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Home My WebLink About92-2263 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2263ft Date *' -/3- Y.L Bt1Tr:ntNG--. ~AL ~ GEC~~ Sewe, Cone Water Conn: Property Owner: 'JJ! Ii.-kt Job Address: rf:t 3' 9 ~~ .ftA , Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy COd~ Radon Gas: ije ~if--e ~ NO OCCUPANCY BEFORE C.O. FINAL C.O. -~.J DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector P~rmi~ Fee ,,~R '~j~ Slgnature~_ Company Address Telephone# Valuation or Contract Price ;2.,9/d.-. crv -' City License Registration # 6 f State Certified License# BUILDING ELECTRICAL PLUMBING Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT E, (, z.-A-h c ~ G' €-I 9 U-- ADDRESS Sd i <t. 8p~ +~ ~tr- OWNER 1l1A-hk A--lJ ~, JOB LOCATION QO r R c2.-(J-v.A<l.AA. cb-- 3"J.M LOT PHONE ? Kd. d.--' C?-/ SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK 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 . 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 AMP Service Florida Power Gorp. _W.R.E.C. I _MECHANICAL $ 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 ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** " Signature Signature Company State Cert. or Regist. # City License Registration # *********************~******************** PLUMBER t, . Signature Company f~KS A{(..,~H~~/UI' State Cert. or Regist. #~ ~~ () City License Registration # ****************************************** Company State Cert. or R~gist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~**********~************************ O~...A~ ,z/)~h~) PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance Mith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Mork, 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 OMner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Mork, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, 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 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) 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 Departaent 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 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 or installation has cOllenced 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 developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Depart.ent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that 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 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code." Every perlit issued shall bee ole invalid unless the work authorized by such perlit is cOlleneed within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCE"ENT". ~~~~ ~~~ ~~ SIGNA E: CONTRACTOR (Name Typed, NOTARY PUBLIC (Name Typed, 'rlD e or Stamped) NOTARY PUBLIC ~ JJACCrn:\)~ ufJ. A5rr CCtlWcilUilu@IllUW-e 24 Abbey Drive "- ~ 1HI(t!lt15lC~ Dade City, Florida 33525 TO: Mrs. Liz Geiger/Ms. Mable Allt~~TIONOF-JOB- 5239 Beltram Drive Zephyrhills, FL 33540 Cart. # Ca C041220 Sales and Service Phone: (904) 521-0420 Service Contracts Available DATE: 4-10-92 Mable Albert home 5239 Beltram Drive We propose (0 furnish all labor and eqUlpmenl (hcen~e and permll when necessar\j lor compkle 1n~lallal Illn, 10 he lested and ready 10 operate at lotation above. We have carefully analyzed your equipment and guarantee lhe equipment 10 be 01 sufficlen( capacity to produce desIgn conditIons according to Fla. Energy Code High of91 0 outdoors temperature and 711o Indoor temperalUre, Budding mu~t he kept reasonably llgh!. windows and doors kept closed except for normal passage of persons and properly Insulated (minamum or 0 Inche~ lhlck). Equipment Includes: I. Air Handler with: 2, Condenser Unit II 3, ThermostalC MO.II 4, Supply-Grille & R A L- 6. 7 8 9 10. II KW: MOIl "Bard" 36WH7ACOF Wall Hung Unit S,E.E.R C.O.PJHSPF Total 8111'1 Remove and replace existing unit with "Bard" Wall Hung unit. r.nmplprp anrl Oppraring to Factory ~Ppc.s. 1 Year Full Parts and Labor. 12. 13 14. 15 16. 17 18 19 20. 21. 22 23 Option: Insulallon. n / a 24. Up-Grade Service Yes 0 '>;00 Size 25 EXisting Ceiling-Damage 0 Yes 0 'lio ~ Ypar Compressor Warranty. Amps nla nla Duct work wtll be designed. fabricated and installed in accordance with Amencan SocIety of Healing & Air Conditioning Engineers Standards of Pas C 0 Co u n t Y Supply and return registers and grills will be properly sized and of aluminum. LIMITED WARRA:"lTY AND SER VICE: All equipmen!. materials and controls furnished by us has a I year warranty. from the date of installation. against defects in workmanship and material. In addition we extend to you the manufacturers 5 yr, protection plan on the compressor. Our one year service responsibihty does not include breakdowns of Air Condtioner due to blown fuses. tripped breakers. dlrlY filters or plugged drain lines, Warranty service will be performed during normal working hours of 8:00 a.m, to 5:00 p.m. Any request for service after 5:00 p,m, or on weekends or holidays will be billed to customers at current billing rates of time and one-half. For this service the purchaser agrees to pay the seller the sum of $ 2 q 7 2 . 00 Dollars, including tax. Payable as follows: COD Up 0 n Com pIe t i on . Price quoted not valid after 30 days. ThiS order contains the entire agreement affecting (his purchase. :-';0 other agreement. understanding or warranty has been made a part of this contract unless wrinen herem. "If this instrument is referred to an anorney for collection or enforcement. lhe maker agrees to pay a reasonable allorney's fee. plus court costs, If the maker is delinquent for a period of thirty (30) days. a delinquent fee of I'I:CC per month Will be charged. Title to the installed merchandIse remains vested in the seller until all money due. as the results of the sale has been paid to the seller. Your acceptance below will be our authority to proceed with the installation. Thank you for your business," Jacks Air Conditioning and Heating Purchaser ~L /~ /9'92- ~'~k~ // :>//~~ By John T. Kutsch Sales Representall\e Accepted Date (L.S,) By VALID O:-OL Y IF SIG:"lED BY COMPANY OFFICER