HomeMy WebLinkAbout01-0508
BUILDING PERMITN!
0508
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
~-!tt9-{) /
~
P<aperty Owne, fi!!r~~ . ~ d2~Lh
Job Address: "- J~ ~
El EC.IBJ€-At:"-
PLUMBING __
ME-G IANIl.AL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel I. 0, #
Zoning;
Description of Work
FINAL
l -/:J -0 I
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
~3DO
City license Registration # 2 P ~
State Certified license#
ElECT~
~
P~~-"
ME~"
Tp, Ser".
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATI!: RECEIVED
PLANS REVIEW FEE
OWNER'S NAMEtShu.plM..d-tr_ -r( ))b11o,~
JOB ADDRESS 38180 YY\ldvwJ G~. ~
.
PHONE 7f 3 -( (t~
LEGAL DESCRIPTION: LOT(S)
PARCEL 10 # 3~:)'q 5 -~ '.0010 - DOOD{) _ a?5;L-
BLOCK
SUBDIVISION
WORK PROPS ED: []NEW CONSTRUCTION
/OBTAIN FROM PROPERTY TAX NOTICEl
[] ADDITION
[]ALTERATION
[] REPAIR
[] INSTALL
o SIGN
PROPOSED USE: []SGL FAMILY DWELLING
[]COMMERCIAL
o MOVE
o DEMOLI SII
[]MULTI-FAMILY
[] INDUSTRIAL
0" OF UNITS
o SWIMMING POOL
[] MOBI LE nOME
[] OTHER
CJ RESTAURANT & HEAI.TH DEPARTMENT APPROVAL
DESCRIPTION OF WORK DUAOtu-l- ~-^-",
BUILDING SIZE SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. l
ATTACH (3) SETS OF BUILDING PIJ\NS & (1) SET ENERGY FORMS. \
PROPERTY SURVEY REQUIRED FOR ALl. NEW CONSTRUCTlON.
o BUILDING
$ '~~.I 300. ~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
[] ELECTRICAL
[] PLUMBING
[] MECHANICAL
AMP SERVICE
[] FLORIDA POWER
[] W.R.E.c.
$
VALUATION OF MECHANCIAL INSTALLATION
[] GAS
[] ROOFING
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
[] FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
~~*~~~~~~****~****************~**********~***********************~
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING "
~~*~~~**~~*~**~~~*~**~****~************~********~*****************
PLUMBER
COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING "
SIGNATURE
MECHANI CAL
"" "" "" "" "" * * * * * *.* * ~ * * "" * "" * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *,~ * * * * * * * * * * * *
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING It
SIGNATURE
**""""**""""**""*""****************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING ff
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned undeJ:stands 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 RESPONSIBII,ITIES
If the owner has hired a contractor or contractors to undertake work, tlley may be required
to be licensed in accordance witll 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 illtended 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, FI,ORIDA 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 ill 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 sf>;
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, CONSUL']
WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE 0 NOT NEED TO RECORD AND POST A "NOTICE OF CO NCEMENT".
STA E OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ---20.- day of Au..qu.s r blocl
by
(name of person acknowledged)
Dwho is personally known to me, or
Pa.=,c 0
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~day of AW:<Ll6'"t ,nZO(
by
(name of person acknowledged)
C1ho is personally known to me, or
-PQb0C
o who has produced
(type of identification)
and Who~ot take an oath.
Signature of person taking acknowledgement
Dwho has produced
(type of identification
anJtJ11:A Qnd not take an oath
------
Signature of person taking acknowledgment
Name typed,
Oouglas-A\\en
i _...~~87420
pr Qfc~~
~. ; Expires october 26, 2003
""f\;
;l;S~W'e~ug~StiItlJ'tid or stamped
* *My commission CC87421l
~ ,. Expires october 25. 2003
It"",-
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j 1250 S 1.iVvY 98 Dade \_'iry FL:; -;52' ,'hont"~'2-567_8:'80 Fa'\: 352-';67.7073
Stak ('d1ifi",d ('3 ( 9817,\.\'( ('0'8IH
S#v.~ F~ 1-: F~1't-ta H~IM1- \:to g~~.Ut-1- S~~ 1'176
~''\nH. I)r S High
Family D,:-t1ln! ( 'e"ntC'f
i'ak' 89,(1)
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J'honi;" 813-783-11)i.)
Z:i;>ph~Thdls FL 3J.':;.H'
("It}" ( OUIIt;,
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W\, h'~rd)y propo-;€' to hlmlsh matenais and iabor lkCt:~,~'::u;.' tC)f the completion of:
Duro Last rootlng system
\.., ,
8
BmT1cad~' ofrWOl'k ar::a <1:' nt;'ed"d
~ Rc-rnovt' 100s,,' .j('bns from fiat roof
,I R,"nhF,: I.~xisting lln:;hmgs ~md boob h6 rc"quH','d.
~, ('hc'ck suhstrate' ch:'cking for waJ::,r datmlg~' R~'pJac::nknt of d::,cking <.vd I b~' don::- 011 a tHu:;' ;:md Illat,-'rial
baSE at th", rat;.> 01$3600 dollar:, pc'f mall -hour plus lUatc"nals marh'd up a 2")" contractors t~C'.
" lIHali fun fold insulation. Hlc"chanicaJly attachc"d pt'r Dm'o Lasl i;'V0clfication
('. Install Duro Last 1I12mbrali,,' (()i a 1.'-Y,"lli mah-rial and labor ',\<UT,UJty.
hbt-a;JJ !l<:'\\ l~U1~o..La:':'t boot~. ":-W;!OH! curb and com-:-r:o as r~qUJr:;>d.
'. ., .,.~ -'-. -.~ -- -, - ,. - :
tllstaU Duro Last t\\CH\ay ",'nts"as r~ep:tir~d .
In4all Dill',) LaSt \-\'lilk I 3 r thscia \vitli COI,:!' (1:0 r"'quir~'d
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10 R:llS~' ;;;xi~fjlH': i.'opm~ lIk'ta! \.1.!k'''L' in pla(.'~.
11. lW:;I~d I Duro La~t P::tI'aphi."t up and 0\-';;1" \-\"alh
Coutfllftor wanaut~ FiX'!) fomplt"tioll oflht" \vork ;111d paYfIlt'llt \JfalJ IBOI1l6 o\\\'d I {mtractor shall iSSlk ii
flv~ (:, , y~>a.r \VHlTa.!!ty limikd to h:a,l<::::: GaHs~'d by any romp'.)lh'!!t H!5ta!l bv tht' ('ontraGl(\! Dur~} Laft ~'hall j~S!!t>
a t1:fit.'~n f 1 S) y<.'ar v\;arnmty on \VOrknmIlship and matC'riai~.
General C onditi{;m ,All '\.\Grk shall be Gal";:tillly sup-:'n'is;,;'d and CGmp!::kd b~, \\orkm:'n '~k;!L:d and
knowledgeabh- Hl the methods nc'::d::d to proliue:? }Hgh quality work. TIk' Job sitt- shaH hi: kc"pl dean dall~ for
th~' duration of In,' Job and titt' gronnds shall the' L:,tt cleml of all roofr.:iated ddms afj-,,'r compL:tion. 'rlle yard
<hall b.::- swept \vlth a ma,IDld (ollt'ctioli ((hU, ILmy log8th0r \Vilb Im",r::",t shaii be' adckd to Iht' contract prie.:-
ifpay111:;,nt def~u:lt OCCllr.'. ("ancdlatioll Oftlk con/raet a.11t"r th;: 7 2-hour g:rac~' p~'riod lrlay meW" ;] nonmml t?:~.
'llk' contractor ",hali on!\'lcl.:' D::'mut, \Vorkmatl comO"llsatlOlL mid Q~Il\O'ral habllit\. mSIU'anct' l,.'arp;'lltp/.
'" I t _ .. l ~
authoriz,>d chmlg_' orch,r.-- iUld '-vork \vhich ar;;' nor lov..'l"t,d IUld;;>r thi' H:Op_' of1,,\'ork omiillt'd h..'L'lIl."haJI b.-'
p,-'r:fimned Oil ~l rim!;' }Uld makriah ba.slS mil.:'s::- otlJ"T\visc' allJ22d upon
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] 12 '\,1:; ff\V<):' 98 Dade Cltv, FL 3352' Phone- 35 2-'67-8~8o Fa.x 352-,'67- 7073
StHlt' C'::"!1iti.:d CB cn59817 &CC C05813 ~
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Contract pric'i:'
Duro La",t Rootlng ~y,;;h'm
S "LWO 00
~ '-" ( ( ir' t Il..,t.g, ? I Y'I1,) c;. f lA--/--;7
T<-'1ll1.'; 50')., dOV.IL bahUlc~' upon complt'tioo.
-.-----. ....---.-...---.. .------..----,,--- ,.,.-- --.'.--.---
\Vani Lt>it.:>r Schaper (OI1l"truction &: Roofing
S 1 en r: d .-7l...----.1 ~
~ - . ......
,o::"'-::l-_._. --~!)~c~_-.
D ak -5L::::._L_3-_=__c_L
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Signed
,._---_._+----~.._-_._... --...-.--------- _._-~.__.
,.--. ---........,. --. - .... -,._- -. --"-'-'----------'-- _. ---'-'" -,_..-~
I.
11111111111111111111111111111111111111111111111111111,1111111
200111~127 '
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NOTICE OF CO.MlVIENCEl\1ENT
.--)
County of J~ ~
State of Florida
Permit No.
Key No.
THE UNDERSIGNED hereby gives notice that improvement will be made to ceftain
real property, and in accordance with Chapter 713, Florida State Statutes, the fOllOWing
information is provided in this Notice of Commencement:
1. Description of Property: Parcel No.
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C>>Utn
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'tI StSl
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2. .General Description of Improvement
35 .. q5~;J,/- 0070 - 00000 - DOSg ~
1II
,
a ML /.1 ~ r <<v< rLoC3~ ~
3, Owner Information: Name &11 U p/ IV /) /::.- /!..... k.. _ ])1-1 A- L'- tl
Address 3s-.2 S- <> --Ld,,. Edw...lCity. 2.~ k.p-- h....LL, State ;= L- 3 35t/ J
Phone No. 7 5i" ff-C 470 Fax NO.7 I l _-/ '; / 7 ,\
~ SO \ en fVU.d,' -.J c......1iA...Iht, ~ "ls' h: \~. -=1-1 3 J ~-Y U lil :.\;
4. Contractor: Paul Schaper, 11250 US Highway 98 S"outh. Dade City. FL 33525 .. ..~
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5. Surety: Boyett Insurance, 14114-7th Street, Dade City, FL 33525
6. Lender: Name/Address:
rf / t1-
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)(b), Florida Statutes.
",-
8. In addition to himself, Owner designates Paul Schaper ConstructioIlJRoofing, Inc. of
11250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's
''--." ') Notice as provided in Section 713. 13(1)(a)(7), Florida Statutes,
9~\Expiration date of Notice ofCommencemenr (the expiration date is 1 year from the
date of recording unless a different date is specified.)
(
Sign~~eofOwner:-'SL'4)~01 k=.o- ~11
.9wner~ted Name: x: \!:, Ii lJ f /JV D 112 j<c. 'i) I-( .>\-:1-<4-
rt.. /)4 \.
ID: JJ'-!}JiJ -CJl/_S" I-/~lt..-o Personally Known
Sworn to and'Subscribed before methis,,;1o day of ~~,
Notary Public:
(Type, Print, or Stamp Name ofNorary)
'3TI1,T[ OF [':LORiDA
20 0 I.
';.r \'> ?\~.c:
i'H.:;' IU <::
!'i-~;~ j:-OiiLC:;()if'\JCf IS A
OUCUr\/rE~,:r Ci~J Fit.~:
...,~........ SUZanlle Douglat-AI/en
tu:.~My CommiSSion CC874208
'P"".. Expires OctOber 25, 2003