HomeMy WebLinkAbout02-1375
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1375
~
IjQ,-
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(813) 780-0020
Date
7-.so -0:2-
ELE~Al
PLU~
M~AL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. "
Zoning:
OescriDtion of Work
~~/,; ~~""~ ~.
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
'(;l..
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
~~
.. Company
Address
~
O~
PLU
'---
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
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 DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME L CA \ \ ~ --r CA.~ Uo \ CA.
JOB SITE ADDRESS 3~ / 0 "-e ~? \ f' Q(y\ C:tr\ -T A \J e
PHONE CONTACT 1 ~ ~ ' -S~ ~ S
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION
PARCEL ID # '?JC:-'J' Z 5 . z.. \ 00~~' 00000 - o<?;:O 0
WORK PROPSED: ONEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
Os IGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
OMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAl.
DESCRIPTION OF WORK x:\ e '(D ~'
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
$3lQu -
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D 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
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
l'\
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTR.ICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*********************************************~*******************
~()()~
SIGNATURE ' n ~
COMPANY ~(J\Q~Y ~~O~'~
STATE CERT OR REGIST # _ (oS ' ~ \.... ~
CITY PROCESSING # 2 ~ l
OTHER
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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 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, 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 ~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 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 whic~
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 ~
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 withi
six months of issuance, or if work authorized by the permit is suspended or abandoned fc
period of six months after the time the work is commenced. One 90 day extension of tim.
may be allowed for the permit with fee charge of $15.00. The extension shall be reques1
in writing to the Building Official. An approved inspection must be logged during eacpi~
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, c~SULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS u~~~R
$2~ALU)i;;::;;ORO AND PO,,' A [i1CEA O=E~
SIG ATURE: OWNER OR AGENT SI A.TURE: CONTRACTOR
STATE OF FLORIDA()
COUNTY OF r~O
The foregoing instrument was acknowledged
Before me this ~ day of ;J"\;.I.U.f , ~Oz.
by
(name of person acknowledged)
'EJ who is personally known to me, or
STATE OF FLORIDA~
COUNTY OF a..::x:. 0
The foregoing instrument was acknowledged
Before me this ~day of Jc.u..y- , ~ ol-
by
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
did not
of identification)
take an oath.
Signature ofs~~~\~& acknowledgement
.......:...", 'ssion CC8742
'"'.*Mvcomm,
~ I f"pireB october 25. 2003
Name typ~6~printed or stamped
Signature of person taking acknowledgment
.'" '... Suzanne Oouglas-Allen
#n~
Name t_J=;~:\;~~~~;tamped
't..,'"
SCHAPE'R 'ROOFING, INC
11250 S. II\\')'. 98, Dade City, Florida 33525 Phone: 352-567-8580 Fax. 352-567-7073
STATE CERTIFIED BUlLDING AND ROOFING CONTRACTOR # CC-C058134 CB-COS9817
Serv~ Florida) c\-' f~ tlo-wuw &
B~S~1976
"~ Ie
"a~~G ~/lc./~ Date; '/ //1/02
,?>< ~o{; f?)'.J) #I>;-Jt ;4 ..,IP. Phone: ~f?~ - 573-.5
-
L -p,/7lY'/! ~ t') 1<. rL 3.-75"''10 City/County: /#5 cd
I F '/
Parcel #: C ~ \--~ - L \\
\
We hereby propose to fWllish ma\.crials and labor necessary for the completion of:
Shingle Reroof
1. For the shingled ponions of the home, remove old roofing materials to dry-in, t.a.k.in& precautions h,
protect the building and the landscaping. Groom the deck and reset existing decking nails.
2. Replace bad wood other than herein agreed for at ff-3<5, oc) per man-hour plus materials mark..
up a ?-' ~contractor's f~.
3. Install vJ ~ ,'7 "2 eaves drip with all edges sealed with plastic cement.
,-
4. Install (;? Ne; layer(s) of ASTM 15 lb. Asphalt shingle underlayment.
5. Install galvanized valley metal for the length of all valleys. Valleys will be clo~d.
6. Install new lead boots over vent pipes and replace metal vents with'new.
7. Chalk lines shall be struck to assW"c proper shingle exposW"e. ,
.-/. -
8. Install ,.] 0 year X I 30 /lj2 __ . C1rs a self-sealing fungus resistant fiberglass shUljles.
Manufactures: ( ../tI7/~ /~c1Color <( " (v'-'<...-t '- .,';1.) A.J I ''^ '7
9. Six 1 W' corrosion resista.nt nails shall be installed per manuiactW"ers in.structions.
OPTIONS
Hurricane nails the deck to the rafters to meet CWTent SBCCI code. (See price section.)
Install .cO teelof lAlt1, '~-c. aluminu.m ridge vent. (S" pricing s~tion.)
,:J~c- f( Ov l'/t ~ V..Q,-iJ
(S" pricing S\:ctiun)
..
.
- ,-~-'- ....-:_:._--.. --'--'--_ _ .__ __. __ _..L _ __ __ _. ___.__
. -- ~-,.'-- -_.__-__....iro...---.. -'-- ___ _ _ _ ____ __L _~__~__ -_--..._.__..L....~-_
SCtlA PER ROf.9fLNG~ LNC
,11250 S. Hwy. 98, Dade City, Florida 33525 Phone: 352-567-8580 Fax, 352-567-7073
STATE CERTIFIED BUlLDJNG AND ROOFING CONTRACTOR # CC..c058134 CB-C059817
Serv~ Florida) ~ f~ tlO11tLe1T t:r
B~S~1976
General Condition8
All work shall be carefully supelVised and completed by workmen skilled and knowledgeable in
methods needed to prod~ high quality work. The job site shall be "pt clean daily for lhe dwatioll I.';
the job and the grounds shall be left clean of all roof related debris after completion. The yard sball hI.
swept wilh a magnet. Collection costs if any, togeLher 'With interest shall be added to Lhe conl,r~t pri~...
if payment default occws. Cancellation of the contrclCt after the 72-oow grace JXriod shall mcw a
nominal fee. Permit, workman compensation, and general liability in8uran~ shall be provide4 by lhl;
contractor. Carpentry, authorized change orders and work, whicb is not covered under the scope of
work outlined herein, shall be pedormed on a time and materials basis unless otherwise asreed upon.
CONTRACTOR WARRANTY (8) .
Upon completion of the work and payment oC all monies owed, Contractor shall wile:
........-'
1. A S year warranty for workmanship limited to leau ca~ by .uay
-
component install by the contractor.
2. Shingle manufacturer .shall provide a 3 0 year limited warranty.
Contract Pricing
.
Visible T & M Allowance
Shingle reroof as..describe herein
Modificati6'ns
-----
/C'{!c .P" r? ... 9
t--V'~~.
TOTAL, on price, labor and material
TERMS:!!t "-0'>
(? J~ vJlur. {-- ~~~
,
s,J1 )-0, ~
.J
Pric..: is ~uod lul'lhirty (30) days
vJ/,rO .~4---.
Schaper Roofing Repre::ilimlativ~
~..i....;,. 101"
Price is good for thiny days.
I acc,~pt the above price and terms; you are authorized to begin work.
I Signed: ' Date:
js;gI;~'i/~~<,ft~ .
-(vJO(Pl7{f{ (/llj~1 HI'~-t}); O~cJl ./
"
--.-....
'-- - -::.--'-------- - -- -, --. ----'---------------------..-..-_..--.~.....,-----~-.....
11111111111111111111111111I111111111111111111111111I11111111
2002116613
Rcpt.: 606673
OS: 0.00
07/30/02
Rec: 6.00
IT : 0 . 00
Dpty Clerk
NOTICE OF COl\'L'\1ENCEMENT
State of Florida
County of
? q ~c. 0
Permit No.
Key No.
THE UNDERSIGNED hereby gives notice that improvement will be made to cenain
real propeny, and in accordance. with, Chapter 713, Florida State Statutes, the following
information is provided in this Notiee of Commencement: '
1. Description ofPropeny: Parcel No. 35-ZS '2. \- oCJ5~ - C'lO00t> - 0800
/? A I'? /'t e; ;::: , J0E7D/3P0/IT0T2MAl~ ..lP4AaSmCO lCOUNToYf Cl1ERK
2. General Description of Improvement !J:::. --- ,........ / ICJ
OR 81< 5020 PG 1581
3, Owner Information: Name (, 0.. \ \ C\ T 0..G\. \J D \ a....
Address3~\O~ ?le(\,MO'\-\- City 'C-e~'v\~\f "'dt~
Phone No. rYs~' '5 C\ 3.SFax No. .
R4. Con;"actor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL
State F \
33525
,/
5, Surety: Boyett Insurance, l4114-7Ut Street, Dade City, FL 33525
6. Lender: Name! Address:
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 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 of Commencement (the expiration date is 1 year from the
date of recording unless a different date is specified.)
Signature of Owner: ~ ~~.c"~,./
Owner Printed Name: J..~I /4 -';"avo/~
ill: /J.(,/</~ I'-Y-~c)? 15.~/)I'7- Personally Known
Sworn to and subscribed before me this '30 day of_:rLr...L<f 200~
Notary Public: ~
STATE OR:lIl;<i)B.Il1Jknt, or Stamp Name of Notary)
COUNTY OF PASCO
,..'.... Suza
THIS IS TO CERTIFY THAT THE FOREGOING IS A # ,0"10 nne OougIaI-AI/en
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE ~W~My CommiSSion CC874208
OR OF PUBLIC RECORD IN THIS OFFICE, WITNESS MY ........;." EXPires October 25,2003
HAND FFICIAL SEAL THIS~ DAY OF \
2 a:J:2.
E OF CIRCUIT COURT
/~ /'" / DEPUTY CLERK