HomeMy WebLinkAbout02-1659
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1659
Date Il- 19 - CJ ~
.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. ,
Zoning:
Descriotion of Work
Water Conn:
Water Meter:
T.I.F.'s:
Energy~
'Qe.. - .
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
1-27-tJ~
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration #
State Certified License#
Permit F
>Signature
Company
Address
x1' elephone#
DATE
f/.;)O
Valuation or
Contract Price
3 J / ~o. 9-0
02g~
..J?t, 7- ~~ t1
Sc~rw-~
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
Wl
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
Breakers
Ducts Insl.
Compresso
Final
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,
1/1111111111 1111I111111111111111/111I11/111111111I1111I1111I
2002180183
Rcpl: 634134
OS: 0.00
11/19/02
Rec: 6.00
IT: 0.00
Dpty Clerk
State of Florida
NOTICE OF COMMENCEMENT
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County of r-(~O"""
Permit No.
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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. J rJ. -,). (; -r~ / - 00'10 - 0 OJ-V/) - [)tJSO
2. General Description ofImprovement 7.e.. - 'LOCi
3, Owner Information: Nam.e f'...cel^o/I JL'#'8/~_<:'
Address 3'7 33lP 51:.#../h..L City ~h'J1~; /I.s
Phone No. Fax No,
State 7..L 33s"'-/1J
ifili*~
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. . Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525
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5. Surety: Bauer & Associates, 14427 7th Street, Dade City, FL 33525
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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 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(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~pecified.)
. ..
Signature of Owner:c//
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ill: roC" 7 -!../.! -f Clt7 Personallv Known V
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Sworn to and subscribed before me thisKday of /VOJerr-k-J \".:r
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Notary Public:1W~y\ ~b~ .,..,
(Type, Print, or Stamp Name of Notary) .. _ ":;'.J:,.' '.:
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Owner Printed Name:
ROBIN L GUNDERSEN
J!OTARY PUBLIC. MAINE
.., COMMISSION EXPIRES
APRI. 1,2001
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S.:rwr {J. \.Iv Do.:um.:ntso G~n~>ral D()cum~"l1ts. Schap<:r Fonns . \dm;ft-,J;.:gat.r:~"fI11l'::"''io."FfCE OF C01\I1\IENCE\IENT
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. / SCHAPER ROOFING,..INC. . I
\ l~.so S. Hwy. 98, Dade City, fL 33525
PH: (352) 567-8580 & (813) 782-0920 Fax: (352) 567~70"~
STATE CIil1JHID IUI&QMtG AltO lOOfIHG CONTJACTotr .ca-COi,.17 and .cC.CGM)~
Servif'9 P~i~i Finest ~ & ~iNlllIClIlIinc:c~976. .......-
Name 1/1 r (o(rol ffLJJ/1It S .... OllIe It) ~O 'l-Q,)-."
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1, For the dti9~ ~ ofdac ~,IQDOIVC oW~ P*~. &0 dIy-ii;I. "'pRIC-It'..-1O ~..
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5. lwt&aJl jlUvuW;cd vMlJcy maaU,- t.bc ~,9.f~ y~~. Val,k,ys will be ~ ., ......;,)
6, lD.sWl DeW lCMd boots OVeI' VCiQI ~ aDd. ~.~ VCDIi wu.h QCW.
7. Chalk ~ ibMJl be SUlU IO.UiWC plop<< .... ~WR. ,
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Schaoer Roofinl!. Commitment to Qualitv
-All work shall be carefully supervised and completed by workmen skilled 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 yard shall be swept with a magnet.
- The contractor shall provide permit, workman compensation, and general liability insurance.
-Carpentry, authorized change orders and work, which are not covered under the scope of work outlined herein., shall be
performed on a time and material basis unless otherwise agreed upon.
J\lANUFACTl7RER & CONTRACTOR 'VARRAl~TY (S)
Upon completion of the work and payment of all monies owed. Contractor shall issue:
1. A,I 0 year warranty for workmanship limited to leaks caused by any component install by the comracto!'.
2. Shingle manufacturer shall provide a ~ 0 year limited warranty,
VisIble T & M Allowance ~
***** **********C ontract Pricin!l*******"'******
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Shingle Reroof as described herein
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Total agreed upon price, labor and material
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-' - CONTR..\.CT TOTAL:
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Price valid for thirty (30) days.
C ollectio~co~ts if any, together with interest shall be added to the contract price if paymenr default occurs, C ancelhtion
of the CO~tr3Tt 1er the 72-hour grace period shall incur a nominal. fee,
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Schaper RoofiD.g, Inc. Representative
! accept tI:I.e above, price and terms: you are authorized to begin work.
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OWNER'S
NAME (2Q ro 1/ /J,), '} ; n..5
ADDRESS 3 9 3 3 tLJ CA: A~U-f
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRRILLS, FL 33540
PhoneI813-780-0020 FaxI813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
JOB SITE
PHONE CONTACT
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # / d- - d- (p - cJ.
if!) - OO~OIJ - 0030
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
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
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
dt./~ C7
shlA(~'U. --'to i-
SQUARE FOOTAG
BUILDING SIZE
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
$
(I"
3,f 10 I)
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R,E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
ffiOOFING
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
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
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
SIGNATURE
*********************************************~*******************
COMPANY~
STATE CERT OR REGIST
CITY PROCESSING #
*****************************************************************
M~~,.~0Mt18 .J WP""
3V!M4 ,JU9,\Q "'p1::;~
a3~3 1401?2!MMOJ lM
IOOS . f JIH'lA
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 ind'cation 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, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies rnay 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
$2.500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCF"'E"]'
~ a"d~ .JJdt0U~
SIG .' OW. NT SIGNATURE: pNTRAC R'" f/
STATE OF n.... m I r !11fA.;" -e... STATE OF FLORIDA H
COUNTY OF 0;<. ot'd COUNTY OF ~o-
The foregoing ins ument wasA~cknowledged The foregoing instrument was acknowledged
Before this ay of /VOIl. , ..JtJJ.1!IJ1- Before me this ~day of"'::>o" , l.G>O.z..
by e. rt"" / / , 1):; ir;Sby
~ (name of person acknowledged) ~ (name of person acknowledged)
~who is personally known to me, or Lhho is personally known to me, or
o who has produced
(type of identification)
. di~di~n oath.
Signature of person taking acknowledgement
~hlY\ ~7(\dfrS~(\
Name typed, printed O,.di~t;~1EN
NOTARY PUBLIC. MAINE
MY COMMI88ION DPIREI
APRL '.IGOI
Owho has produced
(type of identification)
n t take an oath
Signature of p rson tak~~~~ffcknowledgment
,.-' . Suzanne Doug S
l' ~MY commission CC814208
Name typedl~. i~~~a or stamped