HomeMy WebLinkAbout02-1138
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N_
1138
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(813) 780-0020
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ro BUILDING
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Sewer Conn
Water Conn:
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2i Property Owner:
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:::::.~ Job Address:
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::It Parcell.D. #
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'.0 Zoning:
Descriotion of Work
Water Meter:
T.I.F.'s:
Energy Code:
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Radon Gas:
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DATE
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(,.11
e NO OCCUPANCY BEFORE C.O.
~ Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee ~
Signature ",0 ~
Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
P~7CnfiJ
1# RJi'2
BUILt5'iNG
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
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS,
PhoneI813-780-0020 FaxI813-780-0021
DATE RECEIVED
-
PLANS REVIEW FEE
APPLICATION ~~#:-
FL 33540 1(38
OWNER'S NAME ~ e.. <;
JOB SITE ADDRESS 3 ~ ~\ ~ l.\
L\~GV
~ C9%-e Av
PHONE CONTACT {~ ~ . '5 '& '-\ (.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 0 Z -
~ 0 Q\ C;()~ Oc:f:-~ S. (OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION o ALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o INDUSTRIAL o SWIMMING POOL o OTHER
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~(\~ W-OD+
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 PLANs & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$2-Q\ol-
(
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
..
o OTHER
TYPE OF CONSTRUCTION: 0 ~LOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER ~W0 \ Sc ~~ y
SIGNATURE. ~
*********************************************~*******************
'-
COMPANY
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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 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 what
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 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 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 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 State of Florida prior to permit
issuance.
A pe~t 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
%:N ~EED TO RECORD AND POST A ?ICE OF COMM;;;~.
~ATURE: OWNER OR AGENT SI~~ ~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa~cknowledged
Before me this ~day of ,. l , i96'2.-
by
~ (name of person acknowledged)
Chho is personally known to me, or
PA~<..O
STATE OF FLORID~c.O
COUNTY OF
The foregoing instrument was acknowledged
Before me this~ day of Aoc:>rt\ , aG02.-
by
(name of person acknowledged)
[}Who is personally known to or
Signature of person
o who has
o who has produced
(type
and whoO did Odid n \
(type of identification)
id not take an oath
Name typed, printed or stamped
pe-s.:8.' Sudaie1goUOl~1 edgment
*. *My Commission CC874208
..."..~,/ Expires October 25.2003
Name typed, printed or stamped
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1~00~ 06l18~ FROM:MARY CROOK 8137883342 T8ii~k5677073 P:4/4
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BILL OF SALE, ABSOLUTE.~
This Instrument was Prepared By
All Real Estate Title S~ices, Inc.
4032 Land-Q-Lakes Blyd. .'
Land-a-Lakes, Florida,34639
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! ' I)'" ALL MEN BY THESE PRESENTS:
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.. ',,,, CIIARLES F. DAVIS and VIRGINIA LOU DAVIS, HUSBAND AND WWE;whose address is 311
"'1' .LER AVENUE. SWANTON, OH 43~S8, parties of the first part, for and in cortsideration of the sum ofTen
I ...I~:1n~ {~tO.OO)j lawful mOf\l:!Y of the United StutC!;. to be paid by .JAMRS S. KIKPF.:lt nnd RIIONDA KfF.IJF.:R.
,,~ ':;nAND AND WIFE, whose post office address 38434 & 38439 NEW CASE. AVli,.ZEI'HYRI-IILLS,
. 1 "R.IDA 33540, i'arties of the seoond part, the receipt whereof is hereby acknowledg'ed, have granted, bargained,
, '. transferred and delivered, artd by tbese presents do grant, bargain, selt, transfer and deliver unto the parties of
1"'~ec()l1d patt, their heirs, successors and assigns, the following good and cbattels'~t)eIkett'1!rt,,,fM3,lt.~&'38439
1'. ~'V CASE AVE, ZEPHYRIULLS. FLORIDA 33540:
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'" "(lv/! alld to Hold the same unto the said parties of the second part, their heirs, successors and assigns forever,
. they do for themselves and their heirs, successors and assigns, covenant to and with the parties of the second
their heirs, successors and assigns, that they are the lawful owners of the said goods and chattels; that they are
from all encumbrances; that they have good right to sell the same aforesaid, and that they will warrant and
'Id the sale of the said property. goods and chattels hereby made, unto the said parties of the second part, their
. c;uccessors and assigns, against the lawful claims and demands of all persons whomsoever,
. 'i('Wi," wf,e,.eo/' the parties of the first part have hereunto set their hands and seals this 29th day of March,
'd, sealed and delivered in the presence of us:
::t!~~f\ ;,.~
.,''is #1 Signature
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"5S '# 1 Printed Name
r'0a~ -iJ ;Q"ulJ
CHARLES F. DAVIS
311 MILLER AVENUE, SWANTON, OH 43558
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'''~s #2 Signature
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""ss #2 Printed Name
IE OF FLORIDA
. 'NTY OF PASCO
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OU DAVIS
AVENUE, SWANTON, OH 43558
SEAL
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The foregoing instrument was acknowledged before me this 2tbh day of March, 2002, b
. "Swho [ ] are personally known to me or [ ] produc d
'1 fication,
as
Printed Notary Signature
My Commission Expires:
.T~OF
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.Y:
The foregoing instrument was acknowledged before me this
, T TlA VIS who [ ] ate personally known
..._~~""-"" I .....-J !....f': as identification.
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_ day of March, 2002, by IRGINIA
to me or [ produced
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Printed Notary Signature
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State of Florida
NOTICE OF COi'f1l'l.IL.'fCL"'\iIENr
Countyoff~.~co
Pe:mitNo.
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THE UMlERSIGNED a~y giyes notice that iJ:%?;provement Will be ~~ to ~
tea! property.. and in accOtdaiice with. Chapter~~. EIorida.State Srnnn-es,. the following
information is provided tn thiS Notice ofCommenccment:, .'...., _
. no<: '.. . . ..J.. . '. .
L Oesqipti~ofProperty:~:IrcerNo.OZ" L~"l...l- Cu?o~.o6\ao:-~~.' . ~ . .
2. '~era! oescrip'tfon ~f~~C:nr /L<:. ~ ~ .', .'..-" ~
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3. OwuerIiIfO~";"N= ~ tlU~-n~V
Address "?:>~~ ~~ CM-t' A"l City 2..( '? h. ~r' hI Scate-EJ .
Phone No.' - _~ LFa.'"(; No. ; '.
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4. Contr:1Ctor: Paul Schape:-,. I 1250 US Highway 98 South. Dade City, FI. ~3525
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5. Surety:' Eoyeit fnsur::uice,. 14-t 14-~ S~~ Dade Citi, 'FL 33525
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6. Le=der: Name!A~s:
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7.. Persons within !:he Scare of Florida designated by Owner- upon wb.om notices o~ oche:-
documents may be se:'Vee. as provided. by Section it3.13(t)(b),. F}orida Sc.:nures.
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8. rn additipn to himself: Ownc= desig!iares, Paul Schaper- Con.stt-~tioolR2~JiIlg. Inc. of
ll250 us Highway 9S SQuth. DadeCi~, ,R 33515 co rec~ive a copy of!:he Le:noL'~
Notice as provided. in Section 711.G(1)(a)(7). Florida ScarUteS. .';
9, E.'Q.ir:1rion cf:lre of Notice ofCon:mience:nenr (the e.""ir':iliOtl daie is r Ve"-t' from !:he
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d= 0 f =arding unless" dm~~t ~ ~ "j'cciiie:i.)
Sig=ureofOwacr: )(' ~. ~J} ~ .~
Owner Printed. Niune:x "SO-,l'^t.-') Su.rr \(; ~if
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ID;~\ioo -~s'l -"~-4~J..-O .' P~onallYKrIown
Swat::! to and subscribed.bdo~ m~~i;is~ day -of- Arb r;'\ 10 01.:-
Nocarv Public: ~
(Type: Prim. o.-S=p Nam<:o~o;;Jjt1 __
'- ~ ~uzanne "
;~; *Mv Commission CC814208. .
'lo. I Expires october 25, 2003
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SCHAPE~ ROOflN~, INC
11250 S, Hwy, 98. Dade City, Florida 33525 Phone: 352-567.6580 Fa: 352-561-7073
STATE CERIIFlED BUILDrnG AND ROOFING ~R 1# CC-C058134 CB-CO!til817
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4- $i ~ '! f, of $ 'i Id :'> i"' &di~<<;(~~~c~ :?....r
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Parcol #:.;~, .
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We h<<eby,propose to fUallish materius and .... ~0N8ary f-.~ ~Jeti
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t 1 t$OS,.,.._~ City. Florida 33S2S. Phone: 352-561.8580 Fax 352-S67 -7073
STATE c!:R'ItFtED;8'OlttJIN'G AND ROOP'lNG CO}.ITRACTOR N CC-~l34 CB-~17
~f~'. f~ HMN4 ~ ~ ~ 1"'~
ult_.~i'''..l'''d ~==t~~~: m'::IR:'~~ Contractor sbaD issue a ~
,tttw.rrallCf'r.f.!iNtiIIMIIIp ....e. to leak, eaused by- aD, component baltaD by tbe
(nttlctttr~'~''''''__er d.aII provide a ;2...< year limited warranty.
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BtTR REPLACEMINT
It "'P&-.fI_toorporticme of. horne. remove oldroofiD8 materi~s iO'ar;:in. taking
Pre~.to proteCt the buildins and the 19I1dscapin3- GrC?Qm 1fie deck and reset existing
" decking 081 .. ,j; ... _ . ,
1~2.Repl_b..":~l>1i'. than hemn asreed for.at'~--' pl"r man-hour plus materials
.;.~ed8p "'"-.,: . < ~8fee. " ,.' . ..
1........!.....'......~........1JMi1l.. '.'. ... .:~ .'......... ......... .. ...... she:=n. .... g .FoPer f8etenen and filstening pattern and install outer
~;~~~4....j~ed hi ...., as fotDldation for e. metal. '
14. iii. '1tIII.. ..,;iI.;I~:.,l~; pe~f1ni8h edge metal.
lS.II61t..... ....... ,"'..bitbll..u't1of.,~:.....
16. Ifappti~,liItIIla@iw lead boots over'vent pipeR snd reseal.
17. IfappljClbl~/~j new all purpose roofveOtiand reseal
c~~ifii{' "'-"'"
~.~Ofthe work and payment of all moines owed. C~llCtor shall issue a_
~lNiI6W1t)'. for ~hip limited to leaks caused by any componffit Install by the
~. 'l1fI m6dified bitmnen manufSlCttJlw shall """""de a year Vv'""-nhl.
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......... ... ....... GtDera' Condltloll
All wotittiltlbe owdJlly lUpervised and completed by worlantm skilled and knowledgeable in
method8neededtOProduce high quality work. The job site shall be kept clean daily for the duration
of the job aIIdtbt~. ,. 'shall be left clean of all roof related debris after completion. The yard
~hall be 8We'pt Collection costs ifany, toseth<< with intl"re~t shaJl be added to the
contract pri~ it . d~t oCOUh.Cancellation of tile ~ontrsct after the 72-bour graCl" period
shallineurali i~ world... compensation. and general liability insurance shall be
p~ by the c .. . ... arpentty~ ~d cb~ orders and work. which is not coVFt"ed
tI.1'tdi'ftlii:19Cope ofWtift( htnoin. sball be perfonned on a time and materials basis unlen
otherwiSe &greed upon,.
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SC~A,pet~oofl~4,INC 'f;;.i~
11250 s, Hwy. 9lS, D.d~ City.Fl~.33$2' PhQne; 3f%.S67.jSao'fIX3S2.So7.'0U;,i~~
STATE CER'l'1F1ED BUl;LDING AND aOOl"ING CONT.RACTOR~ C~l34 CB-~;'f~j'
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Visible T ~ M t.oW
Shingle reroof as describe herein
HwTicane nail ~ wood deck
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Ridge vent option
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Agreed upon price, labor and materiaJ
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