HomeMy WebLinkAbout97-6927
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N!
-- 6927g
Date
~- ~--9'l
~LD~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmperty Own., ~Z;~
Job Address: ~- 0 - J ~
Parcel I. D. #
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of wor;:X J7 .-/w~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
~P-9
Permit Fee
Signature
Compa
Address
Telephone#
Valuation or
Contract Price
~Y3o. In)
,
._,J!~'l.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
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Highway 98, Dade City,
Phone # (352'567-8580
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TOTAL COST: $ ;2d-'30, 00
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APPLICATION FOR PDKIT
CITY OF ZEPlIYRIIlLLS
BUILDDlG DBPAR11I.BNT .
'.
;71'!ilk';~5ons
OWNER'S ADDRESS St!.Ljs I?~: 'S7~>-:-;' -
JOB ADDRESS .S~- - "
OWNER'S NAKK
PHOn
';7FY-' ~i;<7L'
,
LEGAL DESCRIPTION: I.OT(S) BI.OCIt--SUBOIVISIOH
PARCEL I. D. # / /. 02.h .-2 / . t)O, () . :2./ tf (J(). CJ() 'It) (OBTAIH FROM PRQPERTY TAX NOTICE)
WORK PROPOSED:_New ConstructioD --Additioo --Jlteration
Repair _IutaU
_Si&O
---1Iove
---Pe8olish
4
.
~OPOSED~E: _Si~eF~ily
----111 F
_' of Uoita
-5will. Pool
----1I/B
_ec-ercial
_lodust.
_Other
DESCRIPTION OF WORK:
-B,estauraot 6 Health Departaeot Approval
;;(;rtJ-zrF', ~ .B..iJ~' I
"
.
BUILDING SIZE:
x
-'
Square Feet.
Height
RESIDEMnAL: ATTACH (2) PLOT PLANS 6 (2) SETS OF BUILDDlG PLANS 6 (1) SET EIiBRGY PORKS.
COKKERCIAL: ATTACH (3) SETS OF BUILDING PLAIIS fr (1) SET EIIERGY FOIUIS.
PROPERTY SURVEY R.BQ~ FOR ALL NEW COIISTlWCTI.ON.
PERMITS REQUESTED
_BUILDING
$ ;<, ! 30 .
.
~
Valuatioo of Total Coostruction
F.1.ECTRlCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
----1IECllAHlCAL
~PLUK8ING
$
Val.uatioa. of Hecbaoical I.oatallatioD
GAS ROOFING
SPECIALTr
'OPE OF CONSTRUCTION:
Block -Pralle _Stee.).
Other
FDllSHED FLOOll ELEVATIOIIS:
Fl.
IS 'PBOJBC'I' U FLOOD ZONa ADA!
YES NO
..........................................
CONTRACTOR SECTION
BUILDER
COIIPAIIY Paul Scha'p'er:.RoQfin~& Con~tr..uctlon. Inc.
State Cert. or, &egiSt., 'RB 0032524/ RC '0056763
C ty License &egistratioo . ROOF-~82 / BUllD.-283
....*.....*....................*.....*.*..
SianSllture
COIIPAIIY
State Cert. or &egist. ,
City License Registration .
.............*............................
PLUMBER
COIIPAIIY
State Cert. or &egist. .
City Licease JlegistratioD. .
........*...*.........**............*.....
Signature
MECHANICAL
COHPAIIY
State Cert. or Regist. .
City License Registration .
................**.*.***......*.*.........
Signature
OTHF.R
COKPAIIY
State Cert. or Regist. .
City License Registration .
*..*............*....................*...*
Signature
APPLICATION APPROVED BY
PBRHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT .
A. NOTICE OF DEED RESTRICTIONS
!be Wldersigned understaDda that this penit laY be lubject to ldeed restrictions I Idlich laY be .ore restrictive tbiA City
regulations. the underligned assU188 respooaihility for COIpllance lith IDY applicable deed restrictiooa.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertiU IIOrt, they lilY be required to be licensed in iCCOrdiDce "ith
state and local regulations. If the cootractor is not licensed as rlljuired by 1., botb the ower aDd CODtracW lir !Ie
cited for a lisdeaeanor violatioo under state law. If the ower or intended coatractor are uncertain as to .t l1CM1ing
reguirel8Dts laY apply for the intended .ork, they are advised to cootact the Citr of IepllyrJailla IuildiDg DepirtBt, (8U)
788-6611.
FurtherlOre, if the owner bas hired a contractor or cootractors, be is advised to have tile CODtractor(l) I1p portiou of the
lContractor Sections' of this applicatioo for Idlich tlley ,ill be responsible. If JOU, as the tIIDIr I1p as the CODtriCtor,
you are indicating that JOU, rather than the contractor, are responsible for the 1IOIt. If the CODtractor liIbea JCIU to lign
as cootractor that laY be ID indicatiOD that be is not properly liC8D8ed aDd is DOt entiUed to pera1ttiDg prilllegea ill the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I
D. CONSTRUCTION LIEN oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMUDED)
I certify that I, the applicant, have been provided ,ith a copy of IPlorida1s Cooatruction Li. fa! - ......rl. ProtectiOll
Guide' prepared by the Florida Departlent of Agriculture and Cooau.r lffain. If the applicant il _ other tbiD the
'owner', I certify that I have obtained a copy of tile above c1eacribed doc:UIIIlt aDd prOIiIe 111 good faith to deliver it to the
lownerl prior to couenceaent.
E. CONTRACTORISjOWNERIS AFFIDAVIT · .
I certify that all the wonatiOD in this applicatilll is accurate aDd that all at ,ill lie daae in co.pli'IICt litb ill
. applicable laws regulating conaUuctiOD, lOlling, and land develOpllllt.
Application is hereby lade to obtain a penit to do work and inaWlatioo as indicated. I certify that DO IOrt or
installatiOD bas C08eDced prior to iaauaDce of a peott and that illlOrk ,ill lie perforaed to _t .tIDdarda of all 1Da
regulating construction, City coclea, lOlling regulations, and laDd dev810pllDt regu1atiODl in tJae juriadicti.. I alIo
certify that I Wlderltand that the regulationa of other got_tal aglDCiu lar apply to tJae'inteDdecJ IIOrk, and u.at it il
IY responsibility to identify what actions I IUIt taU to be ill c:o.pliance. SueIl agencies Include but ue DOt liaited to:
t DeparlMnt of EnvirOllleDtal RegulatiOD - Cypr881 lIIybeadl, IlleUand Areas and IDvlrOlll8lltally S8D8itive Landa,
. alater/lfaBtelater !real:lent
t Southwest Florida alater Hanageaent District - Ife1ll, Cypr881 Baybeadl, MeUand Areas, Altering IYtercouraea
t ArlY Corps of Engineers - Seawalls, Docks, lavigable MatlIla,.
t Deparuent of Healtb i Rehabilitative Senicea, IDviroDleDtal Health Unit - Ifella, llasteliter Irea_t, Septic I_
t US EnvirODlental Protection Agency - Ishestoa abatuent
I also certify that, if fill laterial is to be uaed ill Flood lODe III or II,ete. I, it iI UDder.toad that a drainage pllD
addresaillg a Icoapensating VOIUlleI will be subl.itted Idlich I. prepared by a profesaiODal engineer registered iD tba State of
Florid~ prior to perlit. iasuaace.
. I perlit issued shall be construed to be a license to proceed ,ith tb8 IOrk and DOt as authority to dolata, c:aace1 alter, or
set aside any provisioDl of the tecbnical coclea, nor shall iaauiDee of a perait prevent tb8 Bu1ldiDg Official fa thereafter
requiring a correction of errors in plana, CODItructiOD, or iiolatiooa of IDY code. bur pealit 1uued Iba11 beCXII8 iDlalid
unless the work autboriled by such penit is co.enced ,ithiD Iii _till of iaauanc:e, or If IOrt autboriJed by the perait is
suspended or abandODed for a period of sil _thI after the tile the IOrk is cc.enced. QIe 90 day uteuiaD of tUe, -J be
allowed Jor the penit with fee charge of .15.00. lbe at_I. IbI1II1e requested in IIl'IUng to tJae Bu1ldiDg Offic1i.l. III
approved inspection lust be logged during each au IODth period, or tb8 project ,ill be COJIlidered iNOOonN.
alARNIHG JO OaIBER: YOUR FAIWRI 10 RECORD A IOrICl OF ~ lilY RBSULI II YOUI PIYIIG !IIICI POI IMPIIOVIIfII!S 10 YOUi
. PROP~'1 I~,YOU. EHD 10 0B'l'1lJI FlIIAIICIIG, mlSULllfI'IH YCIII J.IIIDII CI II moRIIBY IIIPOIII utOIIDlIG YQUI JIO!ICI OF
ClIIIIIICIIIEII J IIIIDIIl f2.5GtI DO IIID 10 ...~,
r L 81G111. i or c;:r fr-,
BfA!. 01 PLOIID&
coum OF
Tbe foregoing i~t1'Ull8D~as a~ledged
before me tbis ~ I , 19.:1..?- by
srArK OF FLORIDA
COUN!Y OF
The foregoing ~t........t ..ae acknoooledged
before me this IlM'(7) I{~ 19 S+- by
who is personally known to 118 or wile tail&
p~ceQ..
as identificatioa and who di jd
take an tho -
who is personally known to IDe er wile us
pi: .Aucecr-
as identi . ation and wbo
take an tb .
(Signatur
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Millie Typed, Printed or Stilllped)
NOTARY PUBLIC
11111111111111111111111111111111111111111111111111
97095142
Rcpt: 176948 Rec:
DS: 0.00 IT:
08/25/97
,
6.00
0.00
Dpty Clerk
State of Florida
, JED PITTMAN PASCO COUNTY CLERK
NOTICE OF COMMENCEMENT 08/25/97 03~41p. 1 of 1
-#- DR BK 3793 PG 1935
Permit #:
. County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. II - 2' - 2.1- 00/0- 2 It/CO -OOl./tJ
. (Legal description of the property and street address if available)
2. General Description of Improvement t::..".~ orF' ~b(!fZ....;
3.
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City
State/Zip
R 4. Contractor: Paul Schaper, 11250 S. Hwy 98, Dade City, FL 33525
5. Surety: Boyett Ins. 14114 7th St., Dade City, FL 33525
Amount of Bond: $ 5,000.00
6. Lender: Name
Address:
City
State/Zip
7. Persons within the State of Florida designated by Owner upon whom notices
or other documents may be served as provided by Section 713.13 (1) (a) (7),
Florida Statutes:
Name
Address:
City
StatelZip
8. In addition to himself, Owner designates
of to receive a copy of the Leinor's Notice
as provided in Section 713.13 (1) (b), Florida Statutes
9. Expiration date of No~ice of Commencement (the expiration date is 1 year from
date of recording unless a differ~nt date is specified.)
Signature of Own8J~ ~1 ~ !f:.A'---
~.k~r.J/)e4
*** '7
Sworn to and subscribed before me this Lday of 4/A f\..IA -rt 1991:
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ID:~ pe, 25 ... e)/ G,- ,/!... ~O~ - (:)
Notary Public:
)( l(((((((((((((((((((,(,(,(..("(,,(.,(".'((((((((1
>: ~.."y /I/1~ Judith L. Sc~per .
)4 ~~ Notary r~.lhlic, Stale of Plorida .
)4 ~':-di. Commission N~, CC 641379 .
~4 o,l'\l My C(\'11missi61l IExp. 06106I2001 :
)4 8andecI """~sh Fla. Notary Son'1ee &: B~ Co.
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STATE OF FLORIDA
COUNTY OF PASCO. <.~'
THIS IS TO CERTIFY THAT THE FO;kGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFI~:.-W1TNESS MY
HAND D OFFICIAL SEAL THI}", ~ DAY OF
19 7.2
JED PI N. elE K OF CIRCUIT COURT j
SV,.. D,C.
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