HomeMy WebLinkAbout95-5002
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BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit NC?
(813) 788-6611
-:-~5002c$
Date
~-"-7S-
Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Description of Work
E~-- PL~--
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M~-er Conn
Water Conn:
Water Meter:
T,I.IF.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL .. -15"~1S-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
City License Registration #
State Certified License#
/f17(oOA,.cjy
Permit Fee
Signature
Company
Address
Telephone#
Inspector
Valuation or ~c::2., ~ ,~.
Contract Price . .5 -g 0
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BJI DING- : . me -
PLUM~-'
.--- -
MECH~-
---
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB V
Untol .::€ rJ"< r
FRM. '")
Insul. CL,T;sl ~/
WL -
')Y
Driveway ~'
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
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PAUL SCHAPER CONSTRUCTION CO_
RESIDENTIAL & COMMERCIAL
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Registered Building Contractor RB 0032524
Registered Roofing Contractor RC 00567b3
! 11250 South Highway 98, Dade City, Florida 33525
II Phone # (904) 567-8580
I Bonded rnd Insut~ed
I! 10 '€ed~Q. We~~ 0.,.- b-o)-q r
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:1 F'h'CjF'C~:S{K SUBf1 I TTED TO:
\1~AME~r~~~-7~5i-
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llWE- SUbti't:=,pecificatlon:=, and estim.;.,te:i i;Ot~: REROOF
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i Phone: 7B?; If Ob F:e: ro., J - 9 f
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\ JOB NA;'<r~r\'fic:~~ floJ.'-;
_.1- . We;. /~ k0)f2 _ __ __.....d
- REMOVE EXISTING SHINGLES. DRIP EDGE. AND DAMAGED WOOD
-. NEW WOOD ALLOWANCE, ~~ C "I?', (I ~f~~.JA S" "^" F.. (. \ ~
., H~STALL NEW ..~_ LB. FELT Df;'V-IN
- INSTALL NEW VALLEY METAL AND FLASHING
-- I!\I<.:;T,.:;LL NEW -;-BfDWV" 4:.k~ l.l^-.;::__'_ DRIP EDGE
- INS~ALL NEW VENT BOOTS
I !\1~3T ALL_
7D
YEAR MANUFACTURERS WARRANT lED FIBERGLASS SHINGLE~
-6 A r . 'cou0~c I- R- '--
f/vVl r
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BF\:AND :
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- COMPLETE TRASH REMOVAL
~~OUNTY PERMIT INCLUDED
- --I-D- YE..;P CONTPACTDF~' S LEAh: WARRi4NT'y.
.. =t V\. S {-~ I 1 ~ (;\ c^,.. ff- U ~ +~ / \,ciA e.-
T '" 5 k. ( ( {O. b f- ICe, II ~ -A ( tt V~ ~ - ca
,', TOTAL COST: $ 2;0 l( D
;',T i'n.MME:UCEMENT, BALANCE AT COMPLET 101\1
~j.l- ~ 301./)e/1A~~~~ (~_
O^--- [.A>A.- t~~~ S~c-fro-! \ CO 'l
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CONTRACTOR
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APPLI.CATI.ON POR PBMI.T
CITY OP ZIPRYRRILLS
BUILDING DEPARTMENT
7~L1~l/llJ
ADDRESS
OWNER SI'l... Vt.A~
....,
JOB LOCATION '$ ~ VV"---e-.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.4t {- Z- ~ - "l \
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WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair
_Sign/Temp.
____S ign
--"ove
PROPOSED USE: ____Single Family
----Jfl P
_0 of Unit~~
_Commercial ~lDAl.uftlr ",~SwiJB. 1>>001-."
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____Res taurant & Health' De~rtaeatt Approval. . '. 'tv
BUILDING SIZE:
x
Square Feet,
...... . - .,
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET END
COMMERCIAL: ._ ATTACH. (3) SETS- OP..,8UILDI.NG~LANS. ..4~ (I).. SET. .EU&RGY; FOJUlS. *i"
**COPY OF CONTRACT REQUIRED. .'
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PR.RMTTS RR.QtJl$~TED
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____B~ILDING
,...,..-ELECTRICAL
$ 2.580 ~~
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Valuation of ,Total COJlSt~ction
: I . ~. ._.... . ' I' ",' '
AMP Service
Florida PqwerCQrl?~
GAS
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,. v~~~~~n Qf..~~~n~~~~~~~~l.l~~l~'~
ROOP1~G ~~E~IALTY
',\ '.f
~ECHANICAL
$
.
_PLUMBING
.... .
TYPE OF CONSTRUCTION: ~B+~ck
'-
_p:t~e _~~e~l,
Other
: ~ !
FINISHED FLOOR ELEVATIONS: FT.
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Sigllature
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. " , " ~~ ,l'" .< _ .' '. '.' t, ,- , ,
. , 1. CONTR'AQ'OR ~ECTIQN' '
.' Company . .
-State"Cert: or'Regi5(. t.
" c:tty ~ice~~e. R~g;ist:~ti.on It
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BUIIjDER
ET.ECTRTCTAN
Siszn~t\lre
Signat~re
.~' :. ;. 1 1 ~ '
eo.pany' .. ',. '
Stat.-cett.' or iea~
Ci.~y Lic:e~se' Resilt
*.*-******.***~~*.*..**..**~.****..*
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PT.lJMBE~
. MECHAN1CAT,
Signature
Signature
APPLICATION APPROVED BY
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A per.it issued shall be construed to be a liceRsl to procled Nith 'tbe work and not ~thority to violi~i
set aside any provisions of the technlul COdll, nor Pill lIlUlnee of a penH prev." tht Bui lding Offic:ia'"
requiring a correction of erron in plans; consirudl."tr'vtohUNlI of any nde., inry perlit i5liuud iN" .
unless the 1I0rk author i zed by such perai\ls CO..lnc;,....Ullh tix IPth5 of i uuance, Dr if work author 12M
suspended Dr abandoned for a plriod of sil 10nth!ilf~ttth.1 UII tht..ork is copenc::_: One 90 day e::tl!'nsi
. allowed for the perli t with fee chirge of $15.00. 'T_\4,.,"'10n .Ube reque.tlllj"..riUng to the Bui 14
approved inspection lust be logged during lach lix ...~h,rtriOd, or the project lIillt" considered ~bil~O
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WARNING TO OWNER: YOUR FAILURE".TO "RJ;:CORD A NOTIC~cOF COMMENC '.
RESULT IN YOUR PAYING TwiCE FOR~:,t'W~OVEt!lENTS TO y~ PROPERTY.
INTEND TO OBTAIN FINANCING, CON8ULT"WITH~ YOUR LENtI1IR OR AN ATT
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . 3 18 UNDER $2,5
DO NOT NEED TO Ri::CORD A~ POSI;,'.TJCi OF C ,i'{t , T I.
..,() IG ATURE &t(~~~ d~='61IlNATURE' '"
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DATE____________________-------~~' DA E----lO--,mt'7':"...----r-
NOTARyt)~=:~'D 098<3~'.5\{~R ~' ,....,.,.. JIlPTARY AS~, ,.,~"_..,,';.'.. -.". '. -'~"..,
. CONTRACTOR~.' .
OWNER OR AGEN --' ------- ' ...... ...
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E5i..l~5QlIN\ER-- t1Y C0t1t11"f!,1 Ii
Notay PuI:lIIc. StQte 01 FIOIIdo
Mv ComI'fI. Exp. June 6. 1997
No. CC 292357
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COND J TI OHSt ~
A. NOTI~~ OF DEED RESTRICTJONS
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Theund.nigned undentands that this plrlit lay bl IUbild to "d"d rutric:tionl' which lay be Ion nltr,ictivl'
rtguhtionl. Thl undlrsigned a"IIIII~'..'"t~.~nl:=J!'~"llIIlCI ..ith any iPpliclJW'~_,rt.l~r,ictionl.
B. UNLICENSED CONTRACTORS ANI? CQtiT~e~TO~,RESPONSIQJ~ITIES
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If the owner hal hired a c:ontractor or cDntr.ctor, to undrrtlkl ..ork, . they lay b. required tD be lic.nlld in Ice
Itlt. and aocal ,.gulaUonl. If thl contractor il not He.... II required by hit, both~t"'oltlt.r aN ".tr.K
cited for I Ilsd..eanor vioaation und.r Itltl I.....: If,~ ....r or intended contrlctor Ir. uncertain II to lb.
requirlllnts lay apply for the intlnded ..ork, thlY ITI .'_" co.t.ct the City ,flllMrlliil. ""1'1...
788-6611.'. , . , '
Furtherlore, 1f thl oltner hil hired a contractor Dr C:Dllt!~ctorl, h. i, advis.d to hlVI lb. contractor.s) Ii,.
'Contractor Sectionl" of thil application for whlch thay wlll be relp.Nibl.. If you,.. the own... lign ",'
you are indicating that you, rather tblft thl contrlctor, ~rl 'I.,o~.l~le for the work. If the contrictor wilb
ii 'ontrictor thlt ,ay be in indicatton that hi il not .,o,.,ly ltclnl'. Ind is not .nttllld to p.rtittt....'
City of Zephyrhi11s.
C. TRANSPORTATION IMPACT FEES ~p lJTILITX CONN~CT~f~~f
1)-; ,eeNSTRUCT I ON L I EN LAW (CHAPtjR 71:a i fLOR I Df\ ST~THTES,
I certify that I, the applicant, hiVI been provided ~~,. c." of ~f.I,ridi'l Coni~tucti!n Lien Law - Hoaeo
Guide' prepared by the FlDridl Deput.ent of Agriculturelnd eo"lUllr Affain. If'the applinnt iI SOtHHO
"Ollner', I certify that I han Oa.tltlldl, copy of ,\bl .VI~lCribtd do~ulent and pro.iI. in good fai th to -.
'owner' prior to co..enc:eaent. '
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E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in thil iPplicltlol \J.~.t. lad thit all ~ork
applinbl. laltS regulating constructioD, zo"lng, -18UUr.'.". " "~i::
Application is hereby lade to obtiin I per.it to' do ....,.).. .i",taUillon as indiCltld~;1 certify tbat no
installation has COllenced prior to issuanee of a Plr.l' and 'hit all MOrk will be pt~1.ed to ."t: stand
regulating construction, City codes, zoning regulatio..; lid lind develop.ent retullt~~s in the jurisdictil.
c:ertify thit I understand that the regulitionl of other governaentil i1jencie5 .ay ipply~o the intended work,
,IY responsibility to identify ..hat actions laust t.kl' \0 btin Cup,Uince. SUl:h agencies include bllt ill no,."
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I DeDartle~t of Envir~nlental Reaulation- Cyprlll alyblldl', Ut'lIPd Art~s ind Envi,~tlllY SensitivI L
Witer IWllt..-trr Trlit.."t>'"
I South..est Florida Witer' "anaae.ent District - Welll'~pr"l "~I, Wetland..~~ltering ~jtlrtOuf
I ArtY COrDS of Enaineers - Suwill5, Docks, IIivigult N.'.....ly, .,..., '
I De arttentof Health L Reha il.t v e Unit - "'lu.f'i~,r Jrt;j!~t.;
I US Environtental Protection A~encl '7' A$b..'" ,1"';\:;';" . .' .',' 'i'
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I also ,certify that, if fill laterill il to be used i~l'" lope "j' or 'A,etc.', it'll understood tllit a
iddreuing I 'colpensating volulI" .Mill be lublUtld..tdris prtplr,d lIy a prof,,~iOl!il engineer regiiti!(~, .
Floddi prior to pert it issuance. ..' . ltJ~ '. , , '; ,~"". . ~~,:;'
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