HomeMy WebLinkAbout95-5145
BUILDING PERM'I .~.
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
7-'51~~A
~I~ ELECTRICAL
""aperty Own." J11 < ~~.
Job Address: --3?Y / "- -.S ~
Date
7 . ~---- 7' .r-
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
o .-kL-
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy ~~
Description of Worr X Q A_u'e
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL'2--2 ) .(, ')
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Ij.',_
y~
Permit ~J::. ~ o-v
Signature ~r'" -.
Company
Address
Telephone#
Valuation or
Contract Price ! 3 !7 I. o-v
City License Registration #
State Certified License#
~/"'r/L
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SlB/ /,,~
Lintel \'" ( ,0 I, I . (~ .~
FRM. })
Insul. Cl l- ~:\; LV
WL "
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTJON 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.
. . U":t,XCATXON FOR PERMIT
,.:._CI1'YOp: ZEPHYlUIILL.S..-
BUIW"lNG DEPARTMENT .-.. - ..
..- - ...:..
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OWNER
JOB LOCATION
-'LOT SIZE
-'''-,f' ,_'~:-::;.: ~~:.'..;_.:-_'_'. ...; .r. ,
X . AREA SQ-.-FT~'''-'4_~''
. .
. '-. ..
BLOCK. SUBDl;VISION. '.
, '. , . . - .. ,. ,-. ;' -" :'-' ~ -,'.. -'" -!:. . ".' .::- "?:. -:.
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LEGAL DESCR~PTION.: LOT(S)
. ',", ....;. ';'.~ ,'- .
PARCEL I.D.4~
. '- . ~. . -';-- '.-~ .-.....
. , . '.1 . ,'-. .~. . ~ ' .
WORK PROPOSED:____New Construction -Addition ~lteration ~epair
____Sign/Temp. _Sign _Move
PROPOSED USE: _Single Family ----Ji I F _t~ of Uni ts
_Commercial ~Industt. _Swim.. Pool
_I~stall
:-~ .:',: ..:':
-Demolish
. .--M/H
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS.& {l) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMTTS REOUESTED
_BUILDING
$'
\, 61L~
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
GAS
>< ROOFING
SPE<<IALTY
.
_PLUMBING
.~ .
TYPE OF CONSTRUCTION: _Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Regist~ati
*********************************~****~ **
Sigllature
PLUMBER
/
/
/ .
/'
/
,/
Company
State Cert. or R~gist. #
City License Registrat n
************************************** ***
:::::::::AN
Signat\,\re
Company
State Cert. or Regist.
City License Registra on
************************************ ****
Signature
/'
/
/
Company
State Cert. or Regist.
City License Regist tion #
******************************************
MECHANICAL
OTHER ~~
Signature~
Company ~'I- ~~~~
State Cert. or Regist. # ~~~~~~
City License Registration # ___~
******************************************
.,,'\.
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS O~ PERMIT AfFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
lb. .000mignod .000mIo0ll. Ib.1 Ihi. ,.nil "y b. ....IKII. ""' r..lri.ti.... .bi.h "y h. ""',,,lr;.II" lhi. Ci.y
rlgulltlon.. Thl und.riigntd l.iVAlI rt.,onlibility:for co.,lianct with Iny ipplic.~l. d..d r'i~rictio~l.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~ .
B.
If lb. ..... b.. blr.' . ...lr..I.r .r ...Ir..tor. I. .....1... ..r.. lhoy "y b. r...lr" I. b. Ii...... i. .,..,..... .i.h
..... .~. 1...1 ,.'.I.li.... If Ih. ....r..I.r I. ..1 II...... .. r...lr" by I.., b.lh I" ....r ... ...lr"l.r "y h.
.11,' f.r . .Iod......r .1.1..1.. ..." ...to I... If th. ..... .r i.I..... ...I,..I.r .r. ....rl.i. .. I. ...1 li....I.,
r.qulr....I. "y ."Iy f.r Ih. 1.1..... ..r.. Ih.y .r. ...1... I. ...10<1 lb. Clly .f Zephyrhlll. loil'l" D.,.'IorDI. ,a131
188-6611.
F.rIb....r., if lb. ....r b.. bir" . ...lro<l.r .r ...lr"l.r., b. i. .d.I,,' I. h." Ih. ...lr.,I.rl.1 .ig. ,.rll... .f lh.
'c..lr..tor SKI I...' .f tbl. .,,11..11.. f.r "i.h .b.y .111 b. r"".'lhl.. If Y". .. lb. ...., .Ig. .. lb. ...Iro<'",
Y" .r. I..i..llng Ib.1 Y", r.lhor lb.. I" ...lr,.I.r, ,r. r..,...ibl. f.r lb. ..rl. If lb. ...lr..I.r .ish.. Y" I. .Ig.
.. ...Iro<tor ,h.1 "y b. .. i..i..li.. Ib.1 h. I. ..I ,r.perly II...... ... i. ..I ..11.1" to por.i.li., ,rl.ll.a.. I. Ih.
City Df Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES. AS AMENDED I
I ..rtify Ib.1 I, .b. .p,li...I. .... boo' ,r..ided .ith . "'y .f 'FI.,id". C...I!,.II.. Li.. L.. - ........r.. P,.,.,'i"
..I'" pr.,.,,, h, ,b. FI.rl" ....rl...t .f Itrl..I..r. ... Co...... Aff.ir.. If lb. .p,II...1 I. ....... ..b.r Ih.. .h.
........ I ..rllfy Ib.1 I b... ....1'" ...,y.f th. ..... d...rlb.. ..,....1 .nd ,r"l.. I. go.' f,II' t. d.II..r II .. 'h.
"owner" prior to cDllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I ..r'lfy I'.' .11 lb. i.f.r...i.. i. thi. ."II...i.. I. 0<'''''' and .b.1 .11 ..r. .111 b' .... I. .oopll.... .llb .11
applitable l.w' regulating cDnstruction, loning, a" l11d dlY.lopllnt. .
A,pli.,li" i. b.r.by "d. I. .bl.l.. ,.r.il I." lOr' .nd.I..I.II.li.. ,. indi..I... I ..rlify Ib.1 .. ..r' .r
i..I.II,li.. b.. ......,.d pri.r I. i....". .f . ,.r.il .011 Ih.1 ,II ..r' .ill b. ,.rf.rood I. ...1 .Iand"d. .f .11 1..'
r.g.loIi., ....,r..'i.., Cily ...... l..ing r".I..I.... .nd land dev.l.p...' r".I..i... I. lb. ;.rlsdl..i... I .1..
..rllfy Ib.1 I ..d.,.I.nd ,b.' lb. r.g.I..i... .f ..h.r g...r......1 ag."i.. "y .pply'.. 'b' i.I..... ..r., ... Ib.1 I' i.
" ""...i bit i Iy .. id..ti f Y ".. "ti... I ,,01 lo" I. be I. .oopl\..... S..b .g." I.. i "I.d. b,,' ... ".1 l\.i I.d 'oo
;
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I "..r,,"1 .f E..ir....'I.1 R...I..\.. - Cypr... a.yh..... Utll'" Ar." ... E..lr.....I.lly So..ili.' L....,
. Watef 'Wad.water Treatlent
. So..b...1 Fl.rid. v.i.r."...I....1 DI.lrl.l - Utll.; typr... 1IybI..., V.ll.nd ar..., Ail.riog V.I.,...r...
I Arlv CDfDI Df EnQineer~ - Stawalll, DDckl, Navigable WatlrwaYI
I D._.rl' .1 .f ...llh , R.b.bil I '. So .. He. b U.il - Utll.; Ut.I...I.r l,..I...i. So,II. 1....
I US Environlental Protection AQen~ - A,bl'\OI abattlent
I .1.. t.rlify Ib.l, If fill ..I.ri.1 i. I. he .... i. FI... Z... 'A' .r 'A,'I..'. il i. ....r.I..d .I..i · dr.i..g' pl.,
...r...iog . ....p....llog v.I.... .111 he ....111.. obi.. I. pr.,..ed hy . pr.f...i...1 .ogi..., regi.i"" i. Ih. SI.I. .1
Florida priDr tD perlit issuance.
A p.,.i' i..... .b.ll b. ,...Ir..' I. b. . Ii..... I. ,r..'" .llh lb. ..r. ... ..I .. ..'b.rl'y I. .1.1.1., .....1 .1.." .,
... ..ido ,.y pr..i.i... .f .b. loth.I..1 ...... ..r "'11 I....... .f . p.r.il 'r....1 lb. auildiog Dffi.i.1 f,.' .h.,..f..,
,,,.Irlog . ..rr...i.. .f .rr.r. I. pl...; ....Iruetl... .r vl.I..I... .f "y ..... E..r, ,.,.i' i....d ,b.11 b.,... 1...1"
..1... th....'. ..'b.,il" b, ...b ,.r.11 I. ......... .llbl. .1. ...tb..f i........ .r if ..,.. ....., ".d h, ,h. p.r.I' "
...p...ed .r ..b......d f.r . p.rl" .f .i. ...Ib. .flor lb. Ii.. ... ..r' i. ,.....,... On..O d., ..",.1" .f II.., "Y b.
.11.... f.r tb. p.,.i. .ith fet .h.rg. .f '15.". 1.. ......1.. .b.11 be r.....I.. I. .rili', I. Ih. auil.iog Dffl.i.l. "
.p,r.ved 1,.,..11" ...1 b. I.gg.' ..rlng ...b .1. ...Ih pori". .r lb. pr.j,,1 .111 b. ....i..,ed ...,......
WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
RESU~T IN YOUR PAVING TWICE FOR IMPROVEMENTS TO yOUR PROPERTV. IF VOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. .OBS UNDER S2,500 IN VALUE
DO NOT Nr) CORD AND POST A "NOTICE OF CO Too.
SIGNATURE_~--~ SIGNATURE__ ------
DATE___~____~~~~)--------------------- DATE_____--~)~- ~--------------~---
NOTARV AS TO /! cjzZ h'-J NOTARV AS TOY;; C v1J. 1$ ~
OWNER OR AGENT_ _~--~~~~ CDNT~ACTOR~----~---7"~~
MV COMMISSION EXPIRES ______--------------- MV COMMISSION EXPI~S--------------_---
i~~
KATHY C. MONTIETH
NotclV Public. State of FIOr1da
My eomm. Exp. Jan. 3. 1999
No.CC431231
'1'.~
i iJIt1 ~
KATHY C. MONTIETH
Notary Public. State of FIOIldo
My Comm. Exp. Jan. 3. 1999
No. CC 431231
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PAUL SCHAPER CONSTRUCTION CO.
RESIDENTIAL & COMMERCIAL
Registered Building Contractor
Registered Roofing Contractor
RB 003252:4
HC 0056763
11250 South Highway 98, Dade City, Florida
Phone I (904)567-8580
Bonded and Insured
33525
PROPOSAL SUBMITTED TO:
Phone: 782-8700
Date: 7-19-95
McCLAIN & McCLAIN PA
,38416 5th AVE.
ZEPHYRHILLS
JOB NAME:
REAR SHINGLE REPAIR
AND REROOF
( AREA OVER KENNEDY REAL
ESTATE )
~-~
submit specifications and estimates tor:
REROOF
- REMOVE EXISTING SHINGLES, DRIP EDGE, AND DAMAGED WOOD
- NEW WOOD ALLOWANCE:
INCLUDED
- INSTALL NEW _30____ LB. FELT DRY-IN
- INSTALL NEW METAL FLASHING, AND COUNTER FLASHING ON
2 WALLS
- INSTALL NEW _WHITE GALVINIZED
DRIP EDGE
- INSTALL NEW VENT BOOTS
- INSTALL
YEAR MANUFACTURERS WARRANTIED FIBERGLASS SHINGLEE
BRAND :
COLOR :
- COMPLETE TRASH REMOVAL
- CITY/COUNTY PERMIT INCLUDED
_10
YEAR CONTRACTOR'S LEAK WARRANTY
REPAIR COST TO DATE $
COMPLETED REROOF $
711. 92
660.00
TOTAL COST: $ 1.371.92
p
BALANCE AT COMPLETION
Signature
-- ~
Signature
---- ---- ~- ---- ---
-- ---~ -- .-- -- -- --___u _'__'__'_ _"'_'_'~~_ _.________,.__ _._