HomeMy WebLinkAbout01-0518
BUILDING PERMITN~
0518
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
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BUILDING ~.... P~" M~-
P,operty Owne' ~J~ _ ~ ~.4)?-"-1 <Y
Job Address: c3 ~~ _~ __ _. .
Parcell.D. #
Zoning:
Description of Work
Date q-5=-D I
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
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.
Valuation or
Contract Price
(p/ /j [J ()
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c.o.
~
Inspector
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.';lePh~ ;95c:_c~ ? . ~
ME.GHAI'IICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts In51.
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 ZEPHYRnILLS
BUILDING DEPARTMENT
DATI!: RECEIVED
PLANS REVIEW FEE
OWNER'S NAME CiY\()..J\A~ ~) \
JOB ADDRESS ~ B~ 0 ~ I.A.- "1(.
LEGAL DESCRIPTION: LOT(S)
(O~(JYC~
Z'\-\\\\~ f(
(
PHONE 9'\3 . {~Z. \9~3
BLOCK
PARCEL 10 If I ( - 1Cn ' C. \ . Q..r,)( D'I ~~ O~- DD L-'0
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATlON o REPAIR o IN5TA1,L
OSIGN o MOVE 0 DEMOIJISII
PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Olf OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
o RESTAURANT &. IIEJ\LTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Ouv-o. \ a...~"\ \l~ .bCl~
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 PIJANS &. (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR Al.IJ NEW CONSTRUCTION.
o BUILDING
$ ~ / qco
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o F'RAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
SIGNATURE
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ill II Ii!!,.,; i ili II 'II" 1111 'IlIj] Ii I' Iii I; i Iillhill Ii! i illi Iii i", Ilipll IiJijj.; HI'q.I'1 Ii" idJ"li:
lUllllili.JJ.i..l:k.! :t.,d.j~~ !i'':f-IA-1l. !.h,.i~ !Lgj I! 1. h .-,l!-!.! H4!.!-!!i. L!j i.l.n.:!:'.~ fiiEil.;;::'
coMPANyl?Ctu[ SChClfqv <<o~(~ tnf.
STATE CERT OR REGIST If ('(-enS S' ~I
CITY PROCESSING L 2?;L
BUILDER
***************************~*****~****~**********~**~*****~*******
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
******************************~**~*~~~**~~***~*~~~**~~**~*****~~*~
PLUMBER
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
SIGNATURE
MECHANICAL
***~*~***~*~****~**~~*~*~*******~*******~*'**************~***~****
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
SIGNATURE
**************~******'~***~~~*~*~*~***~~~*****~,~~*~*~~**~******~
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING If
**'*'********************~'***~~,~*~~*~~*~~~**~~*~**~****~****~~*
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH wllich
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 may be required
to be licensed in accordance with state and local regulations. If the contractor is Il0t
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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH 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 /\MENDED)
I certify that I, the applicant, have been provided witll a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, 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 conunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in tllis 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: 6Department 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 "AH 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 witll 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 eacll six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM.MENCEMENT MAY RESlJVr IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULi
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM.ENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMM.ENCEMENT".
(}c~JJJoC--
SIGNATURE: OWNER OR AGENT
~~c-
SIGN~rURE: CONTRACTOR
STATE OF FL.QRIDA
COUNTY OF ~C\ ~(' 1)
The foregoing instrument wa~ acknowledged
Before me this ~ day of ~ ' 1:'9..dco I
by
(name of person acknowledged)
ErWho is personally known to me, or
STATE OF FLORIDA ~
COUNTY OF . ')0... c..D
The foregoing i~strument was acknowledged
Before me this ~day of '-Wr ' ~.T-
by ~Odf
~ (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and whoD did . D. d.. iji1n~t take an oath.
~.~
Signature of person taking acknowledgement
Dwho has produced
(type of identification
an~, [}lid not take an oath
Signature of person taking acknowledgment
..,~~ Suzanne Douglas.Allen
*~*My Commlsslon CC87<4208
~"..".~~1l~4~.2PflHnted or stamped
Name typed, prin~~dSS'dnn~'t::iol1OQ~~len
'li" ~
* *My commission CC874208
'." ",' Expires october 25. 2003
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2001122!521
SCJ:lt: 526322 Rec: 6.00
s: 0. 00 IT : 0 . 00
NOTICE OF COLVTh'1ENCEl\tIENl 09/05/01 ________ Dpty Cler~
County of ~0~cr 0 lS)'-
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Key No.
State of Florida
Permit No.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
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. t(-d\ (p -~.I- t)t)/c)-/v'1J)I)-Ot}fgc)
2. .General Description of Irnprovement Y"e..- \"00 t
3. Owner Information: Name C ~a\l\l\L')e_v n.Q r O\.A.Mf A(~
Address '3RS~c ~"*\~~ City "2e?\~~((Vtllt~ State
Phone No. K t 3 - 7K-L - lei, '3 Fax No.
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':.~:\ ~,;. 4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL
!~,'
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33525
5. Surety: Boyett Insurance, l4114-71h Street, Dade City, FL 33525
6. Lender: Name/Address: (1/ f\
I
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. Ov..ner designates Paul Schaper Construction/Roofing, 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 ofComrnencement (the expiration date is 1 year from the
date of recording unless a 'ffer te is specified.)
,/'Ce ~
Signature of Owner: ~
Owner Printed Name: M ~j, {'F /Y).fJ Juf!PI e
ill: fI12.3/-.BB.3',,~sl.2// -0
Personally Known
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Sworn to and subscribed before me this --r day of
Notary Public: ~'iJ~L'1{
(Type, Print, or Stamp Name of Notary)
,~,.~ Suzanne Douglas-Allen
:~~ *Mv Commission CC874208
~.,;, Expires October 25.2003
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11250 S. HWY 98 Dade City, FL 33525 Phone 352-567-8580 Fax 352-567-7073
State Certified CB C059817 &CC C058134
Se.w~ F~'". F~ H~ ~ ~ ~ 1~~
Ann: Mr. CliffMc Duffie
Chamber of Commerce Date: _8/2 I/O 1
38550 5th Ave.
Phone: _782-1913
Zephyrhills, FL 33540
City/County _City
Parcel #
We hereby propose to furnish materials and labor necessary for the completion of:
Duro Last roormg system
1. Barricade off work area as needed.
2. Remove loose debris from flat roof
3. Remove existing flashings and boots as required.
4. Check substrate decking for water damage. Replacement of decking will be done on a time and material
basis at the rate of$36.00 dollars per man -hour plus materials marked up a 25% contractors fee.
5. Install fan fold insulation, mechanically attached per Duro Last specification.
6. Install Duro Last membrane for a IS-year material and labor warranty.
7. Install new Duro Last boots, custom curb and comers as required.
8. Install Duro Last two-way vents as required.
9. Install Duro Last r Q tV 1 3/4" fascia with cover as required.
10. Disconnect and reconnect Ale units. Schaper Roofing will not be responsible for existing conditions of
the wiring, freeon lines, ductwork, electrical or the units due to the age of the units.
Contractor warranty Upon completion of the work and payment of all monies owed. Contractor shall issue a
two (2) year warranty limited to leaks caused by any component install by the contractor. Duro Last shall issue
a fifteen (15) warranty on workmanship and materials.
General Conditions All work shall be carefully supervised and completed by workmen skilled and
knowledgeable in the methods needed to produce high quality work. The job site shall be kept clean daily for
the duration of the job and the grounds shall be left clean of all roof related 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 payment default occurs. Cancellation of the contract after the 72-hour grace period may incur a nominal fee.
The contractor shall provide permit, Workman compensation, and general liability inSuT3.nce. Carpentry,
authorized change orders and work, which are not covered under the scope of work outlined herein, shall be
performed on a time and materials basis unless otherwise agreed upon.
~~~R~f-N;.
11250 S. HWY 98 Dade City, FL 33525 Phone 352-567-8580 Fax 352-567-7073
State Certified CB C0598 I 7 &CC C058134
~~ F~t1- F~ H~ ~ ~ ~ 1176
Contract price
Duro Last Roofing system
$ 6,400.00
Terms: 50% upon material delivery, balance upon completion.
C~trM ~€-=-'
Ward Leiter Schaper Construction & Roofing
Signed ;:;. ~#~~
Date: ~-', J -<r ..&:;0 i
Signed: