HomeMy WebLinkAbout91-1629
STATE OF FLORIDA
City of Zephyrhills
BUILDING DEPARTMENT
1-813-788-6611
Type of Permit ;26, oi) 6' c:). o-v Date
B~ GECTRIC~ ~. ~HANIC~:>
Property Owners ~ame:? )Jf~ ~ '-:iJ. -" JJ
Job Address: ~ 0 ~J Z__ f ~ ~ ~J
Legal Description:
Sub.Div.
Zoning CI:
Description of VVork
PASCO COUNTY
Permit N~
1629/l-l
7-?~7/
Lot
Blk.
..-G.<....---hJ
~-~~ / - c?;6 .Z;
~:j-"
"71--f
A7:-
Energy Code Readout:
(~ 7-/7~c;/ M
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: (f: 7 0 y. (TO
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # 91 ~.<!/A A-?
/
Fee: &'-0. <r-D ry. rz!jj!," 0()
SIGNATURE~~r& ~~
../
COMPANY
ADDRESS
TELEPHONE #
B~
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Driveway
(~,-#~ (JJJ~.
~
MECHANICAL :----""'j
/
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Relnspectlons: When extra inspection trips are necessary due 10 anyone of the fOllowing reasons, a charge of - fr I ~.ag)
(/~~ crv)
dollars shall be made for each""'. Tr a.. de.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
Supply outlets and
jJ/A
return air. Duct work shall be
N/,\
Insur~d
Propo..'
Pa e No. ') ""0' J.
Air-Flow CONTROL, Ince
AIr CondItioning&' Heating
Residential &' Commercial
~.!/.
.' . .
., \,~ .
Licensed
Bonded
4712 N. Clark Ave.
Tampa, FL 33614
872-6448
PROPOSAL SUBMITTED TO
:~; un') :i.-Jl r ':
STAEET
SOJ 7 0,].1 L d.l vel.
CITY, 8T ATE AND ZIP CooE
1.](;'/.:.:-; In,~.
PHONE
711:;-9242
JOG NAME
:3unDa th PCJduc t,
JOB LOCATION
DATE
7-:-'91
(;.:'~~-~,) ;Jl~:'l t L _:. ~-;
; ,-,..
.l_ j .~ '." ..
~~
ARCHITECT
I ..) <1_L
DATE OF PLANS
t)UJ'7,~111
SAlESMAN
"J. V,1,.
JOB PHONE
We hereby submit ~tlon. and ..llmat.. for:
Equipment manufacturer shall be ',', < 1\ ;\1 F;
t~ ,~~~ .,L:", a '::;f <~., II n j t:
~~ni::len89fModel No. ' " : i '\ ! ''',. ';/) \
:;t1:
,I.:; ",.
:';c.'~ I.
. S.E.E.A.
. Air Handler Model No.
Air Handler is to be installed ' ' /
System shall be ------'.-.~::.'"'_.._.._.__._.._.___,._, lon(8) with.. ....----.-.._J..i.__.,.....
'i.:t~&
'" kw electric htlt~J;
~~J.
There shall be
J\'~' /i;
1 - theri'10~Jt.] t
. cOndensate pump to be installed by :~ 1'1
One (1) y..r warranty on all part. and labor and an additional four (4) y..~. on the compr...,,;
motor. . ; "~~j.:t
~~y
~:,t'f.,
OPTIONS
WARRANTY:
PRICE INCLUDES
ilC,t~a..L ciuct COV'~i
~.j .~< :.} s
) .ii:.;r;; 1 Dd.l1;-:;
C:'/tn.f un!.t i.:\L:)
(:':l_;.:ct,ri<~llt :i(:.l".;'
, '.'
. ., :.1 t
'" <,l',jcln( (iDC...: ~.',T()r.':':,
. . t' L
'),"':0 (~x::1S. J.nq l),HW,
Not responsIble tor any painting.
w. Propos. hereby 10 furnish material and.labor- complete in accordance wilh above specifications, for Ihe sum of:
I,; i r!1 t tn () y'3 .,1 d'1 '~", iJo::~ n IHnu1t>~(.1 and :-; i.;~ t v- n in c, - - - __ dollars ($: , ') :) () . ,}:)
Paymenlto be made as follows:
:~5, 261. OJ <\0\'/11 a:u ":3., SOH. 00 on 1:>>!i1j)lr:ti,Oil of dvste;n;::;
AI material.. guaranteed to be as specified. Allwori< to be CXlmp/eleel in a _manlike menne, ac.
cording 10 standard ptaClieea.1\ny .......Ilon 0< deYidon tram above IPeCIIIc8llona lnvoMng extra
OOIIIS will be ell8CUled only upon Millen Otde<s. and ..,become.... __ choIIge _and above
lIle ntima,e. AI agtMmenla 0lIIlIlngent upon IlrIkee. IlCCldenla or clNyI berond our control.
Owner 10 cany ..... """- and _ -..y ............. Our --. ... luIIy _ by
~'0~_1nour_.
Authorized
Signature
, 11'
~_.__.-. (J I'. ." z. . ..
<" ...,...," , .~i> , .~ . ,r ," _ ",")""
/(.. ) _,u-' ,,~~- "'~?- :.e-t:,r h,
, Note: This proposal may be
withdrawn by ualf not accepted within J i)
Tille .hell not oaso to buy..- with de/lveoy oIlIle above"..-...~. buI.... """"'" _eel In
~"'.'I unril 'tvl Mtfjr't ~"'Jr(:ha~e PIlCe, inctuding _bot,. t*d. 8uyftf' hereby gr.... to MIler ot JIlt...,
~""II rh#l '~f to lI'llA<( ill Anytime Mttl Of' without: bt.:eMyprlln'Nee In ~UId"""""p((Jp
e<1y '''.Y t>O kw:aIBrl. '0 l&k6 m'.'"",n nf ..I<l l*8qnalll'Ol*lY In ""'_01 <MI..IlI 01 llllV""'lrt,
and ..pt...", "a""" any ngIlt ..tIitI. might accrue by I'M8On 01"'" """" 0< lIle.....ing 011"""'"
"'" 01 "'H"""fl<lnal P"JPl>'Ty lIuy", furthe, _11'''' 10 pay "J\l'll. ,,...... PIt. """,It! , 1I'lI. '''"
""tl"~' 1)<, HII H\V""... /101/III'" WllIlIn JO (t.ya. /I OOIlellllori lJy IlI1Il11Om1v '*-0 '_.aIMY.
e,,""""" ",I""" ,n ''''y /l"om..y ,_. ""'''/5'0010 and COllI 01 removal or '-" of ""'Jlllm..",
;:) c;/
Dale of Aecoplancc: _ ~
,
SlgnllflJrtl
~-Lf' vJ
d~"
,~ .
(If
Signature
APPLICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~~~ flOkJ ~ (1::--<(
ADDRES~ ft(. . CJ#~k :;;e,
OWNER_ -{ ~) ~ ~~ __
JOB LOCATION -0'0'3:> (JI9-IL J:J jpJl,
PHONE
C(/{)- ~),;. ~'IL(r;
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D..4~ /tJC;-3-dl- 1";2,7)1
BLOCK
SUBDIVISION
(PI__' fJ -_OJ) '3 3~~s
WORK PROPOSED:____New Construction ._Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _l'love _Demolish
PROPOSED USE: ____Single Family _M/F ____f~ of Units __/'III!
_Commercial --':-Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COl'frlERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY r:-ORr-IS. ,~*
**COPY OF CONTRACT REQUIRED,
PERMITS REQUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
_MECHANICAL
$ CfJ ~ /. C}, ()7)
,
Valuation of Mechanical Installation
_PLtJ1-lBI?'fG
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTO~ SECTION
Company
State Cert. or Regist. #
City License Registration ~
******************************************
BmT.DER
Signature
ELECTRICT AN Company -ru //atCt ~ E/ec. !tICa.! 5el-v,te. .t.m, .
ML({:;~ State Cert. or Regist. II EIU')OO7t~7
Si!mature / City Liccnse I~c[';istrat:ion II _ ~J,
******************************************
PLmmER Company
State Cert. or Rcgist. ~
Signature City License Registration J
MECHANTQAl'/~ t1l~..:::::::*~,,~,;:~,*,~Y2
State Cert. or Regist. r /
Signature . City License Registration
******************************************
OTHER
Company
State Cert. or-Regist. ~
City License Registration r
Signature
******************************************
APPLICATION APPROVED BY.
PERl-lIT OFFICER.
"' ....'
tONDI~IONS.OF PERMIT AFFIDAVIT
NOTICE OF DEED RESTRICTIONa;'..
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B, UNLICENSED CONTRACTDRS AND CONTRACTOR RESPONSIBILITIES
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7aa-6611,
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City ~f Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
D.
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'o~n~r' pri~r to COi~~nc~~ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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applicable la~s regulating c~nstruction, !oning, and land developDent,
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I ~rDY C~ros of EnQi~eers - Sea~alls, DOCKS, Navigahle Waterways
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WARNING TO DWNER' YOUR FAI(URE TD BECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YDUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CDNSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECDRDING YDUR NOTICE DF COMMENCEMENT. JOBS UNDER $2,500 IN VAL'
DD NOT NEED TO RECDRD AND PDST A "NDTlCE DF COMMENCEMENT".
SlGNATURE__J~'::Y-~-"-~j. 5IGNATUR, ~~ _al~
OWNER OR AGENT ~ ~TRACTOR
DATE_~3jJCB.L------------------ DATE_~--1]j-jg;]L-------'---'
NOTARY AS TO ~ ....c./)~ NOTARY AS T~. ~
OWNER OR AGEN CX.t:Z CONTRACTOR ' ~ - ----
----1lif'oi'I- ..-011-- ' ---- .of. of ~
MY COMM 155 J ON EX P I RES .. ~ bpInJ 0&t.11. 1m MY comll 551 ON EX PI RE 5 -1Iy- ~\on """'" ~,!.,
--------- .........-"",,,,,--
N];:;ry 'ublic, Slate of flcni1tt
;,1', (llmmissi'Jn h?lr;;; Or?, 2:, 1l?1
~;n'?oo. thj;j 1r,,1' f~j...101.U..;j_I;'~ L",;.