HomeMy WebLinkAbout94-4124
BUILDING PERMIT
CiTY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
4124'&
Date l-cJY-y'l
~DIN~ ELECTRICAL PLUMBING
P,"perty Owne' ~.2j; ~ ~~
Job Address: '- <:, .- ? ~ ~
Parcell.D. # )/-;).. .-cJJ ~ bO/ {) . /9()... CJ U
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
TI.F.'s:
Zoning: Energy Code:
Description of Work [~~r-
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL ~L 7 - c;
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar'r.'e with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
69-
,
"
Permit Fee dO - c.rv
~::~:~;~. 40;:J
Address
Telephone#
Valuation or
Contract Price
R-~ ~ ~)
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
BtLl- Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
f;1\i1\L. I '-1' c,e.!
Driveway
SLB
Tub Set
Water
Sewer
Final
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 PER!-IIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTr-1ENT
APPLICANT
WfL-EY
~'OtJS/~II( 'iIOv
MAIN'r I NL .
PHONE 7 X".2 - CJ 5' :1 6
OWNER
$/1: 5! zE (1) VI? ll-iLl 5
,
LOT SIZE
X AREA SQ.FT,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D .l~
/ (-;26 - 2/ -VOID .- 1'1J..OU
WORK PROPOSED:____New Construction ....x-Addition ____Alteration _Repair _Install
____Sign/Temp. _Sign _~love _Demolish
PROPOSED USE: ~Single Family _M/F _t~ of Units ,._M/H
_Commercial _Indust. _Swim. , Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
~~
1 CIAL:
x
Square Fee t 1
Height
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'1S.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. **
**COPY OF CONTRACT REQUIRED.
A-BUILDING
_ELECTRICAL
}lERMTTS REOUESTED
/'~ () 0
~ D (J ::::---- Valuation of Total Constl'uction
$
AMP Service
Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
.-
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
~ONTRACTOR SECTION I~ .~
nUTT.DER J(l3d tJIL~ Y t"'oJlJS,)"/AIJ.J, IWe. Company K 13-N tJ/L.-b,Y t7olz, J M/tIul lAY C ·
u./ ~ . /Wr! \ State Cert. or Regis t. I!
Signature '/?.. ~ ~ . . City License Rcgi.~tration !! 6 I
*** *************************************
ET~:.:T:R:J :r:T:AN Company
S' <> u -=----------' ;~~~e L~~:~~e o~e~~~~~~~.i~n !!
~****************************************
*********~********************************
Signature
. Company
_ State Cert. or Regist. ~
________ City License Registration !,'
-~*************************************
PLUMBER
Signature
Company
______________st:~ t e C e r t. 0 r Reg i st. i,f
~ ,City License Registration ,!
~*************************************
,.../
MECHAN1CAT.
DTHER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
PERHIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
-
The ,undersigned understands that this perlit say be subject to "deed restricti~ns" which ~ay b~ o~re restr,ictive than City
regulations. The undersigned assules respDnslblllty~for, COMpliance with any applicabl~ deed restrictions.
'.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If the ONner has hired a contractor .~r contractors to undertake 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 ~Hner and contractor ~ay be
cited for a lisdefteanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrh11ls Building Depart.ent, (813)
7BB-bbll.
Furtheraore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the
'Contractor Sections" of this application for which they will be responsible. If you, as the ~wner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed ~nd 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 provi'ded with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
Guide. prepared by the Fl~rida Depart.ent of Agriculture and Consuler Affairs. If the applicant is s~t~6ne other than the
.owner., I certify that I have (Ibtained a. copy of the above described d(lcuJltent ilnd pr(,rrli~e in g~od faith to deliver it to the
.owner' prior to co.~encement.
; 1 "; ':~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforffiation in this application is accurate and that all M~rk ~ill be don~ in c~apliance with all
applicable laws regulating c~nstructi~n, zoning, and land development.
Application is hereby made to obtain a permit to'do Kork and install~tion as indicated, I certify that no w~rk or
installation has CDlmenced prior to issuance of a perlit and that all w~rk will be p~rf~rrned t~ roeet standards of all laws
regulating constructi~n, City codes, zoning regulatiDns, and land development regulati~ns in the jurisdicti~n. I also
certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
.y responsibility te, identify what actions I must take to be in compliance. Such agencies ir,clude bid ~1 e Ii(,t liaited to:
. ,,#" -..
I Department ~f Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi liv! Ldnds,
Water/Wastewater Treatment
I Southwest Florida Hater ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, ~Itering Haterc0urses
I Arey C~rps ,of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent ~f Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks
I US Envir~naental Protection AQency - Asbestos abatement
1 also certify that, if fill aatHial is to be used in Hood Z(lne "A" (lr "A,elc,', it is underste,e,d 11,,\\ a drainage plan
addressing a 'colpensating voluee" will be subtitted which is prepared by a profes5i~na] engineer regi5t~red in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the w~rk and n~t as authority to yiol~te, cancel alter, or
set aside any pr~visi(.ns of the technical cDdes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter
requiring a C(lrrection (If errors in plans; c~nstructi(ln, (Ir vi(llations of any c(,de. Every per:llit isslI"j "hall bece'le invalid
unless the w~rk auth~rized by such permit is c(,,,menced within six months (,f issuance, (,r if Me,d: atltl,cI\J,ed by the perait is
suspended or abandoned f~r a period ~f six tonths after the tiJe the HDrk is [~~men[ed, One 90 day e:tE~5ioll of tile, aay be
all~wed for the per~it Hith fee charge of $15.00. The extension shall be requested in Hriling to the Building Official, An
approved inspectic.n !'.lust be l~gged during each six month period, (,r the prclject Hill be [[,nsidered dballd(,n~d.
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 ...&!'7--
DATE
-----------------------------------
DATE
NOTARY AS TO
OWNER OR AGENT
NOTARY AS TO
CONTRACTOR_____________________________
-----------------------------
MY COMMISSION EXPIRES
MY COMMISSION EXPIRES
------------------
----------------------
CITY OF ZEPIIYRIIILLS BUILDING DEPAR'J."HEH'l'
OWNER A/! 4If 14-I\JA~CflE~
, .
JOB LOCATION ~/2 9 8"1/ <;'IJ
PARCEL 1.0. # 11- 2 b .....2/ -6010 -1"200 -- nOID
SHOW ALL EXIS'I'DIG &: PROPOSED S'l'RUCl"URBS GIVDIG DDlERSIORS &: SE'l'BACltS.
-XISn Ale F~oNTI.ft;;=.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
t1/ ~ b
~'i (7 r ./l
\\O~ e
~
Q I
<,) ; ~
~~1
~v
~
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED .
20'SGL FAH 30 'DUPLEX
1 0'
10'
P E
R X
o I
10' P S
o T
S I
E N
D G
10'
20'
PRmII' PROPBR'!'Y LllIB
PRDII'.r PROPBRft LID
KEN WILEY CONSTRUCTION-MAINTENANCE INC.
1214 Bobolink Crystal Springs Fl.
782-0546
?~OPOSAL SUBMITTED TO: Marian Archer
~DDRESS 5129 8th Street
:~;Y: Zeohvrhills FI PHONE: 7R?-?OR1
DATE: 6-24-94
JOB# 1 ?OR
~e hereby submit specifications and estimates for:
Aluminum carport 20x12'6"
Built to 110 M.P.H. wind loads confirmed by engineered drawings.
Color shall be White. Post shall be 3x3 fluted set in concrete.
~e hereby propose to furnish labor and materials-complete
~:th the above specifications,for the sum of $ 800.00
?~US: .:~; ;~n ~pr~~
D~p05l1_ _.1__ 0_ __ ~2'f ~~ /7(
B.lanc~ on comp'~t;n"
in accordance
/xx Dollars
~:~ material guaranteed to be as specified. All work to be completed cr~
a workmanlike ~ahner according. to. standard practices. '~ny alteration
=rom the specifications involving extra costs,will 'become an extra
=harge over and above the estimate. All agreements contingent upon
Strikes/accidents or delays beyond our control. Final payment due the
~ay 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 month interest,shoUld collection be required,
c~~er shall pay reasonable attorney fees. VenUe of any suit concerning
:his proposal shall be in Pasco Coonty, Florida. All accepted proposals
Jver $1/000.00 may require a Notice of Commencement in accordance with
Section 713.13 of the Florida Statues. The contractor carries all In-
surance required by Federal,State,county and City Statues,all other lia-
jilities shall be the responsibility of the owner. This proposal sub-
;ect to acceptance within xxxx days and is vo'id thereafter at the
Option of the undersigned.
ACCEPTANCE OF PROPOSAL
:he above prices,specifications and conditions are hereby accepted.
You are authorized to do the work as specified. Payment will be
~ade as outlined above.
.':'.2CEPTED: SIGNATURE1}0,~,G(.QLa/'.J-I4..1
~ _/
~ , '1' - '-u /I':)Q.1/
~.-..':' :. .//Q-r-" ~-r, 777 SIGNATURE
?,W?EI?TY DESCRIP;ION: //-26-2/ - 0010 -1'7200-- OO(p
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OHEER - O(I{lCIPIIENT CONSUlTANT
BERT SlRm
PORT OlANG:. FtOlOA J2119
(901) 767-1771
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