HomeMy WebLinkAbout92-2462
BUILDING PERMIT
Permit
2462d
7-10 -7~
CITY OF ZEPHYRHILLS
(813) 788-6611
N<]
Date
~
~ILDI~
~-
~. M~ Sewer Conn
P,"perty own",7Jlo~~ ~~~~W ~)
Job Address; ----.f) ~ ___ __
Parcel 1.0. # /1-:2&-:( 1- OOID - ;1 l'ItJfJ- {).2.~V
Zoning: )nergy Code; Radon (t~: IJ .
Description of Work C ~ ~"t; p...f.JJ..., 6'-Jl..1i4 J cy.-./}'H d t?. .
Water Conn:
Water Meter:
T,I.F.'5:
NO OCCUPANCY BEFORE C.O.
FINAL-.7- ~..qZ
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
Valuation or .J. Q _ . t9'i2.
Contract Price..,;,p II ,:~ 0
Cay Ucen.e Reg;.tra,;on # <J 79 If -!j .
State Certified License# _ _
'1YlI/~...l ~~
BUILDING ELE~
---
p~
/'
ME~
~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Ctt~ bb~ ~r uJMr ~~V ~a4L$'~vJ~
7-/~~l tAl, I). t5t-~'-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
APPLICATXmv FUli PERKl.T
(;:ny OF ZEPII'nmILL",;
BUTI.DIliG DRPARI'KEWf'
OmfER'S NABE MR. AND MRS. ROBERT HOOKS
OWER'S ADDRESS 5034 17TH ST.
5034 17TH ST.
PRONE 782-2333
,TOB ADDBESS
LEGAL DESCRIPTIOII: urr(S) ~SUBDIVlSIOIi
PARCEL LD.,ll-26-21 0010-21400-0240
WORK PROPOSED: XX lIev Consb:uction Addition _A1teration _Repair _Install
S' ~e _DeIao1ish
- 1.gI1
PROPOSED llSE: XX Sing1e' Faail.y ----1'l/F _' of Units ---lt/B
_ec-ercia1 T-'-t. ~. P001 Other
Restaurant &: Bea1t:h. Deparbleat Approval.
BUILDING SIZE:
x
$quare Feet,'
Height
RESIDENTIAL: A1TACII (2) PI.OI' PLAJIS &: (2) SEIS OF B1JD.DDIG PIAIIS',& (1) SEr ENERGY FORKS.**
COfIIIERCIAL: ATrACII (3) SEIS OF BOII.DIIIG PI.AIIS &: (1) SEX' ERERGY' FORKS. **
**mPY OF mRrRAcr BIIQtJIItBD.
PIIXIfT'I'S REOUB::.-TlW
XX,LBUILDI1IG
$ 1 q 'i0
ValJJation of To1:a1 Construction
F.I.F.Cl'RICAL
AIIP Service
F10rida Power Corp.
W.R.E.C.
~CAL
$
Va1uation of Hechanica1 Installation
----PLUHBI1IG GAS :auGPlJIG
'i'YPEOF COlfSmUC'l'IOJli: --.JI1oclt ~ _St:ee1
SPECIALTY
Other
PIRISBED FLOOR ELEVATIOBS:
Fr.
IS P.BOJEcr IIi FLOOD ZOIfE AREA?
YES NO
********A&&&&&&& &&&&**********************
BUILDER
aM'I'RACIOR SEC'I'IOIN
~'/. ta- mtlPAIIY MICHAEL FI~E
State Cert. or Regist. # 0059931
~, '" City License Registration # 2 7 9
***************&.....&********************
Signature
ELECl'RICIAH
SilmAture
mtlPAIIY
State Cert. or Regist. t
City Liceuse Registration f
********&&&&&&&&&&&&&&&&******************
PL1Jl!tBER.
Signature .
CUlPA1IY
State Cert. or Regist. i
City License Registration ..
*********************~*******.k*********
KECIIAlIICAL
Signature
mtlPAIIY
State Cert. or Regist. "
City Li.cense Registration f
*********.&.&&.*&&.&*.~.******************
0'1"RD
aJIIPA1IY
Stab! Cert _ or Regi.st. .
City License Registration ,
*******&&&&.&....&&&&..*******************
Signature
APPLl;CATIOR APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned unders~a~dsthat this pe~.it 'lay be subject to mdeed restrictions' which aay be lore restrictive than City
regulattons. The understgned assules re5ponsibility for cDlpliant~ lith any applicibl!.deed restrictions.
B. UNLICENSED CONTRACT(IRS AND CONTRACTOR RESPONSIBILITIES '
If the IMner has hired ~ contractor or c~ntractors to undertahe Mork, ~hey lay be required to be licensed in accord "th
state and local Tlgulahons. If the"'Coniractor is ...ot, licensed as required by laM :both the',ollner and co t t ancb! 111
. t-oI f . d . 1 t. "'", . I , '.. n rac or lay e
Cl ~ or ailS eleanor V10 a t~n under 1tate la.. If the owner or intended contractor are uncertain as to Khat licensing
requlrelents lay apply for the Intended :)ork, they are advised to contact the City of Zephyrhills Building Depart.ent IB131
788-6611, "
~urtherlore, if ~he ~wner h~s hire~ a ~oJtractor.or contractors, he is a~vised to have ~he contractor(s} sign portions of the
Contrac~or.Sec~tons of thts appltCatlDn for whlCh they Mill be respo:.slble. If you, as the ownlr sign as the contractor,
you are lndlcatlng that you, ~at~er ~han,the con~ractor, are resp~nsible fer the work. If the contractor wishes you to sign
as contractor that aay be an Indlcat10n ~hat be 15 not properly 11cp.nsed and is not entitled to perlitting privileges i~ the
City of 2ephyrhills. .
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN L{.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
1 certify that I, the applican~, have bl!~n provided Mith a copy of "Florida's Construction, Lien L~N - HOleowner's Protection
Guide" prepared by the Florida Depart.en~ of Agriculture and Consuler Affairs. If the appI~cant is sOleone other than the
"oNner", I certify that I have obtained l copy of the above described doeulent and protist in good faith to deliver it to the
.owner. prior to cOlaenceaent. '
E. CONTRACTOR'S/OWNER'$ AFFIDAVIT .
I certify that all the infor.ation in thiS application is accurate and that all Nork Mill.be done in cOlpliance Mith all
applicable laMS regulating constructions zoning, and land developlent. '
Application is hereby aade to obtain a p,}rlit to do HOrk and installation as indicated~ r certify that no work or
installation has cOllenced prior to issuJnce of a perlit and that all work will be perforled to teet standards of all laws
regulating construction, City codes, zonlog regulations, and land deyeloplent regulations 'i~ the jurisdiction. 1 also
certify that I understand that the regulJtions of other governlental agencies lay apply.,to the intended work, and that it is
IY responsibility to identify what actio.ls I lUst take to be in cODpliance. Such agencies include but are not liaited to:
f DeGart.ent of Environaental Reaulation - Cypress Bayh~ads, Wetland Areas and Environmentally Sensitive Lands,
Yater/Wastewater Treat.ent
f Southwest Florida Water "anaae.ent Dis~rict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArIY CorGs of EnQineers - SeaMalls, Docks, Navigable YaterNays ,
f DeDartlent of Health l Rebabilitative Services. EnvironaentalRealth Unit - Wells, Wastewater Treatlent, ~eptic Tanks
f US Environaental Protection AQency - A~bestos abateaent , ,
I also certify that, if fill eaterial is to be vsed in FloDd Zone "AS or "Asete.", it is'understood that a drainage plan
addressing a "colpensating voluae' will he sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit 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 sball issuance of a perli,t prevent the Building Official frol thereafter
requiring a correction of errors in plan~, construction, or violations of any code. Every perlit issued shall becoae invalid
unless the work authorized by such perli~ is cOltented within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the t~.e the Nork is cOI.enc~d.~n7 90 day exte~si?n of t~.~, lay be
alloNed for the perlit with fee charge of $15.00. The extens10n shall be requested 1n Mr1t1ng to the BUlldlng Offlc1a1. An
approved inspection lust be logged durin) each six lonth period, or the project "ill be ~on~idered abandoned.
HARNING TO OWNER: YOUR FAILURE TO RECOR,) A NOTICE OF COKKENCSKENT KAY RESULT IN YOUR PAYINS TWICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAH~INBf CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDINB YOUR NOTICE OF
CO"KENCEtlENT.,~JOB DER $ 500 IN ': DO NOT N~ED TO RECORD AND POST A 'NOTIC OF COM"ENCEtlENT"
, ~.
'AC
SIGNATURE: OHNER AGENT
F; \L ~
STATE OF FLORIDA P
COUNTY OF ~ 0
The foregoing instrument was acknowledged
before me this "TlLhl '"', 19~ by
M ( U\.o..e.l F \ \(~
who is personally known to me or-liRe has
pr....dl1~ '
as identification and ,who did(Q1d n~
take an o~~ ~~
(Signature~<k... <J) l.A.NC:A0
(Name Typed, Printed or Stamped) ...
NOTARY PUBLIC Notary Public, Stllte of FlOrida
My (omrnis'li~n hr;[re$ July 31, 1994
Bonded Thru Troy Fein. ImuranC:8 Inc.
STATE Of FLORIDA Q .
COUNTY OF ft'5( 0
The foregoing instrument
before me thi~\1 v,tn
was acknowledged
, 19tt2- by
_tr\ " c"",, O-.e.. \ f:= ; \< e..
who is p!!sonally known ~ or who has
'pr'eeh:lc:ed . .
as identification and who dlltta~d no~
tak~~~
(Signa~ei\.(\"'- l)tk:.tv<:.A 0
(Name Typed, Prin~ed or Sta~ped) I ',1
NOTARY PUBLIC Nlltary Publ:c, S~!!te ,o~ r~c~l..a
( " E-"" ..., \I J l 1994
My cm~W;$~rin J;.~-.';; ,,'" .J~.j ,
Bonded Thru Troy fain ~ Insuranco Inw.
I,
""., .'.C'
I~.~.
'<'d{t
~1"~i
CARBON LESS
FORM 3850
NO
CARBON
REQUIRED
PROPOSAL
TRIPLICATE
PROPOSAL
MICHAEL FIKE CONSTRUCTION
P.O. BOX 552
CRYSTAL SPRINGS,FLA.
33524
No. 5837946
Date JULY 2 , 92
SheElt'No..l OF, 1
,.,'oposal Submitted To:
(~hme ~[R. I\N]).M'R.~.~.'RQ.~E~:rIJOOI{S
Street ,5034:1.7 TH. ST .
" ZEPHYRHILLS
State "ELA.
Pllone 782-:2333
, Work To Be Performed At:
SAME
Street
City
Date of Plans
Architect
State
I v' a Ilereby propose to furnish the materials and perform the labor necessary for the completion of
INSURANC~.W9liK,.,IQ...li:E;P~!li..J)A~Ac;~ fli()~ .J~LLEN TREE;
li~~QY~QAMI\G~]),_~i.'1.M:I:Ji.!!M..~IIED,{20 'x: 12')
REMOVE DAKAGED.~~JfPEJi P9li',l'.
lIAU!....AWAX.AJJ, .. J?!~liJS
INSTAI.lij~W{26~"'K"1.iY ALUMINUM ~HEDWITH OVERHEAD DOOR 1 SERVICE
DOOR...A.ND...3 ." WINJ!QW_S.
INSTALL 2 ELECTRICAL OUTLETS AND 2 OVERHEAD KEYLESS LIGHTS WITH 1
. SWITCH
. J:N.~1'!LL 1PIIONE"jACK
IN STAI. i'NE'f'C.A.ij~:~j:i.."P9i'I"I,$~E THE DRAWINGS)
CAMPER PORT TO INCLUDE THE FOLLOWING.
.....-.,... '.. .........,.,. ..............c...,. ........ ." ,..'..."... , . '. .. .,
4X4 .Y'~li.!]:~ALPQ~1-.S S:E..',l' IN CONCRETE FOOTINGS , 2X8 SUPPORT BEAMS,
~X6 R.A:r:r~RS, 2x:4J~ER!..:I:fjS,,5 V GALVANIZED ROOFING
ALL LUMBER TO ~E JJNPAINTED PRESSURE TREATED LUMBER.
.11 mat 'ai' guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
...;pecifications submitted for above work and completed in a substantial workmanlike manner for the sum of
'vith payments to be made as follows: $2,153.00 UPON COMPLETION OF CAMPER 'p8~fs ($ 4306 .00 l.
BALANCE UPON COMPLETION OF SHED
"IV a,",,, atlon or deviation from above specifications involving sxtrs
"istS, Will be executed only upon written orders, snd will become an Respectfully submitted
,xtra charge ovG' and above the estimate. All agreements contingent
"pon strIkes, aCCidents or delays beyond our control. Ownar to carry
Ire, tornado end othar necessary insurance upon above work, Work. Per
ien s Compensation and Public Liability Insurance on above work to be
qken out by
~
OWNER
MICHAEL FIKE
Note -- This wrrSSal may be withdrawn by us if not accepted
within days,
,--~.. - - .'-'-~'--'-"'---~,,-----, '--"----,',-_..~--~.., -,'~._'..-
~'."n"._..,"____,., ~,._,~'r_,"~........._
ACCEPTAJ"Cf:: OF PROPOS.A.!.
, c. ,~, JS, specifications and conditions are satisfactory and are hereby aceer'];, ','01) 1)1-:' ",uth:J!'ized to do the wOI'k as specified,
",unt wi!! 1->8 n,;.,r'"
JLI ~ ~, '72...
Signature
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