HomeMy WebLinkAbout94-4212
BUILDING PERMIT
Permit N~
CiTY OF ZEPHYRHILLS
(813) 788-6611
_4212~
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Date
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~sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D, #
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Water Meter:
T,I.F's:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordar~e with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation o~ Ii." J / S; ~
Contract Price r ~} ~((?
City License Registration # .l/p, ~t}r (-<t;:-
State Certified License#
l&:1~ Cl~LU'~~
BUILDING ELECT
FRM.
Insul. CL
WL
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.:
PAUL SCHAPER CONSTRUCTION CO.
RESIDENTIAL & COMMERCIAL
Registered Building Contractor RB 0032524
Registered Roofing Contractor RC 0056763
11250 South Highway 98, Dade City, Florjda 33525
Phone * (904)567-8580
Bonded and Insured
PROPOSAL SUBMITTED TO:
Phone:7?Z'3
JOB NAME:
NAME: ~~ ,c~/I CAt:'
""5' s'" 5,? I<<tfAi(tJt.J;;f
2 -lfrbL-f.
We hereby submit specifications and estimates for: REROOF
- NUMBER OF SQUARES ~
- REMOVE EXISTING SHINGLES, D7IP EDGE, AND DAMAGED WOOD
- NEW WOOD ALLOWANCE: ~/~
I
- INSTALL NEW /~ LB. FELT DRY-IN
R6f"\ ouc
I TU~ d I
- INSTALL NEW VALLEY METAL AND FLASHING
- INSTALL NEW tJ/f1 r~
ALUMINUM DRIP EDGE
- INSTALL NEW VENT BOOTS ~1()C)~
?t"? 2-S-Y~ A-r A-Dl)ITIO~A'- "tU
INSTALL ~ YEAR~A~U~CTURERS WARRANT~D FIBERGLASS SH~E~
BRAND : c.rPf'7- COLOR : t 'b4r"IfC-R1)UJi.iJlS :i<.!U
-~}E TRASH REMOVAL
~OUNTY PERMIT INCLUDED
- 5-YEAR CONTRACTOR'S LEAK WARRANTY
;;0' el))~~7 #/t35~
(Z$tp~~~
R~o"e Sol-ft~ n
w ~ PPJ~~ f+-T {
'" 0 ITDDr11Q.1~ (} ~ 0
,// <ti 26 65 ~
cosr~JJZ! ~
TOTAL
COMMENCEMENT, BALANCE AT COMPLETION
ACCEPTED:
Date ~-4 - q~
CONTRACTOR ~
Signat
SignatUt~
C17 L- L.-
( - 800- 74 , - S 7"8/ /b Guo7G.. DOLLtlR..... fTrr\o_'AT
-FolL pL'tL-Voo-C) ~EO,-,A-CE""-~,,(' C cX:r Z 74 ')
..~ -"c' -.............._ _.,-..
L- "..,' ~
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~-k.u~l.e~h.ood
ADDRESS ~~ _od.!)uJOO~
OWNER ~
JOB LOCATION 3cr S3 CJ ~woool
.~ ' J:t/th
PHONE
IS 3 J/t./lJ
LOT SIZE_X- AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. 4F \3 -cJ.lD . ~ I - CO 140 ~ 00000 - 0/.30 ;;i
;).8 ~ M' 1"\.0 \orj
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repa~r ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____IF of Units
.____1'1/ H
____Commercial
____Indust.
____Swim. Pool
Other
t
____Restaurant & Health Department Approval
BuiLDING SIZE:
x
Square Fee t ,
Height
RESIDENTIAL:
COMMERCIAL :
A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. ''''
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS, H
**COPY OF CONTRACT REQUIRED.
a o{)L/;tU\
____BUI~I~
PERMITS REOUESTED
$
'i)"b
~, lo to S. Valuation of Total Construction
____ELECTRICAL
;;f
____MECHANICAL
AMP Service
Florida Power Corp,
_H.R.E.C.
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
COO1p~n.y
State Cert. or Regist. #
City License Registration #
*********************~********************
PLUMBER
Signature
Company
State Cert, or Regist, 0
City License Registration #
******************************************
Company .0 ~hOPiA ~~
State Cert. or Reg~st.' IF C. . <tJ
City License Registration # 4-,;}...
MECHANICAL
. Signa ture
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
, CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit aay be subject to "deed restrictions" which aay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance hlth
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the 'Ci~y of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!?! sign portions (if the
.Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracb,',
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to 51gn
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges if the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOleone other than tce
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it le, the
"owner" prior to cOlaencelent.
)
E. CONTRACTOR'S/OWNER'S AFFIDAVI~
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
I
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no worK or
installation has co.aenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lafls
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended MorK, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited te,:
f Departlent of Environaental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, .
Water/Wastewater Treatlent
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f Environlental Protection AQency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to pertit issuance.
A per.it 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 perait prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole iGvalid
unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the per~lt is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of ti~e, ~ay be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six aonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'lOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~~M~'1~J.
SIG URE: R OR A6ENT SIGN URE: RACTOR
was aC~OWledged
, 19 &J by
~~~~~Y u~/LORIOA ~&
, The foregoing instrjment
befo\-e me th i 5 S 5
STATE OF FLURIDA ~
COUNTY OF ~~
The foregoing injfrument
befol-e me this ~ ..s
I
vIas aCkl~vJ1edged
, 194 bv
. .
who is pe-d~~y ~~~~Q.: or ..111_' Ild~
pludLlcea
as identification and who did/did not
t~,. an oath.
l/lIt
( i gna tLll-e)
~
who is pe.so-,a Eo. IIh8 hiiUii
lH"t\d\..l<-~J
as identification and who did/did not
tak~ LM- ~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~...~
.... ..
~ ~
I
SUSAN M. ALMY
Notary Public, State of Florida
My Comm, Exp, Mar. 28. 1998
No. 359632
~' ..~
.... .,.
: 1.
SUSAN M. ALMY
Notory Pub!lc, State of Florida
MV Comm. Exp, Mar, 28.1998
No. 359632