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Home My WebLink About92-2134 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2134 Ilt ,:2 - /7 - 7:::L. Property Owner: Job Address: Parcel 1.0. # ~ LJ~~ -:;- 0 7':3 ~<~~ .~ ~~:NI~~0. (~ ) ..Lh?7(}'C~ ~ 9~ Ji-. Date (-\./.) ~. Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of c:::_ .'/. r;J , // FINAL 2-Z7- Z-- DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C,Q. - All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ;r:;:,;; ~ fC~-' --. ~. { / ( # City License Registration # / / !) State Certified License# Signature Company Address Telephone# (' c:::o Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp, Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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, SERVICE INVOICE .. . ",... ~ Superior Heating & Cooling Management, Inc. 231 Douglas Street Building A Suite 10 CACa 49271 Oldsmar, Florida 34677 (813) 854-3449 783-7509 Zeph. co 11907 DATE;)-! 7-f~ STATE CERTIFIED \^JORK fa BE DONE SOURCE COST OTY - ~ I ~ - / , cr;:;JrfI1r);v, fA) OM/tCK ST~.O '13 9 T l St- 17~')'-..26.97 ~ edJ Lr /l. ;-:-/ STATE 3 3SYt:) COH'TRACT H:),,, I CUSTOMER NO. j " /znJ I PHONE ~z - 2~ '-II- ITEM PRICE BILL TO NAME STREET , CITY ZIP o CONTflACT TIMe & MlUERIAl. 0 REPLACE 0 ,1/ /J.... J J. r--.. TEC'rICIAN ( I / -< A j/I , Ie... .. I MAKE ~f fl_V/C ~ ft 7'~.____l ~ ~JE o c.o,o. . NEW U,," 0 CONTRACT 0 C.B, 0 ~ <- ~ / l'r2y,.u/m44'Z4- MOD'L ' , SERIAL NUMBER DESCRIPTION OF WORK PERFORMED , I "J ,! " " ~ ~~f,. I-f' t-O;a. r-'\ /1 r ~ P f-;"; Mk:J <;"" \/ ~ WAR~ f-~,Ir / ' <; f/'1::J / J \Ii? ~ m~ c! / A-L _ ~ tf+ T/ -J-A"; ~ s )3' is .., /loft. ,TItS Co'm()ll~ v 'Il (, , IF YOU ARE ,SfTISFI~ WITH THE SERVICE YOU RECEIVED TODA:;O~t )10'0, IF NOT PLEASE TELL US. TRAVEL TIME TIME ARRIVED TIME ARRI\ ED G ~\ 0 7r~fJ\ TO FROM PLEASE PAY FROM THIS INVOICE TIME DEPARTED TIME DEPARTED SERVICE PARTS SERVICE LABOR TERMS: NET DUE ON COMPLETION ThIS In\lOlCe IS sub,ect to a Finance Chaf;:jo:> 01 1.':',~ per monfh ~,nnual Percenlaqe RillE 01 18 ""'"'I':r.15 l'I,,,.....-t'd by law II IS agreed ~m~d u ~IOod: by the P3rtfJ-teThal OUlpmer"'T and parIS which arc SOld purSU.lr' 1"'-"i:'lG <:;hali NOT become llll!llres p t 01 lhe real estate I are placed Said parts and equlornenl sl".ll. ':1 .111 I,mps 'emdlf' personal prapert al"ll Ihe title Thereto shall re m I the seier until oaymenl In lull'S 'ecelve-d Bu'jPr 'ler;>t)\; .'lgft:'PS thai aU parts eo t may be repos Sed the even! ot '1O;'l-p.:lymenT Sep 'pvprse <;101(> 1.')' wCl"iH1l., ,j'1(1 instructIOnS l f have aUI-:Jryio der the work as outli fed a \If! I agree to ::>oy all costs ,1rXl '>-'d$f,n;It::.r. altornr, <; t('ops ,f 11'11; '"",,000 ,. "'at"" , .. nands 0/ an ""0'00'('0< C 1001000 l~ - /. S.tK,?( ~~v TECl-iNIC'tIt~NATURE 7/'RL' ',,-rp'1"~-7~~ S CUSlO"',E ERS, SIGNATURE;, / , ~- w ... CARD V EXP __I S .... NO DATE, "'-= . CUSTOMER DISCOUNT TOTAL CHARGE DEPOSIT BALANCE DUE 0'- o .. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~~ert~:O'? ~q~';dJ 9i C;O/#q ~T ~C_ , J ADDRESS ;;13/ bbC/ClHS S~ #/'1-/0 c?M~ ~ JV6"7"1 PHONE o7GY- 7.rO'T v OWNER tv/t1t-q,ff t../o""'i"'C /( JOB LOCATION SO~? t?r~S'T 2~/AlA,.I{.,.&k. 3'%VOLOT SIZE X AREA SQ. FT. LEGAL- DESCRIPTION: LOT(S)' BLOCK SUBDIVISION PARCEL 1. D. 4~ WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ~Install ____Sign/Temp. _Sign _Move _Demolish _Commercial _Indust. _Swim. Pool _M/H z;:,S"~ If ;;,1/ Other 'eFT 1t~,tJ PROPOSED USE: _Single Family _M/F _4~ of Units _Restaurant & Health Department Approval BUILDING SIZE: X Square Feet, Height EESIDENTIAL: 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 REOtffiSTED _BUILDING $ ValUation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp, _W,R.E,C. --X...MECHANICAL $ 3'B<f..f' ~ 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 # ******~~****************~******~********** HUTLDER Signature Signature Company State Cert, or Regist, # City License Registration # *****~**~******~***~****~***************** El.ECTRICIAN '^' Company State Cert. or Regist. ~F City License Registration # *****~************************************ PLtJM~ER Signature Signature Company . '1~ p;e /dP /Ie q A ~ ~ &o;,'.v~ 1-T ..z:Aa.. I' State Cert. or Regist, 4~ C'~o Y? i ~ d. ~r.._ City License Registration ~~ ****************************************** MECHANICAl. OTHER Company State Cert. or Regist, # City License Registration # Signature APPLICATION APPROVED BY *** PERMIT OFFICER. ,.-- '~ .....--- .. ., CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understtnds that this perlit lay be subject to 'deed restrictions. which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restriction~. B. UNL I CE'NSED CONTRACTORS AND CONTRACTOR RESPONS I B I LIT I ES If the owner has hired a contractor Dr 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, (813) 188-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contrat'tor, 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) r certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protec~ion Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than t~e .owner., I certify that r have obtained a copy of the above described doeulent 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 worK 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 Dr installation has COltenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all laws 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 tel identify what actions I lust take to be in COlpliance. Such agencies include bllt ~I e not lilited to: I Departl~t of Environlenl:1 ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Ldnds, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar,y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environ,ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or .A,etc,' I it is understood thdt 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 viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued 3hall becole invalid unless the wort authDrized by such pertit is cOI!enced within six lonths of issuance, or if WolK authol lzed by the pertit is suspended Dr abandoned for a period of six lonths after the tile the work is co~.enced. One 90 day Q~tEoSIOIi of tile, 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 aust be logged during each six lonth period, or the project will be considered dbdiJdoned. 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~IGNATUR~~~~ 5IGNATURE__~fr'6R~-""!!Z'-.---- DATE_____~~_l_?~_P_~------------- DATE --------------------------------------- MY COMMISSION EXPIRES ---------------------- ~~~~:~C~~R:~~-2i~.~ MY COMMISSI~ EXPIRES__________________ Notary Public State of Florida at Larae My Commission Expires: December 14,1994 (I C (J fR s-g-9 g' NOTARY AS TO O~NER OR AGENT -----------------------------