HomeMy WebLinkAbout01-0135
BUILDING PERMITN~
0135
oc)
SO. ,-
BUILDING ELE~ICAL PLUMB~G
",operty Own?': ~:O/\ : ~ U : r { C. k" . '" 'I .\- 'Z
Job Address: ~ J~ J3)q~ ~ .
ParceII.D.# \\-;)b.7/- DOlO- O~bOO'OD~O
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
J.[J ~/o I
MEC~NICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
a~ . 1'0 .,..{.
Radon Gas:
FINAL
C.O.
.3 ,../2.. -LJ /
DATE
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
Inspector
~ IC...
Valuation or I 00 0
Contract Price b .
00
Permit Fe~5 0 . ~ -d::.
- Signature a... JIr:.l.n..<l.lA.....
f I
Company
Address
Telephone# 35;J.~SI()I' g S-fPo
City License Registration #
State Certified License#
Sc.k,,('~ flook-,'^~
BUILDING l 2
ELE JRICAL
Driveway
SLB
Tub Set
Water
Sewer
Final
MEC ANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) 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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATIl: JU!:CJUVJI:D
PLANS IUWZBW I'K&
. ,
OWNER'S NAME (:\f\.\;)b(\\...t\.... ~\ r'5c..h"'~(\:-,"Z...
JOB ADDRESS 5"1 \ 3 JIll C\~~ S -\- .
PHONE
~o\,q3~S
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL 10 f# \ \ '1."",, '1..\' DD\O' os 1.0 DD. 00'40
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
/OBTAIN FROM PROPERTY TAX NOTIeRl
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
~ULTI-FAMILY
o INDUSTRIAL
0" OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK S'v\\C"\~\e. ~UDo-t
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIlJL:
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.
o BUILDING
QQ.
$ ~ 1'Dt:D '
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o OTHER
o SPF.CIALTY
.
TYPE OF CONSTRUCTH~~: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
ilL r!l, ;11111JI,fl
BUI LDER COMPANY S c.. h.o..p er'K oo-h;' ~
. /J STATE CERT OR REGIST "c.c.- OS~ \ ~4
SIGNATURE ~(la/(lJ...1.1 P-OA. CITY PROCESSING If '2..~ '2..
..................................................................
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING "
.
..................................................................
PLUMBER
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING "
SIGNATURE
MECHANICAL
...........~......................................................
COMPANY:
STATE CERT OR REGIST "
CITY PROCESSING If
SIGNATURE
.................................................................
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING 1#
.................................................................
~
-
L.UHU.lt .lUH0 UI: PI:.HHIT AI"!"lVAVl'l'
,,~
A.. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsN whit:h
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTIV\CTOHS AND CONTIV\CTOR RESPONSIBILl'l'lES
If the owner has hired a cOlltractor or contractors to undertake work, they may be required
to be licensed in act:ordance with stale and local regulations. If the contractor is not
licensed as required by law, hath 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 "Cont~actor 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 deliver
it to the "owner" prior to cOllunencement.
E. CON'l'Rl\CTOR' S/OWNER' S l\FFlIJl\VIT
I certify thal all the informalion ln this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
l\pplication is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work 04 installation has cOlmnenced prior to issuance of a permIt and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, arid land development regulations in the jurisdiction. I also
certify. 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
F~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Envirorunentally Sensitive
Lands, Water/Wastewater Treatment
"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
I.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
1 also certify thal, i.f fill. material l.s lo be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in'the State of Florida prior to permit
issuance. ~
A permit issued s~rll be construed to be a license to proceed with the work and not as
authorily lo viol~te, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a pennit 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 conunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months aft.er the time the work is conunenced. 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 IJO NOT NEEIJ TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
(f#l;/LJAA "~
SIGNl\T E: OWNER OR l\G NT
SIGNQ~~RA~
STATE OF FLORIDA-
COUNTY OF ~t-'Q...~c:..o
The foregoing instrument was acknowledged
Before me this ~ day of "=k.b , 1:"g._
by 2,001
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA--u
COUNTY OF --T-C4.&:O
The foregoing instrument was acknowledged
Before me this ~day of ~<i..~. , D ~
by '200 I
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
~id not take an oath
o who has produced
(type
and whoD did Ddid not
~
Name typed,
person takiIHL_a~lfiltUsBdgement
,,"r.. SIJ%8l1R"I 08
~'6'+ commission CC8742
"tM;Mv I r25 Jlnn3
printed, ~8'e~ '
Name .~7_1~c~2ottamped
~"'''f\''' Expires October 25,2003
'II
..
111111' III" 11111 '11'1 "'" "'" "'" 11I1111'" 1111111111111
2001020821
NOTICE OF COMMENCEMENT
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. l \. '2.lo.1 \ . DD\D. DCSloOa. (X:)40
(Legal description of the property and street address if available)
.-/
2. General Description of Improvement Il-e "'115 r -;,~? ti.: :-/ /Jt 7 ,..t
,.,......
~. wner Info~atiori: Name .A rdDl\ia.. \-\\rsr \r\'LDI.O',-\-2.
Address 51 \ ~ - q~ _ Sj. .City_L_- h'\ \\ ~ . __St ~L Zip_~3SltQ
Interest in Property: Dwt\..Q..;\.. ~ I .
Name of Fee Simple Titleholder:
(If other than owner)
Address City St_Zip
R 4. Contractor: Paul Schaper, 11250 S. Hwy 98, Dade City, FL 33525
.~':..-..
5. Surety: Boyett Insurance, 14114 7th Street., Dade City, FL 33525
Amount of Bond: $5,000.00
6. Lender: Name/Address:
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes.
Name/Address:
8. In addition to himself, Owner designates Paul Schaper ConstructionIRoofing, Inc. of
11250 S. Hwy 98, Dade City, FL 33525 to receive a copy of the Leinor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from date
of recording unless a different date is specified.)
Signature of Owner;>(' ~.,~
"'~,\. Suzanne Douglas-AJien
~~~My CommIssion CC874208 * * *
.;....:" EXpires OctOber 25,2003
~f;Jt/1 ?f~'Iv~
,---1
2.00 I
Sworn tc and subscribed before me this I <1 day of ..;JEb(~f'l...J -:woo
I
ill: H~ 2.S ~tJ(JO-JO- ?C2 -fJ
Notary Public: ~ ~ 1110 -~_
_Personally known
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,SCffAPER'Rc9cJFING
112.50 S, ['hvy. 98. Da~k City. Florida 3352," Phon?: ,52-5678580 Fa:\ 352-.:: . "'073
JT..b..TE :F.~:'..;~S:2.f:<~:.c, i:~nI.DD:JG p,J:n:.. F"~"-~?]';~'--:'!.~'t.]TL"..,::'T~F. #: F-y,n'):' ''S :c:., F : c', ~ ~ f3
S e.r'Vi-Yuk' FI..or'i:4~ J' F~r:- H onM-~' ~.. 13 L-~,(.n.,ea-$e~ 5 L..t-'v...:~." ; 9 7 {5
c'
Antiona HilS ebkowize
Date: 1:Fl2.;OO
......-..-.-.-.......--.<--. ....._, .,--..'---~--"
2581'" Midnight Star Luop _.~_._..,,___.,____._.. Phone: 813-90"'-9385
-,.- "...-.----.--..,- ,. -_.- ,,--,......"--..
\V~,pl<i"vChap.;L IT 33'i~~ ...__.....,
.. ,....,,_ __.. City/County Zephyrhi 11"
pared #..
'~_.....j.2&!.....L:J.i_~ ..k:::.~_L..., , . '_"_ ...,. ___ ......._. ....._. .._.. _,,__.._.. . _... ..... ......._...... ...,.., .'
/
\Ve hl:'r.."bv pmpose to filmish matel'iah.i and labor m"cessalY for th~ completioIl of
SHINGLE_BERQQE
f For till;' ailing.led portions Gfthe lK\m<:. rerno V~ old roofing materialS to dI}'- ill. takmg pr~C<'mtions to prot.:>ct the
building and the landscaping. Groom th~ d€'ck and n'set t'xisting {k~ckmg !1ail~.
., Replacc' bad \\ood other t.h5.Ul hel'i'in agJ'fed for at $36.00 _____ peT m'ill-nOlIT pius mmet.ial.. m13rk",d up a,;.
25'~(l ('ontraclorg f~.1:"
3. Install W'hit~ painted.....______... ~aVt~S dnp with all ~dgt's sealed wIth plastic' <;~~fni"nr.
4. instaH _ one .._....._ iaY~.ItB) of ASThf 15 ib. asphalt shin~le l.1ndc'daymt'flt.
1; Install~alvanized vaHcy mi:'tal t\.1f th:? It'n,gth of aU vuHeys First sidl~ shi.ngle8 win (>)i:teud ov~r the C'i'!nWf of
the va1h,'y a minimum of 12" 'The ,second side shingles shaH bt" installed and cut paraHt'1 ~\'ith the c~nter ofth.:-
vaHey and apprm~irnat...!y 2" back from the cent.;>r ofth", vaHey and the valley points shall be- cut off
(" 1l1staH ne\~/ !\:'ad booti" over vent piped and replace mdal Vr2'n~s \vith ne\\'.
7, Chalk lin~'s shaH be struck to assure propt-'f shin.gle- exposure-. fnstaH 25, 30 .._ year F:.oya! so\': fir,;>,:;uf-.:-n
::000 Flus ('lass A seU';,;ealml? rimgus rlC'sl;stuIlt t1bt'rgJa.,,~~hingk.,~ ~;lX 11:4" (,01"'t)~'OH 1~~istB1!t uajl~ shall lw
instaH,ni o~r manufactun.'f''' inBtrudiQils. . . .
Q '~!';']cr:l'" Manlr4;'".t"-",,. \-J' ,. 1:;' ....,.;;;,'tt'........'" '''d' "vr'lOI' '. . l'''hl''l'(',,,, . <;, /.\..J.......;..'~ '.'.. _..'." _, ':'7 ;
i:J_. ~,'~.(",... _~' \..'.:.. -~ - ,f"o,-,'1u..l ".~. i'"\.l \.._,..... U-L..(.......... \...." _ _,' io....t '. _ ~_ ,-_~Jo _ ' _ .",., " _ ,__ ,'" __ ~
q Hurrjca.flt' rmi\ rl1:;, ded{ to lh~. raftt';'~ :;pttrm to me~Ti5~u.:r;nt SBCCI(:';d~"'-S;~'p-;:icinlis"~~ti{)n .,/
.<:11 N.L'l.ACT () R W,A.R~xry
FPON CO\{PLETfO~ OF THE '.VORE. A.ND FA. ThfEl,rr OF ALL ~fOIN.ES O\VED, C(;'NTR.A.CTC"R 3J:-l/\lJ..
(SSln~ /\ WRIITEN ....1 0 'iEA.R \V,AARANT"x' FOR \\lOPJ:.:\{..\.NSHIP LfMH ED '1'0 LEAKS CAUSED
BY ANi' CO,\.fPClNEJ\rI' tNST-V...L B'YTHE CONfR..ACTOR. SI-iTI'-KJIE l\l4....\iT'fTFACT:rRER SHALL
PRO\,''IDE A (25/30) 'Y.E/\R LL\f!TED \\-'AFRANT"f.
~\'titteQ M.odifiutimJ
_. - --'-"-"--..'...-,.-.-.- '_.~". ~"'~"- .._____w~___'_.._..__"..~_'''__~..._._~,,~,_~__ _~.,_" __._..'_ _'_4' _'_"'" ~_""._, _"--'__~;____..".,__.,.,_ ...__"", ._,.'._,____.._.. ._... -"'_~_._.___... ._..~._..._...~"... ..,~.__, '.__
SCHAPER 'R.c)<9t'~ING
" , ,~ , .'\,' '::,-, '~:, ~.
n~ ",~.~<;~_l'r;i_~~8(i' i;!~.. -~':;;~-"t.:;'.7()7.
I ..;','1.. ,W.' fW '" V. _~".." " .L t.to:,. d....... .-,'J. ,t, ,~r
\
\
1 L!SH
Ih~'y, 98. Dadc' CIty, Florida 33:'25
:rrA.:T2 E:.E.C:TIS1'F,F,~.FD E,".rrI_[)i.lJ(~ j\.}-J]) F:("~)Fl1~f~.~T .-
n"F':)-\('l'.l"\~>:1.-' F~}!.:':iGJ<~ 5Z ~ F: ::~CT:5
':.:1' 7.3L&}C-t~~' S i.fv.;e. 1 976
Se4~v~-:Fl.')'Y'[.dNt; }. r:~~ H O1ne&
'(7;~ ~ j~/ ~Iv 2cqc .
~A? -- '<. .
7 I J ~.I ..G]tNE~l.:.Q~J)JIros
.-\H wi}rK shaH b~ car~:fiIUv wpt'rvised and complete-dhy v~'')rk:nJ'''~ ::,kilh.~~rand kuo\-v!ed,geabie in mi~~lhod1'> flt>t"dC,',,1
to product' lugh quality '"vork. -r11::> job site dial! be kt'p~AC'a.1\daily for thijdilral:!On.'::~fthe .lob and (he g:rOil!it\"
shall be idt cleml o.fa!! nmfreiate-d i.4:tln~aiter c'omplc,ioll. n~~ yar~ sljaU-&o '~\V~t with a magnd, ("dHt'ctwn
(-osts is any., tiJ~t'tller wit.hmtt'f'f.'.,t HnJlllb? ~d~d to th", ~'oltt.r~(~t pri~'_"'lfi)a..:mJC"J~td.:'!apit {)c.cur.~ j- 'tllh.:'t,jlahon of
th~ c'onl'nwt after the 72 hour grn:::i.~ period "bai! im.'m- a,nqi)intU f~~ '.I;"en;ni1(\.~)orkm}Ul c('mpens~ti(m, HJld~t'nel'al
llabiltty insw-ance ~haH beJ:ro:~19.7St.~~;.t.~~C?~~!!:~~~?[:".(,::arpentry: apfhorize:cl .chanSt; Or(k~rs_and I.vork \v~Hch IS
not "OVfTt~d und.ef tu)t $('~o}Jl" {)f I,vork outlmt'dn.ert'!Jl sl1~Hi lw p~rfbrI1wd {}H ill1tHe< and m~i!fenals basj~ un!eS8
\}therw:ise agn~ed upon. .
C~Dtr.arlbu~k~
\liSlbk t 8; In II)t!1!
Shin.G;!~ r~roof as descnb.; he'l't'lfl
Hu.rricane nail ill", \vood deck
S NOJlt! iu.;.llldt"d
56.. j '0,00
]) e:\
"', . - -.--../
./ if. [f)(}""};" 1'1.,
Agreed upon pm:~ labor ~ld matC'rial S6:'150.00 __J?_v~".~__=,::,_ ",..t- ,F
A ~ r.,' /' 41 ,~ JS-
TERMS: QL" / 'J1,(j v, ~
----.-~_..._-).--'"!'-..--...-.-..-.- -------.---..-- ..---..-..__....__.u.... ________"'_
~,'
,P-'-
'-.'-'~-~"'--"_"___.___""k____.__.____.,..,._._~
t'l/.Io- A,<::~') ..;.~~~~
Ward L".iter
Sdia};er Rooting
I itc,'ept the abOl'tprtfc and tt"nn~, ~'OU art authol'iud to begin work..
, IV'
Ii f 1/... . If!.
S it:ne d: _;l?1~zLd2.'.:r_~~{~t0~~::i .,___D ate ______"..________,____
~ i:ne- d: ____ ____ _________..._____._ __.__ __._,__.___._
.'" ... \. '-\,
\\'ber~ did you hear abont Ull ___'_..____..___..,.._,..,__.