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Home My WebLink About96-5705 BUILDING PERMit --- -- .. ' CITY OF ZEPHYRHILlS pe,m;tl'll! .'..570513 (813) 788-6611 Date '/-.3" 7 c, ~ ELECTRICAL PLUMBING Pm.erty Owne" .~ _ ~ Job Address: ,~ - - - - Parcel I. D. # Zoning: Energy Code: Description of Work~.J7 . ~ MECHANICAL Sewm Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: FINAL ~t L DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee ~ c.l'7.".J Signature Company Address Telephone# Valuation or Contract Price :2. {) --sCJ ~ en " City License Registration # ~~ State Certified License# _~/'~e/\ BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. ." APPLICATION FOR PERKlT CITY OF ZEPBYRBILLS BUILDUIG DEPARTKENT tlut-~ ~~\l~"~ ..5111 (0 \l\ ~~ ~~ PHONE " ~O~l\ItJ.._~ 162.- 7EJ;:J3 OWNER'S NAHK OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCIt.--SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ----..Addition ~teration ~epair _Instal.! _Sign ~ve _Deaolish PROPOSED USE: _Single Faaily --Yt/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant &: Health Departaent Approval ~-~ ~ ~~~~l. BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING PERMITS REOUESTED 2. CJ~ lI,.<:::s::::::. Valuation of Total Construction , $ _ELECTRICAL AIIP Service Florida Power Corp. N.R.E.C. ----1lEClWfICAL $ Valuation of Mechanical Installation _PLUMBING GAS X ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION ~::~ COKPAHY State Cert. or Regist. City License Registrati . .................................... .. .............. BlfTl.DER Signature PLUMBER COMPAHY State Cert. or Regist. City License Registr on ................................... ..... Signature MECHANICAL COMPANY State Cert. or Regist Signature City License Regis tio .............................. ....... OTHER ~ COMPANY /. \ State Cert. or Regist. . Signature l_ .._ 1 --- City License Registration' .. ~~l~..~............................... APPLICATION APPROVED BY PERKlT OFFICER. -. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perait laY be subject to .deed restrictions. wbieb lay be lOre restrictive than City regulations. rhe undersigned assDles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they laY 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 laY be cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJIents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portiODB of the .Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pemitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - lkIIeowner's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is 8OIeODe other than the "owner", I certify that I bave obtained a copy of the above described docUlBDt and prOtise in good faith to deliver it to the lIowner" prior to COlleDCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developleDt. Application is bereby lade to obtain a per.it to do wort and installation as indicated. I certify that DO wort or installation bas cOlleDced prior to issuance of a perait and that all work will be perforJed to teet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended work, and that it is ,y responsibility to identify what actions I lust take to be in colpliance. Sueb agencies include but are not lilited to: t Depart:lent of EnviroDlental Regulation - Cypress Baybeads, lIetland Areas and EnvirOl\lH!lltally Sensitive Lands, lIater/lfastewater rreatJent t Soutbwest Florida Water HanageleDt District - lIells, Cypress Baybeads, lIetland Areas, Altering watercourses t Ar.y Corps of Engineers - Seawalls, Docks, Havigable lIaterways t DepartJent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater rreatlent, Septic lants t US EnvirODlental Protection Agency - Asbestos abateleDt I also certify that, if filllaterial is to be used in Flood ZOne .A. or "A, etc. ", it is understood that a drainage plan addressing a "cQJpensating volDle" will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit issued sball 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 sball issuance of a perait prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoIe invalid unless tbe worl authorized by sueb perait is co.enced within sillOntbs of issuance, or if wort authorized by the petlit is suspended or abandoned for a period of sillOnths after the tHe the work is co.enced. One 90 day utension of tHe, laY be allowed for the perait with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. In approved inspection .ust be logged during eaeb SillODth period, or the project will be considered abandoned. WWIHG fO OIiHER: YOUR FAILURI 'f0 RECORD A HOflCE OF COIlHDCBMD'f MlY RESUL'f IH YOUR PAYIHG, nIa FOR IHPROVEMDIS 'fO YOUR PROPERTY. IF YOU IJft'ElfD 'fO OB'fAIH FlIiAICIHG, COHSULT IIITH YOUR LlllDER OR III InoRIIY BIFORE RBCORDIHG YOUR HOna OF C Rt'. OBS ORDER $2,500 IH VALUE DO IfOt' HEED 'fO RECORD lND POS'f .HOfla F aJlHDCBMD'fl. \ STATE OF FLORIDA ~ COURt'Y OF ~~ The foregoing ~ent was acknowledged before me this )....~ , 19~ by STAlE OF FLORID! ~ coum OF ~~ The foregoing ~rument was aCknowledged before me this ~L ~ , 19 ~ by who is ~ersonally known to me or who has produced as identification and who did/did Dot take an c wbo is personallY known to me or wbo bas produced as identifi ation and who did/did oot take an h. ( (Name Typed, rioted or Stamped) NOTARY PUBLIC (Name Typed, ioted or Stamped) NOTARY PUBLIC ~~~ 'JilUYo KATHV C, MONTIETH Notcrv Public. State of RorIdo My Comm. Exp. Jon. 3. 1999 No CC 431231 ~~~ '.tJIItt Yo KATHV C MONTIETH Notav Public. State of Florida My Comm, Exp. Jan. 3.1999 No CC 431231 (, ,I " '. . ..M --. --.- Ii PAUL SCHAPER CONSTRUCTION CO_ il'1A'1E' ~ -1 O~15 Sfevttt.S II 071'{ (p ik. Sf- If 7 :, __ . -U:. 'I d \I :1 Ii i\ Ii il II II d ,j .1 'I ,I !I- ,I 'I :iwe iI " il 'I .. h 'I I :1 :! .i II :1 II .\ Ii 'I :l d 11 ;i ! ~ it !I Il :1 il II Ii Ii II II ii iI :1 iI ,1 ii i\ :1 it " Ii ~ i il il II H II q :1 q !! q ACCEF'TED: ij !l j ~ ~. iD,::;o.'l;;e Lb.. RESIDENTIAL & COMMERCIAL Registered Building Contractor Registered Roofing Contractor RB 0032524 RC 0056763 11250 South Highway 98, Dade City, Phone # (904)567-8580 Bonded and Insured Flot"ida 33525 PROPOSAL SUBMITTED TO: Phone: 78 ~ 7)6:> I Date:3 -'0.J=-1 JOB NAt1E: t<Jo/1L, f ~ +- r MI:v\JeVd. ~oF> and estimates for: COMBINATION REROOF I SHINGLE ROOF SPECICATIONS I _ REMOVE EXISTIlyHINGLES, DRIP EDGE, 81. DAMAGED WOOD I INSTALL NEW LB. FELT DRY-IN _ INSTALL NEw VALSf'y' l"IETAL, ~tSHING, AND VENT BOOTS I INSTALL NB./ Q..!o..v*""-. 81.~""""'" DRIP EDGE I _ H~STALL ~ YEAR t~IANUFACl!JRERS WARRANTIED FIBERGLASS SM I NGLES BRAND (r ~ t::::- COLOR_ FLAT ROOF SPECICATIONS _ REMOVE EXISTING ROOFING, DRIPEDGE, AND FLASHINGS INSTALL NEW 1 J" LB. BASE SHEET DRY--IN 1 _ INSTALL NEW GA VINIZED ~?L FLASHINGS I INSTALL NEW /"0 -. z...c. v.. DRIP EDGE _ INSTALL 12 YEA' MANUFACTURER WARRANTIED II TORCHDOWN II 1,1 1 PLY MODIFIED BITUMEN ROOF SYSTEM I I I I GENERAL SPECIFICATIONS ~ {' I -f ~ -' - 1__- L _ NEW W,]OD ALLOWANCE Vt,fl cJ, 044 0 1 /"<L~ T'~ cC~TE TRASH REMOVAL j;........cL. J'" 1~ ., (Iv _ YEAR LEAK WARRANTY ON BOTH ROOF ~EAS CITY ! COUNTY PERMIT INCLUDED TOTAL COST':{; ~oS-o ~ J h:' H I L.;u,"wlt:.I<lCEtlDH, BALANCE AT COMPLET I ON. S 1 9 n ,;3. t Ll t' I !I ONTRACTOR ~ -~- Signa. tut"e