HomeMy WebLinkAbout01-0411
BUILDING PERMITN~
0411
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date " - ~ 7 -0 /
G;LD~
Property Owner:
Job Address:
Parcel I. D. #
~---P PL~- MEC~AL
..3q~{f!f'i-'52;1, rl::tt.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
State Certifie~icense#
~~~1r ~F
~~f~~<~Q-'
Company
Address
~one#~ 3~- 50/-&~~O
Valuation or / r/ /
Contract Price {o . .....;;;l (0 -
,
City License Registration # c:< ~ ^
--...
BUILDING
ELEC~-
~
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUMB~--
,--
~. ~IIAr4ICAL
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 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 pgRMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~ (}L(/!
DATE RECEIllED
PLANs REVIEW FEE
OWNER'S NAME C~(J+h~Cl H. Clo.~~.
JOB ADDRESS 3 8 J D5-- 5 -L~ A\I €.- _
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID If I \ . 210. '2 \ . 00\ O. \ cx:co . 02 Q1::)
SUBDIVISION
fOBTAIN FROM PRO~RTY TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION
[] SIGN
PROPOSED USE: []SGL FAMILY DWELLING
[]COMMERCIAL
[]ADDITION
[]ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
[]MULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
[] SWIMMING POOL
[] MOBI LE HOME
[] OTHER
DESCRIPTION OF WORK
CJ RESTAURANT & IlEAl,TII DEPARTMENT APPROVAl,
~ e..r oaf
BUILDING SIZE
SQUARE FOOTAGE
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 AU, NEW CONSTRUCTION.
PERMITS REQUESTED
[] BUILDING
$LP.5&;/.
00
VAl,UATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.n.E.C.
[] PLUMBING
[] MECHANICAL
$
VALUATION OF MEClmNCIAL INSTALLATION
[] GAS
~ROOFING
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREJ\O YES
o NO
IJIlI1ImmiJIiII1IJilt!!HljlI1!i1] IjlrlllIi~ij l]jlJ11ml
BUILDER COMPANY SCha.per-g Do-h 0.g ~ nc.. .
{ STATE CERT OR REGIST It ~CB loLt
SIGNATURE If-~/1~J<.a pJl& CITY PROCESSING n 23:z.
********************************~***~***~*~********~*****~********
ELECTRICIAN
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING ft
SIGNATURE
**********************************~*******************************
PLUMBER
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
SIGNATURE
**********~*******************************************************
COMPANY
STATE CERT OR REGIST ft
CITY PROCESSING ft
MECHANICAL
****************************~***********~*~**~******~***********~
OTHER
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING ft
SIGNATURE
***********~*********************************~*****~*************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions~ whi~h
may be more restrictive than city regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBII,ITIES
If the owner has hired a contractor or contractors to undertake work, they ~ay be required
to be licensed in accordance with state alld 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 ill tended 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 UContractor 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 LI EN LAW (CHAPTER 713, FI,ORI DA 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 Consu~er 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 uowner" prior to conunencement.
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 Ilealth 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 uco~pensating volume" will be submitted which
is prepared by a professional engineer registered in the Slate 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 per~it 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 uNOTICE OF COMMENCEMENT".
sQJ4l C~ ebiapJJ
SIGN TURE: I26NTRACTO -
STATE OF FLORIDA~
COUNTY OF ~
The foregoing instrument wrnowledged
Before me this c9~ day of . , ~~tl
by
(name of person acknowledged)
aho is personally known to me, or
(if./J01 ('~ J.a €!^
SIGN URE: OW ER OR A:GENT
STATE OF FLORIDA -12.
COUNTY OF ~
The foregoing instrument was acknowledged
Before ~e this ;20 day Of~ ' '1:-902001
by
(name of person acknowledged)
Clwho is personally known to me, or
~
[] who has produced
(type of identification)
DHd not take an oath
/ -~
o who has produced
(type
Odid not
'1
of identification)
take an oath.
of person taking acknowledgement
,... Suzanne Douglas-Allen
,......."'.
~. M Commission CC874208
* * y
. ~. 25,2003
Name typed, print ...~.t:x~~
acknowledgment
/. ~,.. Suzanne Douglas-AI/en
Name tYP.~V~:Er(i~~~87Smsmped
", . ..' xplres October 25. 2003
---~----_.__._- --.-------....-. --'-~--_'_-~'._.,.~,.."----
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SCHAPER. R.OOfING~INC.
11250 S. H\w. 98, Dade Citl,,., Florida 33525 Phone: 352-567-8580 Fax 352-567-7073
3TATE REGIS.i.li:.ED BTJI:L.I5ING A.'ID ROOFING COh'TRACTOR # RB0032!24. RC'OO!6763
Suv~F~t"F~tt"~ erS~~S~1976
Ms CrairlJ (vnes I QS-\-mu
38505 5th ~
30'S 0 \ c,)tr- Ave..
Zephyrhills, FL 33540
Date: lOIS/DO
II. Lie. RC 0056i63
Phone:
~/"./ !/I~. fj
Parcel #
C-c IY\ tY\ el C-i Cu... G \ clct '
Supply labor, materials, add supervision.. liS needed to:
REROOF ROOF AT PRO.JECT AREA.
PRE P .:lRA TIO N
· Barricade off work area as needed
· Remove loose debris from tlat rooL
· Remove three chinmeys.
· Remove existing vent boots.
· Remove existing flashings as needed
· Inspect roof deck tor structural water damage (see repairs below).
--RonFO"~RUSYSTEM.
· Install new _112"_ Insulation mechanically fastened on flat roofS.
· Repair hidden bad Deck at a time and material basis. Labor is S36.('0 per man-hour. Material is marked
up 25'~,'O contractors fee.
· Install single ply Duro Last roofing system per manufactures specs. tot a 15 year warranty.
· Install new Duro LSb'i' Boots with Stainless steel ring clamps as required.
· Install new two way duro last ven~ as required
· Install fascia bar with cover. Color _White
· Written modification
· N~~5 Temtb@~ rkrCl-j@.:\4{l\'l\~ ~
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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 Comm~ncement:
1. Description of Property: Parcel No. \ \.2.10.2 \ - 00\ O. \ oDOO" OLOS"
(Legal description of the property and street address if available)
2. General Description of Improvement Kemo-P
3. Owner Information: Name C
Address ~ 5 ,~
Interest in Property: 011 ){"'\{? r
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
St_Zip
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 (I) (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.)
SignatureOfOwn~r.~~/~ '/1{}qQ
***
Sworn to and subscribed before me this cJ ~ day of ~
_Personally known ID:~~ 67-0 J
Notary Publi~ ~u J6.,
"6" Suzanne Oouglas-A11en
~W*My Commission CC87"20~
"'..".,~ Expires OctOber 25,2003
02001
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- --_ -~-._____~___.___~________ __..__..M.___________~_...,;-__-______.._~________________.
SCllAPER. R.OOfING~INC .
11250 S. Hwy. 98, Dade City, Florida 33525 Phone: 352-567-8580 Fax 352-.567-7073
STAJ.'"'E REGISTERED BT.m..DING AND ROOFING CONT:'''\ACTOR # RB0032~24, RC00!6 763
S",v~F~1rF~t"ttcm.e. Gj.S~~S~1976
CONTRACTOR WARR.~NTY: Upon completion of the work and payment of all monies owed 'Contractor
shall issue a written Two (2) year warranty for materials and workmanship limited to leaks caused by any
component installed by the contractor. Duro Last Roofing. Inc. will provide afifteen (15) year limited warranty,
(No dollar limit). .
GENERAJ~ CONDITIONS: All work shall be carefully supervised and compl~ted by worlanen skilled and
knowledgeable in methods needed to produce high quality work. The job site shall be kept clean daily for the ._
duration of the job and the grooods shall be left clean of all roofrelated debris after completion. The yard shall
be swept with a magnet. Collection costs if any. together with interest shall be added to the contract price if
paj1llent defiwlt occurs. P~nnit, Worlanan Compensation, and General Liability insurnnce shall be provided by
the Contractor. Carpentry, authorized change orders and work which is not coven'd under-the scope of\l\'ork
outlined herein shall be performed on a time and materials basis unless otherwise agreed upon.
CONTRACT BASE PRICE:
Visible T & M
S None Included
Duro Last Roo.fin~ Svstem
'- .
$6,561.00
s !;.--t;'61, eiJ
Total Aveed upon Price
T enns: 50% at time material is ordered Balance upon completion.
------...,~---._---,,---_._-
[~4~~~~
Schaper Roofing
I accept the above price and terms. You are authorind to commence wOJIl.
Date: fa- ~}()I
Signed ~/~ '7Y( 6;:)
Siped