HomeMy WebLinkAbout05-5276
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5276
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5276
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38026 ME ICAL CENTER DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
7,640.00
12/21/2005
70.00
70.00
12/21/2005 Phone:
INSTALL DUROLAST ROOF SYSTEM OVER EXISTING ROOF
Name: DRAGAN,ROBERT
Address: 38026 MEDICAL CENTER DR
ZEPHYRHILLS, FL. 33542
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~
R SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 89 St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
\ 2 (21 (O'S:
PRONE CONTACT FOR PERMITTING
:':~::~~~~~-M~~~~\
PHONE
8 j?,- -11 q - S~ 2 q
C'e niex
AVQ,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 3~- d~ - d \ - (X),(). Cam- IORTATN FROM PROPERTY TAX NOTICE)
2.0
WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR GJ-fNSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
GYc:OMMERC IAL
OMULTI-FAMILY
OINDUSTRIAL
Ot OF UNITS
OSWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
\n~-\(\ \. \ Q\\W()\('L<=)+ f(j)f~ \~U ()\1fr e(\~tln5 roaP
SQUARE FOOTAGE HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
s 'llol.\ 0 ,00 VALUATION OF TOTAL CONSTRUCTION
~a
AMP SERVICE
o Progress Energy
o
W.R.E.C.
o ELECTRICAL
o PLUMBING
o MECHANICAL s----D..\a
o GAS ~OFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME
FINISHED FLOOR ELEVATIONS ~
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
~O
COII'1'RAC'rOR SBC'lIOII
BUILDER
COMPANY
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SIGNATURE
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STATE CERT OR REGIST #
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STATE CERT OR REGIST j/ cC - C05 i .
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 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 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, 813-780-0020.
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 City 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, zoning 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 drainage 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
H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO COMMENCEMENT. JOBS UNDER
$2, 00 N DO NOT NEED TO RECORD AND POST TIC COMM CEMENT".
acknowledged
, 2 Q.Q5
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acknowledged)
known to me, or
acknowledgement
1 111111 11111 II III 11I1111111111111111111111111I1111111111111I
2005269716
Rcpt: 953242 Rec: 10.00
OS: 0.00 IT: 0.00
12/20/05 _~__ Dpty Clerk
State of Florida
Permit No.
NOTICE OF COMMENCEMENT
County of _pO :=)("'0
Key No. n \8
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida State Statutes, the following information is
provided in this Notice of Commencement:
1. Description of Property: Parcel No. 3'S - d 5 - d \ - "00, 0 - 000 on - 00 20
2. General Descnption of Improvement e (Y) f:=' O\J Q J ~ '€ Y 1 ~ -\-- \ nct.rOJ P
Ro$E'"A..( (\ t -A"'~-'A' 0 n.m~_6'"
3. Owner Information: Name ~ 0 . &- r~ C::2....,~w ~ ~IIV
Address ..?~ 0"2 6 Ik.b~ ci- '. 2 -~t/ls. State FL... -
PhoneNo.$t.~ - 71988~ Fax No. 2fJ '-?7"~) "1.ip :?s 5-~ tJ
R 4. Contractor: Paul Schaper Roofing & Construction, 8949 Gall Blvd., Zephyrhills, Fl 33541
5. Surety: Bauer & Associates, 12210 HWY 301, Dade City, Fl 33525
JEO PITTMAN PASCO COUNTY CLERK
. ^ \ ::. 12/20/05 02: 18pm 1 of 1
6. Lender: Name/Address: , \ IL~ OR BK 6756 PG 1398
7. Persons within the State of Florida designated by Owner upon who notices or other
documents may be served as provided by Section 713.13(I)(a)(7), Florida Statutes.
8. In addition to himself, Owner designates the following person to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes:
Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541
9. Expiration date of Notice of Commence merit (the expiration date is 1 year from the
date of recording unless a different dat . sp ified.)
y: ID:
-------
-x"
I
Signa~;of qwner:
..~
Y".
Personally Known
2cP~
""""" SUZANNE DOUGlAS-AlLEN
~'''o~...v P",.'/,;'.<,. Notary Public - State of Florida
(' {~"~". gMyCom~ExJ;ie5~25,2007
~"'.> - · .,....2 commission # 00243970
";;:'~.9i,~,~~~'" Bonded By National Notary Assn.
[1 part] NOTICE OF COMMENCEMENT .doc
SCHflCN,CR.., Roofing, Inc.
8949 Gall Boulevard, Zephyrhills, Fl 33541
PH: {813} 782..0920 & (352) 567-8580 Fax: (813) 715-4875
STATE CERTIfIED BUILDING AND ROOFING CONTRACTOR #CB-C059BI7 and ICC:-C05BI34
SERVING FLORIDA'S FINEST HOMES & BUSINESSES SINCE 1976 www.schapereonstruetion.com
Name Rehab Point me.
Date
12/13/2005
Address 38026 !vledical Center Ave.
Phone
813-779-8829
Robert Dragan
City Zeph)Thills
Parcel #
AU Phone
Fax 813-779-8827
Zip 33540
State FL
\\1 e hereby propose to furnish materials and labor necessary for the completion of:
DURO-LAST Roofulg System I)roposal
1. Barricade off work area as needed.
2. Remove loose debris from flat roof
3. Remove existing flashings and boots as required.
4. Check substrate decking for water damage. Replacement of decking will be done on a time and material
basis at the rate of 38.50 dollars per man-hour plus materials marked up a 30 % contractor's
fee.
5. Install insulation, mechanically attached per manufacturers specification.
6. lnstall VURO-LA,ST membrane.
7. Disconnect and reconnect AJe units as required.
Note: Schaper Roofing cannot be responsible for the existing condition of the wiring, freon lines,
ductwork, electrical or the A/e units. due to the a;;e C?lthe units.
8. Install new DURO-LAST boots, custom curb and comers as required.
9. Install two-way vents as required.
10. Install tenn bar as required.
Schaper RoomS!. Commitment to Quality
· 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 grounds shall be left clean of all roof
related debris after completion.
· The yard shall be swept with a magnet.
· The contractor shaH provide permit, workman compensation, and general liability insurance.
o Carpentry, auth.orized change orders and work, which are not covered under the scope of work outlined herem,
shall be performed on a time and material basis unless otherwise agreed upon.
~
Rehab P(lint Du'RO 121305.doc
Page 1 of 2
SCJ{)ffPE(j{ Roofing, Inc.
DURO-LAST Roofmg System Proposal Continued...
~fANUFACTURER& CONTRACTOR WARRANTY (8)
Upon completion of the work and payment of aU monies owed, Contractor shall issue:
1. A~ear warranty for workmanship limited to leaks caused by any component install by the contractor.
2 DURO-LAST manufacturer shall provide a 15 year labor and material Warranty.
r-- .---------.--.----
I Contract Pricing
/ . .
I "lsUble 1l ~ ~ l\ll{)vv~~----------------------------------------------_____------___________
j DURO-LAST Roof as described herin--------------------------------------____________
I Modifications
I
1---.
I
\ TOTAL AGREED UPON CONTRACT PRICE, LABOR AND MATERlAL-----------------
L~~s r~O% Down, Balance upon completion.
[----
i Price good for thirty (30) days.
I
.:::-r----------.
:$ I None Included I
$ r- 2:~~40. 00 I
, .
$1 I
$I-'---i
r---------1
$ I 7,640.00 I
. I
-~---"---------..----------___i
I
j
I
,
Collection cost., if any, together with interest shall be added to the contract price if payment default occurs.
_~~_~~:onuoot[=~.~ ~ M~ :~. nommmf: W13/2~___
Schaper Roo[rng, Inc. Representative
Signed
zed to begin work.
1 accept the above price and te
Date
) :?-/::(Q!~
/ /
Signed.
Re' Doint DURO 121305 doc
P8g~ 2 of 2
To whom it may concern,
Please be advised that Dean Maxwell has been given the authority to sign, submit,
pulVpickup permits for the following:
Paul D. Schaper Construction-License #CB-059817
Paul D. Schaper Roofing-License #CC-C058134
Paul D. Schaper Construction License #CPC-1456713
This will authorize the person whose signature appears below to act as agent and
Attorney-in-fact for and on behalf P
Printed Name of Contractor:
In all matters pertaining to su
For Paul Schaper Roofing, I
signing, pulling and picking up of permits
aul Schaper Construction, Inc.
L D. SCHAPER
Signature of PO A
Printed Name of PO A: Dean Maxwell d
Sworn and subscribed before me this ~_~_~!. 0 ~~ 2005
Personally known X ."..-~);--''- ~
Identification ~~~~ ~ /
Notary Signature _ /- Stamp:
""~~!,';:::"" SUZANNE DOUGlAS-AlLEN
lp~ :<i\Notary Public - State 01 Florida
~. : : . EMvCornmls.5b1 Expiogs l..Jct25 2007
:'U;;. · "'"'"' .
"'..,'J,1OFFc'ifj.?/' Commission # DD243970
'"""" Bonded B\i Naffonal Notary Assn.
To whom it may concern,
Please be advised that Angel Sassaman has been given the authority to sign, submit,
pull/pickup permits for the following:
Paul D. Schaper Construction-License #CB-059817
Paul D. Schaper Roofmg-License #CC-C058134
Paul D. Schaper Construction License #CPC-1456713
This will authorize the person whose signature appears below to act as agent and
Attorney-in-fact for and on behalf PAUL D. SCHAPER
In all matters pertaining to submis on, signing, pulling and picking up of permits
or Paul Schaper Construction, Inc.
-7
Printed Name of Ct:. ,.ctor~.
'.
Signature of POA co' I ,,_
. --
Pnnted Name of PO A:
Sworn and subscribe
assaman
me this _ day of _.2005
Personally known
WltJltmp~*m
f'"'''' .,
Notary Signature
.".
"'''''''' SUZANNE DOUGLAS-AlLEN
",~."y pV8;;.., Notary Public - Stale of Florida
~'" - 4 ,,~ Cv..o.a.0cl252007
~. : : . }N1yaxnmlssi()n~- ,
0..,,:.- ".,v,; Commission # DD243970
";;;f OF fC~~'" Bonded By National Notary Assn.
~, '"111\\
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