HomeMy WebLinkAbout03-1773
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ 1773
(813) 780-0020 Date / _I ~ - 03
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P",p.rtYown.'?~" -S~
Job Address: ~.. '~y r...P
Parcel J. D. "
~ ~-d:..w A II~ .
Water Meter:
T,I.F.'s:
Zoning:
DescriDtion of Work
Energy Code:
Radon Gas:
FINAL
C.O.
03
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
f((){ 11ft
City license Registration #
State Certified license#
cJ.tB--
Permit Fe
')Signature
Company
Address
'0elephone#
Valuation or
Contract Price
t:P
S. IJ-{)IJ .
.
,~~7 "t'5fd
!>c~ ~f
BUILDING
ELECTRICAL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts sl.
Co
Fi I
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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.
~WNER'S NAME 7('u~ Ja.cob
JOB SITE ADDRESS ~ ~ I ~ (Y\~("_H C",\ C eV\+-e (""
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540
Phone:813-780-0020 FBXI813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
PHONE CONTACT
~~~
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION
PARCEL ID # ~S-o.S.d-I- 00'10 - 00000 - 00'00
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J ADDITION
[JALTERATION
[J REPAIR
[J INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK U\...U\D k~~ )tOO1-~ s ~~
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
o BUILDING
()u
$ S ,000.
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
[J ROOFING
[J SPECIALTY
..
o OTHER
TYPE OF CONSTRUCTION: D ~LOCK
o FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
[J NO
BUILDER
4 COMPAN~uL ~(~2'r'l2~% 1:.....
~~_ _ STATE CERT OR REGIST # CC-GO I
" ~ CITY PROCESSING # ;),3 ~
**********:*******************************************************
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
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS Ol." PERMIT AFFIDAVI,?:,
~. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be ~;ubject 1:0 "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed rest:rictlans.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBII,ITIES
If the owner has hired a contractor or contractors to underti~ke 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 indication that he is not properly licensed and is
not entitled to permitting privil~ges 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, 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 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 00 T NEEO TO RECORD AAO POST :I~~::~:,~;1~~
STATE OF FLORI~
COUNTY OF ~~
The foregoing instrument was acknowledged
Before meJhis Il/b." ~f~("(~ ' ;J.eO..3
by t.w(y~r r
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA ~
COUNTY OF c.O
The foregoing instlument wa~acknowledged
:;fore me this ~:;;y ~X;;;;~-' .2W~
(name of person acknowledged)
~ is personally known to me, or
of identification)
Dwho has produced
(type of identification)
and WhO~id not take an oath
Signa turf!.'" ne.a:u;msi~nIJl8a cknowl edgmen t
* *HIY vU1"""~
0:., ; Expires October 25, 2003
'1,,1\"
o who
Name typed, printed or stamped
Name typed, printed or stamped
,>4
.~
r'.
~
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/ :S(;tlAPE'R 'ROOfING~ INC.
1l2~ us Highway 98 South, Cad. City, FL 3352~
Ph. (352) ~7-8580 '" (813) 782..0920. fax; (352) 567-7073
STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #C8-C09817. CUId #CC...COO&l34
, Se.t'"\l~~~f~Hom.et'f1.'8~~I976
'1 Nam~ ./h, PI . v, (7..a c ~ 6 Date 0 I / CJ.) 10]
~'. Addr~ss 7<< I g~ (h.,.~. ?- J c:- ErV T'f" 1 tZ. Phone '1<< ~:.. /1. C 6'"
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If{ ;;)-i'ri,~ ~,"lI) rt, ? 7('1- 9 City/County ~p) C t:?
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We hereby propose to fumish IWUCrials and labol' necessary tor the completiOll of:
Duro Last roof"mg system
1. Barricade off work area as needed.
2. Remove looso debris from flat roof.
3. Remove existing tla.~1)in~ and ~. -:is ~"i:C<i~. ~\..~..-.... "'"
, (-. \. ...... It __ \ ""''''
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4. Check substrate dC'.c~'Qg for wa&cr Q?m~e. ~m;;'t O(~Jci~g will be done on a t~ ~
, '. ~ ~ ,'1 " \
material basis at the rate of $36.00 dollars pefauan-hoW' pl~ .~~ mark(lQ up a 25'''. 8.~:lO(S
fee.
S. Install fan fold insulation, mcchanically'attached per Dw-o Last svc-citication.
6. Install DW'O Lasl membrane for a lSwyear material and labor warranty.
7. loBtall new DW'o ~ ~, cuslOm cw'b aJld ~rs as required.
8. Install DW'o Last two-way vents as required.
9. Install Dmo Last t.-J A. ~"T "'<
1 3/4" fascia with cover as required.
1 O. Disconnect and reconnect NC uni~. Schaper R.oof~ will uot ~ rc;:spolUi.lblc for CXl:slUijI
conditions ofthc wiring. freon lines, ductwork, electrical or the units due to the age of the wUlS.
11. Install Duro Last drain sleeves with composite riQas.
t
Server QI My Documar.I&II waid ~ ~ Puro Lut.cb:
I
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SCHAPEtt li-{)()~JNG.. ~MMIT~~T 10 OUAI 1m
-All work shall be carefully supervised and completed by workmen skilled and knowledgeable in methods
needed to prO<1u.cc high quality WOl'k. .
-The job site shall be kept clean daily for the duration oflhc jot> and ~ grounds sball ~ left cle;:an of aUtonf
related debris after completion.
· The yard shall be swept with a magJlct.
· The contractor shall provide po.rmi~ workman compensalion. and ge;:ncralliability msur4DCC.
.carpentry, authorized change orders and work, which are DOl covered Wlder the scope ofwOI'k outlined here;:ul,
shall ~ perfo11J1ed on a time aod material basis unless otherwise agreed upon.
MANUFACT\lRE:,I& CONTRA,CTOR WARRANTY{~)
Upon completion of the work and paymem of all monica owed, ConLra4;tor shall issue:
I, A two (2) year wa.rraoty limited to leaks caused by any component install by the contractor.
.
2. DW'o Last@ shall issue a fifteen (15) warranty on workm~nship and materials.
..
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........*.
.....**...
Duro La.st@ RoofiDa System .
----
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TERMS: 50% Qowu, Balance upon comp!ti99- ~_ ;'-...7"1 e __ "I
1'- -.e ~ ~#' ~ /'Od {}I
Price valid for 30" ~ c...../ ,.-
Co~~~on costs if any, together with inler~t shall be added to the conuact pnce it- Pll~eDt4~"lt nc~I"l~~ll
or the comract afier 72-hout 8{8CC period shall incur a ~inal fee. . ,
".
vJPA{2 R.~~
Sc~r Roofing, Inc. resemative
Date OI/oJ/O.l
Signed __
terms; you ace awhorized to begiu. work.
Dale
1/3/03
I
Signclt
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111111111111111111111111111111111111111111 11111 1111111111111
2003008001 . .
Rcpl: 647006
DS: 0. 00
01/14/03
Rec: 6.00
IT: 0.00
Dpty Clerk
State of Florida
NOTICE OF COl\tIl\'IENCEMENT
County of -=?a.bcO
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. 35 -as-d,1-007lJ'OODOO -ODsD
--
2. General Description ofImprovement ~e L~ r
3. Owner Information: Name --t\ u~ ~o..c.Db \'.
Address3~Jn J1l~d.;cC\1 (L",-I..uAi:.ity 2~)'~h'l/ls State~' .~3s'-/b
Phone No. ('{ J 4 Fax No. rl //-to
R. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525
, 5. Surety: Bauer & Associates, 14427 7th Street, 15ade City, FL 33525
6. Lender: Name/Address:
r{ I f'r
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 (l)(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. Q(I)(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: f i III S 1 wC:C () h ])
~ It-\ v'P1J-'S l,.\. (.i.-~
ill: .J'~ I (). b hD.t7'S'- 1;;23. 0 Personally Known
Sworn to and subscribed before me t~W~day of ~OfiuAad
NotaryPublic:'" '. ~
(Type, Print, or Stamp Name of Notary)
20D3.
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..., '" ~;!?"rln(' Douglas-Allen
~'6' ..
*~,(.';' ._ ,': .. I., -'>I",mission CC874208
~....,
~~ " .,.' bplres October 25, 2003
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