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Home My WebLink About91-1928 STATE OF FLORIDA City of Zephyrhills Type of Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1928/'1 B PLU~ Date / / -I Lj- 7/ Property Owners Name: ,~$'fi:E- Job Address: ,.3 R-/ ~ . Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work -1/<:: C./ ...Me (f .R /~~ Energy Code Readout: ~~ l~ -4-'11 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: !.s- () s. c/D -' Fee: $(~-. c;-=v OCCUPATIONAL LICENSE #~ SIGNATl2JRE COMPANY ADDRESS TELEPHONE # f. (' c..J,"/ -., I (l I If I< ' , i 'Y'P.{() All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING PLUMBING SLB Tub Set Water Sewer Final p. Rough In Meter Can Canst. 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 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. CONTRACT ZEPHVR AIRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 Phone (office) Phone (home) "~.':~~~"" ,.1.<" "...~#I!."TW"-- j,.r "'_' .""'_ ~ ,_ '" ~,~."';;1r Lie # RAB05084 .ft Street 40% upon acceptance of contract, 60% upon completion 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 prders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. .... We hereby submit: ...) / ,..' ....~] i/ _ ; "~'- ,'" .J j ..1/- .,' ',(5'7/' K.\^t ;RA TING Equipment Model No. ,. .r/l v ~7 '--'. T~,5ZI 1-' Duct Work: Flexible No. of Supply Diffuser Ye-s- Metal '. ,.... I L . .,/,:" //.w' ..- ,i )l _./. t, " No. of Return Grilles Hot Water Recovery Unit Equipment Removal I~;' 5 "~ (l Concrete Pad , v :: .;t...~, Line . Cover Pre-Hung Door .N,.? Humidistat ..~ . Warranty: No. of Year(s) on Parts and Labor l .\ \. ,c.t.! ~o..'o.fi,Years on Ev~poraJ~~{(;f<t No. of Years on Condenser No. of Years on Compressor .57L:-E: cf~..:.1 0 7k~' i '.~ -;': -:.f!{ .~)l".' Comments: ~/c? .~/ Acceptance of Contract - The above prices, specifi- cations and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. if I.{ (..1 Date of Acceptance: 1./ f Y 7 ( I i Signature / ,/ " ../ sl9nat "e .l __-'n..;"~ 'j,'" .;. :r;----~~,.~"':!G'~"~)f- ~:<~"r----~. --.......- ~~Yi'....j7 ... ..... l>. \- I, Job Name (813) 788-6284 I Date, I / ../ ,:'11 /;,'-/ ~Y. /,1 . Job Location 100% upon completion t{C<'5 , Authorized . Signature / /' .... " ..~':;'::':/";"':/l:> / r ,(~/:::H'. /f/ Note: This contract may be withdrawn by us if not accepted within ,'/' x ...- (; days. f ,K.'t,/ /#'j:) /'/~f!. !~a.'R- iH.S.P.F. / ._.~~ Duct Board #475 - / ,,/:: //.~ 7/1\.l,C. v~, _ it: 2' #800 Electrical Incl. Ye S )/~, ~ rl. ...-- )'"7 ,- , t" :::> Drain Pan Attic Ladder ,)..;'0 Walkway Refrigerant Line iJ-;~.S- 2:::' ~.., .' t: .') , 1~)Au~::::" ) .t:; j./F-"- i ~ I I ( ! ~' j ~I -.j \1 J ,r;,/~ r- ..' /- / "./,,6,, ...>> . .? "'1 r- D...:: APPLICATION FOR PE~~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT o,jAO<lte $ (iLl f-CL I ~ 1 '3 r / I 3, ( ( -ii ;J-,; <- -.\tt-r>HO' S (~ffl;AJ.L PHONE 7J?r;- - C -:s 1-1, ADDRESS OWNER JOB LOCATION 3 t 1'-1 :< tt1tn--d flJ e.- LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D,4~ WORK PROPOSED:____New Construction ____Addition ----Alteration ~Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units _____M / 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.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL ____MECHANICAL $ AMP Service ~ c) ,) /:. -/J r- ~<- j f./ ..;/ . Florida Power Corp. _W.R,E.C. Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRTCIAN \<. \2. ~ . ~ \d u ~ F \ ~ \.. \) Company 7- Ili/L.;; Ekc'7 je'<../ C~\ ;::~ State Cert. or Regist. # t't.'LJ.:;2/&.R <--" t::J/ City License Registration l~ /0 ****** * ************* * *** ** ** *.,d,." ** * * * * * Signature PLUMBER Company State Cert, or Regist, # City License Registration # ****************************************** Signature Signature // Company # /' h y;,e d..e7 State Cert. or R~gist. #'/1LY'~L)~?;l[' City License Registration 4F uh& *********************************** OTliER Signat.1re Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY 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 lore restrictive than City regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. 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 law, 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 Department, l813} 78S-bbl1. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls} sign portions of the .Contractor Sections" of this application for which they will be responsible. If you, as the owner 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 .ay be an indication that he is not properly licensed and is not entitled to permitting 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 sOleone other than the "owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a perlit and that all work will 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 I understand that the regulations of other governlental 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 ~Ie not lilited to: t Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water HanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks t US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.', it is understood tbat a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hdJl becole invalid unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authollzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tensioll of tile, aay be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, (Ir the prc,ject will be considered tlbdlldoned. 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 DATE ___~~:L~=~t____________________ NOTARY AS TO ~~(-~\ .' OWNER OR AGENT__~ ~~~_f~~~~~~::C~---- MY COMMISSION EXPI ES__,-:~Mt~~.!!::~~~~~::'llL..c.:C.";?: '- '.t,"!'.:"',:) '; - .." J .. P~ST A, "NOT I CE OF COMMENc:~~r". .. ~ f ~/r---J ('/ {j// ---r-/' /,.. _ ~SIGNATURE~"Ct..TiA~~---- ( / DATE J/ -/'/-~/ ----------------~----~._----------- ~g~~:~c~~R:~R~iL---"-- MY COMMISSION EXPIRES Notary ,Public --~w~~---- "/ commission Expires Dee. 20.1991 SIGNATURE ;"'~