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Home My WebLink About92-2354 BUILDING PERMIT ..-- ~~.~ ::::::,~:~" ~1;i!!; {~/~~ ti--- CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2354/ll . S--;2V-c;.:L ~ Date Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work En"9Y Code, ~ R.don G." c:? ~ t 191A- (t. JQ /i:t /J /(1 ,l,rff(u~/Ad5 ' FINAL -25-72 NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or . Ii.. J /) J3)€) Contract Price F c:<. >? SO, - City License Registration # /! f( It Ie:!..- State Certified License# t!- rr e..q / f96 3 O/A;1l~/tj4V7 . G~~~~ Inspector Permit Fee ~ Sf)' ~ ..-' ~ Signature~~~4v' ~ .L- Company Address D Telephone# a~~ BUI~' -" MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo 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. ....-----.. .. . --,..-.. -- .._... ~ - -- '..,...~..._-_. ".- AirdexlIIC 2901 . 44th Ave. N., St. Petersburg, FI. 33714 Air7~'onditioning Heating & Electrical 521-2602.527-2123 24 Hmu S,;,;;'vice Available JOB NAME: ADDRESS: CITY ZIP: CUSTOMER REQUEST: WORK PERFORMED: ~4J:,-;Lc..-/ COMPRESSOR o SUCT o DISC o VOLTS o AMPS RATED 01 1'\ 030 o ELECTRICAL CONNECTIONS o CONTACTOR POINTS o FAN A. / CONDENSER COIL o CLEAN WATER o FIN CONDITION o AMBIENT o ENT AIR o LVG. AIR o OIL LEVEL REFRIGERANT o LEAK OOK FAN AND MOTOR o AMPS o PULLEY /BELT o LUBRICATION ELECTRIC HEAT STRIPS o INSPECT CONNECTIONS o AMPS / RATED EVAPORATOR COIL o CLEAN o AIR IN o AIR OUT CONDENSATE AREA o INSPECT PAN o INSPECT DRAIN AIR FILTER o I acknowledge that service has been performed in a manner satisfactory to me. In the event payment is not made as agreed, Purchaser agrees to pay all costs of collection including a reasonable amount as attorney's fees. Interest at the rate of 1112% per month will be added to all delinquent balances. ~,~ ~:J- DATE v 7r c / / / PSIG PSIG RATED I certify that I have performed services indicated and installed parts listed. #~~tl.~ OUR TRAINED PERSONNEL SUGGEST THE FOLLOWING IMPROVEMENTS: o RATED o o Customer request preventative maintenance inspections be performed per year, until cancelled by either party in writing at least 60 days prior to each anniversary date. + REPAIRS PREVENTATIVE MAINT $ (PER INSPECTION) OF OF o FULL MAINTENANCE PRICE FOR NEXT 12 MO. $ x SIGNATURE BILLING COPY PARTS WARRANTY All parts as recorded are warranted as per manufactur- er's specifications. LABOR GUARANTEE The labor charge as recorded here relative to the equipment serviced as noted, is guar- anteed for a period of 30 days. "No charge" warranty work will be provided only during normal working hours. o JOB INCOMPLETE o JOB COMPLETE o REFER TO: TICKET # CK# o CONTRACT o BILLING o WARRANTY o C.O.D. o CREDIT CARD o START UP o OTHER (>' <"-u^/T/C~~ ~08732 HA'~ S tc.5c Tc. RATE AMOUNT ~------ PARTS LABOR TRIP CHARGE INSPECTION FM CONTRACT QUOTE TAX c2~c>",6d- AMOUNT PAID: BALANCE DUE: OK'D BY: O PLEASE PAY WITHIN 5 DAYS TO AVOID A BILLING CHARGE APPLICATION FOR PERKIT GI'lYOFZEPIIYKIIIILS BUILDING DEP~ OWNER'S NAME Ii{ (jE/C I X fA If 6 E:n-F OWNER'S ADDRESS (0 0 C/ (~ I C:. dJr.eeT JOB ADDRESS b~ U C/ (- / b ~~ man 7f2-02((J ~ ~ ' / F-L 7J~Vo I LEGAL DESCRIPTION: L.OT(S) BLOCK SUBDIVISIOlNl PARCEL Io D. f WRK PROPOSED:_lNlev Construction _Addition _Alteration _Repair _Install _Sign -,,<>ve ;7/t~ 4~~-n~rJ/ y/vr-Aj'C ~-/.<'d PROPOSED USE: Single Faaily _KIF DeIIOlish ' / 0 K-: zJ. iI~- AL~-C-R-~. L'.c.u-?i.>c;.,~ _, of Units _M/H _~rcial _Indost. _Swi.-. Pool Other ~estaurant &: Health Deparblent Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL : cottKERCIAL : AtTACH (2) PL.OI' PLMS &: (2) SEI'S OF BUILDING PLAlNlS &: (1) SEf ENERGY FORMS. u ATTACH (3) SEI'S OF Bm:LDI5G PLMS &: (1) SET ENERGY FORKS. ** **COPY OF COIITRACT IU!QlDIRED. PEBKITS REQUESTED _BUILDING $ valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECHMilCAL $ -2f'S:- 0 ~ I Valuation of Mechanical Installation _PLUMBUm GAS ROOFDlG SPECIALTY TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel Other FTIiISHED FLOOR ELEVATIONS: FI' . IS PKOJECT IN FlOOD ZONE AREA? YES NO ****************************************** CODIIl1'RACTOR SEGJ'IOIM COIPANY Stat:e Cert:. or Regist:. , City License Registration I ****************************************** BUILDER Signature ~. ~~ /'/ ~ amPMY ~ //7 ____ -=:- __ .,. ./ /. State Cert:. or Re st:.' Sj:"__e ~~/)M ' Cjt:y License Registration . ****************************************** rt-;~ ,;:2.. (, COIPABY St:at:e Cert:> or Regist. , City License Registration I ****************************************** PI..OKBER S ignat:ure IlEaL\RICAL amPMY ~ " ;i~j7L/l:;6,=- State Cert. or Re sL' C Signa~ . _ City License Registration , . ****************************************** rr I t9 '" J J/ r 0T1IF.R mMPA.:SY State Cert. or Regist:. IF Signature City License Registration I __ ...................................******* APPLICATION APPROVED BY PERl/fiT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subjert to "deed restrictions" whirh lay be lore restrirtive than City' regulations. The undersigned assumes responsibility for cOlpliance with any applicable deed restrirtions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a rontrart~r or contractors to undertake work, they lay be required to be lirensed in acrordanre with state and local regulations. If therontractor is not licensed as required by lall, both the owner and rontractor may be cited for a misdeleanor violation under state law. if the owner or intended contrartor are unrertain as to what lirensing requirements lay apply for the intended work, they are advised to rontart the City of Zephyrhills Building Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer 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 cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all 1I0rk lIill be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlmenced 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ_entally Sensitive Lands, Water/Wastewater Treatment , Southwest Florida Water KanaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US 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 "colpensating volule" will be sublittpd which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becote invalid unless the work authorized by such perlit is comlenced within six lonths of issuance, or if work authorized by the per_it is suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tile, lay be allolled for the pertit with fee charge of tI5.00. 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 COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ) .') '/ ~~ / ;4;u/~ d.~.. 4'/R' .. . ~ (SIGNATURE: OWNER OR AGENT ;7 GNATURE: CONTRACTOR . STATE OF FLORIDA ~ COUNTY OF~As GO The fC1regoing instl-ument was aci-m(lwl~dged befc,re me this clD NAY , 19~by STATE OF FLORIDA COUNTY OF .::p>AS. C 0 _ The foregDing instrument was acknowledged before me this r9-O MAt1 , 19 Cfd-bY RoBETCT F. Bui?bE7T _RONA L D tC7. PALM ER.. who is personally known to me or who has_ ,,\1Jho is pel:Dnally knDwn to me or who has( \ produced F L. p~ ;~ U>Z 3 7<Pu 2'2 I~-O(e-~..Jproduced l-L p I~ f'l4 Sy,";)"'/ '3 ~ 328 [J; C;~ ~ as ide ification and who did/did not as identi 'cation and who did/did not . take an 0, th~~~L--:J take an oat. ~ (Signa ur . \ (Signa-:L:r ) PO JJA- ((. S l.4 7T t) f\-) DO ('oJ (Name Typed, Printed or Stamped) (Name Typed, Printed or Stampedl NOTARY PUBLIC NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 28, 1995 Bonded thru Patterson - Becht AgencY NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 28, 1995 Bond~rl thru Patterson - 8echt Agency