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Home My WebLink About92-2292 p.5 te- ~ ~~.TR;;Y P~ ~HANI~ Pmperty Owne' g4~ V~a&I2.J~ Job Address: r<. BUILDING PERMIT Permit N<! 2292 /1( ! Date '1- :2..:L - 9 (L ./" ;20 CITY OF ZEPHYRHILLS (813) 788.6611 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work ,;2-;).. :5 DATE NO OCCUPANCY BEFORE C,Q, Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q, DATE City license Registration # State Certified license# 5?s! ;l}/~_ I Permit Fee Signature Company Address Telephone# Valuation or -i:?. ~ ~ Contract Price~ . h g 7 ' BUI Breakers Ducts Insl. Compressor Final SlB Tub Set Water Sewer Final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d. Work not ready for inspection when called, e, Permit not posted on job site. f, Plans not at job site. g, Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same, ,'.,' ~'M,. '-- 'f. ;\i"", . <',' ~:~:..,.., '\,'lJ>:_-:'~,~'~~',~, .,},-k.'~. ,~,~.,'~~~-;~~~:~;:::_"':~~,"_".-~~_~.,n-~i;;;';-t',~t~'.,~~":!:~"",~;.:~..."t:...~,i" '-"~f~".-~-~~K,.;"t'~~~~4\'~~ oli. Lie # RAB05084 CONTRACT ZEPHYR AIRE P.Q, Box 1243 · Zephyrhills, FL 33539 38841 D S,R, 54 E, · Zephyrhills, FL 33540 Contract Submitted To: : '.,,,: ,/." Phone (office) I Phone (home) (813) 788-6284 I Dat~", , .' .f Street Job Name ...', -j~<' " ,I'" City, State and Zip Code .' ../ " Job Location . .,- We hereby Submit to furnish material and labor - coml'lete in accordance with specifications below, for the sum of: /,; ,/ "//..1. .... .:.... 'c :" .'." . ' .v dollars ($ /), '. ). 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- ing to standard practices, Any alteration or deviation from specifications below involving extra costs will be executed only upon written orders, and will become a~ extra charge ?ver and above the estimate, All agreements contingent upon strikes, accidents or delays beyond our control. Authorized Signature . , "", Note: This contract may be withdrawn by us if not accepted within '. r'.. ""~ /i,' ...:.. days, We hereby submit: Equipment Model No, , .' ..... ,iE'" B,T.U, . /~cli../ K.W, RATING S.E.E.R. C.Q,P. H.S,P,F, .'- ~,. /. / / / ,...-1 / I t ..... 1,1 . / i :"" /; I } t.' ,/~.~ ,.'l._.' '.' . A,'" .,"':. /'\ / 1;' /y " 1/,; //' Duct Work: Flexible I . No, of Supply Diffuser i' Metal Duct Board #475 ; . ~ , , ,'. r No, of Return Grilles Line Cover i .' "'._ r #800 Electricallncl. '. Hot Water Recovery Unit Drain Pan Concrete Pad L, Attic Ladder Refrigerant Line ..:/. Walkway ~:~. , l ." Pre-Hung Door Humidistat ." ; Equipment Removal Warranty: No, of Year(s) on Parts and Labor No, of Years on Evaporator No, of Years on Condenser No. of Years on Compressor " ~. l~' Comments: Acceptance of Contract - The above prices. specifi- cations and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: .;1 Signatur8:> <~: i ./ . ^ .,,>,; ~ ". _ :.. JI'.-. Signature APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~ ,J:. ' / 'F//'f'/ ~j/ OWNER ZJ4v'/.l) ;7;;H~?4/c:... JOB LOCATION . ~ e. 2? fr#C/.4.K ADDRESS PHONE 7?'-It,?f'Y LOT SIZE_X AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ____Addition ~Alteration ~Repair ____Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~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 Corp. _W,R,E,C, I ____MECHANICAL $ /~r7 ~ . 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 EI.ECTRT CT AN ~, ~ ""- ~\? '- \:::-L \) Company --t--\;\,-\-,- '3> '\;::. L..{:c.:,\: . ~ I2IlL..J ~ ~C7"J State Cert, or Regist. 4F 000 ?-lCo ~ Si!ffiaturP"'--...""'1<::::::::::''- ~ U City License Registration # C. U ****************************************** Company State Cert, or Regist: # City License Registration # *********************~******************** PLUMRER Signature t, Signature Company State Cert. or Regist. # City License Registratiop # *********************************** f/:!F' /f'/fpo60t$2z;) f?8' Company State Cert, or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penitmay be subject to .deed restrictions" which lay be lore restrictive than City regulations, The undersigned assumes 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 ~derta~e 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 .isde.eanorvilllation under state lall. If the owner or intended contractor'areuncertain as to IIhat licensing require.ents .ay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) 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 Nishes 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 FEE~, 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.eoNner's Protection Guide" prepared by the Florida Department of Agriculture and Consu.er Affairs, If the applicant is someone 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 com.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a permit to do work and installation as indicated, I certify that no work or installation has comlenced 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 development regulations in the jurisdiction, I also certify that I understand that the regulations of other govern.ental agencies .ay 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 to: f Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f SouthNest Florida Water "anaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Waste"ater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abateaent ' I also certify that, if fill material is to be used in Flood Zone "A' or 'A,etc,', it is understood that a drainage plan addressing a 'compensating voluae" lIill be submitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance, A perait issued shall be construed to be a license to proceed with the "~rk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole invalid unless the Nork authorized by such permit is coamenced "ithin six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six months after the tile the work is cOI.enced. One 90 day extension of tile, lay be allowed for the per.it lIith fee charge of $15.00. The extension shall be requested in Nriting to the Building Official. An approved inspection lust be logged during each six month period, or the project will be considered abandoned, WARNING TO OWNER: YOUR ~AILURE TO RECORD A NOTICE OF CO"MENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A EY BEFORE RECORDING YOUR NOTICE OF CO""ENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST OT F COMMENCEMENT", ~ SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF , The foregc,ing instrument befol-e me th i s STATE OF FLORIDA COUNTY OF The~foregoing instrument before me this ItJas acknoltJledged 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 or who has produced as identification and who did/did not take an oath. (SignatLll-e) (Signature) (Name Typed, Printed or Stamped) NOT ARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC