HomeMy WebLinkAbout01-0517
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BUILDING PERMITN~
0517
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
9-~- 0 I
BUILDING
EL~--
:::::,~s:~"'~~- ~~~r1~)
PLUM~'
MEC!-I ^ NIe:AL"
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning:
DescriPtion of Work
a "'.-I
FINAL
'0-/7-0
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 ~ _ >? ~ . i>J.J--
Contract Price /~ I 0
d~~
Ftr.
Pre SLB
Lintel
FRM.
InsuJ. CL
WL
MECH
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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
DATE RECEIVED
PLANs REVIEW FEE
OKNER'S NAME (~lJVd~~, 1< ~rpp.d ~~
JOB ADDRESS 38S \ 5 5 ~ Av<.."
PHONE tgg ~ c5(~fS ()
LEGAL DESCRIPTION: LOT(S)
PARCEL ID It ".~(IJ .~/-(){)(O
BLOCK
SUBDIVISION
I 5;)00 -. 011./ ()
WORK PROPSED: []NEW CONSTRUCTION
IOBTAIN FROM PROPERTY TAX NOTICEl
o ADDITION
OALTERATION
o REPAIR
o INSTALL
[] SIGN
o MOVE
[] DEMOI,I SH
PROPOSED USE: []SGL FAMILY DWELLING
[]COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0" OF UNITS
o SWIMMING POOL
[] MOBI LE IIOME
[] OTHER
DESCRIPTION OF WORK
o RESTAURANT &. HEl\l,TH DEPARTMENT APPROVAl,
~lJ.AO ~t ~<::2~
SQUARE FOO AGE
BUILDING SIZE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING FI,ANS & (1) SET ENERGY F'ORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[] BUILDING
$
PERMITS REQUESTED
15.'8SD.'DO
VAI,UATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[] FLORIDA POWER
[] W.R.E.c.
o PLUMBING
[] MECHANICAL
$
VALUATION OF MECIUlliCIAL INSTALLATION
[] GAS
o ROOFING
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN F},OOD ZONE AHEAO YES
o NO
BUILDER
COMPANY .
STATE CERT OR REGIST " .
CI'l'Y PROCESSING L ;;)8 &-..
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST "
CITY PROCESSING "
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PLUMBER
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING "
SIGNATURE
MECHANICAL
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
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OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
*****************************************************************
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 f~r
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 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 wllat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-188-6611.
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 witll 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 regulatiolls 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 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
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 si
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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,50 N VALUE DO N 1 NEED TO RECORD AND POST A "NOTICE OF COMMEN MENT".
STATE OF FLORI~A--6( D
COUNTY OF .
The foregoing instrument wa~knOWledged
Before meJthis ~ ~ay of A..Yu..~ , ~e.Q1
by ... ~y ~,.-
(name of person acknowledged)
~o is personally known to me, or
SIGNAl'
~
STNfE OF FLORIDA
COUNTY OF
The foregoing instrument w:l1acknoWIedged
Before me ~~S .J.g~y of r-t'ASIA'+ , .;),801-
by l..u;i.y ct:ff: r
(name of person ac nowledged)
l,:3:;fio is personally known to me, or
UP40CO
o who has produced
(type of identification)
an..dd {" {"11) . I.t ~*d Odid not take an oath,
,~p J.>>---
Signature of person taking acknowledgement
#, ~ Suzanne Douglas-Allen
* *My Commission CCB7420B
Name typed,"'.,., Ji"{#i~Qgt!be~~d
o who has produced
(type of identificati(
an~did DUd not take an oath
... .. 'lLI.~
Signature of person taking acknowledgmenl
..,~, Suzanne Douglas-Allen
@."MYCemmi!o!oio..eCII14.200d
Name ,..,P€X~JS~~~?25?iOo3stampe
IJ~~'J~fl!~~l~II 11111 111111111/11111 111/11/111/1/1 "'/
'\.~
"
Rcpt: 524502
OS: 0.00
08/28/01
NOTICE OF COl\in1ENCE~1ENT
---)
County of -J-Q"a,C ()
Rec: 6.00
IT: 0.00
------_____ Dpty Clerk
State of Florida
Permit No.
Key 0io.
THE l)"NDERSIG~LD hereby gives notice that improvement will be made to cer.ain
real property, and in accordance with Chapter 713, Florida State Starutes, the following
information is provided in this )Totice of Commencement:
1. Description ofPropert'J: Parcel ~o. I J - ~ (y -;}.) - Db J 0 - 1:5J. 0 D - 0 /If 0
}, .General Description of ImproVement ~..Q . A. 0 '~~
3. Owner Information: Name "\~rn" i~()~' \ h..,r~!l.r
Address~5lS S\JL..4J..L icy 2-1?V?h?i'h'.L\ ate 1-1 335'-10
Phone No. 788 - 3(P8'u Fax 0io.
4. Contractor: Paul Schaper, 11250 CS Highway 98 South, Dade Cicy, FL 33525
5. Surecy: Boyett Insur:mce, 14114-71h Stree::, Dade City, FL 33525
6. Lender: Name/Address:
NI,4
I. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be serv"ed as provided by Section i13.13(l)(b), Florida St:uutes.
8. In addition to himse!t: Ov,,-ner designates Paul Schaper Constructiol1lRooring, Inc. of
11250 CS Highway 98 South. Dade Cicy, FL 33525 ro receive J. copy of the Leinor's
Notice as provided in Section 7lJ.13(1)(a)(7), Florida Statutes.
9. Expintion date of)iorice ofCommence:nent (the expir:uion date is 1 year from the
date 0 f recording unless a different d te i specified.)
?
ill: )(; Lf,l t) ifl "JS / J-f? 0
Personally Known
Sworn to and subscribed before me this~day of G....\.lC8 L..l..-C
0i"cl;:lJ;"Y Pub lie: '~~t^'--
(Type. Prim. or Stamp ~ame of~otary)
:0(:) t .
f,-li
"'6'" Suzanne DouglaS-Alfen
~1r.~My Commission CC874208
-"",,;J' Expires OctCber 25. 2003
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112."u S flv.,y. 98. Dad~' CIty. Florida 33:'2:' Phon", ~~:-.:;67_XSgO Fax 3:':~-."6L~'O'~~
.;''/:IT I<Er::r:'E:i':' E'~IL:~I.t:..7.. '~Un ":T):, ").;'''F..'',:'TI- Ii. RB0032524. RC0056-.'63
SCHAPER ROOFING,INC
;~'.t;t"""'''9 :::':::""'::':11 =.I-tr""';,::'t"f J.. ;c..",~,(!S.s;:'"'Ct ~':1":"'-::
!~~... j/lc'/ ;/ C c!// Iy~'
L ampliglittr ftrrniture ________
Date: 92~OO __~ 20:{l1
38~ J 5 5tb a\'e
----..._-~--------
Fl.. Lic. CC-(,058134 CR.C05981-
Zeph:nhilh .Fl, _______________
Phone: -88-3680
Pafcel# __________________________________________________________________
SUpp':;' labor, materials. and supervision. liS needed to:
RE.ROOF ROOF .,\,T PR.Q.JEi:I.AREA.
PREJ~ARA...r.IQ.~
· Barric'ade o:l::rwork ar.:i1 CIS nC';;,ded.
· R.:-mov,' !OO';;C' d..hri" fi-olll flat roof
· Rr:rllovl:' ,:);:istm~ v2nt boots
· Rc'nwv<.' ,'xi,stifiQ: t1ashin~~ w- th'C'd<.'d.
· Inspt:'d roo.!:' dc"ck 1f)l'-tnictural \Vakl' datlta,gt' (st:'t:' tr:patt's bdo\\').
R OQE..!.H'E R..~Y~.I.E]l.
· IllHali Ut-\\ i 2' In6illaiion ukdw.rHcaIIy LLstdl8d on Hat rooE:.
~ R2P:-iii bidd2H bad D2Ck at a time :-md matdial basis. Llb\Jr i~ $36 00 pC'r imuJ-lwur \1atc'il<d is mark:'d
np 2. 5';.} contractor:' H',;-
· Install .'!lBgl'::, ply Duro Let rooting syst::-m p:"f mrumfhcluf<"S "'pc'c.". f;)1" l1 1 ~ Y:"ill- ';,varranty.
· Imtali tk~W Duro Last BOI)t:; \\'uh Stainl<:'sc' sled ring damps as rC'qmr2d
· In.'!talJ !k"N !\\/o \-vav duro 1m,;! v;;,ms as rt"quir::,d
· In~laH H:bcia baiHlth lO\ c.{ ('OIOf "\\'1 i it.:,
· \.Vriltdi modificaiiOli
· R~'mo\>: coping Uk-tal and in~tal1 duro last krm and cove-I' fO incorporak into I,varnmty
" R;:>\\'ork chnstmas st;:md.., IJut of dIm) last drip e'dg\.' to incoq)arak into '.v::unlllty.
.- -'"---"~.-. ------------...--- ..-...-....- - -'---. ..----- ----..--.
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_...._"-_._-_.~.~_.._,..__...- ..---....-.- ....-..--..
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--..----.....---"_._.___..____._u._.~___.._~___.____.__..__..___....__. __"'___"'__'__'__ .. ... _ '__"'_'_~__.._._ .. ____".__._ _ __.__.~...__ ~,,_. __..._._~..._.,___..____._...._ ...... _ _.._._.....__.___
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SCHAPER ROOFING/INC
ll!5o S H'wy 98. Dad;: ('itv. Florida B525 Phoile: 352-"67-\0:."80 F;:L'l\ 3~2-'-;67-ion
~~T.:~.:::= F'.:>~.;I3.rF:.:_I:~~-_ r::r}L...L"J'~;',~~ _t~~~'T~C:- f. .>,~ ~.;-...~'~ ~l:.frr.}~..;~T'~F #: RF~0031524. RC'0056763
'~':'\l"i""9 ::;or:':G' ::,r.cr ~J"J'!.c.s !1 ';,,J.!jY'CSi ,S;l"'ct. i9-r~
CQ1'!IRA.!.::IJ2R \,IVARRAlYI.Y:.. Upolll..'omplNion ofth~. \vork and paymellt ofali llWlll~>S OWt'(J Contractor
.hall js/me' a v\/ritt;;on Two (2) Y.:'ill' INfUTtUlty tor mat::,rial,., ,md .....orkmanship limit;.>d to 12<1k" CHlb,>d b~ ~my
comp0n~nt instail..-d by th,~ contractor. Duro La~~t Roofing. lIle. \vili providt> afiih"'ll { 15! Yt'ar hunted \VillT,Ulty
(No dollaI limit)
GJiN.ERAL_CU~D.frrQ2~'~_: All \.vork shall b,' c3Nfidly supen'ls~'d and compl:;>r;:>d by \Norkm;;n skilL:d ,Uld
kno\..'j,>dg<:>ablc> in mctlwd:-; fJ;;,;;,d",1f to prodlK:;' higll quality \.vol'k. "ftl\:' job ~,Ik shall be- kept clean daily fill' till:'
dUfrltlOn Ofth," 101\ ~md tht> grounds :::haJJ b,' Jd1 d\:'l'ill of a1l roofrel31t'd d:;"brj~, alter compldwn The yard .:halj
b.' SW2pl with a magnet. i Oii2C{lOn costs IfallY, tOg::thP.f \"\Iith l11t2r,'st shall i)c> add",d to ftl\;' contract pncl." it
!"aVliklll defhult 0('('111'1'; PI.'IUJJt. \Vorkm<Ul Comp::"ntiHtion. <UHl G"Il~ral Liahility illBlUi'U1C't' "hall {w prov'jdhl h
ill,; (\)fItra...:'!o! Carpi?l!tI}. authorized dlCmgt' orders <Ull! v.ork \\luC'h h !lot rov\'!\'d !mdr;-r r!J;;> 5....0p'=' of'.\O[k
\altiined h"'f\"in ~hallll(' pi.'rf{mn<.>rl on a rim.:' and matc'rials basis Ilnl",,:,s oth,:nvlst' <10""",./ upon
CQNI1iA.CIHASE.PltICL
\/i~lbL~ 'r c\:\.[
$ IiOlle- inc!t\(bl
Duro La<:1 roofinQ S\'stc'UJ
S 15.8501HI
'LQTAL~G1U~K1!'pQ1LP.BlCL $15.850.1)0
Terms: ~u<),. Hr rim<:' mah'l.iai IS orcl;;rl.'d BahUlC'i' upon compii'tioll
L!/~2_~L~~~'~~.:----
\\iard L"'lkr
SdlapC'1 Roofing
I accept the ab(l\'e prke and terms. You are autboriu d to commence work.
Date:
.. . i Shrot'd . . .. . .
---~---------....~~ .-, ~'--"~-_.~"'_r_ ......_..J.,. "'~' __-J'....- _.._..... _ _......_ _......._ "______."'--_
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Signe d._ _...._...._... .__.... __._...____.___._..__.._________