HomeMy WebLinkAbout92-2448
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<l
244813
<3 7,0(J
0UILDI0 GCT~;~ PL~
~~h
Property Owner: . ~
Job Address: \... ~ . - / -;.: ·
Parcell.D. # J / -;lfr,:J -.:2 / .:1.0 - / /
~:::~Pt;on of Wo,k C'~~ g~j Y' R::~;:.r ~
;J...(j, n
Date
'.30 -- 7'd-
ME~sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
.4~ rJ!..
NO OCCUPANCY BEFORE C.O.
FINAL-=:2...
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C.O.
'nspector~1c2 D
City License Registration # ..2.7;;-
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
~;~
Valuation or
Contract Price ~ 'I \-7). t?()
fi '\U
\ ~t7-e /:.&..r;t~
0ECTR~[)
Tp. Servo SLB
Rough In Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
P~
----
M E'Cl'tJl\NlCA L
---------
Ji{~j-l",~ :p;~o ~
C ~UILDINK~
Ftr.
Pre SLB
Lintel
FRM. r)... \-qd.-
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
'.
APPLICATIOlV POIlL PERKIT
CI.'IY OF ~yllRTT_T_~
BUII.DIBG DEPAKIIIEIIT
JWNER'S HAIlE WILDA SLAVEN
()WINER'S ADDRESS 3824314TH AVE.
PRONE 782-5444
fOB ADD:BESS 38243 14TH AVE.
LEGAL DESCRIPTIOII: IDr(S) 11
~IVISIOlI
21
~ARCEL I.D.t 0010-01400-0100
WORK PROPOSED:_lIew Coasb:uction Additi.oD ..,XLAlteration ,_Repair _Install
_Sign
---.JIove
_ne.D1ish
PROPOSED USE: XX Sing1e Pa.i.1y
--1I/P
_' of Units
--.-Jf/B
_ec-ercia1
TwvJr..t. ~~. Poo1
Other
1bastaarant Ii Bea1th. Deparblen.t Approva1
iqUILDIRG SIZE:
x
J
Square Feet,'
Height
lESIDENTIAL: AtTAaI (2) PI.Ol' PJ.ABS Ii (2) SEIS OF B1JD.DDIG PLUS'&: (1) SEI' ENERGY PORtIS...
cottHERCIAL: ATl'AaI (3) SEIS OF B1JII.DDIG PI.AIIS Ii (1) SEI' ENERGY' FOBItS. ..
..con OF CORrBAcr BJIQUIRED.
~TS KIIO~IW
XX BUILDIlIG
$ 2450.00
Val.uation of 1'01:81 Consb:uction
__ELECTRICAL
AIIP Service
Fl.otida Power Corp.
V.R.E.C.
HECllAllICAL
$
Va1uati.on of Hecbanica1 Inst:a11ation
_PLUKBTNG GAS BOOPDIG
SPECIALTY
YPE OF COIISTRUC'l'IOII: ---.JI1oclt XX Fra.e _Stee1
Ot:her
rrNISHED FLOOR ELEVAnOliS:
Fr.
IS P.BO.JEcr Df FLOOD ZOHE AREA?
YES 110
...*......6&&&&.1......*****.......**.******
'UJILDER
aJIII'RACIOR SECI'ION
~ . OIBPAJIJ' MICHAEL FIKE CONSTRUCTION
Stal:e Cert. or Regist. I RR0059931
City License Registration" 2 7 9
; ****..a&&.&A&A&.at.a...&&&&.........****...*
,3igoature
ELECTRICIAlf CDlPAIIY FEE ELECTRIC
,:7 ~ // ) ) ...-/ Stal:e Cert. or Regist. I
;iismAture'-;q7~~1!A4..r:/ ;t{ \7~ CityLiceose Registration' Q"-V
*****...&&&.1..1..1..1.&.1....1.6..&.......***......*****
PUJlKBER
OOIIPAIIY
State Cert. or Regist. t
City License Registration ,
.......*..*****.......................*..*
Signature
HfJ',ClIAI[[CAI.
CDlPAIIY
Stal:e Cert. or Regist. ,
City License Registration i
...**....A&.I.&.********~..............**-.lt*.
Signature
!!l:lIa
COIIPAIIY
Sta~ Cert. or Regist. I
City License Registxation ,
***.......&&......1.&.1..1..............*........
'){'dW'~ ~ 0'" i5)A"" PI!RIIIT OFFICER.
Signature
APPLl;CAnON APPROVED BY
The undersigned understandstbat tbis per.it .ay be subject to mdeed restrictions" which .ay be lore restrictive than City
regulations. The undersigned assUles re;ponsibility for cDlpliante witb any applicable. deed restrictions.
B. UNL I CENSED CONTRACT(~RS AND CONTRACTOR RESPONS I B I LIT I ES "
If the owner has hired a contractor or c~ntrattors to undertahe Mork, ~hey aay be required to be licensed in accordance with
state and local regulations. If tbe'''Coniractor is ".!l~icensed as required bv law,bot~ the;,owner and contractor uy be
cited for a _isde_eanoT violation under ~tate la.. If the owner or intended contractor are uncertain as to wbat licensing
require_ents lay apply for tbe intended :lork, tbey are advised to contact the City of 2ephyrhills Building Depart_ent, (8131
788-6611.
Furtherlore, if the owner has hired a co,ltractor or contractors, ~e is advised to have the contractor(s) sign portions of the
.Contractor Sections" of tbis applicatio~ for which tbey will be respo~sible. If you, as the ONner sign as the contractor,
you are indicating that you, rather tban tb~ contractor, are responsible fer the work. If the contractDr Nisbes you to sign
as contractor that lay be an indication that he is not properly lic,nsed and is not entitled tD perlitting privileges in the
City of 2epbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN Lf.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applican~, have be~n provided with a copy of .FloTida's Construction, Lien laM - HOleoNner's Protection
Guide. prepaTed by the Florida Depart.ent of Agriculture and ConsUAer Affairs. If the appljcant is SOleDne other than the
.owner., I certify tbat I have obtained a copy of the above described docu.ent and prolise in good ,faith to deliver it to the
.oNner. prior to cOlaencelent.
E. CONTRACTOR I S/OWNER' $ AFFIDAVIT .
I certify that all the inforlation in th:s application is accurate and that all work "ill,be done in compliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby .ade to obtain a p~r.it to do work and installation as indicated~ r certify that no work or
installation has cOllenced prior to issuince of a per.it and that all Mork will be perfor.ed to leet standards of all laws
regulating construction, City codes, zonIng regulations, and land developlent regulations 'i~ the jurisdiction. I also
certify that I understand that tbe regulJtions of other governaental agencies aay apply..to the intended Mork, and that it is
IY responsibility to identify what acti~,ls I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Depart.ent of Environ.ental Reaulation - Cypress Bayheads, Yetland Areas and Environaentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water "anaaa.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY CorDS of Enaineers - Seawalls, Docks, Navigable Waterways .
t Departlent of Health l Rehabilitative Services. Environ.entalRealth Unit - Wells, Wastewater Treatlent, ~eptic Tanks
t US Environaental Protection Aqencv - A~bestos abate.ent
I also certify that, if fill .aterial is to be vsed in Flood Zone "A. or .A,etc.., it is' understood that a drainage plan
addressing a .coapensating voluae. will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per_it issuance.
A perlit 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 perait prevent the Building Official fro. thereafter
requiring a correction of errors in plan~, construction, or violations of any code. Everyperlit issued shall becoae invalid
unless the work authorized by sucb per.i~ is cOlaenced within six aontbs of issuance, or if MOrk authorized by the per.it is
suspended or abandoned for a period of six tonths after the ti.e the work is cOlaeneed.Dne 90 day extension of ti.e, lay be
allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
approved inspection lust be logged durin) each six .onth period, or the project Mill be ton~idered abandoned.
WARNINS TO OWNER: YOUR FAILURE TO RECOR~ A NOTICE OF CO"~NCE"ENT HAY RESULT IN YOUR PAYIN6 TWICEFDR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAll;~It~G, CONSULT IIlTH YOUR LENDER OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COlIIlEltCEKEHT. JOBS UIIOEll $2,500 I~U' 00" !I'D TlI RECORIl ~
SIGNATURE: CONTRACTOR
STATE OF FlO~
COUNTY OF \') (' (')
The foregoing instrument was acknowledged
before me this ~"e Q I' 19-2,2 by ,
o
(Name Typed, Printed or
NOTARY PUBLIC
,- -
i
"", -.1:-:"1 .~ fl ':' :,...~~t'f
inc.
I,
PROPOS,AJ.
MICHAEL FIKE
P.O. BOX 552
CRYSTAL SPRINGS,FLA
33524
788-4709
No?721384
Dat(3 June28, 92
Sheet No.
1 OF 1
Proposal Submitted To:
'Mor'c To Be Performed At:
NameWILDA SLAVEN
Street38243 14TH AVE.
City ZEPHYRHILLS, FL.
State FLA.
Phone 78 2 - 5 444
SAME
Street
City
Date of Plans
lwcll i tect
State
We hereby propose to furnish the materials and perform the labor n(3[~eSsary for the completion of
CARPORT STORAGE AREA.
INSTALL 2X4 WALLS TO MAKE A STORAGE AREA ON EXISTING CARPORT
INSTALL PLYWOOD ON THE EXTERIOR AND INTERIOR OF 2X4 WALLS
INSTALL MASTIC (BRAND) BARKWOOD (STYLE) NAUVE (COLOR) VINYL SIDING ON
NEW WALLS. .,
INSTALL 1 4' FLORESENT.'LIGHTFIXTURE WITH SWITCH
INSTAll 5 ROWS OF 1X12 SHElVIN~_INTHE INTERIOR
PAINT THE INTERIOR WAllS_AND,_SHElVES
SEE ATTACHED PLANS
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars [$2450.00 l.
with payments to be made as follows:
$1,225.00 UPON COMPLETION. OL,WAlLS AND SID ING
BALANCE UPON COMPLETION
Any alteration or deviation from abova specifications involving extra
costs. will be executed only upon written orders. and will become en
extra charge over and above the estimata. All agreements contingant
upon strikes, accidants or delays beyond our control. Owner to carry
fire. tornado and other necessary insurance upon above work. Work-
men's Compensation and Public Liability Insurance on above work to be
taken out by .
Respectfully submitted
~ /J 17 (~~
1f1~~:7~
Per
OWNER
MICHAEL FIKE
Note- This proposa" may be withdrawn by us if not accepted
within 15 days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified,
Payment will be made as outlined above.
Signature
~~~~
Date
J"l.1I\<. a tI, q"l--
Signature
TOP~ ~ FORM 3850
ORIGINAL
lITHn IN USA
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