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Home My WebLink About91-1700 STATE OF FLORIDA City of Zephyrhills , / Type of Permit !2.p---\ B~G e:.~L PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 P~' ./ $0".,- -,,' "\ ~CHANICA(' permitN~ 1700m Date ?- 7-<]/ Property Owners Name: Job Address: ~ 5. c~~ ..~~.L~ ~ .. . ('am Legal Description: Sub.Div. Lot /~ "Ltt.5#} ct-/.2~) Blk. Zoning CI: Description of Work {.~ I ~ ,~ ! A /(!._ 9- t ~~~. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ..q, ~ {J / . ,~ Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances_ .;1 p /<'-~ SIGNATURE COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # / ~-r (~~5 !1g~?:. C/o "ELECTR~6-"9 Tp,Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 3~(Z'4~ (ME H ' ICAL BU~G - PLUJt8tNG c........- SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of l~ ,J,IV~) doIlars shaIl be made for each~.Tra..de. (/-.s': iJI)) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection caIled for (d) Work not ready for inspection when caIled. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. if-' -,'----"-'~~' ;.~<'.-.,(_-;~,:!.~;:~,:~~~,)~~~~~~..~..~:;r.t< ',r"Jl_~;'"'' -.:-~ "".,~:" _:-\~ ',~-,",- ,.<- ,,' r- ;"c. .t._ - -'..-,J-,,:t.:..:;J,:l:..,:,.:.'.. .. ...... .. ~ Lie # RAB05084 CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 (813) 788-6284 Contract Submitted To: Phone (office) I Phone (Mmel I Date l:;t.?'.5SJ~ (7/1.) JrC )/ g'''1'7/ Street Job Name City, St~~~ and Zip Cod~ .. / . Job Location .L'{~~//Ye /f/~L 5 //,,; ...3:3.3' YC) ". . We her.~.J:>Y Submit to fur~~~ material and ~abor.- comple:e i~4acc~~?a~ce~~~,.specifications ~:eJgw, fOMge sum of: /I-vo /jd,(.!.';//A//J ///K't'C" //v/t./2),K'f-j'; <_All A()<)ollars ($ ~ .>tJ/ ).lncludingTax. Payment to be mede as follows: " 40% upon acceptance of contract, 60% upon completion /ce f'.:;' //l '" j .I ,. .~- I " ". . o"l~Yc. 7 /[.A" All material is guaranteed to be as specified. All work to be completed in a workmanlike manner accord. Authorized ,- -_.~.... ';L , ;i..,t.:?~-c/;c;;;:.-</' ing to standard practices, Any alteration or deViation from specifications below involving extra costs will Signature " " - _.: ,~.."i' be executed only upon written orders. and will become an extra charge over and above the estimate, All ." agreements contingent upon strikes, accidents or delays beyond our control. Note: This contract may be .......-?6 withdrawn by us if not accepted within days, We hereby submit: ,'J 1,/ 7~./jA)e ..; (":' ,A,jP / 71 ~) /V /,~/C I 7::, A.J " ./ ). . --' /;; /// /G f"",.< I . \ J ' lj~)\ Equipment Model No. Tonnage S.E.E.R. C.O.P?" ,; ,.S.P.F. .;.9 '1~'l ~y; J? oS- .0 'F ,'7 7" 7_,7 '/,.3 ~>' /// tj 0 ;. ,. .....- )-/-1.-//;1 ['J (j L:/ J "-/ C} ~"'//)"j' //./7 ,.-:J~~'..6 .- ;i.?,11' )/96}' / lllO I 1'. / .l... '.I .l ,0 7' . //I"'rl ;7'" /2 Duct Work Metal '" . T/e x/ "C? L e.. GA. Duct Board #475 #e #800 .' I ' tJA/E No. of Supply Diffuser E/<}Ilr No. of Return Grilles , Electrical Incl. /1/0 Not Incl. Sub Contractor ~'p , ~~ Insulation R. Value /fIv Sq. Ft. Sub Contractor Pre-Hung Door /L/o Attic Ladder #0 Walkway. ~ Warranty: No. of Year(s) on Parts and Labor ?''M'- ../ '/" No. of Years on Outdoor Coil vAlE No. of Years on Indoor Coil L,':;QE No. of Years on Compressor /;v~ Comments: Acceptance of Contract - The above prices, specifi- " " I cations and conditions are satisfactory and are hereby Signature I'.~ "( \ !-k._1 , , accepted, You are authorized to do the work as specified. ( Payment will be made as outlined above. \ ~. Date of Acceptance: Signature .. APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT OWNER h~#;y;e ~,;f'e 5ij.:l'/ /d. r~ JT 8ess/e 2/p.sA"eY / JOn LOCATION ~~~tr 7P////R~//s /2 PHONE 7?i" c;,8S-'/ APPLICANT' ,d;VO fl.. ADDRESS LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D . t~ WORK PROPOSED:_New Construction _Addition -^lteration _Repair _Install _Sign/Temp, _Sign _t-::ove _Demolish PROPOSED USE: _Sing~e Family _M/F _4~ of Units __H/lI _Commercial ~Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING $IZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS. ,~* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ co,. oP..:?t9/ - Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ '7:2 0' cx.;;/()/ Valuation of Mechanical Installation _PLlJMB I N'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration n * .*::: 7...... :::::::... *. * ,,,;,;,,,;,;,,,;,,,;,, State Cert. or Regist. ff City License Registration # ****** ************* * * ** ** ,~*,~ 1: -I: 1: ,~,~ ,':1: 1: -I: ,': BUILDER Signature I-~ Company State Cert. or Regist. g City License Registration # ****************************************** PLUHRER Signature MECHANICAL ,zep//y~ ~~e Company U/#"y"e ~~.& ~'/ / ~~ State Cert, or Regist. i.! Signature/// ~ / ' City License Registration iF 6'0 ** *-1:0{: * ****** ****** -!:i: * * ,;', 1r -Ie ..': i. 1: -.':...~ of: * ,,!;...~ '1, -!: ....: 1: K 4 &J~ 6CJ tf;,;;' ZJ l?!? Company State Cert, or Regist, i; City License Registration 0 ~ ~"'? . ... *** H**;I)-rJ *...* ** **...t:!!j*"J.J.,'.J;1:.y;).'..'.J.J.J.... n ~." '.'~~~;;~;k"""""" ~ '-...., OTHER Signature APPLICATION APPROVED BY PERl-lIT OFFICER. .. CONDITIONS OF PERMIT AFFIDAVIT A:. NOT I CE OF DEED RESTR I CT IONS:. . The undersigned understands that this perlit lay be subject to "deed restrictions" which may be more res~rictive than City regulations. The unde~signed assules respon5ibili~Y,fo~ co,pliance with any applicable deed restrictions, ... .,..., .,., 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , .' ."..~ If the owner has hired a con~ractor or contractors to undertake work, they may b~ required to be licensed in accordance with .tate and local regulations. If the contractor is not licensed as requir!!d by law, be,th the ollner and contracteor flay be cited for a IIsdeleanor violation under state law,', If the own!!r or intended contractor are uncertain as to what licensing requlrelents lay apply for the intended work, theY are advised to contact the City of Zephyrhills 8ullding Department, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responslbl!!, If you, as the own!!r sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and Is not entitled to per~ittlng 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 - Homeowner's Protection Suide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant Is someone other than the 'owner', I certify that I have obtained a copy of"the above described document and promi5e in good faith to deliver It to the 'owner' prior to cOi~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicatiDn is accurate and that all ~or~ ~III be done in co~pliance MIth all applicable laws regulating constructiDn, zDning, and land development. Application is hereby made tD Dbtain a per.it to do work and installation as indicated. I certify that no work or ins~allatlon has com!enced prior to issuance of a perllt and that all work HilI 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 J understand that the regulatiDns of other governmental agencies roay apply to the Intended work, and that It Is ay responsibility to Identify what actions I must take to be in cc.mpliance. 'Such agencies include bllt ~l e Ile,t liillted tCl: I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi\iv~ L~nds, Water/Wastewater Treatment I SouthWEst Florida Hater ManaQement District - Wells, Cypress Dayheads, Hetland Areas, Altering Hatercourses I Army CorDS of Enoineers - Seawalls, Docks, Navigable "aterways I Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~en~, Septic Tanks t US Environmental Protection Aqency - Asbestos abatement J also certify that, if fill aaterial is to be used in Flclod Zone "A" or "I\,etc.', it Is underste,c,d tl.,l a drainage plan addressing a 'colpensating volu~e" will be subaitted which is prepared by a professional engineer regist~ied in the State of Florida pric,r to perlli t issu.ance. 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 provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction c,f ernrs in plans, cc,nstructicln, or violations c.f any CClde. Every perml t Issued ~hall bece,.e Invalid unless the work authorized by such permit is comftenced within six months Clf issuance, or if Hork authorized by the perllt Is suspended or abandoned felr a peric.d of six tonths after the time the \jork Is commenced. One 9(; day e~t.,i.sloll c,f tile, /lay be allowed for the permit with fee charge of ~15.00. The extension shall be requestid In writing to the 8uilding Official, An approved inspecticln i:lust be Ic,gged 'during each six Mnth period, or the project Hill be cr.nsidered Clbaiidoned, 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 DD NDT NE~~) TD RECORD A;D POST A "NOTICE OF COMMEN\.='~ ~~". . SIGNATURE_~~~-C9:-~-~3-;----- SIGNATURE -~~ -' ------ OWNER OR AG~~~ CONTRA DATE__ll-~-!]-~~J------------------------ DATE_____-~-~--?-~-l-~----------------- ~~~~:yO~SA~~NT-~~~~--------- MY COMMISSION EXPIRES_~Q::?_J7~J_i-------- ~g~~~~C~;R~~_~~---------------- MY COMMISSION EXPIRES__LQ~~_?~_Lj-----