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Home My WebLink About92-2085 BUILDING PERMIT Permit 208sA( j . ! 1-029-9 :J.. CITY OF ZEPHYRHILLS (813) 788.6611 No , . OatH B~ E~L PL~ G~ANI~ Sewer Conn Water Conn: p,"p"tyow"e''7?'?~~''~ ' Job Address: S~ "/ 0 -..s ". ' .' .. Water Meter: T,I.F.'s: Parcel 1.0. # Zoning: Energy Code: Radon Gas: Description of Work-A- / C .' ~ .:f ~cf? ~ /13 ~v11 NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fee Signatur Company Address Telephone# Valuation or Contract Price /. ~ 7 ~ 07) .- City License Registration # 9 ~ State Certified License# B~ -- E~CAL ~ PlLJMaJNG ~ ~~~~ - MECHANIC~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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 ($15.001 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 LtJ:.",,2--' 4EJ ~ r r//- ADDRESS OJ /0 .5"' 3"1 OWNER d/tSL/ 46-5" JOB LOCATION ,~~ ~~r PHON~J) 7"J- JelltJ /Jb~tK LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D..t ~stal1 WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Sign/Temp. PROPOSED USE: ~ingle Family ____Sign _Move ____Demolish ~/F ____.~ of Uni ts .____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.** **COPY OF CONTRACT REQUIRED. PERMITS REOlffiSTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL ~CHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ 1~?r/ 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 # ****************************************** BUILDER Signature Silnlature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN PLUMBER Company State Cert. or Regist. # Signature City License Registration # ****************************************** MF.C1IAlI)"C~ ' Company /9~A')V&e. -:il: {[J.jj/ ~ State Cert. or Regist. # ___ _-~___/6 ___ Signatur ~ City License Registration 4~ - -.- ~......................................... Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'aay be subject to "deed restrictions" which aay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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 aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 lay be an indication that he is not properly licensed and is not entitled to peraitting 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 - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docueent and proaise in good faith to deliver it to the "owner" prior to coaaenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation has cOleenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developeent 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 ey responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to: , Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treattent , Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , Artv Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treataent, Septic Tanks , US Environaental Protection AQencv - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a 'cotpensating volute' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 Officijl frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoae invalid unless the work authorized by such perlit is cotlenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the till the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection eust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECoR N6 YOUR NOTICE OF ~~~-'::_:::_::::~_~CnRD NOn pasT A .~~___________________ SI ATi/R?:-OWHER OR AGE~~ : CONTRACTOR ~~~~~yO~FF~~~~DA~~__________________ The foregoing instru,ent was acknowledged before me this _~q__~___, 19J[J_ by ;~~~~~:~::~:=~~:~~:: as identification and who ~/did not ;;;:fB-1IL_~;;:--------~;-~;J. ___1fAVij)__(&,;._Dett___.1L~J);___L~__ (Name Typed, Printed Dr Stamped) NOTARY PUBLI C DA ViD W DEAN Notary STATE OF FLORIDA My Comm Exp 7/14/95 BONDED ~~~~~yO~FF~~~~~~~~______________________ The foregc,ing i nstru~nt was ac:kn~,wledged b::lfc:n:: me th is 2'1._______, 19 _'l..!:.._ by --~-~~--~----------------- who is personally known to me or who has produced ~J2-------------------------- as identificationZjn. who ~/did not take~at _// -~-- ------------------- (Sign r} /tJ ~ /Jell//' we/~/"yolff/l/yf). ----- ------------------------------- (Name yped, Printed or Stamped) NOTARY PUBLI C !""- t~:"':'?;~""::l'i~"''''''~~;'':l'~........",.~~",P~""'""""""""~-"')("~'\'C?'''''''f~7" "'::'cy -: ,\i~'*": \\~:.7',;'. " ~r f~c~ ,< ..~'~~~~.. State Cert. No CMC041074 Residential Commercial Date / - :? B-I'"z Customer' Name/'?R~/7J/?5 r;?Ob<2RI- F:fe.:;. ,. Address S-.,.$"' /0 - ...s Jtb- ->,/ ADVANCED AIR CONTROL, INC. 7815 Francine Drive New Port Richey, FL 34653 (813) 846-8384 SERVICING ALL MAKES AND MODELS AIR CONDITIONING, HEA TlNG AND APPLIANCES AIR CONDITIONING/HEATING SYSTEM EQUIPMENT: . Size and Type /- d.5~?t? .....\..P~7' S v.r-7b~ <:::2:'" P./~/H,6> System WIRING: o New Low Voltage Control and 220V Power Wiring o New Electrical SaNice Required : o 100 AMP 0 125 AMP 0 Speclal_ j2J Hook up to Existing Electrical /0 Add Electrical Disconnect Box I2t Air Conditioning Furnace /' 121 Electric 0 Gas 0 Oil o Electrostatic Air Cleaner o Heating & Cooling Thermostat o Energy Saver Thermostat DUCTWORK: o New Return Air Ducts and Grilles J?J Hook Up EXlstln~!0& ~ /g New Supply Air Du and Grilles o New SupplyAlr-RoofDucts and Grilles o Replace existing Grilles W/AC Type o Cut Through Concrete DUCT CLEANING / o Filter Size o Air Griils :# /' / INSULATION: o Attic Insulation - I es Sq, Ft, o Insulate Exlstin ucts REMOVAL : ~ Remove existing Ducts o~IPmen:U /9 Remove Wall Unit and Pate o Remove Register and Patch o Remove Space Heater and Patch o LEGAL DESCRIPTION: lot _ Block _ Sub _ Plat Book_ Page City County SERVICE: o Start up. Inspection. d One Year Warranty on all Parts and Labor j uded, o 5 Year Compre r Warranty o Preventative aintenance Agreement o Number of ears OTHER: A TJr,::J o /et:?'R ~ y: ./??4, tf:) c:! KtJ Ie e PLEASE NOTE : This proposal does not include any type of painting or re-decoratin(}, or maintenance offilters or cJrain Jines. '-'1h/S'agi'eernent contoinstherenf7r9contrar:t unJ tI td puitJ9:;'f~~ nranfO-:il(j~r:rmwJt1(. 6~tf>eY'ir"{jf'~-- understanding oral or WTltten. not contained herein. INiJJ be recognized or enforced, RETAJL INSTALLMENT CONTRACT NOTICE TO THE BUYER: (a.) Do not sign this before you read Itor If It contains any blank spaces. (b.) You are entitled to an exact copy of the paper you sign. (c.) You have the right to pay In advance the full amount due and under certain conditions to obtain a partial refund of the time price differential. Any holder of this consumer credit contfoctl. lubjectto all claims and defenses which the debtor could auerl agal".t the MIl,., of good. or service. obtained pur.uant hfHeto Of with the procHd. hefeof recovery hereunder by the debtOf shall no~ flXcHd amount. paid by the debtor hereunder. In case lull shall be brought fOf the collection of any sum due tHHe/n. or the IOme has to be collected cJpon demand of an attorney, or we have to enforce or defend any provision tHHllln. cwtont<< shall pay reosonable attorney's ftHH and all", completion at 1~S Intere,t per month. Cash Price: "".",:"" 70 Be ~o...::rJ) ~F.,~..e -,#>,0// ~ fi~~- ,.K 4Wb-/9'~ ~ ~ 7f" 00 " ~ , , , , , " $ ~..x ~npai~ Cas~ Balance upon Completion, , ~ ((""\ Time Price Differential: "," , , , , , , , , , , , , , , , , , , " $ , , , , , " $ .,. Time Balance: """""""'"""""""""" $ ve:. ;..e, which time balance Buyer agrees to 'pay in _ consecutive monthly installments of S each, beginning on , "Buyer" means each of the ~~~rs, If 7~;!/~ _0)1 ;zntlY and severally Signature ~ 'r fr~ Signature: J o-~, . tIC Company Acceptance Signature :;3 (5) IS. - Da. ~ ,1 Cf(/~-/ ~~j~'J , / AEC Rep: DATE: Cash Down Payments: :E (!) I> I -~ / - t:f!.?~ )J t>Z ACCEPTANCE OF PROPOSAl- The above prices, specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified Payment will be made as oU"ined above, / ,,0 ~ ~ 'J Date of Acceptance: -- pc, 6 - - "'" All returned checks will be charged $20,00, I waive the 3 day waiting periOd Signature'@