HomeMy WebLinkAbout92-2740
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<l 2740-&
1/ - ;;z -?;L
Date
~UILoIN~ E~
P<ope"y Own.., _:!!~
Job Address: 6/~ ,~)
Parcell.D, #
Zoning: Energy Code:
/J ~
Description of Work (~A~/'VI~ J
Pl~ ME~L Sewer Conn
--water Conn:
LA
Water Meter:
T,I.F.'s:
~
Radon Gas:
C" ~ ........-A p ~ r.t7<1, <- '", /'-12
NO OCCUPANCY BEFORE C.O.
FINAL //--5-
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
C.O.
DATE
Inspector
Valuation or
Contract Price ~ <f- o-v. c,"-()
City license Registration # ,-~..r ~ =? c:./ f (
State Certified license#
P~rmit Fe~~- cJ-0~~ /
~:::u:~ ~ . _1-
Address
Telephone#
Ftr.
Pre SLB IJ- -
lintel
FRM.
Insul. CL
Wl
El Al
ME
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
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 ($15.00) 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Ken Wiley Constructidri-Mainten~nrp.' Tnr
ADDRESS
1214 Roholink' ~t-
rry~tal SpriRgs. Fl
PHONE 782-01:)46
OWNER
Mr. & Mis. Shafer
"
JOB LOCATION 612.J Cameo St.
LOT SIZE 47 X 54 AREA SQ. FT .
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION Oakside Mohilp Homp Park
PARCEL I.D.#
WORK PROPOSED:____New Construction ..lL-Addition K..-Alteration _Repair _Install
_Sign/Temp. _Sign _Nove _Demolish
PROPOSED USE: ~Single Family ~/F ____t~ of Units ,.X-M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
X
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOID-IS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$
1,800.00
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
.
_PLUMBING
.... .
GAS
ROIJFING
___.~__SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel Aluminum
Other Concrete
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company Kpn wi 1 Py ("nn~t Miil iRt. IRe
State Cert. or Regist, i~ RX0059630
City License Registration U 6q~41
******************************************
BUILDER Ken wi ley
Sismature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
ELECTRTCIAN
Company
State Cert. or Regist, #
City License Registration U
******************************************
,PLUMBER
Signature
Company
State Cert. or Regist, #
City License Registration 0
******************************************
MECHANICAL
Signature
OTHER
Company
State Cert. or Regisc. U
City License Registration 0
Signature
******************************************
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned undenhnds that this penit uy be subject to "deed restrictit.ns' which lDay be lore restr,ictive than City
regulations. The undersigned assules re5pDnsibilit~~!Dr, cDlpliance with any applicable deed restr~ctions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the own~r has hired a contractor ~r contractors to undertake work, they lay be required to be licensed in accordance with
stlte and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisde.eanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, lB13)
7BIl-6b 11.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorts) sign portions of the
"Contractor Sections" of this application for which they will be responsible, If you, as the owner sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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 .Florida's Construction Lien Law - HOleowner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and ConsUler Affairs. If the applicant is soaeCone other than the
"owner., I certify that I have obtained a, copy of the above described document and pre'~lise in good faith to deliver it to the
.owner. prior to cOllencement.
~ \ . .":' " .
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 lade to obtain a perlit to-do work and install~tion as indicated. I certify that no work or
installation has COllllenced prior to issuance of a perlit and that all work will be performed to iDeet 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 govern~ental agencies lIay apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include but ~l e not limited to:
....
I also certify that, if fill laterial is to be used in Fl~od Zone "A" or "A,etc.', it is understood tllal a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer regist~ied in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d ohall becole invalid
unless the work authorized by such perlllit is co..enced within six 1II0nths of issuance, or if work authoJlzed by the perlit is
suspended or abandoned for a period of six .onths after the tiJe the work is co~menced. One 90 day e=tE~sio" of tile, aay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspectit,n must be logged during each six tonth period, or the pre.ject will be considered <lbol,dc.ned.
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 $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE___~_~~-
CONTRACTOR C-=?---
DATE
MY COMMISS
"
DATE
NOTARY AS T
CONTRACTOR
MY COMM I SS 10
~~
1wi~
MELVIN JAME MARSHAll
Notay Public. State of FIoIldo
My Comm. Expires Sept, 3. 1996
NO,CC~~_.J
~~~
i iJICi~
MELVIN JAMES MARSHALL
Notary Public. State of FIoIIdO
My Comm. Expires Sept. 3. 1996
No, CC 2257<>0
CITY OF ZEPHYRHILLS BUILDING DEPARTI~NT
OW~R ,~,. . M R ~ S Uk r=- ~ It.
JOB L6cA~IO.N "23 CAM f D 5r
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LEGA~ DESCRIPTION/SUB DIV. '
'l>A I< 5'''12 M/tVPARI-L.
BLK. LOT
Show all existing and proposed structures giving dimensions & setbacks.
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NO TE EXAMPLES 1 & 2
fc:, Street ~ 3 ~ It"'t€i> D I< ,
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KEN WILEY CONSTRUCTION-MAINTENANCE INC.
1214 Bobolink Crystal Springs Fl.
782-0546
PROPOSAL SUBMITTED TO: Mr. & MssShafer DATE: 10-9-92
ADDRESS nl?7 r.~m~o St. Oakside Mobile Home Park
CITY: Ze:Dhvrhills Fl PHONE: 782-2729 JOB# lORn
We hereby submit specifications and estimates for:
1. Add roncr~t~ 41 X 3 with footer ~ re-bar.
2. Add concrete 9 X 13 front to road, remove existing walk.
3. One car ort 30 X 14 with overhan , use 2/commercial down spouts
for rear drainaae.
NOTE: COLORS OWNERS CHOICE
extra) concrete will not
hp pour~d until after mobile home set..
We hereby propose to furnish labor and materials-complete
'io/ith the above specifications,for the sum of $ 1.ROO.00
PLUS: ~~t: 1 $~7~ q~~. ngllJ~~i(&-)9~' 00.
Dppnsit $g~R.OO ha]ance on comoletion.
in accordance
/xx Dollars
All material guaranteed to be as specified. All work to be completed lr.
a 'i%rkrnanlike ~ahner according,t6. standard practices~ 'Any alteration
from the specifications involving extra costs,willb~corne an extr~
charge over and above the estimate. All agreements contingent Upon
strikes, accidents or delays beyond our control. Final payment due the
day of substantial completion,payed to the installer or authorized rep-
resentative. We shall then issue a Wavier of Lien. Amounts past due
are subject to 1~% per mont~ interest,shoUld collection be required,
owner shall pay reasonable attorney fees. Venue' of any suit concerning
this proposal shall be in Pasco County, Florida.' All accepted proposals
over $1,000.00 may require a Notice of Commencement in accordance 'io/ith
Section 713.13 of the Florida Statues. The contractor carries all In-
surance required by Federal,State,county and City Statues,all other lia-
bilities shall be the responsibility of the owner. This proposal sub-
ject to acceptance within xx days and is vo'id thereafter at the
option of the undersigned. ~(~~~
\,f
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted.
You are authorized to do the work as specified. Payment will be
made as outlined above.
DATE: Octob...., Q, 1 QQ?
SIGNATUR
E,r
ACCEPTED:
PROPERTY DESCRIPTION: