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Home My WebLink About01-0214 BUILDING PERMIT N2 0214 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date ~- :;z~-() I -"-"'.-""-'-~ ~ ELECIBJ,CA.l , MECl.+-AtolICAL . Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # PLU~ &7:!- $~iJp~~ Water Meter: T.I.F.'s: Zoning: DescriPtion of Work FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or Contract Price ~oo" lJC') City License Registration # ~ f II State Certified License# ~-$~~ · B~LDING Add~ ~~ 907 - 78 1 7 ELE~""" PLUM BI N.G------" ,.--- MECJ:l '\~JICAL - 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 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 813-788-6611 FAX': 813-788-1516 DATE RECEIVED PLANS REVIEW nE OWNER'S NAME p(lv I 3. CoS+;7C::I1 ~ ~ F! JOB ADDRESS 570 I I J - Sr. 2. e ,'? t, 7 tL h, II \ I . LEGAL DESCRIPTION: LOT (S) 8'} 9) /V BLOCK !r'LI PARCEL ID # /1 - 2/; - ;;1../ - 00/0 - 087'00- 00 .5'0 PHONE 7 2 B - ;J 00 ;L '? "3 5 yo SUBDIVISION (OR~~TN FROM PROPF.R~V ~~X NO~Tr.F.) WORK PROPSED: DNEW CONSTRUCTION DSIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o ADDITION o MOVE DALTERATION o DEMOLISH o REPAIR ~NSTALL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL t='e.VlC.e.. IIJ5fc..IIc-.--ft"o~ PY(IVc....CV! ~ F-f. /Ir'01. , .. BUILDING SIZE SQUARE FOOTAGE HEIGHT r;Ff: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING o ELECTRICAL o PLUMBING o MECHANICAL $ /Too - VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION ~THER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO ;':~:>:.'.'~~<'i"; BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELEC'l'RICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** SIGNATURE Fe.Vl C e..... A-~, :Y~~ COMPANY L at/) / ei'L f.e nee STATE CERT OR REGIST # ;< fl( O'l'HER CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT . 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 restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contr~ctor or contractors to undertake work, they may 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 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 Zephyrhi1ls. 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 commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this 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 commenced 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, and 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 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 "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 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 commenced within six months of issuance, or if ~ork authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. 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 DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged lL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [Lho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped .------.;;:- rs- .--;-- "':;-,-~~_--:O::-- --~. r ~' ~'----- - - --.- - - ---- #tJp~~ ........ .._\-,.., ,J .... "',.'.-,....".-., "f t+....:J.;,j ..,... '_. ...... f .... I ~ i ""'~ ...-" 1"t' ~"'(", <, f( ..1" .' .~ .......... "'" t} r-- ".".. ~, 1t. r-' +., - ~ (\1 t.... 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'.~ ~. i \1, cr~~rn;~:-; :~j".dL:d an j 1:'1Lo\rl,'::'."(ft~abL~ :11 " : l.... ; ~ ~. ,'. I' 'I: 'i ~::l ,';. ! T ,~... ~.", ~~i.~ ~:::11 \. H' (t'.: {~ul<tr!OL '1;:' ,\, rH~ ": ,~} '.;.;,r lit \-) ~ f-~n 'i ,~.; (',~ 'J ~ , ) \~\ l. r ~lIl,:r (,. C_'ln~)!. ~:'} ::' :.~ '.:.-hi' \-~,:t.~~tl ~ ; k;.! ",\.;;,', _t ;,~0,-'j '1.'."'4 j:..: :f' ;:ur )'~_2:L-:, r \.~. '!~"il ifn,~r::'~t ,...;;all b~~. .L ,.1 I, ~ l.;' " , ~ " t- "'':1' ."'{"C :U.~ 'J;",_' : :Ui',:'!} f,' ;:_"Ij'f_"nc~ :Itt-.o t' ~', ~JC' ~u ~1'~:~( r ~!,; ,; '.~ ~j7 '!nt~',: ;, . '''t:i'l' ! ! .~ ~1" r)(.r~'~ nl,~': : ''>;'. >','Tn' 'U.:'~,',( .,' I .tL t.: :.>r~ '':.::'E~n '....~ I. :tf I.: {J -;..~ '. ':"1',: Ji .'-" ! ._1::>, '-I"' \'1 ;'j';j;.. ~ /_'t' :..y; '~--"nl~'\ ;':1 i! 1\' . ~_~ l' \: :- t, ~ Bl",- ,;: ;;1..'-1~' (":~'\ ;->J'~> .t.\: ' ;... ,~, l. ' .:. . ~. ., . - ",.. ; 1'.01,_.1 , , , r ~ ~ n. . ...1 \ " . 'It '; hi! ,,: l.. ~ ,.o,.,j' l-", . '. i , l. " \. ' ~::. ..., '~', Iii" ,:;-; (i t ;n' ~-' ,':>i'l::::~ ~-<i-::' i <.,tji' :!L:-,'.'r (:"-''-' -' ~,. 'ii' ,.-.'p \)l-.';'.a(" T3~1.~ I' \ :: 'j ; I ; ~ t 10. ";,,' , >. ~ .~, ,'l:,,">:-('r~:'_'I,~' ;-t~ ;'21~: " ::.' 1 ~ ~ -\ d r i-I'~' ;lil ,:~ ,i l'~~' j , t;. ~ l }.. '.~.;. ;C'\_~ tL:,"J.. ~, '. " --,,-, :.: . :"': ~! ....'1.';1 ",/-, ...~'; ~. ,:...:,,, ~ '{,. ~ f ,',/ . { .~. . :> , ' ;::U', l! {-:n<: ~::l~'~t-~t' ~:~ 5- ,RJIlQ - '~ \f " -7" ,:/- ~l / (0"',/ , ;'l' .,-,"'. p ~-;J:~...~:~~t:"c.t','.1 r~ (\ '1 ......_.J )n \1 ~ .:-' ,_: ,,-'. I ~ , \ ' :: >}'~"-" " j', ~ ,.-, f" -'. '.i;; ,'t..;... :\ r " ""'; / ... / L 11111111111I11I11111111111111111 111111111111111 1/11I11I1111/ 2001039743 Rcpl: 485494 OS: 0. 00 03/29/01 NOTICE OF COMMENCEMENT Rec: 6.00 IT : 0 ."00 Dpty Clerk ...' State of Florida County of Pasco THE UNTIERSIGNlED 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 Cbmmencement: ' 1. Description of Property: Parcel No. I).-J...(,-J.{ -OO,J.O' 00500- O()(Plj (Legal description ofthe!property and street address if available) 2. General Description of Improvement Ii.. e IL 0:::> r , . ~. o cgC-o ;:a wm .......0 CD ~"'tI ~ ........... cg-4 ~""'31 U1 cg'>> N..z en.. 1ft Cf"'tl --t'>> 3~ o "'tI .....n C) 0 C z t-IIo 0 -4 W"'~ U).....r ...J~ ~ 3. Owner Information: N ame-/~ () \'J L - r.t<.e '^' 0\ \ .( ""~ v'- ,Address fje,~_ ~O~0,{.u& City ~l--.~'\\"'; \\_~ Interest in Proper't')r: &-,~ Name of Fee Simple Titlil:holder: V'\ II\- (If other than owner) Address St1..LZip SJ5'-Ir) City St_Zip 4. Contractor: Paul Schaper, 11250 S. Hwy 98, Dade City, FL 33525 5. Surety: Boyett Insurance, 141 P 7th Street., Dade City, FL 33525 .-\IIlOunt of Bond: 55,000.00 6. Lender: Name/Address: v'i: [(-I- ;. Persons within the State of Florida designated bv Owner upon whom notices or other - . . documents may be served as provided by Section 713.13 (1) (a) (7), Florida S tarutes. Name/Address: H I Pr-- 8. In addition to himself. Owner designates Paul Schaper Construction/Roofing, Inc. of 11250 S. Hwy 98, Dade City, FL 33525 to receive a copy of the Leinor's Notice :lS provided in Sec,=ion 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expira~n date is 1 ye:JI from date of recording unless a different date is specified.) ,/ ! / l r;:, /7 1/1 , ~-'(ld1f ,'" ~ Suzanne Douglas-Alten s\Vori.n~<s~~~re me this ~ 8; day of A-.1 ~ ...".....;~ Expires October 25. 2003 Persona!!v k.,own ~ I~ ~ " rI .< L ill: I( ;-3 LI ~3), - ----- (J"--ro.....lL ~ ~ ::0 00 2 '7 J~) -0 '.____0 ~..:""1;,.... APPLICATION FOR PEmaT CITY OF ZEPHYRRILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVI:EW FEE t. OWNER'S NAME Ko'-j ~e C\cHeM.o...(\. JOB ADDRESS 553"1.. -1.D+~ S~ee.-t PHONE & l3 . "1 ~ 2. 8 1 <14 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # \2,1""'1\, OD1.0. 00300. 'DOlaO (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWEL~ING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL jhl'(\~\e. ~e(Dof BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL $ o GAS pt(ROOFING 0 SPECIALTY AMP SERVICE o FLORIDA POWER o W.R.E.C. VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SIGNATURE qh4A (I:V ~ (l k f' O.A / ****************************************************************** COMPANY 1>o..u..L \). Sc..~Q{ 1<o~'13 ~\gc.. . STATE CERT OR REGIST # Co - c.. 5 J CITY PROCESSING # 2~ '2. ELECTlUCIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** 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 ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 comp~iance with any applicable deed restrictions. a. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 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 deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this 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 commenced 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, and 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 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 "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 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 commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". Q.",<LU!~(IM f.'A SIGN URE: 0 R OR A ENT ~ '~ .Ll.iJA C SIGNAT : CO~RACTOR STATE OF FLORIDA COUNTY OF 4=>o...'SC0 The foregoing instrument was acknowledged Before me this ~ day of A\? (\ \ , :t9.2.CO\ by . (name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA~ COUNTY OF ~Q6c..0 The foregoing instrument was acknowledged Before me this ~day of .I'~0c \ I , 1~2-00 l by (name of person acknowledged) ~o is personally known to me, or of identification) take an oath. o who has produced (type of identification) an who Ddid Oiid not take an oath o who has produced (t ype o did not Name typed, person taking ack~wledgement ~, ~ suzanne 00ull1aS-A .My commission CC874208 . ~;4!lazaes prl e e of perso taking acknowledgment #,..' ~ Suzanne Douglaa-Allen * *My Commission CC874208 Name typ 'fifft.~~i!5.:lamped --.-....----.--.. --- \ ~ m ~ ~ ~ ~ " ... f fd o~ I'2j ~f;j ~ :;a.. .. 1oz:I~ .f:- 0 .-. ll' wnl1C::: .J:'-rtcn..... '-Ort Ir;:r ""' Nft) ~. ::t:l1tD C'~~ ~~'"d ~ 010 , ,( .. Q n!:7:ln> OOI-l 8~~~ t"1' :;a '<'-0< ~ ... ~M ..c:: ":j~N l-' ~ t'J1 0 ~. ~ ~"tI ~ .... ~\Jl ~.J:'- t-4 . ... I-lO . . ~n- . '"