4
38405 EVERGREEN VILLAGE DR 5
38405 EVERGREEN VILLAGE DR 6
38405 EVERGREEN VILLAGE DR 7
38405 EVERGREEN VILLAGE DR 8
38415 EVERGREEN VILLAGE DR
38415 EVERGREEN VILLAGE DR 1
38415 EVERGREEN VILLAGE DR 2
38415 EVERGREEN VILLAGE DR 3
38415 EVERGREEN VILLAGE DR 4
38415 EVERGREEN VILLAGE DR 5
38415 EVERGREEN VILLAGE DR 6
Pages (3): 1 2 3 Nexc»
http://appraiser.pascogov.com/search/parcel-physadd.aspx?mprs=2&src=Q&parce1=21260... 3/31/2015
�'�a�a�° �'a� �9� ��� ��'D��� ��(D������ � <��.p 7'�C� �
R W �� . � R�VV Building Consultants, Inc. ',
B , Consuljing and Engii►eknftg�Services for the Building industry i
i�c , � ' ' ' . .. -
� P.O_Bo]c 230 Val�ico;FL33595 Phone 813.659.9197
� . , .��
- '�°s" t � .Florida Boatii of'�'rofcssidrial Engineers Certifieate of Au�hori�adon No.9813
t , • , � ,
. . . ��.
f.•. .
I
Product
Category Sub Category Manufacturer Product Name
Plastpro Inc. Glazed Ffberglass Single Door
Exterlor Swingfng
Exterlor poor $200 H►•Century Blvd. w!or w/out Sldellte(s)
�O°� Assemblles Los Mgetes,CA Inswing 1 Outswing
� Phone 440.989.9773 "Impact"
Scope: Product Evaluation report issued by R W Building Consuitanfs,.lnc.&Lyndon F.Schmidt,P.E.(System ID#1998)for
Plastpro Inc.,based on Rule Chapter No.9N-3,Method 1A of the State of Florida Product Approval,Dept.of Business 8 ,
Professional Regulation. i
RW Building Consultants and Lyndon F.Schmidt,P.E.do not have nor will acquire financial interest in the company
manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein.
UmitaBons: `
1. This product has been evaluated and is in compliance with the 2010 Ftorida Building Code(FBC)structural requirements including the
"High Velocity Hurricane Zone°(HVHZ).See the Certification Agency Certificate for sizes,specifications and ra6ngs.
2. Product anchors shall be as listed and spaced as shown on details.Mchor embedment to base material shall be beyond wall dressing
or stucco.
3. When used in the"HVHZ'this product complies with Sectian 1626 of the Florida Building Code and does not require an impact
resistant covering.
4. W hen used i�areas outside of the'HVHZ°requiring wind bome debris protec6on,this product complies with Section 1609.1.2 of the
2010 FBC and does not require an impact�sistant covering.This product meets missile level"D"and indudes Wind Zone 4 as defined
in ASTM E 1996 and Seation 1609.1.2.4 of the FBC.
5. For 2x stud framing construction,anchoring of these units shall be the same as that shown for 2x buck masonry construc6on.
6. Site conditlons that deviate from the details of drawing FL-16094.1 require further engineering analysis by a licensed engineer or
registered architect.
7. Outswing configurations meet water infiltration requirements for°HVHZ".Atl other configurations do not meet the water infiltration
requirements for ihe"HVHZ"and must be Installed only in non-habitable areas or at habitable loca6ons protecied by an overfiang or
canopy such that the angle between the edge of canopy or overhang to sill is less than 45 degrees.
8. When used in the"HVHZ",all system members in contact with masonry/concrete or exposed to the environment shall be treated with
an approved preservative per FBC Sedion 2326.
9. See drawing FL-16094.1 for size and design pressure limitations.
Supporting Documents:
1. Test Reaort No. Test Standard TesHna Laboratorv Sis�ned bY
CTLA-924W TAS 201,202,203-94 CTLA Ramesh,Patel,P.E.
2. Drawina No. Preaared bv Sloned 8 3ealed bv
No.FL-16094.1 RW Bulding Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E.
3. Mlami-0ade NOA No. MateNals Testinq
19-1118.03 PVB Interlayer by Dupont
4. Calculations Preaared by Sianed 8�Sealed bv
Mchoring F2W Building Consultants,Inc.(CA#98'13) Lyndon F.Schm{dt,P.E.
5. f�oalitv Assurance
Certificate of Participation issued by National AccreditaGon and Management lnstitute,certifying that Plastpro Inc.is
manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53. ``
G�-s�
Lyndon F.Schmidt,P.E.
FL PE No.43409
1/3/2013
PF 1704 Sheet 1 of 1
� �_ .
� ^ � �.G .S �C �xE Construction "Inc.
.� C .� �, ,
8949 Gall �Boulevard, Zephyrhilis, FI 33541
PH: (813) 782-0920 & (352) 567-8580 Fax: (813) 715-4875
STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #CB-0059817 and #CC-0058134
SERVING FLORIDA'S FINEST HOMES & BUSINESSES SINCE 1976
www.schaperconstruction.com
CONSTRUCTION PROPOSAL
Date: 3/27/15 Phone: � 352-257-0032 Fax:
Name: Evergreen Apartments Contact: Jim Ramsey
Address: 38415 Evergreen Village Drive
City Zephyrhills State F1 Zip 33542
We hereby propose to supply ivaterials and labor as necessary to:
Replace Front and Rear Entry Doors
� Units 425-5, 435-2, 435-4, 415-3, and 445-8 will all get Front and Rear
' entries replaced. `
Front Entries
- • 3/0 g 6/8 �n Swing 6 Panel Fiberglass Doors
Rear Entries
• 3/0 z 6/8 Out Swing Flush Panel Fibergla.ss Doors
Standard Features
• 4 9/16" Composite Frames and Jambs
• Install Owners Locksets, Peep Holes, and Door Knockers
� � • Install New Interior Primed FJ Clambshell Door Casing
� • Repair Stucco to Jamb Location as needed
� • Paint ezterior area to Stucco Corner (Owners Paint)
� � • Install Egterior Composite Trim (If Applicable)
- • Caulk InteriorlEzterior as needed
• Prime and Paint Ezterior poors with Owners Paint
• Interior Trims Painted with Owners Paint
, • Door Interiors will retain White Gloss Fiberglass Finish
Install White Storm Door with Upper Worl�ing Glass
Includes: Clean up of our work,supervision,all workers are fullv covered bv Worker's
Comuensation and General Liabilitv Insurance.
[3part]CONSTRUCTION PROPOSAL NO LINES.doc Page 1 of 2
�,�1.��G SC�f,�.�'� Construction, � Inc. ,
�
. Construction Proposal continued . . .
Schaper Construction will warrantee our workmanship and basic building materials for vears
(manufactured products and figtures are warranted by manufacturers)(no warranty available for
figed glass) and issue any manufacturers warrantee on all figtures effective from installation date,
after full payment for all work or services.
Our quote does not include: Sheetrock Repairs (beyond casing) or paint of same, screen
Door insullations or replacements OR ANY WORK NOT SPECIFICALLY MENTIONED ABOVE.
NOTE:OUR QUOTE DOES NOT INCLUDE CORRECTION OF ANY EXISTING DEFICIENCIES,REPAIILS
REQUIRED DUE TO HIDDEN _ �
DAMAGE,OR UPGRADES REQUIRED BY GOVERNING AGENCIES.
• ANY CHANGES OR ADDITIONAL WORK REQUESTED WILL REQUIltE A WRITTEN AND SIGNED
CHANGE ORDER
• CHANGE ORDERS WILL BE PAID FOR IN FULL AT SIGNING.
ALLOWANCES(if stated above):
• ALLOWANCES MAY HAVE BEEN USED IN THIS PROPOSAL AT AREAS WHERE COSTS CANNOT BE
FULLY DETERMIl�TED. THE AMOUNT ALLOWED IS�AN ROUGH ESTIMATED AMOUNT. AFTER
TOTAL ACTUAL PRICES ARE CONFIRMED ADJUSTMENTS TO THE CONTRACT WILL BE MADE ON ,
A CHANGE ORDER FORM;REFLECTING CREDITS OR ADDITIONAL COSTS TO THE OWNER
TOTAL PRICE: $ 71����� _
TERMS OF PAYMENT: 1/z Down,Balance at Completion
(Price is valid for thirty(30)days)
I accent the above price and terms. You are authorized to begin work, ,
SIGNED: �.� .��. '``�`7 Date: � � ��' " ��
� wner or Owner's Repres�ntative
SIGNED: Date:
3 . 3a__�.s
Schaper Construction,Inc. Representative
YOU,THE BUYER,ACCORDING TO FEDERAL LAW,MAY CANCEL THIS TRANSACTION ANY TIlVIE
" PRIOR TO MIDIVIGHT OF TFIE TFIDtD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. ,
EARNEST EXPENDITURES OCCURRED BY THE CONTRACTOR PRIOR TO CANCELLATION MAY BE ',
DEDUCTED FROM MONEYS,TO BE RETURNED TO THE BUYER �i
II
'
[3part]CONSTRUCTION PROPOSAL NO LINES.doc Page 2 of 2