HomeMy WebLinkAbout93-3455
BUILDING PERMIT
.......
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
- 3455,8
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Date
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Sewer Conn
Property Owner:
~~~..d
CP -,:J (., - .;<. /- ~- D
Water Conn:
Job Address:
Parcell.D, #
Water Meter:
T,I.F.'s:
Zoning:
FINAl_ q-
C.O. _
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Valuation or .IL -./..I t? - S-O
Contract Price r ' r I S 15'.;)", -
C;ty Ucen.e Reg;''''';on J.t ~ ~~ ';7
~~~~.a~
Cc_ BUIL~N~ E~-
Inspector
Pe,m;' Fee ~ ~. e..e. _ ~
S,gn"",e _ _ :/ a ~
Company
Address
Telephone#
PL~-
--~
M~
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
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 PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTl'1ENT
APPLICANT K T3' N 4J f Ley, C {).N Sf Jvt A1 J r- I ;V ~
ADDRESS 1;21'f i3D'BOU,vK 's~ CKYS7Al s ?1!;i'CSPIlONE 5Tf/3 -7!12-0~1i
OWNER M fi 0'-- M;(I 'j(." L 0 LU F=-
6052 PL-c/J. <S~r.J T S r
JOB LOCATION tJAK- oS (D E M()t5ILE /ftJM r-== ?1J)J:tOT SIZE X AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.1F (};l-~-~'m ~-f) #:
MvBrLf3, Me: ~oo uuG~
WORK PROPOSED:____New Construction ~Addition
CArf{ 7b ~T; U'/f L; '7 '5 /.f C i-;J
____Alteration _Repair ____Install
____Sign/Temp.
_Sign
_~love
____Demolish
PROPOSED USE: ~Single Family
_M/F
____iF of Uni ts
, ,-X::l'1/ H
____Commercial
_Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'1S.**
COM1'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~LDING
~ECTRICAL
~CHANICAL
~/~ill1BING
TYPE OF CONSTRUCTION:
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_\-i.R.E.C.
$
Valuation of Mechanical Installation
.-
GAS
ROOFING
SPECIALTY
_Block
_Steel
ALUM I JJ~~ther
FINISHED FLOOR
-X...Frame
$(/6- r>
ELEVATIONS: T% F~.. I /'
,~ SlrN b
*********~********************************
....,CONTRACTOR ;;ECTION ___ r--'
Ail .(}<::., Company t(P.-Ai W1LPl Ci: A'> I MletlV) (tV ~
State Cert. or Regist, !I X6bs'7'6 0'<. DOS-~/Y-
, City License Reglsu'atinn ;/ (.,9 0'... "'? :;:{~
***********************************
Company
State Cert. or Regist. 0
City License ReGistration 0
******************************************
Company
State Cert. or Regist. a
City License Registration 0
******************************************
Signature
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
Signature
~/;4~
Company
State Cert. or Regis t. ii'
City License Registration ~
OTHER
******************************************
.
PERl'lIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS, OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The ,undersigned understands that this per_it .ay be subject to "deed restricti~ns" which ~ay be ~~re restr,ictive than City
regulations. The undersigned assulcs responslblllt(;for, cOlpliance with any applicable deed restrictions.
..' .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If the owner has hired a contractor ,~r contractors to undertakc work, 'they lay be required to be licensed in accordance with
state and local regulations. ' If the contractor Is not licensed as required by law, b~th the ~"ner and contractor lay be
cited for a Disdeneanor violation under state law., If the owner or intended contract~r are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills ~uilding Departaent, (BI3)
7BIH611.
Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that may 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 "Florida's Construction lien law - Ho~eowner's Protection
Guide" prepared by the Fl~rida Departlent of Agriculture and ConsuDer Affairs. If the applicant is s~te6ne other than the
"owner", I certify that I have (,btained a, cripy of the above described de.cument and proIT,ise in good faith to deliver it to the
"owner" prior to cOI~ence~ent.
:,....;: "
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this application is accurate and that all "ork will be done in co~pliance with all
applicable laHs regulating construction, zoning, and land developDent.
Application is hereby made to obtain a perlit to'do work and installction as indicated. I certify that no work or
installation has c~lmenced prior to issuance of a perlit and that all work will be performed to meet 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 governmental agencies ~ay apply'to the intended work, and that it is
IY responsibility te. identify what actions I must take to be in compliance. Such agencies include bid ';1 e Iie,t li~ited to:
. .I. -'"
I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensitive Lands,
Hater/Wastewater Treatment
. Southwest Florida Hater'ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, Altering ~atercourses
I Arty Corps ~f EnQineers - SeaHalls, Docks, Havigable Haterways
I Departtent of Health ~ RehabilitativE Services, Environmental Health Unit - ~rlls, ~astewater Treat~e~~. Septic Tanks
I US EnvironDental Protection AQency - Asbestos abatement
I also certify that, if fill lIIatl?fial is to be used in F!e.od Ze.ne "A" [tf "I\,etc,', it is underste,e,d \I,,,,t a drainage plan
addressing a 'co&pensating volule" will be submitted which is prepared by a professional engineer regi5t~red in the State of
Florida prior to perlit issuance.
A perait 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 provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Ufficial fro~ thereafter
requiring a ce,rrt:ction e,f errOTS in plans; cr,nstrudie,n, e,r violations of any c(,de. Every per~it issll\!d "hall bece,le invalid
unless the wtork authe.ri2ed by such permit is cc.ftlllenced within six months e,f issuance, (,r if liC<l f, a\,tl.e" ],ed by the perait is
suspended or abandoned for a period of six lonths after the t\)e the Mork is co~menct:d. One 90 day e:tE~5jDII of tiae, ,ay be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An
approved inspectie,n f.lust be lc,gged during each six Mnth period, OT the prc,ject Hill be ((.nsidered dbdl,de,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. JOOS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE~~ ~________ SIGNATURE__~~~_~~~
OWNER OR A~ CONTRACTOR
DATE____
DATE
~1
'r.i'
MELVIN JAMES MARSHAlL
Notary Public. State of FlorIda
MyComm, Ellpll86 Sept. 3.1996
No, CC 225760 '
~
MELVIN JAMES MARSHALL
Notary PublIc. State of Ftot1da
My eomm, Expl... Sept, 3. '996
NO, CC 2257tlO
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KEN WILEY CONSTRUCTION-MAINTENANCE INC.
FI.
1214 Bobolink Crystal Springs
782-0546
Mr & Mrs Russ Lowe
St. Oakside Mobile
PHONE: 783-7621
?~O?OSAL SUBMITTED TO:
ADDRESS ~~;7 Pleasant
==T:: 7:ephyrhills
DATE: 8-2693
Home Park
JOB# 1136
~e ~ereby submit specifications and estimates for:
~FF A~~ArHFD SPErTFICATIONS
SEE SITE PLAN ON REVERSE SIDE
(20 "'-I. ? L ETr 0 N 1) ATe
~E?r 71i
?(.;#
~~
~e hereby propose to fu~nish labor and materials-complete
~lth the above specifications/for the sum df $ 4/585.50
?cCS, ~; ~a! "~27~.13 ~~60.63 ~
' 2,430.31 P \ '"1 ~ t.."<~ 51'
~:ran~~ Qn cQmpletion $2,430~IIS PERMIT , .
in accordance
/xx Dollars
~:: material guaranteed to be as specified. All work to be completed In
~ ~orkmanlike manner according, to. standard practices., '~ny alteration
~ro~ the specifications inVolving extra costs,will become an extra
~~arge over and above the estimate. All agreements contingent Upon
s:rikes,accidents or delays beyond our control. Final payment due the
:2Y of substantial completion,payed to the installer or authorized rep-
:esentative. We shall then issue a Wavier of Lien. Amounts past due
are subject to 1~% per month interest,shoUld collection be required,
J~ner shall pay reasonable attorney fees. Venue of any suit concerning
:hlS proposal shall be in Pasco Coonty, Florida. All accepted proposals
J'/er $1,000.00 may require a Notice of Commencement in accordance with
Section 7~3.13 of the Florida Statues. The contractor carries all In-
s~rance required by Federal/State,county and City Statues,all other lia-
~llities shall be the responsibility of the owner. This proposal sub-
~ec: to acceptance within,xxx days and is vold thereafter at the
OPtion of the undersigned.
/
It/J \ i; I
~,/.J (CI /'
//
ACCEPTANCE OF PROPOSAL
The above prices/specifications and conditions are hereby accepted,
~ou are authorized to do the work as specified. Payment will be
~2de as outlined above.
':C2E?TED:
:::,':,TE: ~//2~/ ,7'5
~~O?ERT: DESCRIPTION:
SIGNATUR