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Home My WebLink About92-2161 BUILDING PERMIT .' CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2161,,91 ,~- U ~C},2 Property Owner: Job Address: Parcel 1.0, # ~/SJ~ ~lC.AL J:51'j~~~~ ~BI~G c2S:," ~~~~ANIC~ Date ~Nt3' Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Radon Gas: '-~ r E,.:c '~~- ./ Energy Code: ~ (" I ~rn.. ( NO OCCUPANCY BEFORE C.O. FINAL C.O. ~ DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Valuation or Contract Price /) i) ! !o 9~ ' ---- Company /" / Address Telephone# ELECT8.lk:~(~ Tp, S~--- Rough In Meter Can Const. Pole Pool Pre-Meter Final PLLJMe"fNG ~ ""' 'zt:? ~~ c - MECHANICAL ) AiL: :;;'J,-~-r; r BUILD!N'G ,./"'/"" Breakers Ducts Insl, Compressor Final SLB Tub Set Water Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction, c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site, f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ''it "':";'." , ;1',.. ;. '" '~"'l ~" .....~~. ."(f~ >"~~">"">~~;~~~:$.",(~. ~,~ ,~T-,:;-;~,~~.>,~'~,. "","~~~\(''''',,: ~~ ~.A~.;.~~,~...:, :'.:'._~'" ~;t.,;.:ic;.~'~,..,'&~;.~tW;\:~7',~~~~", '.. ..f; CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 (813) 788-6284 Lie # RAB05084 Contract Submitted To: Phone (office) I Phone (home) I Date '- . ,:, ,', ,,"', "j { , <,~,~ ' ' Street ..,. Job Name .'., / ~." ,/ '- , City, State and Zip Code Job Location t, ..' ~,/,~" f", ,..... ". ;' "- / We hereby Submit to furniS~ material and labor - comJ'lete in. accor(jance.with specifications belo~, fOr}~e sum of: , ." . ",' ','" ' /; ., ", /<ii:-. 1/ /,' ' " , I, '..,' ,,/tJ! ... ,,/. " ,.>J., ,."i.".:.'..j I,e" , dollars ($ ........ / ). Including Tax. Payment to be made as follows: .' ~::.. ' 40% upon acceptance of contract, 60% upon completion 100% upon completion . ....> All material is guaranteed to be as specified. All work to be completed in a workmanlike manner accord- Authorized .;. ,;4., i(. ing to standard practices. Any alteration or deviation from specifications below involving extra costs will Signature ",-",.,,") " "i'.~1" ./ ;-..?" l, be executed only upon written orders, and will become an extra charge over and above the estimate. All Note: This contract may be agreements contingent upon strikes, accidents or delays beyond our control. '.;" ........ withdrawn by us if not accepted within ,.-'. ( days. We hereby submit: " I ,/i /'/,,;'" I .' /' / /1 '4- ,/ J i.,.\.i';,-"" (1"\,<"1",/' ,I, //4 ".f.' , ' , , I .' .It' '. ,]',...' .-l Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F, i/~) {~ ' , r ,/,:' ~--, .. .., ,:.~" ./., ,~ .... .~ " ./, '. ~~ " " :/ i.' {"... ,,"' , , " I:>/~ /:. ,. ..!;, , .> l / ,.--~ .'. ' '..-J:..' ",. /,./. .~. ,:',. .~' ;; ./,'i , I" ,,'{'-I"'I"/ /....J, / // i~'. /.,,.. , " A/".,e , I{;' ,. .' Duct Work: Flexible "i- f": Metal Duct Board #475 ...'..~, #800 , .' ,(, . of Supply Diffuser .- .i/~"" ~.: '7' No. " !! No. of Return Grilles .. Electrical I net. ,.'r,!/ ;>".A"-,,~ l ,.. , Hot Water Recovery Unit /.,/ ,~i Line Cover A/. Drain Pan A ..,o , , I{' iif./,t /", Equipment Removal ",. Pre-Hung Door '. 4' Attic Ladder Walkway Concrete Pad ~-:'" ..;," Humidistat ,/./ii .. .(' ~' Refrigerant Line Warranty: No. of Year(s) on Parts and Labor ". A/ .;; , :" t~........ No. of Years Evaporator /{ ... v'l ,. on r' No. of Years on Condenser ,I"'" i 1-' /">~ No. of Years on Compressor , ,/ j If:- Comments: Acceptance of Contract - The above prices, specifi- i ./ ./ L / .r" cations and conditions are satisfactory and are hereby Signature (/ eMf.. LL4 C:<-,C t:"' '," #:-7>,_~.. accepted. You are authorized to do the work as specified. / Payment will be made as outlined above. / I Date of Acceptance: Signature '/ , .~ .1"'" ,1' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT U~#y.:< A~E / .,lif~ A:#'Ak" V' \. / r 3~~/> j) ~",e5VE 7-ffiLt'. -y/9/o/C"S Ji?.4t';~C~ __ .r/ ,/ JOB LOCATION .:jF..3S- / .1'/ 7/J";L'c.5 PHONE 7~Y-6:;.;2?~ ADDRESS OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ 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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL -A...MECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ /~92.C2Q 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. if City License Registration # ****************************************** BUILDER Signature Sillnature Company State Cert. or Regist. if City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. if City License Registration # ****************************************** PLUMBER Signature Signature Company ;Z;:-~#$ $de State Cert. or Regist, l,l k>:1,t:JtCJtiLJ62c;,.' City License Registration lfr '?5'f? ******************************** / Company State Cert. or Regist. # City License Registration # OTHER Signature ****~************************************* APPLICATION APPROVED BY PERNIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assumes 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 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 may apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 Department 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 promise in good faith to deliver it to the "owner" prior to cOliencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information 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 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 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 govern.ental 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 IiOt limited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/Wastewater Treat.ent f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Department of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a professional engineer re9istel~d in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiDl~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffieidl frolli thereaftel requiring a correction of errors in plans, construction, Of violations of any code. Every permit issu~d ;hall becoie invalid unless the work authorized by such penit is C:Olllenced within six months of issuance, Llf if liLlrk autll(<llZ~d hy the perlloit is suspended Dr abandoned for a period of six lonths after the tile the work is cOllomenced. One 90 day e~t€~SIOIl of tile, lIoay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspection must be logged during each six lonth period, or the project will he considered dhai~Dned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT I CE OF COM~_ENC~NT". _ .. S!GNATUREj_ ~---e _c, 5_~;.f~______ SIGNATURr-~ 4. ~~J!L__ OWNER OR AGENT CONTRAC~~~ .- DATE_____(____________~~.2---------- DATE_________?~~~---------.--------- NOTARY AS TO . sm~~~~:~~ OWNER OR AGENT ___L~mOlission &_~I!tp--------- NOTARY AS TO smle~=~IClar&e CONTRACTOR_________J~~m~~~~- MY COMMISSION EXPIRES MY COMMISSION EXPIRES