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Home My WebLink About92-2420 BUILDING PERMIT ( CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2420/1 ~ :to ' crP ~C;;,;V 2 ~-. c/ZJ Date 6 .-./6 -7,;L Pmpe"Y Owne"_ )Jf~ Job Address: ,S ~ Parcell.D. # PL~ ~HANIC9 Sew", Conn - - Water Conn: ~~~/ Water Meter: T,I.I=.'s: Zoning: Energy Code: . Radon Gas: oe"L::~f~/:'~ ~~A-~:'<~J5-:fL:J ~~-cI~ FINAL 1/ 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 City License Registration # / I R" State Certified License# InspectorQ~ Permit Fee....5.~ ~)-:/ . ~ ~ Y' Signatur~\. CT"'" ./ 1 ~ Company Address Valuation or Contract Price ~>-<)-=~ ~ . (J"() Telephone# ~ ~L C~ELECTRIC~.6 ~ - Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ING ~ O~~~r C-- ~CHA~ Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer 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. APPLICA'n01!il FOR PERKiT GI'lY OF ZEmYRHIUS BllJIIJ)I1!iIG DEPARDIEJfr / OWNER'S NAKE M;;~D/V /l~>P~k/:Jffd'6E;e OWNER'S ADDRESS S;-7 {;) l' - (3 S71('~ /V; JOB ADDRESS -::-7 D '7 -- (:7 .s?7t'~.-:r //' PIIOH 7r3 -- /7 J S- -1--E/~ ~ /tf~ , /::::-c::..3 "'?,S-V (j ( LEGAL DESCRIPTIOl!i: UJI'(s) BI.OCK SUBDIVISION PARCEL I. D.I WORK PROPOSED:_IIew Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: Single Faaily _KIF _, of lJJnits _K/H _~rcial _Indost. _Swia. Pool Other _Restaurant &: Hea1t:h Deparblent Approval BUILDING SIZE: x Square Feet. Height: RESIDENTIAL: Al'TACH (2) PLOI' PI.AIiS &: (2) SEIS OF BUILDING PI.ANS ~ (1) SEI' ENERGY FORKS. ** COttttERCIAL: ATI'ACH (3) SILTS OF BUII.DDiG PLDlS &: (1) SEI' E1!iIERGY FORKS. 'H: **OOPI' OF OONTRACT RllQUIRED. , / (VG?u ~?4-t'C- ~ y:z. ~'~ 7/"'~ r c.,.5~ - I /ff~ /~/O~ ~ '7 I ~/vt<.J . /Sl)~ ~~ PERKTTS REO TED j;J.. -: Dr ~c<.;;.oJ~U-v' _BUILDING $ Valuation of Tot:a1 Construction S-" .>-:;: ~ELECTRICAL />0 AtIP Seryice- Florida Power Corp. W.R.E.C. ~HECIWilCAL s ~f~O.!:;- Valuation of Mechanical Installation _PLlJKBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Block _~ _Steel Ot:her FniISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE ARFA? YES NO **********************~~****************** OOWI'I'RACIOR SECTION COKPMIlY State Cert. or Regist.1 City License Registration I ****************************************** BUILDER Signature ELECI'IlICIAN ~ <DIPAIIY Ah ',t'z::.r1"" ~HC. ~ ' Sta'" Cert. or Regist. f br SiJ!D.3t e ~/ I City License Registration I , ****************************************** ot) 1:2- 1)<) 5..... .:2,5''- COIIPDY State Cert. or Regist. I City License Registration I **~~****..******************************** PumBER Signature KEaJAlUCAL ~ COIIPAHY ffi ~o Vp. ","iN &- ~ / /J ;(....-Y/ State Cert. or Regist. I 1:4 F#- C A ;t9" Y Signa a-Ct;Y L--~ City License Registration I II tj - ****************************************** 0'nIF.R COIIPABY State Cert. or Regist. I Signature City License Registration I ****************************************** APPLICATION APPROVI!'D BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT 'A. ~NOTICE OF DEED RESTRICTIONS The undersigned understands that this penitaay 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 co.tractors ~o uqdertake 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 th~ owner and contractor lay be cited for a aisdeleanor 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 Cily of Zephyrhills Building Departlent, (B13) 7BB-bb 11. 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 aay 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 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 - HOleDwner'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 document and promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulatir.~ construction, zoning, and land developlent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced 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 developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQencv - Asbestos abateaent 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 sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. , ~ A ,f,' I. r1 --"'--( AT"", UWR DR ~f'.t';f A per.it 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, cDnstruction, or violations of any code~ Every per.it issued shall beco.e invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the ti.e the work is cOI&enced. 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 inspectiDn 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 HAY 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~~ . SIGNATURE: CONTRACTOR STATE OF FLORIDA /1 C~NTY OF ~~ The foregoing instrument was acknowledged befol-e me this _L$t."__, 19'9 _'Z:-_ by STATE OF FLORIDA COUNTY OF h/~.-/~ The foregoing instrument befc.re me this /s:- was acknowledged , 199 Z, by :9..u ~ ~~ -----A_o' who is personally known to me Dr who has produced a identification a \take oath. "- ~~~__s~ who is personally known to me or who has pl-oduced ~identification take ' Dath. \, ,Name Typed, Printed Dr stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~ DIANE F. MAKIN Notary Public, State of Florida y Comm. Expires Aug. 27, 199 No. CC139595 ~..(, DIANE F. MAKIN l ~t Notary Public, State of Florida z . t'\ M C " . y omm. Expires Aug. 27, 1995 .' -- No. CC139595 ,19 irdex inc 290-j . 44t~ Ave. N., St. Petersburg, Fl. 33714 CUSTOMER REQUEST: ......... .......... .~...". ....~ Heating & Electrical 521-2602.527-2123 24 Hour Service Available Ul!':!JWl&!JU\h?LS l!':!Jl&!Jo t.t09357 JOB NAME: ADDRESS: CITY ZIP: o CJ"-,/ LABOR HOURS RATE AMOUNT COMPRESSOR o SUCT ODISC o VOLTS o AMPS RATED 01111 030 o ELECTRICAL CONNECTIONS o CONTACTOR POINTS o FAN A. / CONDENSER COIL o CLEAN WATER gpm_ o FIN CONDITION o AMBIENT o ENT AIR o LVG. AIR o OIL LEVEL REFRIGERANT OLEA!< o OK FAN AND MOTOR o AMPS o PULLEY IBELT 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 / / PSIG PSIG RATED / RATED 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 11/2 % per month will be added to all delinquent balances. DATE ~ /15/<;,"- OF OF OF I certify that I h e performed services indicated and installed parts listed. D OUR TRAINED PERSONNEL SUGGEST THE FOLLOWING IMPROVEMENTS: D D Customer request preventati"" maintenance inspections be performed per year, until cancelled by either party in writing at least 60 days prior to each anniversary date. PREVENTATIVE MAlNT. $ + REPAIRS (PER INSPECTION) OF OF D FULL MAINTENANCE PRICE FOR NEXT 12 MQ, $ x SIGNATURE .ILLINQ COpy PARTS WARRANTY All parts as recorded are warranted as per manufactur- er's specifications. PARTS LABOR TRIP CHARGE INSPECTION 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. D JOB INCOMPLETE D JOB COMPLETE D ~~EE~ ~: CK# D CONTRACT o BIWNG o WARRANTY DC.O.D. o CREDIT CARD o START UP o OTHER Fi/1/ 41L/? . / OK'D BY: O PLEASE PAY WITHIN 5 DAYS TO AVOID A BILUNG CHARGE