HomeMy WebLinkAbout97-6987
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BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC?
6987 13
Date
9-/,y~9'~
r9 ELECTRICAL PLUMBING MECHANICAL
Pmperty Owne" ~-1<A ~~
Job Address: -3 70,S ,-7 m ~ ~ .A(,.)..A-
Parcell.D. # /;2 -;;)6 -;;).../. 0 ~--o- 0 b <5 0 D- 0 I D ()
Sewer Conn
Water Conn:
Watm Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of workK _<2 _ ./)ry'
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL-10
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
ATE
Valuation or
Contract Price ~ P- b 0 . c:r-O
City License Registration # cf2 ~/J.~
State Certified License#
ny
Address
Telephone#
_,J!L/FA
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 __ I 1-11. 111 B~II.!lIS ($~) shall be made for each trip for each trade:
.2S: tJ1)
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.
APPLICATIOH FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMEHT
OWNER'S NAME
~)fK~ '-YA) (J.N5'
OWNER'S ADDRESS 3'1 c:J .) G /lA /! A/O K.. D ~.
JOB ADDRESS ~
PHOHE
} :7J;2-;<sJY
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISIOH
PARCEL I.D.' /;2.-;)~ -t;J-../-OOJ'O-<JOOOO-o}()O (OBTAIH FROM. PROPERTY TAX HOTICE)
WORK PROPOSED:_Hew Construction _Addition ~teration ~epair _Install
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
~/F
_' of Units ---1f./H
_~ercial
_Indust.
_Swia. Pool _Other
...," .{..
DESCRIPTION OF WORK:
_Restaurant & Health Deparu.ent Approval
t3F ?.E;>ID~AJC,F
~6~r=-
BUILDING SIZE:
x
SquareiFeet,
Height
RESIDEHTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLAHS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS.
ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTIOH.
PERKITS REOUESTED
~UlLDING
$
-J5CO p ~
, .
Valuation of Total Construction
I
_ELECTRICAL
AMP Service
Florida Power Gorp.
W.R.E.C.
--1IEGIIAIO.CAL
$
Valuation of Kechanical Installation
_PLUMBIHG
GAS'
ROOFING
SPECIALTY
TYPE OF CONSTRUCTIOH: _Block _Fraae _Steel
Other
FIllI.SBED FLOOR ELEVAnOHS:
FT.
IS PROJECT IH FLOOD ZOO AREA?
YES NO
******************************************
COHTRACTOR SECTION
COKPANY SCi-IA Pt ~ koOFI,NG \ t\)~,
State Cert. or Regist.' Rc.. C>OS~7{,5
City License Registration .
****************************************
COMPANY
State Cert. or Regist. .
SionAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
tlECBANICAL COMPANY
State Cert. or Regist. .
Signature City License Registration f
******************************************
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
.'. "
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for co.pliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor lay be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
Furtberlore, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
"Contractor Sections" of this application for whicb 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 work. If tbe contractor wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
I ~'
.
D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - BoteoIner's Protection
Guide" prepared by th~ Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is 8OIeODe other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and prOlise In good faith to deliver~Jt bJ. the
"owner" prior to co..ence.ent.
E. CONTRACTOR' SjOWNER' S AFFIDAVI'l'
I certify that all the infor.ation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developlent.
, '
Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that DO work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber-governtental agencies aay apply to the intended wort, and that it is
IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not Iilited to:
I Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and InviroDlentally Sensitive Lands,
Water/Wastewater Treallent
I Southwest Florida Water Hanage.ent District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Ingineers - Seawalis, Docks, Havigable Waterways .
I Deparllent of Healtb , Rehabilitative Services, Invironaental Health Unit - Wells, Wastewater rreattent, Septic ,ants
I US EnvirODJeDtal Protection Agency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
. A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, caoce1 alter, or
Bet aside any provisions of tbe tecbnical codes, nor shall is~u~ce of a perlit prevent the Building Official f[QI thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued aball beCDIB invalid
unless the work authoriled by such perlit is cOllenced within sil IOntha of issuance, or if work authoriled by the perJit is
suspended or abandoned for a period of sil .,nths after the tile the work is co.enced. One 90 day eatension of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection .ust be logged during each six .,nth period, or tbe project will be considered abandoned.
WADING TO OIfHIiR: YOUR FAILURI TO RICaRD A HOTlCK OF COtlMBHCBHRNT HAY RESULT IN YOUR PAYlHG T1UCH FOR IMPROVBIIBII8 TO YOUR
PROPIlRTY. IF' YOU INTIHD TO OBrAIH FIHANCIHG, CONSULT WITH YOUR LINDBR OR All AnORlBY BBFORE RECORDIHG YOUR KOlICH OF
COHMIlHCIHIHT. JOBS R U,500 IN VALUB DO HOT HElD TO RKCORD ARD POST A IrH COIfHBHCBIIB ..
(?ASH
STATK OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATK OF FLORIDA
COUHTY OF
The foregoing instrument was acknowledged
before me this , 19 by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
llllllllllllllllllll~llllllllllllllllllllllllllll!
97104790
Rcpt: 182307 Rec: &.00
NOTICE OF COMMENCEMENT g~~18/970,,00 IT: DP~v<>81erk
State of Florida
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. /2 - U -:2-1- ()()50 - 00000 -- Of(]O
(Legal description of the property and street.@ddress if avail~le)
2. General Description of Improvement ~~~df? ~p K651lX:'IJ~
Owner Information: Name
Address
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
f ."16i :1-
. f"lil '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
~
-z. 6PI-I V Jf iii LL( State/Zip
,
City
JED PITTMAN, PASCO COUNTY CLERK
09/18/97 10:J7a. 1 of 1
OR BK 3805 PG 1812
State/Zip
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 State/Zip
8. In addition to himself, Owner
designates Paul Sch~per Construction, Inc.
of 11250 S. Hwy .98. Dade City . 33525to receive a copy ofthe Leinor's Notice
as provided in Section 713.13 (1 ) (b), Florida Statutes
,
9. Expiration date of Notice of Commencement (the expiration date is 1 year
from · ~.
date of recording unless a different date is
specified.) -4
Signature of Owner:)( (l~ 'tf!:::;. Ji <;: =:::..
i11l.~ Il (125
* * *
Sworn to and subscribed before me this /5''d'ay of .s;.1'7i::M AS--/l. 1997.
C~25 -;2/3 -,2/--5G7-6
LI C #)
Notary Public:
), (((((((CCCCCCCCCCC(CCC((((((C(C(((CCI
'1 ~.,.y". Judith L. 8<:baper ,
'1 Notary Public, State ofP1orida '
): '" "I Colllmiuion No. CC 641379 '
l~ ~o''''My CommissiOA Exp. 06106I2001 :
.'C ...... n....p PIa. Wol&:y SIIvIoe AIIoIIdIIIa Co. .
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11250 South Highway 98, Dade City, Florida 33525
Phone # (352)567-8580
Bonded and Insured ,
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