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HomeMy WebLinkAbout02-1103 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N_ (813) 780-0020 1103 Date 3-0:;15"- o~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcell.D. " Water Conn: tlt' Water Meter: T,I.F.'s: Zoning: Description of Work f(2 ~~: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ~R :+- Permit Fee ~ ;><Signatur~ '/-0<>- Company Address ..><:telephone# (If):). ~ '7 - fil'5f!f) Valuation or Contract Price 1~7'3:<' ~5c~ BUILDING ELECTRICAL PLUMBING MECHANICAL 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 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 Phone:S13-7S0-0020 FaxIS13-7S0-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME QrA \j \ t'-\QJrcJn i SO~ rt\.1 \leA Ne A\('oJ JOB SITE ADDRESS "36o~L\ t-\e'ciAcoJ CrLnh A~~ PHONE CONTACT I ~~ -5)3 \ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # '?:J5~ L CSr' WORK PROPSED: DNEW CONSTRUCTION 0- DOCOo- Ou 0 (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION D REPAIR D INSTALL Os IGN o MOVE. o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INbUSTRIAL o SWIMMING POOL o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK llio \Q~",\ ~r(D( C~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & II) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ \\ ) 'l- ~L VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS ~FING D SPECIALTY .. VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 !3LOCK o FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *********************************************~******************* OTHHR ~il0\~10~D ~ SIGNATURE U COMPANY~\ s'C ~~ ~\)~V1d STATE CERT OR REGIST # C(.(-D[~\ 3'-\ CITY PROCESSING # 2...C?: L ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 613-766-6611. 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 ~ity of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA 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 th1s 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 co~nenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zon~ng 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 drain~ge 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 charge 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 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT CE OF COMMENCEM , ~()J/' .uRE' OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this ?.r- day of ~ , ~2co2 by 7A~'-() STATE OF FLORIDA--=? I""\.~c.. 6 COUNTY OF \-rvC The foregoing instrument was acknowledged Before me this ~day of mcu....<..J.... , <1>!J.-~ by ~ (name of person acknowledged) ~ho is personally known to me, or (name of person acknowledged) who is personally known to me, or o who has produced (type and whoD did Ddid not oWlel~~~~~~ u of person taking acknowledgment # My commission CC8 '1208 * * , oct ber.~ Suzan~ Douglas-Allen ". '/ Expires 0 .. ""9 It. I\,y Oemn"~IUlI C.C.t1{4<!\I;8 """ ,P'-~xP"l..Qfctol5er fs~20~3 ed or stamped Dwho has produced (type of identification) [Uid not take an oath Name typed, printed or stamped .... "J 1111I11111111111I11111111111111I1111111111111111111111111111 2002046027 State of Florida NOTICE OF COi\'ThIENCEl\-IENT County of PO\.~C 0 Permit No. Key No. THE {;~"DERSIGNED 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 N~. ~'S- LCS~ 2.l- 00 ~O. ()()()(~)-lX::i~ 2. ,General Description of Improvement 1L..e. '( 00-\ 3. State l= \ CSl o::a (,J (It n ....... " 'U ~CSl:' .......(gUt CSlCSl..... N UI ..... (,J Q) R 4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525 5. Surety: Boyea Insur.mce, 14114-i1h Street. Dade City, FL 33525 ::a ....11\ -fn 6. Lender: 0i'ame/Address: CSlm o. . " CSl CSl -< CSl CSl o - 1lI , ... , . I. Persons within the State of Florida designated by Owner upon whom notices or oth~r documents may be served as provided by Section 713.13( 1 )(b), Florida Statutes. s. In addition to himself. Owner designates Paul Schaper ConsIrJ.ctiorl/Rooting, Inc. or 11250 C'S Highwav 98 South. Dade CiI'v, FL 33525 to receive a CODY of the Leinor's - ~ 4 .. ~ Notice as provided in Section 713.13(1)(a)(7), Florida Statutes. 9, Expiration date of~otice ofCommenc . d.J.te of recording unless J. dif"~' rent d e nt (the expiration date is 1 ye:rr from the specified. ) Signature of O\vner: JED PITTMAN~ PASCO COUNTY CLERK 03/2!5/0~ 1'" : 57 am 1 of 1 OR BK 4897 PG 635 Owner Primed 0i'ame: ill: 1'1I1{:lo,,(fI- r/-tJrp-O Personally Known Sworn to and subscribed before me this 2~ day of r1 u.rc.J"l 20 01:- " ,....~ Suzanne Douglas-Allen Notary PublIC: "M) Sefllfllissi91l C('''7A?n" (Type. Prim. or Stamp N:une ' mrre~ October 25. 2003 ~'f'" JOcha;pev CQ-YWt"vuct""LO-Y\I& '8-~ IV\,( 11250 S. HWY 98 Dade City, FL 33525 Phone 352-567-8580 Fax 352-567-7073 State Certified CB C059817 &CC C058134 Sevv~Florida)}rf~Tl~& B~e.) SiH\,cet 1976 Attn: Darlene South Florida Medical Group Date: _10/10/01 38034 Medical Center Ave. Phone: 788-5531 F 783-7178 - . Zephyrhills, FL 33540 City/County _city Parcel # 38030 and/or 38034 Medical Center Ave. We hereby propose to furnish materials and labor necessary for the completion of: Duro Last roofing 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 j II.. I ,.11 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 15-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 _White 1 3/4" fascia with cover as required. Contractor warranty: Upon completion of the work and payment of all monies owed. Contractor shall I d two (2) year warranty limited to leaks caused by any component install by the contractor. Duro Last Shall, I": 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 woQc. The job site shall be kept clean dall: the duration of the job and the grounds shall be left clean of all roof related debris after completion. Th~ " shall be swept with a magnet. Collection costs if any together with interest shall be added to the contrall I .,' ifpayment default occurs. Cancellation of the contract after the 72-hour grace period may incur a nOmlJ,.li The contractor shall provide permit, Workman compensation, and general liability insurance. Carpemr) authorized change orders and work, which are not covered under the scope of work outlined herein, shaJ I I performed on a time and materials basis unless othelWise agreed upon. ,- v ,;!,' ,I I~".j lr~. ... 1 'Ii y ,/ _/ ~I,...~. -, '\ ..,r f ~ O)cha;peY' Co-Y~tl~uct"LOr\I & ~~ I yu 11250 S. HWY 98 Dade City, FL 33525 Phone 352-567-8580 Fax 352-567-7073 State Certified CB C059817 &CC C058134 SeyviNujy FLorida) ~ F~ tlO"J1lL(W & 13~c ) S~1976 Contract price ' \ Both Done Together $ 11,732.00 Terms: 50% material delivery, balance upon completion. ~p~ ~r~ Ward Leiter S~r Construction & Roofing Signed: ~ Date: :J/s..,47- Signed: .. t> ~ . , ~ " 1...... _ " I r j.