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HomeMy WebLinkAbout92-2247 BUILDING PERMIT Permit N~ 2247 il1..1 , Date s- g()- 7~ CITY OF ZEPHYRHILLS "q, (813) 788-6611 f) ~ $~ ~ ~ ~ ~ ~HANIC~ p,o~rtyOwne, ~ ~ ~:~,:~d~~S;' /iq%;,- - t- . - - ~: ~ n_ - ~0090 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description 0 FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Q & City License Registration # /1 C; /lIe!- State Certified License# {! /J en i'p~'1 / Y~~~~-f~ A/J1t'~~~ ~UI - _ ~LEC:rRlc..... _~/(P PL~ -,MECHAN~~-- _'/'1 P 'F ~.~ ermlt ee s;gna,",.~ . , n .~v6 Company Address Valuation or i .!1J f...P tJD Contract Price ~ J 7 I - Telephone# Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Driveway Const. Pole Pool Pre-Meter Final ~~~.t R.m. '5.. 31 ,elL (5~ 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. -~-------------.,,-.--.._----,---~-_.'_""----_'-- .' f:' '1 ~ PHONE: r~"e' r/?1te riVt S~ '7 ?22h 7;# J TAM PA-L1TH IA DATE ~ L ~ RIVERVIEW 7 eft? C,7S-...L. (813) 874-3822 Zc (813) 689-5594 Eq CUSTOMER ~,.J ~ -2..C"92-- ADDRESS Responsibilities ,Serial Condo Unit/Heat Pum Coil/Air Handler/Furnace Thermostat Strip SEER COP :~ PERMITS Equipment Foundation Slab or Blocks Electrical ~ ',(/&, Carpentry Insulation - Floor/Attic/R-13/R-19/R-22 Miscellaneous 5' (ceiling) openings and registers as follows: Metal (floor) Fiberglass ~ Duct System will consist of Duct - Material C.R. FLA, DEN M.BR. M.BATH B.RM. B.RM. Size L.R. i 2'1 <( Amount WARRANTY: -4 parts & labor S NET CASH PRICE ~ year on compressor (part only) CARPENTRY INSULATE A~ ~/7.;:!'. ELECTRIC t:;-61> ~J ~ TOTAL l..1f (f 7 MISC. Workmanship: Work to be performed in a workmanlike manner and will comply with existing codes and regulations, Warranty: Seller extends to purchaser the same warranty to the equipment as the manufacturer grants in Certificate qf Warranty, In addition, the seller warrants the Installation with respect to its responsibilities against defective workmanship and material for a period of one year frol)1 date of completion of installation, Service does not include the replacement of fuses and/or filters, OPTIONS: I ~ q7/ ~ The average temperature in the conditioned space wiil be: flY dr.'> ""J5:ECO REBATE t..4-- SUMMER. outside temp, 950 . inside temp. 780 l'J..oI" WINTER. outside temp, 300 - inside temp, 750 7 NET COST These are the standard temperatures set by the (A,R.I.) American Refrigeration Instit te, Any material, equipment, or labor in addition to that required in this proposal will be paid for bY Purchaser a ra at AMC Air Systems' normal rates, This proposal will become a contract between Purchaser and Seller if accepted by Purchaser and thereafter approved and accepted in writing by AMC Air Systems' duly authorized representative, For which I ~ to pay A~lr Systems $ $ ~~ upon installation, The title of said property shall remain In the said AMC Air Systems or Its successors until the amount ot' purchase money shall have been paid, and in case of my failure to make any payment when due, then the whole unpaid balance shall become due and payable at'once, and the said AMC Air Systems shall have the right to take possession of said property at once without any legal process, and all payments shail be applied as rent for said property or for depreciation In value, I further agree that any addiitonal purchases made by me from the above seller, during the time this contract is in effect or prior to the time it is paid in full, are made on the same conditions and shall become a part of this agreement and should it become necessary to enforce this agreement by legal process, I agree to ~~:~;53:;::" ,Uom~' foe ;!k(Jj'~'7-7~ DAV ~ TITLE L. ~ ~ -c::<S- -7;;L DATE ~, APP;.ICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT #ekA.! /(;/2 ()r/(JC /d. ~ 3t? .;2;')'7 7 - ~ ) 2ep4 V,P 1;$ PHONE f/ / 7J"-?,7J',6 ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. iF '. . r 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 BUJLDlNG SIZE: x ._Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. ;",', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COpy OF CONTRACT REQUIRED. PERMITS REDUESTED _BUILDING ()LELECTRICAL ~. 'r/> ...V:::'HEt:HANI CAL $ Valuatio::, of Total Construction ~oc AMP Service __Florida Power Corp. _\\.R.E.C, $ .~/~17/7 !!- ~Z1-L- ._Valuation of Mechanical Installation _PLUMBING GAS ROOFTNG SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame ___Steel Other FINISHED FLOOR ELEVATIONS: FT. 900 fJ ~'IL-ff ********************.*'~k****************** CONTRACTJR SECTION Campa- :-/ State Cert. or Regist. # CiLY ~icense Registration # **********************:k****************** BUILDER Signature ::::::::~ ~ comp""y ?U~hI f /:;~ci,r. ( S(~. .Tn" I . a ~~ ~~~~e~~~~~~e o~e:~:~~~~i~~n iF ~/ t, dkJ **********************~******************* Compar<1 State Cert. or Regist. # City License Registration ~ *******************~********************** PLlJMBFR Signature MECHANTCA~ Signatur~ ~ Company AJt1rL .4/2 ~~J.?t.-" Ll- .. State Celt ot'Regist. j,: (Jl'/eo~z~9/ ~~ . City ~ic~nse Registration ~ J.. .I.. ~.. .I.. _1..' ....~.'.' J~ '...L .'...L J...L.1.. ......J.. oJ.. J...1.. ..** A * ********..*.,.**".,,,*.."'........................ Company StatF Cert. or Regist. # City .icense Registration # OTHER Signature *********************~.******************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subje(t t~ "deed restrictions" which lay be lore restri(tive than CitJ regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restri(tions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance .ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contra(tor lay be cited for a lisdeleanor violation under state IaN. 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 Department, (813! 788-6611. Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor!s! sign portions (if the "Contractor Sections" of this application for which they will be responsible. If you, as the ONner sign as the contracto(, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to 51gO 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 FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction lien Law - HOleowner's ProtectIon Guide" prepared by the Florida Departlen;; <if Ayri,i..iilture alii] r:i;:I!:iiii~i Affairs. If th~ applicant is sOl1leone othH than tl:2 "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" the "owner" prior to cOllencelent. oj. ,l 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 a~plicable laws regulating construction, zoning, and land developlent. i Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to leet standards of all la~s regulating construction, City codes, zoning regulations, and land developlent 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 co.pliance. Such agencies include but are not lilited tD: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/WasteNater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.., it is understood that a drainage pla;i addressing a "compensating volule" will be sllb.ittp.d which is nre~ared by a professional engineer registered in the State Df Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altef, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official froD thereafter requiring a correction of errors in plans, constru(tion, or violations of any code.. Every perlit issued shall beeole invalid unless the work authorized by such perlit is cOI.enced within six Bonths of issuance, or if work authorized by the per~lt is suspended or abandoned for a period of six lonths after the tile the Nork is cO&ienced. One 90 day extension of ti~e, ~aj 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 lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TI/ICE FOR IMPROVEMENTS TO 'r(lUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OIlNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befol-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s vJas acknc1\.Jledged 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (Signature) (Signature) !Name Typed, Printed Dr Stamped} NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC