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Home My WebLink About92-2309 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2309 J1 ~-:29- 7;;2. ELECTRICAL P~ Jd. cJ7) ~AN~ Daw c:P- 0., cJ?) B~ Sewer Conn Water Conn: Job Address: Parcel 1.0. # Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: ~ .t2A-J- A-/ c.. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Signature I Company Address Telephone# ~~.~ffJ() ------ / '-.J V ". ~ ~.~~ -I-~ ./ /Yh" // ~/--:")U<7te-;;/ -., , ,') / . / Valuation or Contract Price r2. 730. tJ7) ./ City License Registration # yf'" State Certified License# 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 7/?///y';e ffik!. e .J:SI/S M'1",EJt"cW j!f/~7 '7)e 7Jc.'i/4//f 5' C/9i/~L7"e / / JOB LOCATION ~711..7 /7 7# .J~- 7- /,fIt PHONE 7$'%'- ~2f?-<'-/ ADDRESS OWNER 2~ML,L LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Insta11 ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F 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 -X-ELECTRICAL . JJ -LMECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _H.R.E.C. $ ~731) ~ 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 ElECTRICIAN~' ~~("-c:-...-f:L.~ Company "2-L-\\\...(..~ EL~c..\.<;C"-L.l. ~ m State Cert. or Regist, " ,,<:>'" 'ktc.lC Sionature City License Registration 1F LO ***************************************** Company State Cert. or Regist. # City License Registration # **********************~******************* PLUMBER Signature MECHANICAl <. /f;/V~::, Y Company k'/'//// /-J ~E /.(-_.-"..:;1'. ',. .' State Cert. or Regist. I'! "?>/~'&)L;a6;~'<' "~;:r' /~' ~,/~'-;7tIf' City License Registration :F ?Y ~~*****~******************************** Signature . -. Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~*********~~*****************.******* L4t --(I A a Z-/Ld) ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitaay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake 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 aay be cited for a aisdeaeanor violation under state law. 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 Departlent, (813! 788-6611. Furtherlore, 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 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 FEE2. 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 docuaent and promise in good faith to deliver it to the 'owner" prior to cOlaencelent. r E. CONTRACTORIS/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 a~plicable laws regulating construction, zoning, and land developaent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cottenced prior to issuance of a pertit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: I Depart.ent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, WaterlWastewater Treat.ent I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I D artaent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I 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 'cotpensating volute' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 ~erlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid unless the work authorized by such pertit is coatenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is co.tenced. 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 aonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOP. IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 1 COKKENCEKENT. JOB UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OFC9I'fl1ENCEtlENT". ./ /' R OR AGENT was acknowledged , 1 9..i...:L. by STATE OF FLORIDA ,//~ COUNTY OF {fa. J d..- c;~ _ The foregoing instrument was acknowledged before me th i s' ,.-17 , 19 ---7.-L by STATE OF FLORIDA !1~ J COUNTY OF b" a~a...c,t The foregoing instrument before e this,? 7 h-3S whc, is pers 1all y knol1P tCI m 'or who has produced ~i/'" 4e,"'1'Vf'L as identification and who did/~!d noi take an oa~tf.J...~. \/' /I~ /J. ?7 V ~'dL ( ;V -r~ !Signatur '\.. t..r{~ who i:y pel-so~n 11y known J1f) me' .r who dUd '/I.' .... , Pl-O uce .. f,;'v..t,t....i/) .. '.. .....,,~t.. .~ as identification and who did/did not take an oat~;? (!.. (t L!.,j'-:~::-:::::;:::; j ) t ~Y . 'Cc .. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC iv'. ,J-"'," '~ .";0., -.J "~ .~ --1 ... ,.' - "1'" ~,(.l-,....-- ~ Lie # RAB05084 CONTRACT ZEPHYR AIRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 / (813) 788-6284 Contract ~,ubmitted To: Phone (office) 1 Ph~e)h~me) rj> I Date _/'/ ' /l ,~ #-~. /, ..'~"'.' ;> ///./1 re ' /" . '. ,-, .,. Street , Job Name '7</3 / //",,',,7' City. State and Zip Code Job Location .. 1/ '<i::" ,'...... /;:~ ,! , We hereby Submit to furnish material and labor - comf'lete in acc.ordancE; with specifications below, for the sum of: l '_ l, ,'_ _,- .;;c;;-. /..,,i ;t/" ,..'t . __. t~" ~ . '. ,... J,.',: /) ;, ,.i' /,' /' .';~':"~ ' / ",/~J' ,.;'l .:fi dollars ($.....,.L' -/,,:;,/.- ). Including Tax. Payment to be made as follows: ~. 40% upon acceptance of contract, 60% upon completion 100% upon completion //t!~;.: ...:. -,._~" .- .. 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 ~ / If .. ~ " ~! ~ "- ,- . .' 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 ~., -" ~ days. We hereby submit: ......~ j .;~ IV /~/. . ~ i 'v/" /. '--1, f,::.:~~.~/?/:)':;7 U" ~:>~ i./ ',:"./ ,-.6-A:.?.. -",,( ~,..' ',.. f ,:..' Equipment Model No, B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. ./ , ..if././; .:~',/ , ..~(:)l:' /t.)' _2 ,v.'; {...,' 1/ )L ,?-f.. ._ (.il "",', / /., L) '''; h/" .~>~- ~ .:1..~,'.,- l~'1 /,y r- /.... ,":'/ti/:/t' y ( '/[(> t,l J ~,.' , "". / l~> ,I'- i ,<:.;>/ Duct Work: Flexible L,J'~" Metal y>:S Duct Board #475_~ #800 /t./,.., .. . ...... , j...." , " .. No. of Supply Diffuser r- o' /17'--' No. of Return Grilles ,;,f ,-t..' I.:r Electrical IncL ,.1""" ~. ( ~ - ~ I.. Hot Water Recovery Unit . I ,...1~" Line Cover /(.. :.' Drain Pan \<~"':;' Equipment Removal ;/~"I,S Pre-Hung Door /t. t/ Attic Ladder .f'? Walkway ~ /'.. ~ y.~..'" .- Concrete Pad v~.~. Humidistat '\"u Refrigerant Line \ .' ,,' , ' .. .- .1,1 Warranty: No. of Year(s) on Parts and Labor ,4/ I': . No. of Years on Evaporator ~/ /A'.r No. of Years on Condenser /.. <."'E " . No, of Years on Compressor /l......-f: Comments: fI/27/9 Z- / 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