HomeMy WebLinkAbout01-0530
BUILDING PERMITN~
0530
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
9- 10'- D /
.
C~ E!UlLOl~ EL~-'. P~-
::~::,~=~"'~~i ~~az"!
M~-- Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
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.
.sS
. ~/
Valuation or 1 ~ .
Contract Price ~-ql 'gO
City License Registration #
State Certified License#
ctl. ?.;t
AL
M
L
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
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 001100 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.
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111111111111 1111I11111 11111 11111 1111I1111111I11 111111111 IIII
2001125329
NOTICE OF COl\'ThIENCEl\tIENT
County of .-4J~ ~
State of Florida
Permit No.
Key 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. J1L~<L \ . Cb\'J- ()\~~. 0J \f\
2. .General Description of Improvement
3. Owner Information: Name~L.Otl\..:~Of\ ~, r:rru'OV\::JVl
Address. ,3~~ ltu ~ 1__ ity .1--l-tJ \~ State ~ \
Phone No. 6 \ J' fY 7. ~l 4 u~ Fax No.
F~ 4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525
5. Surety: Boyett Insurance, 14114-71h Street, Dade City, FL 33525
6. Lender: Name! Address: J-j I rt
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(l)(b), Florida Statutes.
8. In addition to himself, Owner designates Paul Schaper ConstructionIRoofing, 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 of Commencement (the expiration date is 1 year from the
date of recording unless a different date. is specified.)
(C) ~ }::. fY> .
SignatureofOwner:~ ~
Owner Printed ~ame: '-1"{\a r \ 0 (\ F. 6 {' Q s.o VGly\
L{ Q)ut/v.~.f -::IL- .
ID::~ \021 .~'--\ lo'cfr9'\~-o Personally Known
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Sworn to and subscribed before me this~day of .5E.pu= ""BE ~ 20~.
~ JED PITTMAN PASCO COUNTY CLERK
Notary Public: .-' 09/10/01 03:4!pm 1 of 1
(Type. Print, or Stamp Name of Notary) OR BK 471D PG 1950
)i,..,., Suzanne
* ~.S~~n
~ ~My Commission CCa
~..,,;..' Expires Oct ,,_ 74208
o.,.,r 25, 2003
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME \f\ ()J(~ If0 V\ Drq S~\\ 0 (l
JOB ADDRESS 6oCl-\ D If\tOAr &.J ~
.
PHONE ~ {3 '1'(; ~ -(~U~
L /~U~ l\=~
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # \~. 7 \,p '7 \-0)1 (yO) 9lJ-J 'U\), ~
BLOCK
SUBDIVISION
WORK PROPSED: []NEW CONSTRUCTION
[] SIGN
IOBTAIN FROM PROPERTY TAX NOTICEI
[]ADDITION
[]ALTERATION
[] REPAIR
[] INSTML
[] MOVE
o DEMOLI SH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
Off OF UNITS
o SWIMMING POOJJ
o MOBI LE HOME
o OTHER
DESCRIPTION OF WORK
o RESTAURANT (, IIEJ\I.TH DEPARTMENT APPROVAIJ
ZL S~
))~ AV\O\ t>-
D
SQUARE FOOTAGE
\re,. V ()D +
BUILDING SIZE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUI LDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALTJ NEW CONSTRUCTION.
o BUILDING
$
\) L\?tD
f
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELEC'fRICAL
[] PLUMBING
o MECHANICAL
AMP SERVICE
[] FLORIDA POWER
[] W.R.E.C.
$
VALUATION OF MEClIANCIM INSTALLATION
o GAS
o ROOFING
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN Fl.OOD ZONE AREJ\O YES
o NO
till!!!! II m III 111m lj1llljm iJ) m IJIII1UlmllJliili1i [Mil]
(;.A) I S) A0-
co PANY. r r~ f'C9D
STATE CERT OR REGIST~
CITY PROCESSING If 3....
!ill!:!!.'!III] 11rullUlj
BUILDER
SIGNATURE
G--~
...............****.****.***.*.********.*.*.*.**.**********....*..
ELECTRICIAN
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
SIGNATURE
..*.*************.***.******.**************************.***.******
PLUMBER
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
SIGNATURE
SIGNATURE
**********~******..******.********..*.....**.**.....******.*.**...
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
MECHANICAL
.*..*.....*........**************.*.*******.****.*.*****.*.****.*
OTHER
COMPANY
STATE CERT OR REGIST If
CITY PROCESSING If
SIGNATURE
*...**.*..****.**************************************************
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 responsibi.lity for
complianc'e with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIIJITIES
If tile owner has hired a contractor or contractors to undertake work, they may be required
t:o 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 what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 613-166-6611.
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 113, FIJO!UDA STATUTES, AS AMP.UDED)
I certify that I, the applicant, Ilave 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 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 otller governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I "wst 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 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 cllarge 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 RESUl.'r IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I F YOU INTE.ND TO OBTAIN FINANCING, CONSUL1
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,;0, IN VALUE D8 t'f NEED 'fa RECORIJ AND POS'f A,"N~TICE OF COMMJENCEMENT",
l~~ 2< A_~O Ovc-
SIGNATURE: OWNER OR AGENT S NATURE: CON CTOR
STATE OF FJAR]Dl\ {\ {J
COUNTY OF .k~
The foregoing instrument was acknowled~d
Before me this-Lo-~ay ofS,r-tP~~, ~l
by
(name of person acknowledged)
B(who is personally known to me, or
STATE OF FLORI DA yev c...o
COUNTY OF ~
The foregoing instrument was acknowledged
Before me this ~~y of c,~~, lib.L
by
(name of person acknowledged)
~iS personally known to me, or
o who has produced
Dwho
type of identification
not take an oath
and WhO~~4i~;
">. "
and who
acknowledgment
Signature
acknowledgement
,"""" Suzanne Douglas-Allen
#d~
Name type.w:ltI~sIiarI C1eu...ed
--''''' ".,~~ Expires October 25. 2003
Name
ty~'" ~<imd:~d ,or stamped
M ' otIgl8S-Allen
~ ~~ Y commiSSion CC874208
"...,.- Expires Octoba
r 25. 2003
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seHAPER ROOFING, 'Nt:!
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C it ~ C OlUlL)o:
Pafe",l "',
\V'" h~~r:;"by propos\: 10 hl1lH'.:h makrials ,md labor neC',;-sslli-:-' ii)r th;;' c('mplet1on ('1'
Shingle Reroof
For dw dmud.",d portions ofth.;- homC'. rt;'movt" old roofin~ mat.;-riaJ" 10 ch-:-'-m takHl~
pr;;>cautions to protect tht' blliidin~ (md the landscaplnQ. Groom the ckck and rr.'St~t i'xi.-.:tmg
tkckiliQ: nail",
R.."plac~' bad \-'.'ood Otl1L'1 dum h(T~'lIJ Hi.!.l;:('d f{)r at ,..iiL,.__._ ...,_ p::r man.hour plll~ maknah.
marked up B.'2,.(,-S;, contractor'" t~.",
3 Lnstallh. .J/.. -L.~..t:~_ ,';1'Vi:'S drip \-villI all <'dgi's sf.'alc>d with plastic cc'm"mt
I r--,"ht11 '. 1"1' ,.,/., \ ".f', (,'"f"\f I, ll) \ --J)ll'lh.L.1"yl"Ul(I.->"I"t'Tj"j"'"
.-': Llj:'-'.(J-"~T_.._._.~;;i,_...i_._._.It;'~"'CI\~-lul-.~..,)lLl.l~ .l..~"""""\~ j~l'.~ll1j~Jo;l ."'_"';."J ~U.L
" 1mlall dl\'r;,Ulr::,:,d lallty mtta! f(.Ir tht L:n~th ofaH va!!ey", "'all.:'Y" wili b:: do~,('d.
h, install nt'w L:ad boots (Hi,:'r '.','nl pip",;" and r':plac~' ml."tal v,?nt~, '.'.!th l'!t'\\
Chalk lirk'" shall bt;' 4mck It) a"SUI\' prop~r ~htrH.!Je ;;,xpo.,:ur:: Install;2 ...... '",'ar
.' "" (, ('la'," :\ ,..11"':""'11'11,". h'II'I.'.'tl"- l'."~i,,t,>nt I-Il",!'"I'l"'" .;l'I'I,.,',.L., :"1::',' 1
.4' . . . . ~...1 A '\"'.J ""'~i .. _ ... '.." ",;.~,_".t:Ut t to .......f "_,. ._1 t t..~""." l'
i;r.;-*;;:;~;;;:;(.;'t;I;;t"'I~;li I::: ~;hall h(> !llstall ,o.d'lkr ;nanU1Rt:'OU','r..; inst'ruct !On" '
,
/0., Shil12.1::''\!lanllfachl1';;'~ .---..L:.____L~_-__._--__,__, Color __~ ZL.~ k..' O-cl-l.
9. HliiTirillk Bajj t11;;, dC'ck 10 thl:'hlfLd'-; ()ption 10 Ill::-t't nUT;;'nt SBCCI(c(iM'. $,'f pricf ;<.,ction
10, In'itall /..<:./:., f;"c't ;)faluminum rid~<> VL'nt. S,,'c' pnClfll! ,,~'ctiort
/ t..
Written Modification
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------------------------------
seHAPt~ ~OOftNa, fNe
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('ONTRATOR WARRANTY
('(hiD completion of the work <ind payment of All monies owed. ContnH'tor shall issue a _.~=L._._
)'ear warranty for workmammp JirrtJted to !uk~ clU~ed by .in~ compon'e'nt install hythe
contrartor. Shingle manuLlcturer shall provide a _'2.._::':_ ,.tar limited warranty_
G e De rat (' onditiou
.-\11 work ~hall b;;- l.aft'nJlJ:, "'UPt'l"y\,.,.'rj and compL:kd by workJn?IJ ski! L:d and blO\v!:.:d~t'abl,' If!
tHt'thods ni.',:dr~d to p1'oduC2 high quality work The' Job -,ik shall h' kept ci(;~m dady' for the duratlOll
,)fth.. Job and tht' grourlfl,.; shall bt' L,tl d':UH ofaH roofrt'Jatt'd dt'bn., ait,:r 1.'ompldiOit nit' \ard
,;hall b:: S\v:::pt witb a maQjld \. OIl::"ClioIl Co-'Is ifmly, 10\o:t'lh,'1' \\1th inkr,>'-'l ,hall k. illicit.,! to th:;-
(ontract prico:'" lfpaynknt ddauJt oc(un \'am.'t-llation (.ftht' contract a.t1,'1' tlK" 72-holU' ~'ni.,' p,'rlQd
shall muu' a nominal t:;.,'. Pc-nnil ',vorhmUl compt'lli'ation. fOld gt"nt'rai !labilIty Ul~unUlCt' ,;hall lw
providt'd by tht' cOlltrat.'jor. \'arpi:lIIry uutflori?i:'d ChUllQ," (Irdt'rs Wid v\I'ork l,I,ihi,,:'Ji b lwt l'\)\.t'fl'd
lmd,'f !hc "CQP:'> '.!f',\ork oW!!!!c:'d !K'!\'!n. :"ha!! b: p:,rt(m!!~d (}!l a tl!n'~' nne! wakrwL b,!~.!"" u!!k:-.:~.
othc>nvis,-' a&!T:,<:,d upon
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Contract Ba..,.:> Prict"
VI:-:,iblt'T 8: :\l total
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. I acc,,-=pt th2 3bo\,-,,:: price and t2rlns: you <U'2 aHthori::~'2d to begin ~.~iork.
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