HomeMy WebLinkAbout03-1864
BUILDING PERMIT
. NO
Permit -
CITY OF ZEPHYRHILLS
(813) 780-0020
1864
Date d - :2'(- 0 5
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. /I
tv((~
315S/'7
, j.)~
i~ five
Water Meter:
T.I.F.'s:
Zoning:
DescriDtion of Work
j) Energy Code:
'.-uJ OLd (
'K~
Radon Gas:
S'f <; .
I
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
/1;)0
City license Registration #
State Certified license#
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
c). ,tIP; era
(
5l.t17/ tsg()
f.,.J 5('hrL-Y~
BUILDING
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
FitTsl
SLB
Tub Set
Water
Se
F al
Breakers
Ducts Insl. /
/
Compres,,'r
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.
OWNER'S NAME LQ{\(l~u.~",
JOB SITE ADDRESS ~#Sl( Su,.~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREBT ZBPHYRHILLS, FL 33540
Phone:813-780-0020 Faxt813-780-0021
DATE RBCEIVED
PLANS REVIBW FEB
PHONE CONTACT
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # \ \-J\
WORK PROPSED: [JNEW CONSTRUCTION
. OI~D
(OBTAIN FROM PROPERTY TAX NOTICE)
[JADDITION
[JALTERATION
[J REPAIR
[J INSTALL
Os IGN
o MOVE,
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
OMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
[J INbUSTRIAL
o SWIMMING POOL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Vu.t'Q~~+~Ol)~~ ~~~
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.
5 I 8f.p(p .00
PERMITS REQUESTED
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
..
[J OTHER
TYPE OF CONSTRUCTION: [J ~LOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES
[J NO
BUILDBR ~ COMPAN~ .s.~ OO~~e'
% STATE CERT OR REGIST # <:J- c...o 5&"1
SIGNATURE ~ ________ CITY PROCESSING # ~~~
*****************************************************************
: .lfr~., ;'i '-;.~ ;
BLECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**.........*.*********.***.*************************.***.*********
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**.*****..*.**************************.******~*******************
OTHBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
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 CON'rRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they I1tay 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 S~ctions~1 of tthis 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 th~s 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 e,xtension 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 COMMENCE ENT".
SIGNATURE:
STATE OF FLORIDA 1)
COUNTY OF ~~
The foregoing instrument was acknowledged
Before me this ~ day of Veh'C~fL.t , ~ 20Y3
by
(name of person acknowledged)
LJwho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
~id not take an oath
o who has produced
(type
and whoD d Ddid not
Signature
of person taking acknowledgment
.-''6'' Suzanne Douglas-Allen
My Commission CC874208
typ "..~p:m.~b<<D15. iOO~mped
Name typed, printed
, . suzanne Douglas-Allen
~ ;4208
y l,;oflllld_iOl. OC8
or s., r ~ Expires October 25.2003
of"."....,
Name
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'~I . v v /~ -"'i'"''
ReJllove ~Qp.&e. debris from flat root~ !;"
" ..~M:
3. ~OVQ~!I!fI!~!'JlI ;w,d boo.. aofllqllired.l !
4. Ch<ck ~-""'ki~ fOJ" w.uer ~ .~ of """kiDlIJIIifl "" .I'l!" "'"
b,asis. ~ the. ra~ of$36,00 dolla,ra per man -hoW' pJua ~aJs marked up a ~"con '. 'J..
..' .-~i~. - ,- }o! ,,"
SCflAP.ER
'ROOFING, INC
11250 S.Hwy. 98, Dade City, Honda 33525 Phone: 352-567.8580 FBX 352-567-7073
STATE CER1JflED~UlLDING AND ROOFING CONTRACTOR # CC.C05l134 CJJ..Q)59817
S~~Fkw.UlaJ~'FiNl.e4itH.~ er ~.~S~I976
l4n:y~ ~ ~:j-O( "'-- D~; _7/16102
,th Ave.
i
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ZeOOyrhiijs, FL ~
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P~.ne: _F7~7403 78()..l;oG
City/COWlty.;--..City
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Parcel # Down~wn tbec.l.er uPI>" flat roof only.
We hereby ProppSllf t.Q fun1ish w.aterWs and labor ~lilafY for the colJ1p1eu9n Qf:
l),~o L~.st rqo1W& ~stclll
, .. ,.,..
. -
1. Ba.rrica4p~tfwork ~~ a:i ~.
2.
.........-i
5. Install Cap fold. iwJulation.. mcchanica.ily attJtclu;d per Duro La.,t ~~~n.
' '. -".;"""--:
6. lIutlall DlJCQ LN. mClDbra.ne lor a 15-yectS.matori4l and labor wvran~,.'
7.
Insta11IlejW O1uQ J...astboots,. Custom cwband ~s as flQuircd.
f
.,"
-;,$
8. . 1ns~11 D\Il"o Last.lW~way vents as req..urecl
9. Ins~ D\Ilo Laat 13/4'~faacia with coveraarequired.
10., , .I.n::i~J DlrU"o L4aadraiQ, I.lOCVelj with compoaato rinas.
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SCfl-A PER
'ROOFING, INC
11250 S_ Hwy, 98. Dade City. Florida 33525 Phone: 352-567-8580 Fax 352-'67-7073
STATE CER1'Ilo u:.u 8U1U>lNG AND R.ooFlNG CONTRACTOR. # c;c..C0S8134 cs.-.cOS'817
SEW\l~~"'FfAt\.ettffOttUW &'8~S~1976,
4C"tractor war"a..., Upon completion of the work an4payxn,c,=nt ofa,U ~es owed. ~lra~h , ~,lt,
two (2) year wiuTanty!United to leaks caused by any component install by ~ ~tra.ctoff~J>UlO L,,,~ :;.,
,~fiftccn(1S) \farranly on workroa~hip and materials. .. ~.:
C~eraI ConcUtiollS .t\ll work shall be carefully supeIVisoo and ~Qmpleted by workmen ~Jlcd ;J; ,J
~:nowlcdgeablc in the methods needed to pr~ high quality work.. Thcjob site $hallb,i~Pl d~1I1
tbe dW""oltion of the job and the grounds shall be left clean of all roof related dcbfis cUter:..:' pklh i.l i
~4a11 be swept ;with a magnet. Col1e~tioD costs if MY together Wlh interest shall ~ <.~,,~:,. lh~, Illl;
If payment default 0f;;Q~. Cancellatlon of the QQlUract after tbc. 72.hour ~ ~04. .. Il\;Ur <I I &\ Ii.
The contractor shall provide permit, Workman ~~DBalion, ",d senera,l M;tibiliti.i . C"ll'lel.
authorized change ordcts and work. which are not covered u.ndc( the scope-ofwotk h~J'l,;I'I, :.,1
performed on '" time ~ rnatcriaJ.s basis unIcss~se agr~upon.
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l Last Roo,ins ~. CQlroct pd"" S S,866.QO
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Terms: 50% dpwn, h;t.I,rwe upon completion.
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Signed:
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111I/1I1/1/11II/11I/1I1/1111I11I11/1~/IIIIII//11I1/ 111/1111
2003032701
NOTICE OF COMJ.\tIENCEMENT
Rcpl: 657575
OS: 0.00
02/24/03
Rec: 6.00
IT: 0. 00
Dpty Clerk
State of Florida
~ a-oc.Z>
County of
Permit No.
Key No.
THE UNDERSIGNED hereby gives notice that improvement wiIi 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. II. Jolt, - ~ I . 001 D - I 5J,'DO ~ 01 J. D
2. General Description ofImprovement A....JL -It.oO ~
,.,
.).
State '335Cf()
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: H (rr
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 Construction/Roofing, Inc. of
11250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's
Notice as provided in Section 713.1}(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 'ff~ ~s specified.)
Signature of Owner: ;/~
1-~y/f?C/;r~/7'
ID:;f35?-..Y.JtJ-7'6-HY- () Personally Known
- (
ed before me this~day Of~~(u.c~.:('-I
I
Owner Printed Name:
. 20G~
Notary Public:
(Type, Print, or Sta
).~"
.-'6' Suzanne DouglaS-Alien
*~*My Commission CC874208
-..~
......"..f' Expires October 25, 2003
Server G! ~[v Doeuments, General Documents/ Sehaper Forms .\dmil1J L"gal FormS! :>iOTICE OF COMME:>iCE.\IE:>iT
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