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Home My WebLink About02-1681 BUILDING PERMIT , NO Permit - CITY OF ZEPHYRHILlS (813) 780-0020 1681 Date -11- ~ '7- ot5/.. BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. D. " ~~3fd Water Conn: ~ oA' kw sT. Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy ~ '-Q ~ -- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 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# jg;;.. Permit Fe XSignature Company Address '-...J1'elephone# DATE o Valuation or I n I 3 . e-o Contract price~ Qp7"r;~i) ~S~~ BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Mete Final PLUMBING SLB Tub Set Water Sewer Final. Breakers Ducts Insl Compr. Fi 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. OWNER'S NAME C..\ Q.LA.Ol.t<. C. JOB SITE ADDRESS S'-l oS ~J-...Gl/ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 Phone:B13-7BO-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE S--J-e.ct'e r Sk.ct PHONE CONTACT '7 ~-g . 30,9...3 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 1.;l'~<O-aJ- OD31>- OOIoOD _ Oavo (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [g.-R-E P A I R [J INSTALL OSIGN o MOVE, [J DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY [J# OF UNITS [J MOBILE HOME o COMMERCIAL [J INbUSTRIAL [J SWIMMING POOL [J OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE ~()' ^Y~- SQUARE FOOTAGE DESCRIPTION OF WORK 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 [J BUILDING $ \ . D'I3.~O VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS fuOOFING D SPECIALTY .. D OTHER TYPE OF CONSTRUCTION: D ~LOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO " ~:.' ", .,-:', 'Y:Fj,,:::;;! .' ~i_~':" ;', '~:~I!A .1 COMPAN;-?C~\ .s~.r'l2o<rf;~.~, ~ STATE CERT OR REGIST << c.c.''''OSI1/3</ SIGNATURE LL ~ CITY PROCESSING # d)-~ c;.. ....~.......................................................... BUILDER ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** '-':ONVJ.'1'10N8 OF.' PERMIT AFfIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restriction~" whi~h 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 rnisdemeanor 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 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 this 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 *Dep~~tment 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 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 $2,500 IN VALUE DO NO NEED TO RECORD AND POST A ~NOTICE OF COMMENC ENT". STATE OF FLQ..RIDA COUNTY OF P~c.c. The foregoing instrument was acknowledged Before me this ~ day of 000 , 1.9lO2- by (name of person acknowledged) ruwho is personally known to me, or STATE OF FLORIDA () COUNTY OF r~C.o The foregoing instrument was acknowledged Before me this .;):5 day of ~Ol,,). , 4Q:)'Z- by (name of person acknowledged) Ctho is personally known to me, or of identification) take an oath. ~ Owho has produced (type of identification) and ~id not take an oath o who has produced {type Odid not per~~~MQD~ledgement *.:MY Commilllilm gQ~1t\~@~ ~'''' oil EXDlr.. Otl!.eI!Sf llEi, iOOa Name typed, print~d or stamped Name typed, printed or stamped \~~ S(!H,4PE~ ~OOf'Na, INC 11250 S. Hwy. 98. Dade City. Florida 33525 Phone: 352-567-8580 Fax 352-567-7073 STATE CERTIFIED Bun.DnfG AND ROOFING CONTRACTOR;; CC-C058134 CB-C05~17 ' ~W~ F~'4 F~ HiNN4 ~ ~ ~ 1~ -.LlJ /L. 6 . 7 ~ t' k~/7 Date: I ~/ y / C::>2 __.5.:::4 C?~- '2 J 1lq1,) 1'; ~ Cityl COUDlY ;-P,Sc- <;:J .-:?-r--L>-1,lA ~ '/(j _ c-/_ ,33f'r<;) Phou: 7 g-'$'" -.37'97' '" ./ Parcel *\ '. ,"-./;;. ~ a k,,g,j : (J!!..},~' 00 I{f!IJ _:2,;1. Vl). ... \',~\\\\\()S' ' ""<~'''~~ \.,,:_\~'~~'-. Supply labor, materials, lUld luperv~j~~.Deed~'ttt~ \"'"\''' '\"" - ....... 4 ((}./Lo <' J-;:; 4 L(vt-- l' I ~ 2-' ';"'-' ~~.~ /(' '-' j/>7 '" k 't 5~., 7'1.<. ~ / ~/...r~ /(. fJ /? p ~ ~tJ/ ~--</ -r:/r-<fTd2jl ~J~ (J ;:::-~r?~ /~ "]bJ5 T~.... .I~,< ~) (~/~ ?-T(?h >~_ r , ~ l-'~~ Y . R ~ _<7_n t'~~ .co(7'~ .LJo ~."( '..rvJ -t,v/ /(~-4d r~ -$J4 r=c:,A~...'C'I: ..... 1 IJ..J- ' ../ JY-60.-k~ J:;;.t T)'~V2 ~vha/-rA._"J ~11 ~. ( , I ~ ; _ . / t""'-'-?r ~ ~ -1 0 St.:? 6. 00 /---4 ~ </-~~lr.JI ') <<;,,"4 ,. -'. -. .~- -. /"h I"~ f( ....-'LJo (') V'1/ . /h /J -e "1 ' ~. . . , "\ . . . -~ -',~~r,_.. "~-T'-':'~'r';'-';Ii;'~;."~"'''''~:ti,::'-,~,._,.... ., ~--',--'~-- ---~~ -- ----------.-- ~ - ~._-- --.-'--------'--.-.----,----,- -'- ---'-- -.....-~.- ---- --.; ------_ ~_-4- _.___. SCHAPE~ ~OOflNa, INC 11250 S. Hwy. 98, Dade City, Florida 33525 Phone: 352-567-8580 Fax 352-567-7073 STATE CER1'IF1ED BUlLDllfG AND ROOFING CONI'RACTOR # CC-CO~l34 CB-CO!9817 ~F~'4F~HMN4 ~~~1~ GENERAL CONDITIONS: All work shall be carefully supervised and completed by workmen skilled and knowledgeable in methods Deeded to produce high quality work. The job site shall be kept clom daily for dkt dw-atiOD of the job and the grounds shall be le.ft clean ofalJ roofrelated debris aftt'J" completion. Tho yard ~J be swept with a magnet Collection costs if any, toged:u~r with interest shall be added to tbe colltract pric~ ij' payment default occurs. Permit, Workman Compensation, and General Liability insw-ance shall be provicJ-d by the Contractor. Carpentry, authorized chqe orders and work which is not covered under the Scope ofworit outJin~d herein shall be p~rfol1lled on a time and materials basis wl.lesB oth~JWise a&reed upon. I CONTRACT BASE PRICE: $ L 67 1. .- J .----. $, o? 7, ; c sc~of~~~ -- Schaper Roofing I I accept die above price and terms. You are audlori&ed to commeDce wor.L I Dale: I j~/r';li~d_~;J ~ ./ V / \ S!&Dcd - ,-;, ,\, ~ n' ,.,~ i.: '<....... "\'" . ~ ,,,..,.-- 6; ;..{ L' "'"'"'\" c~ . '- . . . I.:.: ... \\ ','. ,;.....~f ",'- '("~ t 4 r. '''''.,.\ ; < ,..I L,\ ~. \".' "',,"--,,\, -- .~ ..-: --"~i:':',L' ".~ _. ~ ,." . -;.... ." '. ._,,"~: ,.,' ) . ,.1 ';.;.. I:. \\ '..(.' \ ,U"~J 'J'4 cu. UN'All_ : ti.,j..!", '-'; Ij~q". ';''-..,;''1':; J~.:~' ),jJv.,., ;,<-;;~_ ~<:6U Ll:I~ '{~J-;C:"'.~"":'O~) '( .".' " ..' ,'- _!".~.. ['"" t\' ) .-, 'it l '. /', .'.......'11...',,;,....... .. '\,;; , ~ 'Ii;- .,' C a..;.. i..;t \.) \J C \ tJ, ~.1 i~' i \.t .~ rl~"...-.,._.'!:.,. "