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Home My WebLink About92-2322 BUILDING PERMIT Permit 2322/1 s- 7"- 7;2 CITY OF ZEPHYRHILLS (813) 788-6611 N~ r1 (J , c.TD BU~G ~~~ P~ Pmp'rty owne'A~"~ek?lt JobAddress:,~ ~~ __~ --=---- Datl~ _?6. CJV ~ Sewer Conn Zoning: Ener::z:e: Description of Work ;J ~" A ..--a. 'Y / / Cf--!- T,I.F.'s: I~ }: )'\-~ Radon Gas: ---1, ~/-??/~ / '/~L;~~;L~v~ , / Water Conn: Water Meter: Parcell.D. # 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 Company Address Telephone# >(S '-0, 1Tl) . n.,--,.A^, j .1), i(tA~'1 - ~I ' 1/ Valuation or Contract Price ~ 0 --s -=s-: a-o J City License Registration # k'V State Certified License# B G PLU G ~r ()~ --t7 --~ ') MECHANICAL 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 Breakers Ducts Insl. Compressor 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 2)/5C'OV/4'/'/ ~T ze~k;YL A~e.. Z-/-hLL: PHONE 7S'F-d-2EY ADDRESS .3 S"/C.s- Ev6t"o/,C'eC'/I/ / I # /./""'~t"'~K' / OWNER It jly/tI ;::;A-A/C' /L ..-- -r# JOB LOCATION ~ 7,t 7 F gr /h5"c?~'?k;/ /?~ I' 7-L/L'/ r- / :r-/ '-- LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. if WORK PROPOSED:_New Construction -LAddition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _IF 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 FOR"1S. ,';:', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING -X-ELECTRICAL ~MEtHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _\-l.R.E.C. $ 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 cr Company Z~\-\\I...l...<:,. E-s-,-;,C\. SC:ftv , State Cert. or Regist. # Coc) ?-lCo&- City License Registration ~F LcJ ****************************************** Company State Cert. or Regist. # City License Registration # **********************~******************* PLUMBER Signature . /'~ S1gnature-- (/ Company Ze/.Hy~ /J-/...e7E. State Cert. or Regist. 1.' ,).?/9.::?O'?;/)/"'z.-c, City License Registration jfr ~ Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PER~lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es 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 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 7BB-bbll. Further.ore, 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 .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 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent 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 docu.ent and promise in good faith to deliver it to the "owner" prior to co..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 co.pliance with all I applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade 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 perfor.ed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is 'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - SeaMalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environ.ental 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 .compensating volule" will be sub.itted which is prepared by a professional engineer registered in the state of Florida prior to per.it issuance. A periit 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 per.it prevent the Building Official fro. 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 per.it is cO'lenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the tile the work is cOlienced. One 90 day extension of tile, lay be alloNed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCEHENT HAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTl E OF COMMENCEKENT". /~ (' SIGNATURE: OWNER OR AGENT was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ?\l(.~,~"; -"~"~"'~,fi~'~' fr.."tt"/,'".''' "'".....;,'-.'.ir.~y~~-,.'......... ~.....'F~~_~~, ~~ ~""".<Jo.._C2i.,.,.-.....,.",;__........14._- .~r"l-"""~"'''',-:.v-'-..!'''>-. ~::~!!--.,":-'~....----"'-.".'~~.....,y~y;;\~,''J';r-> Contract Submitted To: /" - ",~ ' ,/ ~ / ( c'. ,F!/ '7 CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL ~J~,..4Q .. P/~on, .,e (Offic~~,"."", '," '~,.,/ I Phone (home) -- J :~ i ,../ /:~ ',,<. -. ,/' '/'!-':::' :.- "...._.. ..... ( " (813) 788-6284 I Date ,,,. "f' //-..f ~.' .' .....1 i,'. _ #; ....::"/ "/ ~ Lic # RAB05084 Street Job Name -",'.' ,~. .~ iI' :, :---- ;'.~' ,:,,~:,/ c:: .' /'/;; '>,:' ~;, City, State and Zip Code Job Location "/ ~., A:;~' , I " ~ ! / ; r.' ,-tI_ .,J.'.. We hereby Submit to furnish material and labor ~ com~lete in accordar.ce,with specifications below, for the sum of: ,I . ." :/' __'. ...__' t,..--., ," ....~;t' ,ii,.' J, i "".-;; ,~"'.'_ I'w__ ',:, ,'. "<,, :.7>/ /;"/';;) ,/ / V /~, ,j-.,,- ,. , '- ( dollars ($,1' /-.:; .::} '., ). 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 an extra charge over 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 ;;.' , . (. days. We hereby submit: , " / , . ~.)../ :/ "," ~-' {.,!. ,4..1 I , ~r./ '..". ~ }','.. ..-":- I" ;...~ ,.;/ ...' .//' ;' ,.~>,r ~'. ".v; 1/, i/ ,'\,. '/,/l/~.- ,1/ ......,,'./ Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. l.' " '.' ..' .' .. ! ,-~," , " "",/ i J'.. ,;/( ! ", , "r /,', . , ,:~ Duct Work: Flexible No. of Supply Diffuser Hot Water Recovery Unit Metal " 1'_ " Duct Board #475 ~~ #800 , ;../ ,--,; ...1.,'" Ji/,:.I No. of Return Grilles Line Cover / IV' f"~. Electrical Incl. < Drain Pan Equipment Removal Concrete Pad }. " ,. , I, ~' Pre-Hung Door Humidistat ~ ..i l Attic Ladder Refrigerant Line , ' ".'- . t ~r ,_ Walkway , ,., ~,' <' Warranty: No. of Year(s) on Parts and Labor No. of Years on Evaporator No. of Years on Condenser No. of Years on Compressor ~t.::;':,:;.cr ' , .. . // ',: i . " r._ .. .'~- . i Comments: I . r ,', ;.r; / w ,. '-I ;,'....' 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. < : ,...r --'~"'d' ....., -.,-' ~;::::-