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Home My WebLink About92-2203 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2203/1 Date d -- /d-. -7:<' Property Owner: Job Address: Parcell.D. # Sewer Conn Water Conn: ~" Water Meter: T,I.F.'s: Zoning: Energy z: Description of Work 2f- / L. ~ .A'LJ ~ ,- Radon Gas: ~ NO OCCUPANCY BEFORE C.O. FINAL !:t'2'J . f'2- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. InspectorJ Valuation or Contract Price ~ /; () CJ . t1lJ City License Registration # if'F?"" State Certified License# P~rmit Fee //~q5~' Slgnature~ /"' Company -.; _ -U/..,y-e _ -_ - Address" ;?g-ffL/-/ g~ ~7 Telephone# 7,~r--&;z~g"Y " ELJ;CTRICAL /0 Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER ~LPL.ce ~d/4- JOB LOCATION -~~~~ 2?c':?-I JI/e~~,.eJ# / ~?//-/R A/2~ 5'7J~ a4LL $b/yg;-f#~/C~~L" / PHONE 7ff-~C~~ APPLICANT ADDRESS LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# v ~~~~ G)V-,'- ~Repair _Install WORK PROPOSED:_New Construction _Addition _Alteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _l~ 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 FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING -LELECTRICAL t<'f -L-MECHANICAL $ Ij~oo ~ Valuation of Total Construction AMP Service Florida Power Corp. _\-l.R.E.C. $ 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 :::::::::AN :t~ Company 7_-\\,,,-, EL~C\L,e~J, ~-=-t::: ." State Cert. or Reg1st. lfr OOC)J....ll.:,~ '0 , City License Registration ~F lO ****************************************** Company State Cert. or Regist. # City License Registration # **********************ft******************* PLUMBER Signature Signature u//'/Yk' /hfe. State Cert. or Regist. ;,: .R'd'//cc:&o~Z-O City License Registration :F ?#' Company ****************************** Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~****.******;~************************ ~~f. .t?A.A'fV1-'- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es 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 say 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, l813} 788-6611. Further.ore, if the owner has hired a contractor or 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 per.itting 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er 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 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 co.pliance with all J applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has co..enced 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 develop.ent 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 'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De art.ent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f Environlental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc.., it is understood that a drainage plan addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. A per.it 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 Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code., Every per.it issued shall becole invalid unless the worK authorized by such per.it is cOllenced within six lonths of issuance, or if Mork authorized by the per.it is suspended or abandoned for a period of six lonths after the ti.e the work is cOlienced. One 90 day extension of tile, lay be allowed for the pertit 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 tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~ENCE~EHT ~AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF CO"~ENCE~ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO~~' ~E"ENT". / ~ ' SIGNATURE: OWNER OR AGENT IGNATURE: CONTRA was acknowledged , 19_ by STATE OF FLORI~ COUNTY OF . ~ The foregoing instrument befclj-e me this .$-/2- STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 92- by :;;;;;//1/' r /{; AII'Ve Y who is pel-s I 11 y knowl (. me or who has produced as identification and who take a~ rG],.1 (Sign~ e) , () B12 /(. r ( Lc;c <(" (Name Typed~ Printed or Stamped) NOTA~Y_PtJBL!.C who is personally known to me or who has produced as identification and who did/did not take an oath. lSignatUl-e) (Name Typed, Printed or Stamped) NOT ARY PUBLI C 2-~7-9? CrNU~:n,t- ~x~ ,.'_'"4" ,.", ~"~1"\,,'" " '..",', '__".,..,., '''''~_'t,'~.lllJ~~,~J.M-'':'~~~~~~~l:tRio~;;.:o;'lJ' ~~~, Lie # RAB05084 CONTRACT ZEPHYR AIRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 (813) 788-6284 Contract Submitted To: Phone (office) I Phone (~Iome) I Da~ 7 " ./ I " I "j ll,. ;; .,,".'::>'./~'" i....:. '.ft: ,h'>t' ,) -:"-/../,;; '''---/,(~ Street Job Name - .' " ..:~' .;/ "'J' i// .-,~:rL' t/j) City, State and Zip Code Job Location " .." //\/';"-;'j /tl" _' i ,j"''3:5L;'~ .. ,,".. ' , ..... .1.1- ,: We hereby Submit to furnish material and labor - comJ:'lete in accordance with specifications below, for the sum of: (~ ) ; iL" L./'" t:. /, -- / t ff 1.:( ';/>/, t/';" AJ j) /7. >-' ..-t/<~~~,//It> ,~/ ~ #.~- ..:. dollars ($ ). Including Tax. Payment to be made as follows: 40% upon acceptance of contract, 60% upon completion ',' 100% upon completion , :/ C" 5 All material is guaranteed to be as specified, All work to be completed in a workmanlike manner accord- Authorized " . ing to standard practices, Any alteration or deviation from specifications below involving extra costs will Signature , "';' , . ,r'~' r'O_ 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 ,-1",.; days, We hereby submit: /" l> ""~ .,.;; .0' 1'/'./> /j:? /i ,. / i./'H r'" - ,</'d ,j e.... Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. ,I l.t-- '/<.:' C 'II,;: /' / {l 1.-' 1/ f? 3./:':../.... /[ , (/L foe" /1, . ,/""'0./ ~//,' ./ F /~, "f.:. e /./k t, /,;1/,<'(1 /;.j / /'''9 \?~<I"i ,_7' Duct Work: Flexible l/~' :: Metal \/e> < Duct Board #475 ~~ #800 1", J; /~...> lf~.t:"' 7;.f..'o \.t No. of Supply Diffuser No. of Return Grilles Electrical Incl. Ie'::' Hot Water Recovery Unit i v( Line Cover )~ ~~ Drain Pan A'i} Equipment Removal 1/" .; Pre-Hung Door /1/", Attic Ladder Ale: Walkway /h \ ; /l/~, X~:5 Concrete Pad )I';,:(,'~, Humidistat Refrigerant line ,'~--. - Warranty: No. of Year(s) on Parts and Labor !~ All" No. of Years on Evaporator /'~ J/.f:' No. of Years on Condenser ,Ii :v'L:' No. of Years on Compressor ."-- j./,t.: ....~ I Comments: Acceptance of Contract - The above prices, specifi- ..~.."..- ..--.--- cations and conditions are satisfactory and are hereby Signature , " accepted. You are authorized to do the work as specified, Payment will be made as outlined above. Date of Acceptance: Signature