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Home My WebLink About02-1454 " BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1454 (813) 780-0020 Date 9 - It -p 3 '. BUILDING ELECTRICAL MECHANICAL PLUMBING Property Owner: Job Address: Parcell.D. , III e ~~ 1!00d Cae!:. . htJY')I /7~ sr. Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Descriotion of Work En~: Pe- r Radon Gas: NO OCCUPANCY BEFORE C.O. ?-2~- 0 tL DATE FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE ,fLY fljo , Permit Fee ~, pC ,Asignature CCLA._'-~J.~ Company Address ~elephone# ('::(07 '<i5\5R-D Valuation or Contract Price 03?3' ~ City license Registration # State Certified license# 5cAAfJlf ~~ BUILDING ELECTRICAL Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pol Pool Pre- Final SLB Tub Set Water Sewe Fi I 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 PhoneI813-780-0020 FaxI813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME M\ r c\ u t\06~ \...-=l JL JOB SITE ADDRESS ' ~O~\ ~ rl~ S-\- PHONE CONTACT I X 7. -c) l (J '-I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 0- WORK PROPSED: DNEW CONSTRUCTION ~. .....G '60 (OBTAIN FROM PROPERTY TAX NOTICE) DADDITION DALTERATION ~AIR D INSTALL D SIGN D MOVE, o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INbUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL KLy OO-Q 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 D BUILDING $ \6~ - J VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. [] PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS o ROOFING D 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 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 OTHER !)'~ \::)0 (\ ~~ SIGNATURE . (0---- ~ ***************************************************************** COMPANYS-~~ ~V)~ STATE CERT OR R GIST # CC - oS ( 3l\ CITY PROCESSING # ~ ***************************************************************** .:f .- SONDITIONS OF PERMIT ^FFIDAVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject ;:0 "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for: compliance with any applicable deed rest:l:ictions. B. UNLICENSED CONTRACTORS AND CONTRACTOH 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 contrac'tor 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 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 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 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'~AND POST A c:F COMH~~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this-----1k...day of :'5=.01 , ~Q2 by /,(name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this ~day of .:so;;; p. , tlD"L by (name of person acknowledged) Ckno is personally known to me, or -PQ5C () Pa""cc o who has produced (type and whoD did Ddid no Dwho has produced _-__ (type of identification) and who Dd~not take an oath Signature of person taking acknowledgment ,""... Suzanne Douglas-Allen " ,"1- CommisSion CC87420B Name typed, p' "" _rM1)dDll&t1p~ of identification) ta oath. Signature of person Name typed, ,/ SCHAPER ROOFING, INC 11250 S Hwy 9R, Dllde City. rloridll :0525 Phone: 152-567-11.'iRO Fax 352-~ (,7-7073 STAn: CERTIFIED B{ IILDING AND ROOFING CONTRACTOR # CC-C058134 CB-C'059817 Sen;~FLorida)yF~f(~ q. B~~Sih1.Ce/1976 PJz" / ;{ '(' , ~/h It~ ~ ,pr'fJ' (; Ot;lj I") ns::r; :7~~~~.p./z..~_ll.~_p__ ,~]. ~~ .' I)a .(>: i/6/o~ 1<62 -('") )Ot,iL I)holl(>: ('ily/ Coun'~: t!?#.~ C (L____ Parcell! : _. -. ------- --------- ---.. --~ ..----'~------- -- -- - --'-- .__ ____. '__u.___ _____........_._____ _ ._. _________....__ We hereby propose to furnish materials and'labor necessary for the completion of: BUR REPLACEMENT I. for the flat roof portions of the home, remove old roofing mater'ials to dry-in, taking precautions to ptotect the huilding and the landscaping, Groom the deck and reset existing deckin!! nails. 2 ReplaL:~ had \vond other than herein agreed for at ~<5t:;~ p~r man-hour plus materials markc(l.ul1 a ~5~" contractor's tee, ], Installllbcrglass base sheet utilizing proper fasteners and fastening pattern anu install outer edge strip in of modified hitumen as t(lundation fc)r edge metal. 4, Install yc/ hi 't"4.. permanent finish edge metaL 5, Install modified hwmen roof system, 6, If applicahle, install new lead hoots over vent pipes and reseaL 7, If applicahle, install new all purpose roof vents and reseal. Contractor warrant\ -r-"'" Upon compktion of tIle work and payment of all moines l)wed. Cunlractor shall isslIe a -!:J ' year \Varrant~' tl.lr workma.nship limited to leaks caused by a.ny CUlllpt ment install by tht: contractor. The modified hitumen manufacturer shall provide a ,L'V. year warrant~', \\'r~ifica(jon :;C/f-'\1<-rJI }:c.-'u ~ee;J :v' {..-~~e> r-~ ,'N ,$,. A : Ny J"(.. 0/( ~..... I~~ .s~J.~j /-"l 77.~~ /lq,'.,5.'vry, ""~.rc.l..J~~ _b~j,_~_It_!.___~~~_L!'f ~~: I.AJ/t~ \5c:~~~~_,g~,/f:,r:'~_____ ~d~ -1'."''-';-1',.'''.,.... ....="......,.,.,......- --- .-... ---- --. - ~ ~-- -- -_._'.~ ~-- ..,-- -- .-.. '--- -."-- - -- -- --- ...- - - ------ --- --- - / i ./' SCJtA PER / /'/' /' 'ROOFING, INC 11250 S I1wy, 98, Oade (,ity, f10rida ,'1525 Phone: 352-567-R'i8Cl fax 352-'Vi7-7071 STATE CERTIFIED BlTILDING A~~D ROOFING CONTRACTOR # CC-C058134 CB-C059817 Serv~Flori.daJ.YF~t"H~ q 13~S~1976 General Condition All \vork shall be carefully supervised and completcd by workmen skilled and knowledgeable in methods needed to produl.:e high quality work. The job site shall b~ kept clean daily for the duration of the job and the grounll.<; shall he left clean of all roof relatcd debris aikr completion, The yard shall be swept with a magnet. Collection costs if any, together with inter;~st shall be added to the contract price if payment default occurs. Cancellation of the contract a~tl~r the 72-hour grace period shall incur a nominal fee. Permit, workman compensation, and generalliability insurance shall be provided hy the contractor. Carpentry, authorized change orders and WC'lk, which is not covered under the scope of work outlined herein, shall be performed on a time and materials ba<;is unless otherwise agreed upon. I Contract Base Price-----. --1 I -n ,/ I I Visible T & M total $ 2,..,Sv I I ModiUe_4 Jcrooffls describe herein 1 $lQ~~-~-- tV pr'1 -U. ~/~ 4-e~-'od T I Agreed llpon pric~, lahol' and material S .J~gi"'::--___ I d'./ ~~ ~~'I I TERMS -2,~L~LJ=d7,LJ---.__~~",..,d,.~~,..C~#__ I II. Good -'or thirty days, r accept the a lV r w~~~~~ rized to begin wOlk ale: --iZ~.?:::---- ___ 1; ., --- --- _. - -.--- - ------------