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Home My WebLink About91-1811 STATE OF FLORIDA City of Zephyrhills Type of Permit ~"'/" ElE~l PASCO COUNTY BUILDING DEPARTMENT 1-813-78~~6611$5~ P~C"~'ECHANICA~ Property Owners Name: Job Address: j!~:31u~~{&e' legal Description: Sub.Div. lot Blk. Zoning CI: Description of Work Date 1811m C; -~::(7- 91 Permit Jf~ -#' L22- Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application ~ /7 iCC'DO Estimated Cost:' ~/ ;.::>.- . ~, All work shal! be performed in accordance with the above and all City Codes and Ordinances, ~.p~ OCCUPATIONAL LICENSE # /05" /J /(1 _ / TELEPHONE # BUIIpWfG ./'" P lU!!1.Bm-C~ sra:: Tub Set Water Sewer Final El~Al ../" Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SlB lintel FRM. Insul.Cl Wl Driveway / \-fr~'l Of, IJ~ r:::'~EC~ANI_ ). Breakers Ducts Insl. Compressor Final 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. APPLICANT APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~be tf- f () 1>+(' r ADDRESS 231 DOUGLAS RD *10 OLDSMAR WILLIAM KELLER 34677 PHONE 854-3449 OWNER 37733 ALISSA DR *22 800 JOB LOCATION LEGAL DESCRIPTION: LOTeS) PARCEL 1.0.# j~) - '2-~ #-7. I - LOT SIZE_X AREA SQ. FT. BLOCK SUBDIVISION (\ r ) ,--, - a '2'Z \1 \J - ~ '-:::: A -0 WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~/F _# of Units ,~/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. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____MECHANICAL $ AMP Service $3495.00 Florida Power Corp, _W.R.E.C. ____ELECTRICAL Valuation of Mechanical Installation _PLUMBING .'*' GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Company State Cert. or Regist. # Signature City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. # Signature City License Registration # ****************************************** PLUMBER Company State Cert. or Regist. # Signature City License Registration 4F ****************************************** MECHANICAL Company ::;'I'ANLEY R. AYEN State ce'ie.PINtI~fSn'Dt & COOL. Signature City License RegistratiorRM OOS1AQA ****************************************** OTHER Signature 4F APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ,NOTICE OF DEED RESTRICTIONS - , """ .....' The undersigned understands that this perlit lay bi subject to "deed restrictions. ~hich lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed '~strictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lall, both the OHner and rontractor lay be cited for a lisdeleanor violation under state lall. 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) 7B8-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of thi .Contractor Sections. of this application for which thiy will be responsible. If you, as the Ollner 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 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 Departtent of Agriculture and Consuter 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 cotlencelent. 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 developaent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cotlenced prior to issuance of a perlit 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 governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not li.ited to; I Depart.eflt of EnvironlenttI ReQuIation - Cypress Bayheads, Wetland Areas and EnviTonlentally Sensitive l.dnds, Water/Wastewater Treatlent I Southwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQioeers - Seawalls, Docks, Navigable Waterways I Depart.eot of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat;ent, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.', it is understood that a drainage plan addressing a .colpensating volule~ will be sublitted llhich is prepared by a professional engineer reqiste'cd in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the llork and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit iss\l~d ~hdll becole invalid unless the work authorized by such penit is COI.enced within six lonths of issuance, or if liork authe" J:;:ed by the perlit is susp~nded Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t€~SIOIl 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 inspectiDn lust be logged during each six aonth period, Dr the project will be considered dbdlldoned. 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 COMMENCEMENT". SIGNATURE - CONTRA TO;;-. -~ DATE_____________~-~~~~---------- NOTARY AS TO OWNER OR AGENT _____ __ _~~~~------- MY COMMISSION EXPIRES_____~-~~?!.:------ MY CO. -- ----- -/-~--~---- EXPIRE5____~_~~~!:__ ....,- --..""'>O'--_n___.___......~_ .._--,.._~-~~..~.~..----.._..~---_.. --_.~". . 5~FIVICE r""VOICE ' . ~ Superior Heating & Cooling Management, Inc. 231 Douglas Street Building A Suite 10 Oldsmar, Florida 34677 (813) 854-3449 CD 10444 . STATE CERTIFIED RA0053898 SOURCE COST QTY ITEM I CUSTOMER)f7r_ / /. 'L>~ ~./7' ~ STREEJ37/J..3 /7L'SS.4 ~.&I ~J'~-ti~, CITY .:Z-/'---U,jL...s ~.STATE c:?~/ NU CUSTOtotER NO. DATE g.~- f/ 'NORK TO BE DONE ~. 7 ~f~;AG.. PRlC IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TEll A FRIEND, IF NOT PLEASE TELL US. / ht~~/ 'AZ 7 TRAVEL TIME: TO FROM PLEASE PAY FROM THIS INVOICE TIME ARRNED TIME ARRIVED TIME DEPARTED TIME DEPARTED SERVICE PARTS SERVICE LABOR CUSTOMER DISCOUNT nmu. CHARGE DEPOSIT BALANCE DUE TERMS: NET DUE ON COMPLETlON ~ ~ 15 SJb!ea 10 . Flft.:JnCr ~ ~ 1'-,:"~ oer rnonl'h ArNw.JaI ~ Rare Of'8 '"""'w:t: IS I'~ by .... it.. fi/ " · ~ and Uf'Il:IetsIood bv the CW1ilts that all ~ M1CI' Darts whcrl ate 50aa ~lr'~ ~f"1O SI'\iJl NOT become Iiaturtrs 01 DlW1' d .. .... .... wt'l8fe fhl!oy ~ cMeed Sa.d DWts and eQI..IICII'nent SI"~\ll ':1 .1Il 1~ ~ '*'SDnII CWODerty ~ Iht .. ttweto ShaIII ~ In Ihe ...... Uf'\hf oavment '" 'ull IS ~ ~ """'et>.. "'5 "* .. perfs --=t eQuIDrnerIt "'-f be ~ 'n the ~ 01 1'IOn.-oay1'ftl!nt 5Ho ~ ...,... hy "",..r""1\ 01""<1 ,~~/is f;'U ~ .. LL:2. """"" I _ to ~7 ""'~"""""" .n""".;,....,.. "'Ii "--"-7 c-=- L ,,/ $~~ y~~_ <>7V /~/jj/ /'- ~~~ l.d/ /u $ j .. R S SIGNATURE _~ S .-L. i;;(, ..,~~D_.~..W ~ J : ~ t...w- _ ~3~fE tJ/. ~:L--;;'~ I . /:.z-.. ~._.....a..:__ 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. /~~/$ STANLEY R. NOTARY ppp.ur::, S:',HF. OF FLO'ilDl\. MY COi'/;iy'dSSI0~~ c;:FH.~ES: JUi'!E 22. 1992. BONDED THRW NOTAW( PUDLIC UNOER'NRITERS.