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Home My WebLink About92-2078 BUILDING PERMIT Permit 207811, j / - ;J.. y-?~ CITY OF ZEPHYRHILLS (813) 788-6611 '-1'0 .f., . Date ~ ELE~ ~G ~CHANI~ ~:::~:::. P,"perty Ownec Ii. ~ W"e, Mete' Job Address: ~ / ' ~.........-lf";~ (;,y,.~ TIJ'~'s: Parcell.D, # a;oT '/ / ~ Zoning: Energy Code: Radon Gas: Description of work--A-/ C r /~ ~ if-e ~ FINAL :J -;;l '1-73 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee 36 ~ crD Signature f~ ~P"C-. Company Address Telephone# Valuation or C Contract Price ~ d- ~~-- d"'1) City License Registration # / I C> State Certified License# c,f C 0 YldJ.7/ ~~~ - MECH~NIC~ Breakers Ducts Ins!. Compressor Final ~ElUILQI~I<:i EL~ ~ P'Lt::1Ma, N G '" SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /;J/~Za&~ULU r~ . HONE 71?7 - 7!/O ~ OWNER JOB LOCATION /.(?Ol LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4t WORK PROPOSED:_New Construction ----Addition ----Alteration ----Repair ~Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4t 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. ~r* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL pECHANICAL _PLUMBING AMP Service Florida Power Corp. _W.R.E.C. $ valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Si(ffiature Company State Cert. or Regist. # City License Registration # ****************************************** ET.F.CTRTCT AN Company ~ State Cert. or Regist. # City License Registration # ****************************************** PLllMRF.R Signature Signature Company ~ /0- i ~-L, ~ 4~v'l. State Cert. or Regist. it CAt'O ~'f; 7/ City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~**********~************************* . . ~ -?' r A~ L/I-I'n~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subject to "deed restrictions" Nhich lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 lisdeleanor 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, 18131 788-6611. Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the ONner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes 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 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 doculent and prolise 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 Nork will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNs regulating construction, City codes, zoning regulations, and land developlent 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 Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers .. Seawalls, Docks, Navigable WateTltays I Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, 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 which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Offici_l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Nork authorized by such perlit is cOlllnced Nithin six lonths of issuance, or if Nork authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Nork is cOllenced. One 90 day extension of ti.e, lay be allowed for the per.it 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, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. d~ti:z!.!c~~------ SIGNATURE: CONTRACTOR AUTHORIZED AGENT SIGNATURE: OWNER OR AGENT (Signature) STATE OF FLORIDA COUNTY OF _____1::~_~~_______________________ The foregoing instrument was acknowledged before me this __j:~_~___, 19_9_~ by ___~_~~~~!:~~_li:..__~~_~~~~e~___ who is persona 11 y known to me or whc. has pr oduced ___12.I3-~Y~~~?___,=j.s:.~_~_?::~_____ as iden . 'cation and who did/did not take~~~~~~~~~~ (Name Typed, Printed Dr Stamped) ,NOTARY PUBl..IC,NOTARYPUBLlC, ~TATE OF FLORID,; My commlsalon expires Oct. 2, 19 ~.~ Bonded tt1ru Patterson - BelIht As!entv STATE OF FLORIDA COUNTY OF ____________________________________ The foregoing instrument was acknowledged before me this __________, 19____ by who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. (Name Typed, Printed or Stamped) NOTARY PUBLIC --~--. -'-------'-1 SERVICE INVOICE Superior Heating & Cooling Management, Inc. 231 Douglas Street Building A Suite 10 CACO 49271 Oldsmar, Florida 34677 (813) 854-~449 783-7509 Zeph.. CD 11109 STATE CERTIFIE DATE' / WORK TO BE DONE CUtOMElf:l /{J. /)A /,:c~" L" L ',' STREI,:, , / 01/'".;.> /1' " ,), T P-?9~E , .':'i.: .' ,,:~>-~- " i,i,Cr,,_.',',; - CITY / " STATE ZIP c' ,/ i .- ,-" .?-<. COST QTY ITEM PRICE CONll'W:TNo I CUSTOMER NO. SOURCE BILL TO NAME STREET l/,?z" I PHONE ..,/" - 'l// 'j' c: STATE ZIP -- f-~ -" CITY - (~/ /, .- /. -2 F, }~'7"'1( , l.._,,~ , A):/v! /i. ,/()n ,Li f 'J o CC>>n"AACT TIME & Wil'ERIAL 0 REPlACE 0 (..)c / ~J ), Fh)/~ ,>....j /7- . . . . OC.O,Q, NEW UNIT 0 CONTRACT 0 C,8,O / ,'j' ,/;" .. /"[ '-I,JTV TECHNICIAN, i ,{ , . ,I', )/~:.",.,/, I MAKE MODEL SERIAL NUMBER i / {;";-:- ,f: /"") /") ," /:', DATE DESCRIPTION OF WORK PERFORMED "),.>,..)' t/~. ~~ -' / " .<, / /41~.). c /.( //, 11, ) I Vi///. -.." j/...?;'/..-c:;-:: u /,f' ( i c/ " ~ , ,-":",,,,:-j //- ;2, t/_? I ,/1 -' i IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TELL A FRIEND, IF NOT PLEASE TELL US, TRAVEL TIME TO FROM PLEASE PAY FROM THIS INVOICE TIME TIME TERMS: NET DUE ON COMPLETION ARRIVED DEPARTED ThIs tf"lVOtCe IS subtect to a Finance Char;y> of 1':", per month Annual Percenlaqf> ~il.f€ 01 18 ,^"I<:r. IS l'I.....wl'd bv TIME TIME law ARRIVED DEPARTED It IS agref>d ,1nd understood by the partlE!S that all eqUlpmeflt ,ind oarts whIch arc sold purc;u.lr~ r-........IO shall r..OT SERVICE PARTS become IlJrtures or Oi'lrt 1)( the real estale where lhey are place::! Said parIs and eqUipment Sr,l,1 c.t ,111 limPS rerT\i.!.ln PP.fSonalPfOCiEHiY-aQd the title therelo shalt remain In the Sellel .Jf1tll oaymeflt In 'ull IS recelVt"a BuVf>r 'X'reb... a.greps thai iJiYparts and eciu,oment may be reoossesseo 'n lhe event 01 non-p;)ymenl Set> rpvprse <;1f1r' !IV w;::ur;:}nt", .;'1d SERVICE LABOR lnsy<ictlOf'lS t !'lave aU~.9onty do Ol"der the work as~tlined above 1 agree Ie pay all cosls ,]f)(J rPdS, nCl!:)'!' attar'Y', <; IN'S f rillE CUSTOMER DISCOUNT InvolC/'~~~the handS of an af~ "ley tOf collectIon .v . U!:, /~ TOTAL CHARGE S /-' ..,. c, ;' ;4- dt~;~;~~,~4 ";, l' 0 - DEPOSIT S , C 51 E~ S SIG RE / J - - - Z CARD EXP --I BALANCE DUE S DATE , , / NO