HomeMy WebLinkAbout97-7235
Property Owner:
Job Address:
Parcel I. D. #
BUILDl~~Hy~!RM!,! 7235/5 .
Jl';' (813l:8;6611 O..e 1/ - ~(J - 'i';7
~~ ~ ME~ Sewe, Conn
-- . Water Conn:
7l!:~'~~!i:/dJi!:/i/6
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Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
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Radon Gas:
~~e.e617
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NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration # r2 9 9'
State Certified License#
Signature
Compa
Address
Telephone#
~7
.--c-/~: C?
Valuation or ';-f ~ 1P' ~
Contract Price ( ~ I
.
Ofi i~ ~a.Il~
PLUMBING (0
Ftr.
Pre SLB
Lintel
FRM. ul)./{11 Qol
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
,1/1'/ /~ 1 bO/
II /~,d77 ~I
. . ,
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1-5-:e6) shall be made for each trip for each trade:
~-:tTO
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 PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
,~~1~ .
f)/
OWNER'S NAKE
I/VI . C tt?~ p / fh. /.- Ie (9 y -I ~ If I .~
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..s J 1..1/ /7 v c. s: 11) .. Ta J--"-1 jJ cl j P/ ~ ~ 6 / ?
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PHONE
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OWNER'S ADDRESS 7.:l () ~
JOB ADDRESS
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. 1 t) J. - J ~ -~ I ~ 6) t!J J /7 __ ~ I} t!I () t!I - tJ () 7' CJ (OBTAIN FROK PROPERTY TAX NQTICE)
WORK PROPOSED:_New Construction --^ddition ~eration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: _Single Faaily
~ ec:-ercial
_KIF _' of Units _K/H
_Indust. _Swia. Pool _Other
_Restaurant Ii: Health Departaent Approval
DESCRIPTION OF WORK: T lY If It, '0 /C
,.e e 14-r.tJ elt" /. '/--10
;'
I
.s:' e P f' JC> ~ 7,c.:
LI ./L/ . - ;/ -!:
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & .(1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
<J t1
$ ~ S-? / .:::---
PERKITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
~CIIANlCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUILDER COKPANY 06 4.J' I 1.., S- trt--, ,.. j- he" N,f 1-.
/7 ---- ~ # ~ U State Cert. or Regist. 1 If h~ ~ 7 3~ 4 I
Signature~ /t ~ City License Registration 1 d ~?
******************************************
/
COKPANY r:t'e c L C/ ..ere ~~
State Cert. or Regist. 'I t!K3//,C;-i-:Z
City License Registration' /0<0/
**********************************
/
PLUMBER.
d COIIPANY /7. '
-. ",/ - ~ State Cert. or Regist. 1
.../,~ ~ Q tf3~ City License Registration t
******************************************
./
Signature
KEGHANICAL COKPANY
State Cert. or Regist. I
Signature City License Registration 1
******************************************
OTRRR GOKPANY
State Cert. or Regist. .
Signature City License Registration t
****************************************..
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A.' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or 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, both the owner and contractor la' be
cited for a lisdeleanor 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, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portiooa of the
"Contractor Sections" of this application for wbich 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 wisbes 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. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is soaeone other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to coaaenCelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
\
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all lils
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaenLal agencies aay apply to the intended worl, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not ll1ited to:
* Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic ranks
t US Environaental Protection Agency - Asbestos abateaent
I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "cOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued sball 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 tbe technical codes, nor shall issuance of a per.it prevent the Building Official fCOl thereafter
requiring a correction of errors in plans, construction, or vioiations of any code. Ivery petlit issued shall beCD18 invalid
unless tbe work authorized by such per.it is cOllenced witbin Sil IOntbs of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of sillOnths after the tile the work is cu.enced. One 90 day eltension of tile, laY be
allowed for the perlit with fee charge of $15.00. The 8ltension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each Sil IOnth period, or the project will be considered abandoned.
WARRING TO OWNER: YOUR FAILURR TO RRCORD A HOTlCR OF COIIHENCKHKIfT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIBI1'S TO YOUR
PROPRRTY. IF YOU IIfTEND TO OBTAIH FIHANCIHG, CONSULT WITH YOUR LENDER OR All AnORIEY BEFORE RECORDIHG YOUR lallCll OF
COMMRNCEHBHT. JOBS UNDRR $2,500 IH VALUR 00 NOT HEED TO RRCORD AND POST A "HOTICR OF COHMINCIHKHI".
-- //
----/
STATE OF FLORIDA fb.:s.
COUNTY OF . ~(J
The foregoing instrument was a~nowledged
before me this f{ov 10 , 19~ by
---Lh tL L. SrV\ ~K
~s ~ersonallY kno~ me or who has
pro uce .~
.. identification and who did/~
tak'Y71 oath. J t;
(U).,a~ Jr ~ J 'l:JKU4- .
(Sign~re) . / .
a 55/YYJ 1'4. r-. 0[>DJ6h t./
(Name Typed, Printed or Stamped) I
NOTARY PUBLIC
"ij"'" 'U't'et CASSONDAA F ~
* MY~:zooo
* ~Apr. 30.
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SIGNATURE: CONTRACTOR
I
STATR OF FLORIDA J')
COUHTY OF IO!> CO
The foregoing instrument was ac~owledged
before me this M) 1/ /3 , 19~ by
~klL- L., j/)1l. 'H~
o is personally known or who has
pro uce
as identification
take &dIoath.
Cd / 1\t1-
(Signat~) r- ~
( ~as5IJrdl/i/i... r. C YODI.!:h1j
(Name Typed, Printed or Stamped) /
NOTARY PUBLIC
...., '111.
'lilo CASSONDRA F 000L8BV
.. * MY~ionCCl581731
" Explree Apr. 30, 2000
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..---...--------........,-..... --.. --_. .-..--- -.
MICHAEL HALIKOYT~KIS
813 621160 5096
P.8). .
11/06/97 10:&. FAX 813 782 0'70
.JOHN L 5J[ ITII CON
rc002
P.-opaql
Date Nov. 6, 1997
RB 37321
JollD L. Saith COblltr"ctiOD
4240 Coats Rd.
ZephyrJaills, PL 33S41
(813) 71U470
.~ ------ ..-- -
Proposal SubmItted To
Name Michael Hatikoyrakis
Street 7202 ~2:nd. Ave. So.
City Tam~ FL. 33619
Telephone '1# 626-S096 Fax 620-1227
Work To Be Perfunned At
Street Lani Dr_
City Zephyrbills. FL. 33~40
Date of Plans N/A
Architect
We hereby propose to furnish aU materials and labor for the completion of interior remodeling. see attached
sheet.
All material is 81J&I'aI1teed to be as specifie~ and the above work to be completed in accordance with the
drawings and specs submitted for above wor.k.. All 'WOrk and materials to meet local industry standards and
existing codes in effect at date of this PJ'QPOSaI. '!he above WOtk to be performed for the sum of
TweDty five hlUtdred eighty OIlC and 001100 Dollars (S 1.S81.00 )
with payments to be nmde as follows: when complete .
Any a1t.erati~ or deviations from the sbove specifications involving extra costs, will be executed o.nly upon
written orders, and will becotO.e an extra cbaxge over and above the estimate. All agreements contingent U)JOn
strikes. accidents or delays beyond our control Owner to ~ fin;, wind and all other necessary imurance
required upon above wotk. Workers Compensation and Public Liability InsW'8DCe to be tBlcen out by b\liJdcr.
Respeotfully'ubmi~ .~~. ~~
Per 10hn L. Smith Co lion
This proposal may be withdrawn by us ifnot accepted within 10 dayr;
Ac~ce of ProJlOll8I
,....---.... -- --. - -
WCs the undersigned have read tbi8 proposal and do agree to the terms and conditions as listed above and to JUly
attaclnuen1s, if included. We authorize you to do the work as specified. Paymcnt will be made as outlined in
this proposal.
Date
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