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Home My WebLink About92-2392 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2392/ij f~ --3 - 7:::L. Date ~. Pmpe~y Owne, ~~ Job Add'e", :7 /, .~ rf' .. b:: Parcell.D. # EL~_ _.__.._.=~ PLu~0ECHANIC~L~ Sewer Conn Water Conn: ./JA Water Meter: T.I.F.'s: Zoning: Description of Work Ene'gy CO~AL' ~/( G e Radon Gas: ~ NO OCCUPANCY BEFORE C.O, FINAL ~1L DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q. DATE ') Valuation or Contract Price ~ CJ '70. cTO City License Registration # ~ 9' State Certified License# SLB Tub Set Water Sewer Final rec~ Breakers Ducts Insl. Compressor Final ~ ~CAL ---- "PLUMBING ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp, Servo Rough In Meter Can Const, Pole Pool Pre-Meter 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT <- APPLICANT e (4/ I c: c:I--- /)1/l-/'V JfJU (~~ ADDRESS 7fS1.-1f>fJ/c:;>b4-t ~ t. / OWNER ~4rn-fZ GI/6e/- PHONE JOB LOCATION LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D,t~ 5.tJ- ;:}'S--;J') - VO.s:-O ~ ooc:r-:;C)- eo 23i:) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp, ____Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~/F ____i~ of lIni ts , .____M / H ____Commercial ____Indust, ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,u ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOill'lS.** **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL lLMECHANICAL AMP se&B-ce ~ ~(!7~1 Valuation Florida Power Corp. _W,R,E.C, of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. U City License Registration 6 ****************************************** BUTT.DER Si!mature Company State Cert, or Regist. 6 City License Registration 6 ****************************************** ET .ECTRT ClAN Signature Company State Cert, or Regist. ~ City License Registration 6 ****************************************** PLUMBER MECHANTCAT~, Signature ~ " co-,pan$C;<S /tiC ~ I(f~~ St,..te Cert. or Regist. Ii (E. - -. ~ - Cit.y License Registration IF r ****************************************** OTHER Signature Company State Cert. or Regist. 6 City License Registration 6 APPLICATION APPROVED BY * ** ~** * * *** * * *;:g * * * ** * * ** 'I:;: ,':;: * * * * * * * * * 7l. if /1/1 f' -' c:1 1J ~.A)A-r: PERMIT OFFICER, ,'~' ;~. ....------....-.-...,..----.-..-- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The .undersigned understands that this perlit lay be subject to "deed restricti~ns" which ~ay be Dore restr.ictive than City regulations, The undersigned 8SSUles responsibilit~:for co.pliance with any applicable deed restrictions, ...' . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a c~ntractor or contractors to undertake work, .they lay be required t~ be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, both the ~wner and contract~r'lay be cited for a lisde.eanor violation under state laK, 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, tB131 7BB-bbl1. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the "Contractor Sections. of this application for which they will be resp~nsible, If y~u, as the ~wner sign as the c~ntractor, y~u are indicating that you, rather than the contractor, are responsible for the work, If the contractor Nishes y~u to sign as contractor that lay 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 Hith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the .0Hner" , I certify that I have obtained a, copy of the above described d~cument and proffiise in good faith to deliver it to the .0Hner. prior to cOI.encelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating c~nstruction, zoning, and land developlent. Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. 1 certify that no Hork or installation has cOI.enced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in compliance. Suth agencies include bill ~l e ne,t lillited to: .... I also certify that, if fill laterial is tD be used in Hood Zc.ne "A. or "A,ett,. f it is underste,e,d th3t a drainage plan addressing a 'collpensating volUle" will be sublitted which is prepared by a professional engineer regist2ied 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 viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOB thereafter "q.iri'9 , "rr,,'i'. ,I "r'" i. pl.e,; "".r.,ti,., ,r vi",'i'., ,f ,vf "d'. '"r. p".i' i,,"" ,h.ll b','" ivv.lid unless the work authorized by such permit is coamenced within six months of issuante, or if work authol J~ed by the perlit is ~'p..d.d " .b..d,v,d f,r . p.ri,d ,f ,i. ",tb, .ft~ 'h' .i.. tho .." i, ,.".v"d. 'v," d., .,....i,,, .f 'i,., ,., b. all~wed for the perlit with fee charge of $15,00. The extension shall be requested in writing tet the Building Official, An approved inspection lust be logged during each six lonth period, or the project will be considered dbdlldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 "~.j8T I CE OF COMMENCEMENT", SIGNATURE~-~ER~-~---------- SIGNATUR~~--- DATE___~:--~::-J?-~------------------- DATE_____~:;2:::1~----------------- -~Z-~. ~~~~:~c~~R~U~-p[-k?~d S __-'~"!'.!~~_"'!.--- '~_:!ff.s;;y CelMM I SS I ON EXP I RES J}]!!Ml2-J.'li S~ /lotary Public, SIal. III florldll V My Com... Exp. JUnG 9, NOTARY AS TO OWNER OR AGENT MY COMMISSION . ~ Rl1'A l. r~FJDnT ~~{ ~~;'~:;~1I~~pS;;~:Y;9~lo,~i:; JJACCI[l)~ ,JlA. jlJ' C;OrmcUi!ai!~l!ldlll~ 24 Abbey Drive ~ ~ IHIlt!ltl5!1:l~ Dade City. Florida 33525 TO !fk%~ ~~ f)/OCATlONOfJOR o ATE nt -!ttil___J:!tL - --l3SVO 7x>.f~S-&:-- Cert. # Ca C041220 Sales and Service Phone: (904) 521-0420 'Service Contracts Available -;<-92 We propose 10 furnish all labor and c:qulpmc:nl (Iicc:nse and pc:rmll when necessary) for complC:le In'lallatlOn. 10 he lesled and ready 10 operale at lot:alion above. We have carefully analyzed your equipmenl and guarantee Ihe equlpmc:nllo be of sufficlenl capaclly 10 produce design conditIOns according to Fla. Energy Code High of91 0 oUldoors lemperalure and 7!lo indoor lempc:ralure. Building must he: kepI reasonably IIghl. wlOdows and doors kept closed except for normal passage of persons and properly IOsulaled (mlOlmum Ol/) IOches Ihlckl. Equipment Includes: 1. Air Handler with: 2. Condenser Unit II 3. Thennostate MO./f 4. Supply-Grille & R A TotIJ BTU's ~ : Am s Duct work wjJl be designed...iabr~ale~la.n~~s\~I~ in accordance with Amencan SociC:ly of Healing & Air Conditioning Engineers Slandards of ~ try ((J ~ ~~~~,t'Aupply and relurn regislers and grills will be properly sized and of aluminum. LIMITED WARRA~TY AN D SER VICE: All equipment. malerials and controls furnished by us has a I year warranly. from Ihe dale of installation. against defects in workmanship and malerial. In addition we eXlend 10 you Ihe manufaclurers 5 yr. protection plan on Ihe compressor. Our one year service responsibililY does nOI include breakdowns of Air Condtioner due 10 blown fuses. ITlpped breakers. dirty fillers or plugged drain lines. Warranly service will be performed during normal working hours of 8:00 a.m. 10 5:00 p.m. Any request for service afler 5:00 p.m. or on. weekends or holidays will be billed 10 customers at currenl billin rales of lime and one-half. Dollars, including tax. Payable as follows: . Price quoted not valid after 30 days. This order contains Ihe entire agreement affecling Ihis purchase. :"0 olher agreemenl. underslanding or warranly has been made a part of this contract unless wriuen herein. ""If Ihis instrument is referred to an allorney for collection or enforcemenl. Ihe maker agrees 10 pay a reasonable allorney's fee. plus court com. If the maker is delinquenl for a period of Ihirty (30) days. a delinquent fee of III:'C per month will be charged. Tille 10 Ihe tnslalled merchandise remains vesled in Ihe seller ulllil all money due. as Ihe resullS of Ihe sale has been paid to Ihe seller. Your acceplance below will be our authority 10 proceed with Ihe inslallalion. Thank you for your buslOess." Accepled Dale A::' I> - J. -- 'I L P'''h''''.{' ~ _~ By (L.S.) By VALID O:"l Y IF SIG~ED BY COMPANY OFFICER