HomeMy WebLinkAbout99-8961
BUILDING PE~RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
1<. ~ \~II
BUILDING ELE~CAL PLU~G MECH,\CAL
Property Owner: &.eo r ~ (. ~.d..o_Ll
Job Address: 5" t..r 1. 0 S" 0... + <; u"", a. Dr .
Parcell.D. # 1).- ~ c;,- ;) (- 00 '-10 - 0020" .- 0 (.') "70
Zoning: Energy cot:
Description of Work -1<.g -- fo e
Radon Gas:
8961
Date IO/1811L-
Permit
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
DATE
Inspector
Valuation or
Contract Price
::;'8o.Cl!'
Signature
Company
Address
Telephone#
City License Registration #
State Certified License#
Ji2
5&J7---gS~()
Pc::l s ~
{
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
Breakers
Ducts Ins!.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW I'D
OWNER' 5 NAME G-etl r~ ~ oc-K
JOB ADDRESS t::;4J--D '~+Su h.tA ~.
PHONE ~%5-a 577
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # \d -~~- JI-0D'40 -OD~O() -fY) 7U
SUBDIVISION
{OBTAIN FROM PROPERTY TAX NOTTCEl
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
oALTERATION
o REPAIR
o INSTALL
o SIGN
[] MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
[]MULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
n Y:J D jj.,,:'O>> M-AWt
SQUARE FOOTAGE
BUILDING SIZE
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.
PERMITS REQUESTED
DC>
0 BUILDING $ at lJ~D{' VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
[] FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES
o NO
SIGNATURE
COMP~PcuJ ~ '?o~75;~ .
STATE CERT OR REGIST ## M 7h.J
CITY PROCESSING ## dR do
BUILDER
ELECTRICIAN
COMPANY
STATE CERT OR REGIST ##
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST ##
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *** *** * ** * * *** * *
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST ##
CITY PROCESSING #
SIGNATURE
*****************************************************************
('
~
'..
CONDIT luNS OF' PEPJll T AF'FIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed r:estrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contr.actors to undertake work, they may be required
to be licensed ill accordance with slale and local regulations. If the contractor ~s not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner: signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to del~ver
it to the ~owner" prior to cOllunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in tllis application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
.,.'
certify that no work or installation has corrunenced prior to issuance of a perrrut and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certi;y. that I understand that the regulations of other governmental agencies may apply to
the. intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
. *U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "comp~nsating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall 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 shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is corrunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
pe'riod of six months after the time the work is corrunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE D NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENC ENT".
STATE OF FLORIDA
(name of person ac nowledged)
is personally known to me, or
has produced
(type
odid not
o who has produced
(type of identificat~on)
Oiid not
Name
.. Suzanne DougIaI-AIIen
typed, ~ r'~SIiltlcOOpit.8
'It "...... expires October 25, 2003
Name typed, printed or stamped
@. Suzanne Douglas-Allen
tw,*My CommiSSion CC874208
,.,,,n.~ Expires October 25,2003
..
..
1111111111111111111111 11111111I111111111I111111111
99136259
Rcpt: 367143 Rec: 6.00
DS: 0.00 IT: 0.00
10/27/99 Dpty Clerk
,
NOTICE OF COMMENCEMENT
f! ~
State of Florida'
County of Pasco
.
I THE UNDERSIGNED hereby gives notice that improvement will be made &0
cenain real property, and in accordance with Chapter 713, Florida Statutes. tho foUowin~
information is provided in this Notice of CommCDCCIDent: .
1. Description of Property: Parcel No. I J. - ~ to - ~ / 4 () 0 "0 . OOd f) 0 . 0 () 7 j)
(Le~a1 description ofthc property and street addrcsa ifavailable)
2. General Description of Improvement -;?....t - ^ oat
3. Owner 1nf0lDlali0n: Name (~~('B.~ ~old ocJ::..
Address c:,4-D ~+iu"" . lly ~~ ~/ls St~p 6~/
Interest in Property: GWrl~ ~
Name of Fee Simple Tit1cboldcr: e1//t :
(If other than owner) " _ ._
Address . City 8t Zi
-P
'::i.i~~<'?:i:
~'-"~' Contractor: Paul Scl1aper, 11250 S. Hwy 98, Dade City, FL 33525
5. Surety: Boyett Insurance, 14114 7th Street., Dade City, FL 33525
Amount of Bond: $5,000.00
6. Lender: Name! Address: J-..( I A
JED PITTMAN, PASCO COUNTY CLERK
10/27/99 03:16p. 1 of 1
OR BK 4250 P6 173'9
(.
7. Persons within the State of Florida designated by Owner upon whom noticca or other
docwnenL'i may be serv as provided by Section 713.13 (1) (a) (7), Florida S........
Name! Addreis: #-(
8. In addition to himse~ Owner designates Paul Schaper ConstructionlRoo1iD& Iae. of
11250 S. Hwy 98, Dade City, FL 33525 to receive a copy ofthc Lcinor's N_ u
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year ioulda&e
of recording unless a different date is specified)
pLt:J/L 11 3)-0 3/(; 7-'( IOi_:~_ . ~~ 4
S~otOwoe.-~~~
... "~W~od\.
Sworn to and subscribed before me this~day of Oe::lo6<U\ 1m.
_Personally known 10:
)( ~.."y ~u. Judith lliII.- Publi . .~
>: ~~ Notary Public. State offlorida .
)c \~i Commission No. cc 641379 .
~c OF'" My CommissioR Exp. 06106I2001 :
)c BoIIdell ~ Fla. Nelory Semee 6; ~c.. .
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,PA0L SCHAPER ROOFING COMPANY'
RESIDENTIAL ~ COMMERCIAL
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RC (J050 76::,
11::::':"":';'::>U\."h Hlc..n.'o/':>'" '1'8. D.adi? Clt.... F10t'lda.
Phone. \3521567-8580 (813)782-0920
bonded and ln~ured
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