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HomeMy WebLinkAbout01-0518 BUILDING PERMITN~ 0518 /" CITY OF ZEPHYRHILLS (813) 788-6611 Permit 5S' 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 () r:19.;2.... c.o. ~ Inspector ~) .';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 ~ ~- i I! !,! lHH! H! '!jif PHl! lIP!.'!j I jii 11J:l Hj'[Jfi f11 H n HliHII'I-j llHli PI ilH~n Ii I (1 iHltj nIl! 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 ".......' ;... ~c .... X' 1111111111I1 WII 11/111111I 11I1I 11'1' 1/11I 11111111111111111I 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)'- ::u ~{!J CD m"'tl ~ .......... (S)-.oj ~-~ ,,~~ .... .. -..... lS)"'tl --:J) VU) 30 o "'tl -0 C') 0 i .... 0 -.oj OJ ~-< (Sl-p ~!;l ~ 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. ~. ':,: "i ':.~:\ ~,;. 4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL !~,' \=( 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 "'--1: (f) ::.r c:-; ;~. -J~) ~ -:;-.' --. .~..! '-~. 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 ~"f\' ;" :--~~~ ~ N ~ - \,'~ ....~~ &t:d- I 10C. f. ' {"" { ~ ~ f:t R~, IN;. 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: