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Home My WebLink About91-1809 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1809/tl Date (; - ,:) 7-9 / , , /~Y~DlNG EL~AL BUILDING DEPARTMENT 1-813-788-6611 ./,/ 8-~ ~ECHANI~ Type of Permit ~NG Property Owners Name: Job Address: ^~~ (~~j~ ~:59'7/q (!~~At ~" Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work c2-i0~ Energy Code Readout: ~ 1-16-9~ 6'~ Complete Plans, Specifications and Fee Must Accompany Application ~ ~ ~C -.ijO Estimated Cost: _ . 1~ -- Fee:~ ,3S'.~ r SIGNATURE t../" ~ ,~ ~ "U , COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # 10.7)" ~ /(1_ , I B -.- -,-" Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. 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 ($10.00) 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. Superior Heating &. Cooling Management, Ine. 231 Douglas Street Building A Suite 10 Oldsmar, Florida 34677 (813) 854-3449 CUSTOMER K' B-7' ;~'fl-R1-'~ )JI):S STREEl Jcf7/9 C&n~~ ,4,,-1 ~>J'-39a.:f CITY 7 ~ ~LI v' AJ H/(!,( ~ -j!?E r -l-l~ ~ ! (;()H1lW:T~' . 1 ~ NO, PRICE . )) Ie"? / ~JO .4/1'#.4 Y///J/.. r A, / STREET I t't1UNt: ^ , /f~ }O/ ~(!,e 8L2) (hj,? IIJ'-:r.tJ d. ~D2 7;;A1 k.~J'b )J ~_L- ~fi/' JI/'rH 1.ti,A/aV h;C,4 b- S 7,R I~.PS ---r, J_ 1/,'.C1 ~~ J- d~::b:d /2; ^ ~. _A /.,d:4 -Z;;;/l'A /1_ '^ /.. 1 j-V ....J./).;~/~"7 / - ~--;;;, ""./1 ~ - s7"'"..N '7 - .. /- &;eA' f"~f _ r;; ~8 I, V.c LJ J(/J Pfi- ~ .r:;: I\J.r~P5 ilL - - / ..dvl'~ '. Y..<A~' iLl. ,.-f f/- ~ '~ .d J .;0 /1 --r -~ 7 #'7" /1'. / .(J f)S~ /J F - -:w '" ~tb~ 711 .- s~ INVOICE ~' - ~ STATE CERTIFIED RA0053898 WORK TO BE DONE ./ c-l7 ___t;y;..E (],//l L SOURCE COST OTY ITEM 1/1./lc .., -I /? voY ..k' IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TELL A FRIEND, IF NOT PLEASE TELL US, TRAVEL TIME: TO FROM TIME ARRIVED TIME ARRIVED TIME DEPARTED TIME DEPARTED SERVICE PARTS SERVICE LABOR CUSTOMER DISCOUNT TOTAL CHARGE $ 1'..... I.t.a '-Jure, ~ $~~ $ ..,.~ 6~/ W /tJ~ c: ~,~ dodo 0-) ,/ ..::tP- e~' "'1fl :-:: o{ot.,j ) f.pq~v ~I ~PG DEPOSIT BALANCE DUE CD 10495 DATE jJ - :1.:r7' 9/ OTY STATE ZIP T-.E & wrrERIAI... 0 REPlACE 0 o c.o,Q. NEW lNT 0 ,c::t::MfRIlCT 0 ca 0 TECHNICIAN ;:, -L )/1 / / ,/ ~ /-. "2......C' MAKE MODEL SERIAL NUMBER o camw;T'" /l -", A'=LJ ,~.R.4dd.?(J.;'t70 7-1/97t1~ DATE DE'SCRIPTION OF WORK PERFORMED f .... ... ,f.,rlJ- //.d; 7 -.-z;s Jf: J ./J -"/> /) 6 ~ -JHi~_~'ft~ ,/hn./--/-L.- A~ JL /~ ~-r; :t;) /d:/v' ~~ ~"Jn~~,J '//, A -, -!:h _ ~ D-~b .r~~...# '/.L __"'i~;j).a-f/ 4~~ S-rRttI.,Jbl.~ R.l'/;s.E ~-/'J~ ".~~/6 Jh/./ ~ h C;;t.. /'$ /;:Hr hA7 ~.+:"~6t/ ~~~.~ L"-J/~ -/ hid/} j)~A_~(.. -A;L'7~ J / ,;,./ ,,/ 7 /I~~)I /'del (7\ T ) ~ J_.L Jf/ -A PLEASE PAY FROM THIS INVOICE TERMS: NET DUE ON COMPLETION ThIs JI'WCIlCe 15 SI.Jt)f!d to a F.narce Char~ t:J 1.~.l.., oer mcll"'m Annual Percentage Rate of'S .""tt:t". rS l'~ bv - n IS agtee'd and urdeI'SJOOd ~ the oar1IlIS 1'\a1 all ~ arc oans wf1Ch arc SOld oursu.V'~ f"_pla '5"'<1U NOT becorN bJrtune'S Of DAI'1 01 " ,.. .-a. ~ rt'ey am lJiaCee3 $aid oar1$ and ~ SI"'..lI .:.1 .'111 hmpS remalt\ oersonaI prtlOI!fty M'ld nw ...... thef'I!tO Sf'\8It rema-'l '" rhe setlef unfit ~ment "" t\,IIl '$ rec~ BuvP' .......PO" .'lQl't:"f'S ,.,., iiIt pam ~ eo...ornenI may oeo ~ ," ~ ~'3ot "lO.""-o3'(""'" 5el"'~ ,...,... ''''' ........Ant>,- .....::1 ;~.".f;-;/~_._'" _._,,~,_.- ~",LP', N T~~IA~TUFlE , _ _ ./7){.""2)... " /6,' _ ./ / CUSlCMERS SIGNATURE ... CARD IIIiiiIIiIl NO EXP DATE ~! APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~(~ ~~#~f ADDRESS 231 DOUGLAS RD *10 OLDSMAR KATE PERKINS 34677 PHONE 8'54-3449 OWNER 38719 CAMDEN AV 1000 JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT~ BLOCK SUBDIVISION PARCEL I.D.# ,S <;"- 2 <) - 21 - -J Cl 'S (f - (.J'~()a () -)'""2..2"0 WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install ____sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4~ of Uni ts .~/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PRRMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service $3695.00 Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUTLDER Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature MECHANICAL 3 'fAN LI!:Y lit. AYl;l\j Company State cJW.~EJ?rIlR~gI.JMTlf& COOL. City License Registratio~~~ 0053898 ****************************************** Signature APPLICATION APPROVED BY ***~****:',** ~<-;: Company State Cert. or Regist. # City L~~nse Registration # OTHER Signature PERMIT 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 IDre res~rictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required tD be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor lay be cited for a .isdeleanor 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, he is advised to have the contractorls) sign portions of the 'Contractor Sections. of this applicaiion f~r whith they wili ~e respDnsible. If you, as the uwner 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 nDt entitled to perlitting 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 - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner' prior to cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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, zoning, and land deveIoplent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has cOltenced prior to issuance of a per.it and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include bllt ~le not lilited to: I Depart.ent of EnvironlenlSl ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Ldnds, Water/Wastewater Treat.ent f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat;ent. Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone 'A. or 'A,etc.., it is understood that a drainage plan addressing a .colpensating volule: will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed lIith the 1I0rk 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 cDrrection of errors in plans, construction, or violations of any code. Every permit issll~d ~hdll becole invalid unless the work authorized by such penit is cOI.enced within six lonths of issuance, e,r if we'l k autllCtllZed by the perlit is suspended or abandoned for a period of six lonths after the tile the Ilork is co.menced. One 90 day e~t€D5iOIi of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspection must be iogged during each six lonth period, Dr the project will be considered dbalJdoned. 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 "NOTICE OF COMMENC MENT". {( SIGNATURE C~d~IGNATUR:Z ~NER OR AGENT DATE_1?~~JZ~- NOTARY AS TO OWNER OR AGENT _ MY COMM ION EX:~:::~~~~~~~~~~~~~~ NOTARY AS TO CONTRACTOR :::IR:S_______~~~~ MY COMM - -- SUPERIOR HEATING&COOLING MANAGEMENT INC. 231 DOUGLAS- RD. BLDG.A SUITE#10 OLDSMAR, FLA. 34677 June 25th,1991 License#RA0053898 I Stanley R. Ayen, D.B.A. Superior Heating & Cooling Management Inc., do hereby authorize the following persons~ Tony Digiacomo, Larry Bergeron, Everett potter, Thomas potter, Gail potter & Robert potter; to obtain permits, and/or occupational licenses. );tr."l~/S a /cp---- ST:~~j NOTARY PllBUr:: c""t,TF. OF FlO'ilDA. MY CO;;I;jil1;:JSjO:~ ~;:F~r(ES: JL:i~:': l2. 1992. BONOED THRU NOTAi~'{ PUOi...IC UNDERWRITERS.