HomeMy WebLinkAbout12-13109 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)�80-0020 13109
. BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
Permit#:13109 Issued: 5/25/2012 Address: 39421 SOUTH AVE
Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: pa9e;
Cost: 7,12�.56 �otal Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: � Parcel Number: 12-26-21-0000-04900-0000
Name: PAUL D SCHAPER ROOFING INC Name: CITY OF ZEPHYRHILLS
Addr: 8949 GALL BLVD. Address: 39421 SOUTH AVE
ZEPHYRHILLS,FL. 33541 ZEPHYRHILLS, IFL. 33542
Phone: (813)782-0920 Lic: Phone:
Work Desc: ROOF REPAIRS ON BLDG C AT THE MAINTENANCE YARD
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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 aacessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 Must Accompany Application.All work shall be pertormed in accordance
with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
�O�
CONTRACT S SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
873-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ' —� ' /
/._ Phone Contact for Permittin
n
Owner's Name � L Owner Phone Number
Owners Address 5�35 �� �� Owner Phone Number �
Fee Simple Titleholder Name �— Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS � 9�-}' 2 l E, Z�L 1 � LOT# ��
SUBDIVISION PARCEL ID# � 2 � t,o 2 I Ob(7(� O��Od �DU
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �
DESCRIPTION OF WORK IrBC?� (��P � -
BUILDING SIZE �— SQ FOOTAGE � ! ��C� HEIGHT
OBUILDING $ �=�� VALUATION OF TOTAL CO TRUCTION
_1 � _ �
QELECTRICAL $ AMP SERVICE PROGRESS ENE�'"!Q �_•.W,R;E�,C,
QPLUMBING $ \\
�� � �
J /� � 1
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO j �
�'"`
QGAS �- ROOFING � ] SPECIALN 0 OTHER `--
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES
BUILDER COMPANY ou..�� ��r1 �(� n06-`�-i.a S-�C
SIGNATURE REGISTERED Y/ N FEE C RRE� Y/N
Address S Q �- G ca h�1� 1 �J354 � I L,(--G O�J S L 3�1-
License#
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL COMPANY —�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —�
OTHER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address license# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
`*""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out applicatton completely
Owner&ConKactor sign back of application,notarized
If over s2500,a Notice of Commencement is required. A/C upgrades over:7500)
"' Agent(for the nhactdf}'�r Po� omey o�,�yvn would be someone with n tter.�ovme„�„��ho�i s m
irta=.2 • • , .�•,
OVER THE COUN R PERM1?TING", q F��Q�of " �a�bH nly) ��
Reroofs if shingles Sewers ���"U� : " Fences(PIoUSunrey/Foo e� , , , ' , '
. ,, ,
'� :� .
a �i�.rx��•. 'i� r _, . �.
Driveways-No ver Counter i�'on pU�adway§::n�s W � � � :,,���,,u`
a►'�r �w`.,¢'"""y""�i�°�+ny �.,q�. ., �;u�.. , ..
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions°
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance w'rth any
applicable deed restrictions.
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 misdemeanorlvifoat{he
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the NFlorida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify 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.
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 ail work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land developmenPrPegulations in the jurisdiction. i also
ce�tify that I understand that the regulations of other government agencies ma a I 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 Protection-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-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fili material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill wili be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER�truction!S I lu de�standhthatna�sepahat permit may be req u d for lel ctr cal work,
this affidavit prior to commen g
plumbing, signs, wells, pools,arto be a��cense osp oceed with theawork and not ascauthor'ty to violateec ncielaa1lter, or
permit issued shall be constru
set aside any provisions of the techni salconst u t on oalviolat ons of any odesprEvery perm t iss ed shall become inval d
requiring a correction of errors in plan ,
unless the work autho�ized by such p�e��m�a�S er od of six(6) mhonths a er the t mpe thetworkas comme ced Anhextension
the permit is suspended or abandon p
may be requested, in writing, from th`eork'ce'aseso orininety(90)rconsecutive days, the job is�con s de ed ba'ndonedstra e
justifiable cause for the extension. If ni
WARNING TO OWNER: YOUR FAILUREO YOUR PROPERT1f.TIF YOU NTEND TO BTAIN FI�NANC NG CONSULT
PAYING TWICE FOR IMPROVEMENTS T
WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YO OTICE OF OMMENCEMENT.
FLORIDA JURAT(F. .� •�3) ! ''----
� CONTRACTO
OVYNER OR AGEN -- Subscribed and swom to(or affirmed)before me this
Subscribed and sworn to(or affirm before me thls by
by yyho�slare personally known to me or has/have produced
yyho is/are personally known to me or haslhave produced as identification.
as identlficatlon.
i'
Notary Public
� ~� SIJIANr, aLLEn
,�r„'i►'�., SUZaNNE ALLEN Commissio o.
Commission . �ate�� r�da
o a u �c- a e M�r CoMN11.Ex :s c•
�:M Comm Expires Oct 25.2015 Name of Notary �Sta $� M EE »�
Name of Notary N�� or st�M�aion * 1
.,�,�„--�,,
'.>1`�u_� .�'�,P .
. � PURCHASE ORDER
�ity �f ��phprhills %� No• 00016991
VENDOR: SHIP TO: BILL TO:
Paul Schaper Roofing Inc City Maintenance Yar City of T�ephyrhills
8949 Gall Blvd 39421 South Ave 5335 8th St.
Zephyrhills, FL 33542- Zephyrhills,FL 33542- Zephyrhills, FL 33542
VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIRED DELIVERY DATE
Schaper ( ) - 0 OS/08/2012
SHIPPING INSTRUCTIONS
(none)
Tl'EM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNTI'PRICE AMOUNT
1 0 00 Repair of roof on Bldg.C at the 041-3300-533-6200 7,128.5600 7,128.56
Maintenance Yard.NOT TO
EXCEED Quote dated 4-6-12.
SUBT'OTAL: 7,128.56
T�• 0.00
SHIPF'ING: 0.00
TOTAL: 7,128.56
TAXABLE. No
CONFIRMING: No
�--�" ��r4u�«..,�-•-T..
AUTHCIRIZED SIGNATURE
SPECIAL INSTRUCTIONS.
IMPORTANT• OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upon the representauon and guaranty of the manufacturer or seller that no breach of any State or Federal Law or Regulation has occurred in
connection with the manufacturing,processing,branding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any
legal]y constituted State or Federal authority,the buyer shall be entided to rescind the order and return the unused merchandise and shall also be held hazmless by the
manufacturer or seller against any penalry incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor.
_ i Illlll Illll lllll JIIlI IIIII NIIII Ilill IIIII IIIII Ilill Ilil IIII
?012089123
�v�
Pertnit No. Parcel ID No �N�
N �"
- � � NOTICE OF COMMENCEMENT ���
state aT "'��
Couriy of N @ J
THE UNDERSIGNED hr�by piws notia ypR ir�p��,,�p y�m�to certain r�lprapMty,an�m�d��ry � p�j
the foNowinp iMarm�tion it provkkd in Ihis Natiw d Cammenc�m-� ��pter 7A 3,fbrida Statutes, (31
'� °°'�"�^dP^�r ��+�. 12-26-21-0000-04900-0000 a
s�.se�ndd.e�: 39421 SOUTH AVE --- � ''"
ZEPHYRHILLS FL 33542-5258 L.egal Description (First 4 Lines) �• ��
� G� E1/4 OF NE1/4 OF SE1/4 OF SEC � m�•
� rr`'��' &S1/2 OF SE1/4 OF SEC&THAT ,o�@
3' �''�'������i°^°��es.«i�amMia+i��+.�«..s oaa.ued ror�n,;,,,p o,re,n„x. _ PO R O F SE 1/4 O F S W 1/4 O F S EC •
e�
CITY OF ZEPHYRHILLS LYING EAST OF GILES RD EXC POR � �
5335 8TH ST �
ZEPHYRHIILS FL 33542-4312 �
nddrs.s �
Interest in Property C� State 7�
Name W Fae Simple Trtleholder
(If diflerent fram Ovmer listed above)
R Addross OW.�1 �G�1CtdP( J �� ' Crty —
4. Contractor �C9� vr State
8'�"�I G G . �� P�,,,t,�c.1 ��c�1-►c,r 1'1 L i'S � �.:5'.3.5�j/l .
Addreas e�
CoMractw's Telephone No. C.� �3 �I�j Z �l Z Q State
5. Surety y a�' G
Name
1 Z L t e �� i G,$ ��.c�E C►'M �'
Atltlf998 C'� _ _1
,w,�o�m�r eo�w: s 5.�b D_oc� st�e
Telephaie No. p t
6. Lender � D
Name O � �
� N n
Addroas � U'
Lenders Tebphone No. ��ry State � f+ �
N z
m
Persons within the State of Florida deaigrreted by tF�e pwn��P��� ����a p�er docinne�rts may be served as provided by �(�D�
Section 713.13(1)(a)(7),Flaride 5tatutea:
�� �
s
Name �� c
W�
� �
�
Address u,
Telephone Number of Designated Person:
C�ty — State � t,, o
� �
8. In addition to himself,the owner designates �
� � �
to recaive a copy ot the Lienor's Notice as provided in Section 713.13(1)(b�,Fbrida Statutes, �
Telephone Number ot person w EMity Designated by Ownx w'►�' Q°
�V �
9. E�iration dete oi Notice of Commencemerrt(the e�iration date may not be be(pB the completion o(cronstrudion end finel � 3
payment to the �
corrtredor,but will be one year hom tha dete d recording unless a difFereM dete is s � i
Pec�ed): �
WARNING TO OWNER: ANY pAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT F
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RECORDED AND POSTED ON TFIE JOB SITE BE�FORE ESFI ST NSPECT ON RI YOU INTENDETO OBTNN FNNCAENC NG,CONSULT A
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
�merkn�oi perjury,I declare thet 1 have read the foregoing notice of oommenc�n�e���� {�$s�����in are true to the best
Y dge and belief.
STATE OF FLORIDA
COUNTY OF PASCO �
Si re Owner or Lassee,ar ar Lessee's Author¢ed
Offi /Dire�tor/PartneNManager
�/ ' �- d �a' /�
Signatory's Title/Office
The foregoing insWme�t was acknowledged betore me thi�day ot �� 2ty'�bY�cl/J')�•L'S � �/ i�[�.�
as_ �� �.
authority�e.g.,oifi trust omey m Tad)fw
(nar^e ot Pa n beh�d who jris�t men s�ecut . /�
Personally Known
� Notary Sign .- �`A 6
TYPe of IdentMCation Produced Neme(Print) �/� ����[���
���..
_�,'''3''ry�: B�BBIE S.
� Com►nission#EE 140709
- .�_ �res February 22,2016
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