HomeMy WebLinkAbout91-1795
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY Permit)f~ 1795.1\^
BUILDING DEPARTMENT I Y ,
1-813-788-6611 c:;;;C; /
Type of Permit l o. 00 /~- ')0. - '''' Date /'- { {-1
7NG €T~~ 7G ~~~
Property Owners Name: --J Uvv- fJ+.
Job Address: 35 6~'2. 'il N&L-/~G- liV,
Legal Description: Sub.Div. Lot Blk.
Zoning CI:
Description of Work
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Energy Code Readout:
q,~b~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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2-:S 5 2- #..:e.-:-
Fee:
OCCUPATIONAL LICENSE #
SIGNATURE
COMPANY -:"'A ~
ADDRESS .3g--~~1 2) .s' ~ ~ q $"
TELEPHONE # 7?f'- ~~2R"I
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
Ftr.
Pre SLB
Lintel
FRM.
Insul.C
W
SLB
Tub Set
Water
Sewer
Final
ELECTRICAL
~.
~1>~~/JAf-1n'L
I
MECHANICAL
1/(0 2.f1JU5 Rt;:c-
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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CONTRACT
ZEPHYR AIRE
P.O. Box 1243 · Zephyrhills, FL 33539
38841 D S.R. 54 E. · Zephyrhills, FL 33540
(813) 788-6284
Lie # RAB05084
ContraC~bm.itled To: / ,...
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Street
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City, State and Zip COde
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We hereby Submit to furnish material and labor - comJ'lete in accordance wit)1 specifications below, for the sum of:
;t~;/ i. /.r;/~:n.':) "'/.R./ /J . ': JI.X /?/-"4/:2)~i.' LJ .;:; ,.::: ;:~/ 7;;' ~J ;1- A-'~'-z:dollars ($ "'?/; !;>~ <:.~'f' ). Including Tax.
Payment to be made as follows:
Phone (office)
I Phone (tlome)
I Dat~. . /
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Job Name
Job Location
40% upon acceptance of contract, 60% upon completion
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100% upon completion
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Authorized
Signature
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. -1('~} days.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner accord-
ing to standard practices. Any alteration or deviation from specifications below involving extra costs will
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
withdrawn by us if not accepted within
We hereby submit:
Equipment Model No.
B.T.U.
K.W. RATING
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i
! 1-'"
S.E.E.R: \ k 1/ C.O.~.
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/O./I!f-/ '\3; l~'ki
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H.S.P.F.
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/}~ ) -'-
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'/ /) )- .;:> ,1//,/ . '7.3...1'
Duct Work: Flexible
No. of Supply Diffuser
~..:;.,.~
.c.. \~:
Metal
\/,t, ..
II..~ ...J
Duct Board #475
M~
#800
N'~)
$' /)(
Hot Water Recovery Unit
Equipment Removal 'yc' 5
Concrete Pad Yes
;10/20)(1
V:>.(~
, (- ".'
No. of Return Grilles
Line Cover
C) IA.,/,r.....
Electrical Inct. ;,.,z, ??; AJC-L..
~"5
Drain Pan
Yes
Pre-Hung Door
Humidistat
A/e '-f//~pAl'
..N,~(
Attic Ladder
IV;)
Walkway
\/
/e5
\ '
;{e,r:'
;1/(""
Refriger.flRt Line
Warranty: No. of Year(s) on Parts and Labor
No. of Years on Evaporator
tf...- No. of Years on Condenser
. J> 1.-
No. of Years on Compressor
r.. I_
) N.I:
/'1' . /L.~
.1 . YL
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omments: de Lhh.~ .. ..:;J(l() /v...l..-' //07 u.,'~'7/-t.e -Y.:-~'~)/t;A-' V t./A//,
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v /:, ....JLJ~ip.::.- C'/') iV /.,7 E:.I/-:},,' OJL~...,.. f../ jJ~'7-~' ()t:) /;:; !,,"1"- /':',>Li-,_,/..i",-t>,v~IlJ T f :? Ii 7 ~~?
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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
'. ~
APPLICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
...:;<B8'~/ P
ADDRESS .:i 5?J3c2
~
PHONE . 7.?c;2 - ~ /~3
OWNER
H-e I -4...eS
~ AIr;~
;tQ~4AJ~ /lye
, .
.?-~ILLOT SIZE_X
AREA SQ. FT.
JOB LOCATION ..iI~3;?
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~~
/;/- dl~ - r,ill- t:'lt:Jd?D'- CJ/?/otJ - 09.20
WORK PROPOSED:_New Construction _Addition -2L-Alteration --X-Repair ____Install
____Sign/Temp. ____Sign _t'love ____Demolish
PROPOSED USE: _Single Family _M/F -~~ of Units .____11 / H
____Commercial ____Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Pee t,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDLNG PLANS & (1) SET ENERGY FORMS.**
CO!11'lERCIAL: ATTACH (3) SETS OF BUILDING PLANS & 0) SET ENERGY FORl'IS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
____BUILDING
~ELECTRICAL
-LMECHANICAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
"l.R.E.C.
$
cfJ.I.5::Z
e
Valuation of Mechanical Installation
_PLUMBIN"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 #
******************************************
BUILDER
Signature
ET.ECTRTCTAN ~ ~\';;)~~,~...~ Company '2.-~,"\...'-.S ~"...~.
~~.r;>q State Cert. or Regist. 11 c;)OO-:l.\Co:.~
Si!!nature "' ~ ~<.. ./:lIt City License Registration il \.U
,****************************************
***************************************~**
Compap.y
State Cert. or Regist. #
City License Registration !I
PLUMBER
Signature
Signature
Company' Le/"#Y.;e "';et:
State Ce:r.t. or Regist. i.! J?A-CJtJ~lJtPZO
. City License Registration ;! Fi'
Company
State Cert. or Regist. !I
City License Registration 0
OTHEB
Sigaature
APPLICATION APPROVED BY. *t27.~*;***~*A(*r;*~*************** PERl'IIT OFFICER.
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CONDIT.IONS OF PERMIT AFFIDAVIT
A:: NOTICE OF DEED RESTRICTIONS:. .
The undersign~d understands th~t this perlit lay be subject to "deed restricti~ns" ~hich ~ay bfr 50r~ res~rictive than City
regulations. The undersigne~ assules respo"sibili~y.for tompliance with any applicablfr deed restrictions.
. '. .. r.'\'" .. ~ ,,\1, .
'. . .
B. UNLI8ENSED CONTRA0TORS ANO GONTRACTOR RESPON5iIBILITIES
If the ONner has hired a contractor Dr contractors to undertake work, they may be rfrquired to be licensed in accordance with
stlh and local regulations. If the contractor is not I icensed as required by law, broth the o\lner and contracteor nay be
cited for a lisdeaeanor violation under state law. . If the ~wner ~r intended c~nt!act~r are uncertain as to what licensing
requireaents lay apply f~r the intended work, theY are advised to c~ntact the C~ty ~f Zephyrhills ~uilding Departeent, (813)
7813-6611.
Further.ore, if the owner has hired a contractor or 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 y~u, as the ~wner sign as the c~ntractor,
you are indicating that youl rather than the contractor, are responsible for the work. If the c~ntract~r wishes y~u to sign
as c~ntractor that lay be an indication that he is not properly licensed and is not entitled t~ per&itting privileges in the
City ~f 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 Constructi~n Lien Law - H~meowner's Protection
Guide" prepared by the Florida Depart~ent of Agriculture and Consumer Affairs. If the applicant is s~~e~ne other than the
"owner", I certify that I have obtain~d a copy of the above described d~cuffient and promise in g~od faith to deliver it to the
"owner" prior to cOlmencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Mork will be done in c~~pliance with all
applicable laws regulating construction, zoning, and land developa~nt.
Application is hereby ~ade to obtain a ~erlit to do work and installation as indicated. I certify that no w~rk or
installation has c~&~enced prior to issuance of a permit and that all work will be performed to roeet standards of all laws
regulating construction, City codes, zoning regulations, and land development requlati~ns in the jurisdicti~n. I also
certify that I understand that the regulations of other governmental agencies may' apply to the intended ~~rk, and that it is
my responsibility t~ identify what actions I llIust take to be in compliance. sud;~qencies include but ~le Ii(ot li'lited to:
I Department of Envi~onBental ReQulation - Cypress Bayheads, Hetland Areas and Envir~nmentally Sensjtiv~ L~nds,
Water/Wastewater Treatment
I S~uthwest Florida \Iater HanaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
I ArDY C~ros of Enoineers - Seawalls, Docks, Navigable Waterways
I Departaent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~en:, Septic Tanks
I US Envir~noental Pr~tection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Flc.od Zone "A" or "A,etc.', it is underst(,~d tl.:lt a drainage plan
addressing a 'colpensating volume" Hill be sublitted which is prepared by a pr~fessi~nal engineer reyist~ied in the State of
Florida pri~r to permit issu~nce.
A permit issued shall be construed to be a license to proceed ~ith the Hork and not as auth~rity to yie,l~te, cancel alter, or
set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter
requiring a correction of err~rs in plans, c~nstruction, or violations of any c~de. Every permit issued ~hall becoae invalid
unless the work authorized by such permit is commenced within six months of issuance, ~r if H~rk auth~rlzed by the perait is
suspended or abandoned for a period of six tonths after the time the \lork is co~menced. One 90 day e:le~5ioll Df tiae, aay be
allowed for the per~it with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An
approved inspectie.n l!Iust be le,ggedduring each six ~onth period, c,r the prc.j~ct Hill be c~Tl5idered dbciiideoj,ed.
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
:~G:A::R~::~_~A~-~~~TI:~G::Tu::~~~-N~~---
DA TE ___ _ __ __ _ __ ---'!1-I./-Cf-I--"tf---------- ___ DATE -- - - __I:!.!. ~ tL - _u - --- - -- -- - - ----
~~~i~VO~SA~~NT__~-~-------- ~~~*~;C*;R~~__L(?~~~-------
MY COMMISSION EXPIRES Nolaty.i'UiiIlL
-----~...~~~------
My ComIIlIssion Expires Dee 20. j!i9 I
MY COM~1ISSION EXPIRESNotaryPubllC
Slate iiHlOriirfillirjl- - - - - - - - --
.1y Commission Expires Dec. 20. 1991
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