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Home My WebLink About91-1592 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N~ 1592A Date t~ - /if- - 7 / ELE~ P~ M ECHANteAL Property Owners Name:~ h ~ '~~~--t:n---...- Job Address: -_S --=-5 .:z <r - / 7 ---Z:;( ~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Descri~tion of Work l~f fJ - d- 6 - :J-/ - D 0/ ; - af~ d.. X- r LLL.vf / 7 --5"':: tJ u - ('"I / 4A:L ~.-7-~, '1 D. 7J /~ Energy Code Readout: ~ Complete Plans, Speclllcalions and Fee Must Accompany Applicall n ... .. -r;;-LSp Fee :;U~~ SIGNATURE v .. COMPANY ADDRESS OCCUPATIONAL LICENSE #d-7 72"" lf~fI~, TELEPHONE # Estimated Cost: 9 e-t:P - 50 All work shal! be performed in accordance with the above and all City Codes and Ordinances. m,,;I.. . ~ ~ (J-r,<il .~ ~~ Ftr. SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL lliC.IRICAL ------- M~ICAL ............. Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of t [118.86) dollars shall be made for each ..,.-Trd.- c::L e.. V-S-: 07J) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. Pold at (>) to fit 771 DU.O.VUE~ Envelope - For longer proposals, use with 264.3 Specification Form '-. (- PRQOUCT 263']~€!!EJ.II'It,. Groton. Mm. 01471. ToOJdef PHONE TOll FREE I +8(1).225.6J80 of 1 pages Page No. MICHAEL FIKE PO. Box 552 CRYSTAL SPRINGS, FLORIDA 33524 Jropol1ul 0056 ..... . f/ PHONE DATE ~ JUNE 10.91 JOB NAMI! I ~OCATION 5324 19TH ST. JOB PHONE ,.........'.0 ARCHITECTS DATE OF PLANS ~ ,.1 TO (813) 788-4709 TEll y' R 0 S E 1-1 Sl-J E 1 q..(g.~~!..ygX:..~?..!J--.....----..-..---.....--..... ~/. > - We hereby propose to furnish, In accordance with specifications below or on attached pages. all material and labor necessary to complete the following: . .......-..... ADD..A~X8....0N.TOTHE....S.ID.E......O.F--E:v..ERy......EXP..OSED....2X8.EOOOILJOIST~A.ND....Tn_..... .....- .............-..---.-....... .... ADD A 2X8 ON TOUBE SIDE OF EVERY 4X8 EXPOSDD SiLL. ALL LUBBER TO ........BKERESHllKE...TREl'-TED_-YELLOW'-.-.P.I.N.E...+..-..ALL..-:\JORK....TOBE DONKUNDER_..THE-FLO'OR......._......._.... OF THE HOUSE. . NINE HUNDRED EIGHTY DOLLARS dollars ($.. 9 8 ~_~____::_--,-::..'::""') for the sum of ..-.-.-.--.........-....-...................-...............................................-.........--..-. ----..-.-......... .............p.......... m.........._...... PAYMENTS TO BE MADE AS FOLLOWS: "- .. ., t-'; " d..m._...____~__..tOTAL.-..UPON.GmHELET.ION--....._.._...._.......-.---..-......-........ .......H........... - .....-....... .........~_..._.__.__._._._---_._-_..__.__._----_. .................. . All material Is guaranteed to be as specified. All work Is to be completed In a work- . Authorized . manlike menner according to standard practices. Any alteration or deviation from the above or attached specifications involving extra costs will be executed only upon written Signature orders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, Note: This proposal may be . 15 tornado and other necessary Insurance. Our workers are fully covered by Workmen's withdrawn by us If not sccepted within days. Compensation Insurance. ../- !\tttpfantt of 'rnpnsul - The above or attached prices, ~ .- specifications and conditions are satisfactory and are hereby accepted. You are Signsture suthorized to do the work as specified. Payment will be made as outlined above. Dste of Acceptance: Signature ~ .' /- ~.,1' J .~._--,."-------- ~----_.,_._"-- - --- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT m('cha~ / ;:;K-L Po. Box 5S~ OWNER 1< fA. T~ W (70 1 C/e r T 0)'\ JOB LOCATION S3 :J l( /9 TI, -;r LOT SIZE'-:"'-X AREA SQ. FT. €AL DESCRlPTlON;jLOT (S) tJ~ Us /0" / / BLOCK /75 SUBDIVISION C -t '7 d Lp<Y".I./ If GRCEL I~t.'>Zc t,~ 1/ ~1.(1f;2'- ;f;.I--C<?;:L/ '00/, () F:::::O.<J/CJ.O WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install APPLICANT PHONE ADDRESS ____Sign/Temp. PROPOSED USE: ~le Family ____Sign _Move ____Demolish ____M/F _4F of Units _____M / H ____Commercial ____Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: 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.** **COPY OF CONTRACT REQUIRED. x Square Feet, Height ~ERMTTS REOUESTED ~LDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ CONTRACTQR SE:T~ I ,/ B\lTIJjER NN eu. ,. _ uo Company '/tCf1dd F:,,< ('u- <7.. cr-.;., State Cert. or Regis t. iF R R 00'7';;93/ Signatur City License Registration iF d7 ****************************************** Company State Cert. or Regist. # City License Registration 0 ****************************************** El.ECTRIC-TAN Signature - Company State Cert. or Regist. 6 City License Registration # ****************************************** pLUMBER Signature Company State Cert. or Regist. # City License Registration # ********************************~*******~* MECHANICAl. Signature OTHER ~ Signature Company State Cert. or Regist. 0 City License Registration ;'f APPLICATION APPROVED BY *l1.*******************~*****~~~~~~~~~~*~~~ ~ . . . ^ ., ~.. ,. .. .. .. .. .. .... ^.... . tf A1..r -3 L1 tJ/7 A'i/r) .. PERl'lIT OFFICER. I CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restricti~ns" which may be lore restrictive than City regulitions. The undersigned assules re5ponsibility.f~~ cOlpliance with any applicable deed restriction~. 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 s~ate and local regulations. If the contractor is not licensed as required by law, b~th the owner and contract~r ftay be clte~ for a lisdeaeanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813) 788-6611. ' Furthermore, if the owner has hired a contractor or c~ntractors, he is advised to have the c~ntractorls) sign portions of the "Contractor Sections" of this application f~r which they will be responsible. If y~u, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes y~u to sign as c~ntractor that lay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided 'with a copy of "Fl~rida's C~nstruction Lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is s~le~ne other than the "owner", I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the "owner" prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all work will be perf~rmed to meet standards ~f all laws regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ffiay apply to the intended work, and that it is my responsibility to identify what actic.ns I lust take to be in compliance. Such agencies include but ~1 e Iiot liilited to: I Department of Envitonmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, HasteHater Trcat~ent. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fillaaterial is to be used in Flclod Zone "A" or "A,etc.', it is understcl(ld tlt3t a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a pr~fessional engineer regist~il?d in the State of Florida prior to permit issu~nce. A perlit issued shall be construed to be a license to proceed with the work and n~t as auth~rity to viol~te, cancel alter, or set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter requiring a correction of errors in plans, construction, ~r violations of any code. Every permit issuud shall bec~le invalid unless the work authorized by such perlit is co.~enced within six months of issuance, or if Hork authof12ed by the per.it is suspended or aband~ned for a period of six lonths after the time the Hork is commenced. One 90 day e:tE~5i~11 of tile, lay 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 Hill be c~nsidered dbdl~oned. 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEME Tit _ ij(1--Ljt_2~_-_- --------- NOTARY AS TO V J 1/2J OWNER OR AGENT_~~_ - ~----- MY COMMISSION EXPIR.MUr~~ PU8tIC STArr nr ... """u lJI~"'"","",,~'OIfTj'p--'A-'-'-f'U"-- OO/()(O 1lfllU G[~"~, OC r. !~. 1994 . I,.,,,,,. IllS. UNO. SIGNATUR DATE DATE________~:~~~~~__________________ NOTARY AS TO. J f ~-"".... N CONTRACTOR___~~~~~-~=~~~ MY COMMISSION EXPIRES__________________ Notary Public, Stat. 6f Florida fly Commission Expires Aug. 6, 1993 Bonded Thru Troy Fain - Insurance Inc.