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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1309
(813) 780-0020
Date
~ - ;2.5'--0:0
C BU~9'N<:1
Property Owner:
Job Address:
Parcel I. D. "
~S'!J3JCAl ~.
~~ ~~~2
M~-.. Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energ
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 8'- - 02
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
per~!!.!-.:.ee. ~ ~ ~
~atll~~ ~
Company
Add.re.ss
~~~~0 Ob2. ct=)('o 7, B~
ELECTR
PLUMBIN ---'
MECHANICAL
--.,
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
Wl
Driveway
REINSPECTlON 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 DEPARTMENT 5335 8~h STREET ZEPHYRHILLS, FL 33540
Phone:813-780-0020 FaxI813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S
NAME ~0Jr'---\ 'vec\L€r-
ADDRESS tf),,':) l g 0 \~7 ,-S'T
PHONE CONTACT 78 Z -1iJ Co S
JOB SITE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ~ l.. ?l.o . L \
WORK PROPSED: []NEW CONSTRUCTION
l )0 ~ O. \ 2.3uu -017~BTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
[] REPAIR
[] INSTALL
o SIGN
[] MOVE,
[] DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
[]MULTI-FAMILY
[]# OF UNITS
[] MOBILE HOME
[]OTHER
o INDUSTRIAL
[] SWIMMING POOL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~)./\A-.J.J'-~ (-C. y.-~ ,(") () r=-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$ 3/CUDO
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
o FRAME
o STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES
[] NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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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
OTRBR v~ \ s=:tt ~~ "'4-- COMPl\NYV0.0\ SG~ ~~ 'l:/1r.
. .' STATE CERT OR REGIST # C f7 r-). f- \ -;s c..j
SIONATURE. - ~ Q Sl- - CITY PROCESS ING # J 'l .( , as i
*********************************************~*******************
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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
ma~ be more restrictive than City regulations. The ulldersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR HESPONSIBIIJI1'IES
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 (5) 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 thls 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, 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 D NOT NEED TO RECORD AND POST A "NOT2A'CE 0 COMMENCEMENT".
· 0 ~~_____
SIGNA : CONTRACTOR
of identification)
take an oath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
~~fore ~..)lf day of <1l1..~ , ~~'-
~_ }name of person acknowledged)
~I~S personally known to me, or
Dwho has produced
(type of identification)
~id not take an oath
Pa..3CO
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this day of c.1.L.\..)~ SI', Nii2C02..
by
-Po.5CO
(name of erson
~ is personally
o who has produced
(type
and whoO did Odid not
and who Odid
Signature of person takiua_~~~wledgement
,~,.~ Suzanne uoug
"jj*My Commission CC874208
* ~1
~. , Expllc:> October 25.2
Name typed, pri~~~~ or stamped
Signature of person taking acknowledgment
"'6' Suzanne Oouglas-AI/en
*il*My Comm;SII/nn CC87126e
Name typei:t",,:.r;~~o6eJ:2~~ped
111111111111 1111I111I1 11111 111111111I111I111111 111111111 1111
2002097639
State of Florida
NOTICE OF COMMENCEMENT
County of PQSCO
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. \\. L.~' (J -<0-.) \(y \ l ~(J0' 0 \ ,S
2. General Description of Improvement .7 A :. /1r7 {--i /4.17 t:Jo /":
3. Owner Infbrmation: Name \\\QU(Lj () ~ ~
Address 061 ~ S ~ ~ -t- City '(;. ~ \.. Inl II ) State ~ \
Phone No. '-7f;-z.. &O(oS Fax No.
R4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525
5. Surety: Boyett Insurance, 14114-7th Street, Dade City, FL 33525
Rcpt: 598763 Rec: 6.00
6. Lender: Name/Address: os: 0.00 IT: 0.00
06/25/02 _______ Dpty Clerk
7. Persons within the State of Florida designated by Owner upon whom notices or other
. documents may be served as provided by Section 713 .13( 1)(b), Florida Statutes.
8. In addition to himself, Owner designates Paul Schaper ConstructionIRoofing, Inc. of
11250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's
Notice as provided in Section 713.13(I)(a)(7), Florida Statutes_
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the
date of recording unless a different date is specified.)
Signature ofOwner:~~ ~. ,,-\) C! a LVLJ
Owner Printed Name: ~ (Y,(\X~ Q(' te. 'V
ID:X" IJ ..2G~ -;; ~G CO ~??O ~O Personally Known
Sworn to and subscribed before me this~day Of~l..L u f: 2002...
Notary Public: ~ . ~192~~~~"Ar0: Gr:;o fOUNT:, C1ERK
(Type, Print, or Stamp Name of Notary) OR BK 4987 PG 1053
#~ SUzanne Ooug/as-A/len
~.:My CommiSSion CCB7420B
f).,....".- ExPIres OctOber 25
, 2003
./
SCtlA PER
'ROOFING, INC
11250 S. Hwy. 98, Dade City, Florida 33525 Phone: 352-567-8580 Fax 352-567-7073
STATE CERTIFIED BUll.DING AND ROOFING CONfRACTOR # CC-CO~8134 CB-COS9817
Set'iI~ flori.da) ~ F~ tl~ & '8~ SiN\.ce.-19 76
"
.~ '
Chris and! or Mary.Decker
Date: _6/17/02
5318 5Th St.
~Ph.one: \ _782-8065
! .....J
Zephyrhills, .FL 33540
Cityl County: _City
Parcel #:
-...<., " .1
. 1 '\...
~" .-
L________
We hereby propose to fwnish materials and labor necessary for the completion of:
Shingle Reroof
1. For the sloped ponions of the home, remove 5 V crimped roofing only, taking precautioll:-.
prou:ct the building and the landscaping. Groom the deck and reset existing decking lUub
2. Install W' CDX Plywood over existing prelings. Repair rafter tails as required. Replace Il
missing 1 x 4 buy the chimney.
3. Install _white ____ eaves drip with all edges sealed with plastic cement.
4. lnstall__one ___ ____layer(s) of ASTM IS lb. Asphalt shingle underlayment.
5. Install galvanized valley metal for the length of all valleys. Valleys will be clolAA1.
6. Install new lead boots over vent pipes and replace metal vents with new.
7. Chalk lines shall be struck to assure proper sbiJ.}gle exposW'e. lnstall_30_ year La.lldtll~l
Class A self-sealing fungus resistant fiberglass shingles. Six 1 114" corrosion
resistant nails shall be installed per manwacturers instructions.
8. Shi]lgle Manufactures: _ Certainteed -_ Color ~f / -e <i ~",.; ~ /",1":7,/
C't> Hurricane nail the deck to the rafters to meet current SHC _ code. --'
10. lnstall__30. _ feet of alumimun ridge vent. See pricing section.
Written Modification
Chimney to be removed by owner. 3" vent pipe to be cut below roof line per owner no longl'
in use. Install aut.o caulk flashing for elec. Pole.
"
.,.'!;..f'':'-
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~ -,-'._- --.-.-"--.-- -- -'-~ ~-"---'.-._.- ------ -----.-~_.__.,---------.,.........-------'_.__._._----------_._-- - - - &...--
'ROOFING, INC
11250 S. Hwy 98, Dade City, Florida 33525 Phone: 352-567-R580 Fax 352-567-7073
STATE CER11FIED BUILDING AND ROOFlNG CONTRACTOR # CC-C058U4 CB-C059817
SEW'\l~F'UwcdaJ~F~t!~ &- '8~SiN\.cet 1976
1
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'. CONTRATOR\VARRANTY [
Urmn complf'tton ofthf' wor-k and payment of an mont~ owt"d. Contractor !'ihall tR~ue a _5_ I
year warranty for workman8hlp limited to leaks caused by any component Install by the
contrador. Shingle manufacturer shall provldf' a _30~ year limited warranty. I
I
Gent'ral Condition
All work ~hall he carefully supervi~ed and completed by workmen ~killed and knowledgeable in
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 yar~
shall be swept with a magnet. Collection costs if any, together With interest !lhMI he added to the.
contract price ifpayment default occur.;;. Cancellation of the contract after the 72-hour grace period
shall incur a nominal fce. Pennit, workman compensation, and general liability insurance shall be
provided by the contractor. Carpentry, authorized change orders and work, which is not covered
under the scope of work outlined herein, shall be perfonned on a time and materials basis unless
otherwise agreed upon.
seliA PER
J.
.......".-..
Contract Bac;e Price
Shingle reroof as de~cribe herein
$ 3,000.00
Agreed upon price, labor and material
$ 3,000.00
TERMS: _~oo.oo Down 5'0% at start up, balance when complete.
I~ ( ~ '1c?v'/' _( 'L-,I ,0:;' .
b(Jr)f01- ()JJW wfJA 0 ~~
Schaper Roofing by Ward Leiter
Price is good for thirty days.
I accept the above price and tenns; you are authori7.ed to begin work.
Signed:1b~~
_Signe~:
Date:JQ_=-LL-O~
<1
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