HomeMy WebLinkAbout02-1669
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ 1669
(813) 780-0020 Date / /_ c1~- tJ ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
<f) 17 ,J /J ,')
Property Owner: ,VuniJ(.X.f,f 41'4 (':!Jf4.-lr
Job Address: <39.1 if/) 5-f-t, 111/( .
Parcell.D. ,
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
Ke-~
Radon Gas:
FINAL
C.O.
_ .;27- 0 f2
DATE
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.
Inspector
DATE
'-(TO
City License Registration #
State Certified License#
c2 ,'if" d-
Permit Fee
y$ignature
Company
Address
)delephone#
Valuation or
Contract Price
3/ I (PC)" tyO
SL77~~S-gd
Sc fN." J/)~IV ~
BUILDING ELECTRICAL
PLUMBING
/
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp, Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
Fina
SLB
Tub Set
Water
Sewer
Fina
Breakers
Ducts sl,
Co
Final
AL
Driveway
REINSPECT ION 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,
OWNER'S
~
N:RE~~ 1i/t1
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540
Phone!813-780-0020 FaxI813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
PHONE CONTACT
JOB SITE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
I.J--d-.&-;). 1- 00'10 -OIJJ-Ot1 - OOC)...1)
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION'
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
[] COMMERC IAL
[]MULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o INbuSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
a<l J:- >I O),~"--'toi
SQUARE FOO AGE
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
'l' ~
$ 3 I lIP 0, '
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
I.H1fuOFING
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
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
*********************************************~*******************
OTRB;f)~ ~~ COMPAN~Q<J SrhfOi::2D"J:'~];;", ,
. STATE CERT OR REGIST ~- GO cf' 3~
SIGNATURE t;;:tL .it ~""- CITY PROCESSING # .::/,?~ '/)
*****************************************************************
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 RESPONSIBIIJITIES
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 cOhtractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 613-766-6611.
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 conunencement. .
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the inforlnation 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 conunenced 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 th~tI 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 conunenced 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 conunenced. 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 COMMENCEM
SIGSi2~E~
STATE OF ~~t~:r. f'l .. ,H L ] fl
COUNTY OF ~~._a~~~~
The foregoing instrument was acknowledged
Before ~ this 11 'P< day of ~"""lw. ~
by ~aNa..ld (;. Q u.)(1I__-
~(name of person acknowle ged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w~s acknowledged oO~
Before me this ~day of 0'1 , :t9- ~
by
(name of person acknowledged)
rtho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid . d not take an oath
Clwho has produced
/" (type
and WhO~~did 0
Signature of person taking acknowledgement
Name typ~d, Print~~~~~d
My Commission IOlcoires June 23, 2008
Signature Of#~ ~ a. ac~~ffirowledgment
* *My commission C;I
'" r .r Expires October 25, 2003
,.,,,,,,'
Name typed, printed or stamped
State of Florida
NOTICE OF COMMENCEMENT
County of VQ.a.t-tT
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. Id -,J,I", - ~ 1- OOlfO - OOd--'lJIJ - OtJ::20
2. General Description ofImprovement 0.-1u~ /Ll-A..OlJ
3, Ownerlnformation: Name ~J'Ldd r\)(1<1'''''Jr' I
Address 39.jt./$-- st^ A-K.- City ~lA State -=;.j 33Sl.fO
Phone No. Fax No.
4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525
5, Surety: Bauer & Associates, 14427 7th Street, Dade City, FL 33525
6, Lender: Name/Address:
vi /,4-
,
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 7l3.l3(1)(b), Florida Statutes.
8. In addition to himself, Owner designates Paul Schaper ConstructioniRoofing, Inc. of
11250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's
Notice as provided in Section 713, 13 (l)(a)(7), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the
date of recording unless a different date is specified.)
Signature of Owner:
Owner Printed Name:
ill:
~.
rv cNUWA hlU)
20 0 2..
Personally Known
tlt.
Sworn to and SUbs~or~
Notary Public: .d..
(Type, Print, or Stamp Name of Notary)
PAUL V. GARRETT
Notary Public, Maine
My Commission Expires June 23, 2006
S~"TV~"T G 'Iv DO<:lIm~'11ts Gener,,1 DO<:lIm~'11ts. S<:h"p"r Fonns Admin; L.:g,,1 FonnS/ :>iOTICE OF CO\r:VIE:>iCE:l.IE:>iT
~.... f I_
~ . ' -.....~. t) .
"c:;-.. .
"J f.\-;
I" ," ./ .'
SCHAPER ROOFING, INC.
11250 S. Hwy. 98, Dade City, FL 33525
PH: (352) 567-8580 & (813) 782..Q920 Fax: (352) 567-707~
STAlE CElnND ....LDtNG AND lOOIING CONllAC101 .c"(;Q6"11..~C.C06Il~
Servi"9 Florida'$ Finest ~. & 8uainesses sin" 1976
N...... fflt I !JOvl6./J QUI Q ! el- \)olo /. () - 0 9- O"J-.
.. MJ<...393~; '11/' 4= "= "-.
?A 1-_lu_Ls , _ ~,~ 7--f{I(lj =~~'.'
Pauccl #
-I" i'.
"
"'"', "
'We haeby propo.;c to fWDi.lih QW~"'~ IDd 1Mbor JlQCQ''l1l)' far ~ \~'WplaWD of:
SMiuII.~.
1. For t.be ~i'lgJed ~ oft.bc ~ rewovCl oki r~ ~ t.Q diy-Au. ~ ~lt"I~ t.Q pI~ 1M
buildiT\j and the l_>>c~ Gloom &be dcc.k _ {~ ~JQ~Vlj ~JciT\i WIiJ,s.
2. ~pu.ce bMd wood otba' 1.blul _em ~* fur III ). G per uwm-hour pAui ...~lll ~ \Ii .
? 0 roDU:~'I~.
3. lmWllt) t. 17 e.. "f 11.4 ~ o&va. drip wiIb all odtIca acakxl WI&l1 ~ C('~ . I .
4. m....u ;? _ .)'01(0) of ASTM IS 11>, J\IpIloI& ........'" _-.... ;) ,,( ( /.!:J d i~, ~
. . C' "'" <:-/!'t ,.
S. l1l>>~ galvaWzocl nUey JDDI8l for \be lcu&1h of all v~a. V.&k=ya will bel cloMOd. - .
6. :l.w;LMll QCW lAd ~ ov"' Veal pipcI a&I'i ~.~ VClDII wu.tl DCW.
" .
7. Chalk hDcs shall be ~ to UIUI'C proper ~. 0IpQiUR.
8. lnsW1 2 P yew ~. ~ .f4 C1ua & 1Cl(....li~ f~ (C..yI~J 1ib<<__ ....i.. "
M...III....wrcr: C el f~ll-= ~'., ." C<lkIr:;) (v(L e / G I'
9. Six 1 II." ooao~ rOiw~~t ..w abMU bc'.'-Il~ pel' nuuu~r.n~. ,
,
OLlliu~
HUlnCMoDC UM&!li tbc,c.icc.k to &be rat\cI(>> t.o ~ cua~ SBCCl <:oQc..
1w.wa.U 6 0 t~ uf ..........,..... IMIt60 \'~. I.
11- fI ,f ;:::-, "" . J (I 4' L( '~.1 ~(" I~ r:.,.
..r ~ f ~ / ( -( 0 v (? f. c, "^ .. '/ 1::.. ... -i---" ....:lc:;; --.:_ 7 \,.... ~
: . / F \
..
~::.T:>~.:_~i
j" /~ .:;.. :..:
~ -
(~-~.- -~-='.) f---/
W. -__~."''-'('_A_Vl..V~ ,.
'" " .... , l'~" ......-......~ ........../.... '. ~
/ .~ ~.'.. ./ . '----... -
,,/"... -- r- -
=.~ ,r~~ ~....~', ;,1~ ,~~~-,-- --'--.-------------------.-,-,-
I.,
.S" Pl.icini SV'.lij/Q,
__~_~:'..:--r.x:.. :::r-.-::..::'C _~.=.;;':':::: _-:'-.:~
-----------------------
----------------------
-------------
. ~:];!
" .t:7~,
~C_'lr'
~aDer Roofinlla Commitment to Oualitv
-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 grolDlds shall be left clean of all roof related
debris after completion.
· The yard shall be swept with a magnet.
-The contractor:thall provide permit, wodanan ~ation, and gencralliability ~urancc.
-Carpentry, authorized change orders and worlc, which are not covered under the scope of work outlined herein, shall be
performed on a time and material basis unless otherwise agreed upon.
QV(g)~
'..
l\J.Al"-lJF ACTIJRER & CONTR-\CTOR \VARRANTY (S)
Upon completion of the work and payment of all monies owed, Contractor shall issue:
1. A / 0 year warranty for workmanship limited to leaks caused by any component install by the contractor.
2, Shingle manufacturer shall provide a "3 0 year limited warranty.
J
I
I Visible T & M Al10wance *'
I Shingle Rert1 '"' descTibed herein
I 'l~.r.~ . , Y::- f.., {J / ~
: :V ~anoqs :!/'- ~ ~ '-- - : __
I y" . ,
; / " -;7 .-~ ( ..-i--
! ~/ '- l.../ Ie..' :'
I
*"*************C OtItr,d PriciD!Z**********"****
Is
.;-
/..)
i
IS
I
I CONTR,\CT TOTAL:
17 .,; I ~'"7 -, ~.
of 'A j ! -1.-;1/ .., , / ,-i-- ! ~ ~... ,~...,/ ...f/-i.. '-" ..... fi.
/ /;vA '(,..1 / (/! ,J r:?r .J c.! .';..~ '..j/ ,) :'.;J /t...- '-00 / . ~...-- .:. )
, Price valid for thirtv (30\ dav" ' j! !
C ollectiOg, costs ihm.:J" together with interest shall b~ added to the contract price if pa~ ment default occur:;. Canc~llaticn
of the contract lUte! t.J;le 72-hour grace period shall incur a nominal fee.
,I '. . ·
~! (~ -~
;i / '
iV '-....
\
Scbaper Roofing, Inc. R~resenrative
I accept the above price and terms: you are authori.zed to begin work.
/e I
,
.)1 (
I ''1 W '-'0 d..
, .
5
.--::'
h
/;
//,~. CJ
:-::-----
"
~
.- c;
, "
I.~ V' ci
L...
t/.,;.../
/ '-/f '_.
T ota1 agn."t.-d upon price, labor and material
" I/' J-
TER..\-IS I....... ,Co /" i c.; '" ( I ,,(..--
.j
!--e,
..-r) f/' --,......\
I .' "_'":/',' '~.'.( ~...,,-~ .-
. I J ___
.-- /
___.;'P'"
Date
f' ,'~ ~ f r-)-,
'(II --.., I _' () /
I \.J ' / \, '--'.r---
::SIgned
/1
./.. -~-
C.,.....
T :-L'-.
~ ~ :.-.~--
Uate
(O~3(-'
(.-)
'-"
--
,
~
Signed
pc
,,{ ;' I
/L.(ct ~
/ /
j/ .i/',c,_!
~I
(. I
,. / [1
I
(,,1..... cD C--
I /
:^ I /"., ..
" I).;"; Ci '.. ". (~;
( .~ // - '----
1
<.~ J (j ./ ~
,.... i
/ /.. I
· _ C/l .C / c i--"'-
/
,
'vi
J
.->
;
/",-J.-
''-i... -" i
'~".
I.";' ,
i /" "
I~
/~ -t-
, ~..r /'
~
I .' -"
C/
J
-~ y----