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Home My WebLink About91-1682 STATE OF FLORIDA City of Zephyrhills Type of PermitY (? Lit) ,~-"---""'" ~_ ( ELECTRICAL ) --- PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 02j=~ "...----~ p~. ~CAL) Permit N'~ 1682/1 Date_~?' - ,3 / - ~ / Property Owners Name: t:; R:'/l ~ ~h o. ajt~;(- JObAddress:-3;; 0 ~S {~,f,:' ~/ (1i"-f:... Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work 12\ .. '';' < A'/J )fa ~ ~.f::~1- =I- '7 / {I .' -- rLLk' , . ,47~-/h Complete Plans, Specifications and Fee Must Accompany Applicati Energy Code Readout: Estimated Cost: / / / g-: 0/) - 1 Fee: ~S, ?~~ SI~NATURE 5' · . - -- '- COMPANY . , All work shal! be performed in accordance with the above and all City Codes and Ordinances. ADDRESS OCCUPATIONAL LICENSE #e~ )i!(J~1 f/c i:;;t, TELEPHONE # ---~---_. ING /~.~, ECHANICALr: ,:.1 ---..- -.--- -"S1.:8 Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of b....-. (1119.99) dollars shall be made for each ../rd- d-e (/:!J-: t.TlJ ) (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. -,;,,-~~~,~--#'-"A"'_ ~r,.;,,_ _...,.....,..~, ,......, '-'~:J';;~.~-,:"",, ~~'~.#"""'io"1l......,..;o~~>n'-r- ii; .. .... ." CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 (813) 788-6284 Contract Submitted To: /1/ d/, "r;--r Phone (office) I Phone (horne) I Da7 .J! (~i7/!t-.ft'/ /1//' 9/ Street // .' / / '7 / Job Name :{ ') 17') 3 ( /7/,.) 1) ht-~ ~ /ly/ -e- -'" '-.... ~, City, State and Zip Code r...... ,/ Job Location :.,~--. ?W';V;:-'? /J.' ,///r, /-,,:: ..? ..l.5"'t/O W. e h~reb.Y Submi~ to fur~ish ~ater~~1 ~n~ ,~ab~r.,- compl~ in ~k~~nce with specifications ~eIOw, f?r :h.e sum of: (>Nc. /llt!{..'S/'I/VL? /,',/{/{" /?,//JZJ;l',t,D r/cln. 't""c-A/ dollars ($ 1116 ).lncludingTax. Payment to be made as follows: / 4.00/0 upon acceptance of contract, p:f'/o upon completion ~;r , /?q p' ," ,,,' / oL" /"'-: t:/ . tf./~(/ /<' or, ' /... ;C/ ..~// .; i ," ,/ .r;/~ . All material is guaranteed to be as specified. All work to be completed in a workmanlike manner accord. Authorized .;. ;.-1' /-"1/ "'-~. /,-:-"~/~t: -, ing to standard practices. Any alteration or deviation from specifications below involving extra costs will Signature " i-////,,-r:t:. be executed only upon written orders, and will become an extra charge over and above the estimate. All /" Note: This contract may be " agreements contingent upon strikes. accidents or delays beyond our control. withdrawn by us if not acceptecl within J (./ days. We hereby submit: ~, / /~~,k) / I/., iX/v ZJ l) J.L JY/'l/-W' lre /-"/~l/ r# e:/f/ /' {/ ,;:- /1>/4-.'j) ..ZA'1 ~/t/!L:" I . ,J, I ," ..." Equipment Model No. Tonnage S.E.E.R. C.O.P., H.S.P.F. ?/~j l/~-:' ;? 'I d / '/''0 '"1..f ..., IC-i. /!?~ [:I '-' / ~i () Duct Work Metal Yes GA. Duct Board #475 Aft, #800 A/v , J'/ )( . / No. of Supply Diffuser E }"15/1I{/& No. of Return Grilles l';.II/e - ,r )"/S )".; .1/6 Electrical Incl. Yes Not Incl. Sub Contractor . Insulation R. Value ;t,/o Sq. Ft. Sub Contractor A/v ;1/; A/ Pre-Hung Door Attic Ladder Walkway "(.1 Warranty: No. of Year(s) on Parts and Labor f.~ Ale No. of Years on Outdoor Coil rn/ c: -' , No. of Years on Indoor Coil /:- / y -e.... No. of Years on Compressor Comments: Acceptance of Contract - The above prices, specifi- cations and conditions are satisfactory and are hereby Signature accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Lie # RAB05084 APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 2' ~ ~ /I)I...e ~i? e / 78/'1- hr/A/ , , ADDRESS J{jg~1 2J S.R E~E' ft-.P'//7'L~LL;s OWNER L'H/he~/4le /!.J.6DH- JOB LOCATION 39tJtR$ &~2)/,I1/-4/.4Yr!' z:././ LOT SIZE_X ~N'A/~Y , ",cL- PHONE ?tY.Y-&2t!'~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION _Sign/Temp. PROPOSED USE: ~Single Family _Sign _Hove _Demolish _H/F _t~ of Units __l'l/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COilltERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 1//8 "f) Valuation of Total Construction _ELECTRICAL A-MECHANICAL AMP Service 1118~ Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation _PUJMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. if City License Registration ~ ****************************************** BUILDER Si!!nature ;: (, I Company 7ep,l/y/Z,i,L./.s _/----;-;~y/' State Cert. or Regist. Ii i.-"':;' , . City License Registration Ii // * f,* ** ***f'*************** ** * **,~ *,~~: 'I: '1:,~,~ ,',~, 1,,/: 'I: E/ee~c k,.f'JI'/~e t:)t/ 0.;1/ 6,f) /t) ELECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration 1 ****************************************** pLUMBER Company #,d #;/.t: ~,.e e State Cert. or Regis t. I.~ /'1/1- t!J&~LJ &,;10 . City License Regis tration !; !?% ***********************~****~**** signatu're I!II!iiiiiiiiii ~ 7./ Company "AI u ~ . I State Cert. or Regist. n City License Registration 0 QIHER APPLICATION APPROVED BY. ~;::~:~';r;=""**'~**''''{'****'''* PERlIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.', NOT I CE OF DEED RESTR I CT IONS:. . The undtrsign~d understands that this perlit lay be subject to "de~d restricti~ns' which ~ay bQ m~re restrictive than City regulations. The und~rsigned nsuns responslbi1I\y.f~r. cOlRpliance with any appl icable deed restriction~. ',..,: B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b& required to be licensed in accordance with st.te .nd loc.l regulations. If the contractor Is not licens~d as required by law, both the OHner and contract~r ~ay be cited for a .isdemeanor violation under state laM. . If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departeent, 18131 789-6611. Furtheraore, if the owner has hired a contractor Dr contractors, he is advised to have the c~ntractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If ye'u, as the owner sign as the contr.ctor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes you to sign as contractor that aay 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 C(,nstruction Lien Law - Homeowner's Protection Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the applicant is s~.eone other than the 'owner', I certify that I have obtained a copy of' the above described document and proffii5~ in gDDd faith to deliver it to the 'owner' prior to cOi~enCeftent. 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 co~pliance with all applicable laws regulating construction, 20ning, and land development. Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installati~n has co~~enced prior to issuance of a perlit and that all work wi]1 be performed to meet standards of al] laws regulating construction, City codes, 20ning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lIlust take to be in compliance. Such agencies include bllt ~\e not li'lited to: I Department of Enviionmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive Lands, Water/Wastewater Treatment I Southwest Florida \later ManaQement District - Wells, Cypress Bayheads, Wetland Areas, A]tering Watercourses I ArlY CorDs of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit ~ W~115: WasteHater Treal~En~. Septic Tanks I US Environoental Protection AQency - Asbestos abatement I also certify that, if fill lIatt'rial is to be used in Fle,od Ze.ne "A" or 'A,etc.', it is undHste,[,d th,! a drainage plan addressing a 'colpensating volume" will be sublitted which is prepared by a professional engineer reqistcied in the State of Florida prior to perllit iss~ance. A perlit issued shall be construed to be a license to proceed with the work and not as authDrity to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction c.f errcors in plans, cc,nstructie,n, or violations (If any code. Every permit issued :hall becc,.e invalid unless the work authorized by such permit is COllmenced within six months of issuance, or if work authorIzed by the perlil is suspended or abandoned for a period of six .onths after the time the work is co~menced. One 90 day e:te~5ioll of tile, aay 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 i nsped i eln i!lUS t be I e,ggedduri ng each si x 1II0nth per il)d, or the pro jed \j i II be [[<TIS i dered dbciiid(,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 "NOT I CE OF COMMENCE", " . . '~ SIGNATURE_~-~--~----- SIGNATURE__ -------~-- OWNER OR AGENT CONTRAC "..,/ MY COMMISSION EXPIRES_____J~~~~~__________ >(,'lle of Florida at larIt I'ammission Expires Dee. 20.1991 DATE___________~~~~:_~~_____________ ~~~~~~C~~R:~__~~-_~~------ MY COMMISSION EXPIRC'S NotaryPubhc ~~~m~~tlB.--------- : Commission Expires Dec. 20. 1991 DArE'7- 3'/- d j -_._----~---~--,-----~---------------- NOTARY AS TO iP Il oJ IV ~ OwNER QR AGErH _!l~_-~----------