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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----