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Home My WebLink About92-2250 BUILDING PERMIT Permit 225011, I 3-3/ - 9:.2.. CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date ~ ~ .~ "- EHANIC.v Sewer Conn P,"perty owne'~, d~ Job Address: d . ~ ~ Parcell.D, # Water Conn: Water Meter: ~. T..I..F.'s: Zoning: Energy CCZ Description of Work A / c: C -"'L ". p I ' Jon Gas: NO OCCUPANCY BEFORE C.O. FINAL d-;l - C$ 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 Valuation or '/ L Contract Price ~:J.. S 7'. 07:> :~~~:;b~~~.O-V Company Address Telephone# City License Registration # 9 / State Certified License# c.....s- Co 3 s- Yrb ~ DUILOING --. ICAL BreaKe Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer 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 ($15.001 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. < UNIT cosT~54_ro !ft If C5V7 ch ( ck- ON COMPLETION AQ. I J- rJn_Lmrz P e-() on CUSTOMER NAME ,)()hn (j f{1Jtc\Yl ADDRESS,-2flD ~~ Co r(J r0f A~. CITY Z~. J STRAP /I SALESMAN N/~f~ DOWN SALE DATE INS'!'. DATE A.M P.M. ZIP CODE ~35'f() SALES INVOICE 1/ CITY OR COUNT'{ TAXES PAID TO CAPE CORAL) NORTH PORT LABELL LOT BL1C UNIT 7xd- O()50 PHONE NUMBER_ \ NEW CONST. PERMIT H NEW ADDON ... WARRANTY REG1ll.Ai\--6 '. ,-1-10 IE ~PLAC~ HEAT PUMP , JOB DESCRIPTION STRAIGHT COOL NEW EQUIPMENT MODEL II SERIAL /I PACK. d-5 TO>) I-I~II Grd. SIc CONDo J.5 Tan Hel/ A/H S(C A/ti COIL OLD EQUIPMENT MODEL It SERIAL U CONDo ..~?;~ 1~;~ ~A74-:--- PACK. A/H. ) COIL aEA! IN NEW UNIT JD K. W. A/H VERT HORIZ. DISCONECT NEEDED fo r Af-!=t x SCUTTLE HOLE SIZE lJIRESIZE AIR SIZE x · DUCT WORK MODIFICATIONS SUPPLY RETURN TIME DELAY. RUST PROOFING LIGRUING ARRESTOR KOOL KAP SLAES WIRE- COPPER ALUMINUM - au ~ -;;;!lJ pan -f::-sf-a+ slab COMMENTS reec/ dJJ C'~ /:x:iiJd APPLICATION FOR PERl'I.T CITY OF ZEPHYK,ILL:' BUI ING DEPARTMENT ! APPLICANT PHONE ,-) 7'3- (f rflJ() OWNER JOB LOCATION WT SIZE_~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) OC~_SUBDIVISION PARCEL I.D.# 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 BUJLDING SIZE: X~, Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S.''''; ATTACH (3) SETS OF BUILDING PLANS, (1) SET ENERGY FORt-IS. id **COPY OF CONTRACT REQUIRED. FEF.MI TS R '~Q!lE.5.IE.D. _BUILDING $ ,_ValuatioG. of Total Construction ct ... AMP Service 3JS"'4.oo _Florida Power Corp. _\\.R.E.C. " EL,~CTRICAL {MECHANICAL _PLUMBING 'laluaL("~, of Mechanical Installation GAS ROOF:~NG SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ___Steel Other FINISHED FLOOR ELEVATIONS: FT. **********************~******************* Signature ~TRACTOE SECTION Compap.y State Cert. or Regist. # City License Registration # ****************************************** BUILDER ElECTRICIAN Company State Cert. or Regist. # City ~icense Registration # **********************k******************* Signature PLUMBER Company State Cert. or Regist. # City License Registration # **********************t******** Signature Signature Company State Cert. or Regist. # City l.icense Registration **********************,******************* MECHANICAL OTHER Signature Comp"-.r, 'f State Cert. or Regist. # City Licanse Registration # APPLICATION APPROVED BY ********************~~******************** --;f~ M"'~ ~ P A.-, h-,.J- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject tD "d2ed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility r~r 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 ~ay 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 contractor lay be ci ted for a lisdueanor violation under state !all. If tile owner Dr intended contractor are uncertain as to what I icens i no requirelents lay apply for the'intended lIorK, they are ~Mi~d' to contact the City I1fZephyrhills Building Deparhent, (813) 788-6611. Furtherlore, if the Ollner has hired a contractor or contractor5, he is advised tb have the ~ontractor(s} sign portions Df the 'Contractor Sections" of this application for llhich 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 lIork. 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 2ephyrhills. 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 llith a copy of "Florida's Construction Lien Lall - HOleollner's ProtectlDn Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "ollner", I certify that I have obtained a ropy of the above described doculent and promise in good faith to deliver it t" the "ollner" prior to co..encelent. ". ( E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work lIill I a~plicable lalls regulating construction, zoning, and land developaent. be done in co.pliance with all Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no 1I0rk or installation has coa.enced prior to issuance of a perlit and that all lIork 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 governlental agencies lay apply to the intended work, and that it is ay responsibility to identify IIhat actions I lust take to be in cr'riiance. Such agencies include but are not li.ited ID: f Denart.ent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environmentally Sensitive Lands, Water/Wastellater TrEat.ent f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterll~ls f De art.ent of Health ~ Rehabilitative Services Environlental_Health Unit - Wells, Wastellater Treatlent, Septic Tanks f Environlental Protection AQency - Asbestos abatelent , I also certify that, if fill Ilaterial is to b" 1I!':2d in Floer! -,'!I" f)r "A,etr,., it 1', Hndersto,)L' that a.,.draina1J~pl..r. addressing a "colpensating volute" lIill be subMitted IIhich is pr~pared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a license to proceed 111th the work and not as authority to violate, cancel altEr: or set aside any provisions of the technical codes, nor shall issfJance of a ~erlit prevent the Building Official fro I therEofter requiring a correction of errors in plans, construction, or vi01ations of any code.. Every periit issued shall beeole invalid ,unless the 1I0rk authorized by such perlit is cOltenced lIithirl ,IX lonths of issuance, or if wurK authorized by the permit is suspended or abandoned for a period of six lonths after the ~; .,e the work is cO.lenced. One 90 day extension of ti&e, ~2, be allolled for the perlit with fee charge of SI5.00. The extenSiJ!l shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth peri~d~ or the project lIill be considered abandoned. WARNING TO OIIIIER: YOUR FAILURE TO RECORD A NOTICE OF CO"t1ENCEi1ENT I'lAY RESULT IN YOUR PAYING THICE FOR HIPROVEI'IENTS T01[,UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH VOl'R lENDER OR AN ATTORNEY BEFORE RECORD I YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOLD AND POST A "NOTICE OF OMMEI KENT" ~.~r9<' S ATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF ,:'>)_\ SeD The foregoing instrument was acknowledged befol-e me this .31 MAR('~ 19.,gz. by STATE OF FLO~' -/ ~ COUNTY OF _ ~~ ~ The foregoing instrument was acknowledged befcq-e me thiS)--'30 , 19-U- by ~O~tJ S. 'CLAN'rO!\L <JR' \AI/I/oX'd J-/ 7!Jo~s~n . who is personally.kric.wn to me m- who (€s . \o'lho i's pel-sonally known to me or \'1ho ha,= produced I=t.. DJ<. C 4~34i'" 2/ 3D? -0 e91)pro~uced, f'1 [)l #7 S/ ~ -,~ )f<D-//~-).?/9CJ as identi 'cation and who did/did not - as IdentIfIcatIon and who dId/dId not take an oath. 'i;ake oath. ' (Signatul- ~ d c,.., /iojP/d-. ~nature) C! p rr /) r1 J 'r .A- 1);1-:t, ,(' (~ame Typed, Printed or Stamped) NOTARY PUBLIC L::{) ^ JJh J 5 (,{:rr 0 tJ (Name Typed, Printed ur Stamped) NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA My ~"mmiB~lgfl Qj(l)lres Jan. 28 1995 ~OfliJeti thru Pattefson - Becht Agency ~:t:~:~.~:;:~~ .~~',,~: !:~:;jr~~~~~,:;~~~,:"~~