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Home My WebLink About92-2479 BUILDING PERMIT Property Owner: Job Address: Parcel I. D. # CITY OF ZEPHYRHILLS (813) 788-6611 _ ./ % ~__ p~ ~AN~ ~~%~~ Permit N'? 2479(J(, I 7-9- 'l~: . Date ~- Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work LJ7;0~ (!J~ ~;h' k _~/ZL- , I Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. _/ h FtA FINAL NO OCCUPANCY BEFORE C.O. DATE Inspector Valuation or Contract Price /; 19<1' ~ ~j) Permit Fee Signature . Company Address Telephone# BUILDING G MEC Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. .g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. t ... ','.,y'. I 'J. ~,,:.. "V"!' ~ CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 0 S.R. 54 E. · Zephyrhills, FL 33540 Phone (0tfic8) Phone (hOlne) SbeII Job Nerne w i H 5'T ? (813) 788-6284 Dete J- -9 N,I)~ Lie # RAB05084 CclntnICt SubmiUed To: 51 f.;1 Job LocalICln We hereby Submit to furnish mate""af and labor - coml3lete in accordance with specifications below, for the sum of: .) ~ 7h:L/;-I dollars ($ / tY9,f ~ ).Induding Tax.. Payment to be made 81 follow8: ',r<: 40% upon acceptance of contract. 60% upon completion 100% u com tIon ~ oS . ? 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 devialion 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 COItir1(Ient upon strikes. ac:cicIeIU or delays beyond our control. Aotlm""/ {42 ~. . Signature <..... /./ ('L . V" ...., T1''''';';'' may .. . - -- m 'f7 withdrawn by us if Il()t accepted within J v. days. ;.4/ Equipment Model No. Yc -; Metal Duct Board #475 We hereby submit No. of Supply Diffuser ( L"" vI' ,v Hot Water Recovery Unit Equipment Removal y ~ ~ Concrete Pad y i"" ~ . No. of Return Grilles ~p~ #800 Electrical Incl. ,Yr ~ Duct Work: Flexible Pre-Hung Door Humidistat Une Cover AI", Y.,... ... Drain Pan )I....~ Attic Ladder Alv Walkway Refrigerant Una f~.$ J?s ~J" NQ Warranty: No. of Year(s) on Parts and Labor No. of Years on Evaporator No. of Years on Condenser No. of Years on Compressor' (J "v/, hVL Comments: J:; t/E Acceptance of Contract - The above prlces,speclfI- cations and conditions are satisfactory and are hereby Siglafure' accepted. You are authorized to do the work as specified. Payment wil be made as outlined above. Date of Acc:eptance: Sipture APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 4A1e.s ADDRESS it ~/~~ h/?A-kl/ , /~ TN fT 7-/lLL PHONE 7f?J? - ?9,;2 '/ OWNER JOB LOCATION fAHt"". LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Uni ts _____M / H ____Commercial ____Indust. ____Swim. Pool Other f ____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.~S. ,',,', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING ~ELECTRICAL '" --X..MECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.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 ~~ ~ :::::~5~'~ Company 'L-"'''~'' '" llic-, S"r~u . ~ (- '=:-:-;0-..-" ,,' s~ate ?ert. or R~gis t. . iF 6 vei '-l L"r '__ )). C1 ty L1cense Reg1s tra t10n iF l t) .-l',. . . , -/ Q - ...................................., Company State Cert. or Regist. # City License Registration # **********************ft******************* PLUMBER Signature Signature b,;;'/lrJe '" State Cert. or Regist. # City License Registration # ~~E A'/llJb~o&,20 3'9 Company ********************************** Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait .aay be subject to 'deed restrictions. which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for coapliance Mith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RES~ONSIBILITIE~ If the OMner has hired a contractor or contractors to undertake Mork, 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 lay be cited for a aisdeaeanor violation under state laM. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 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 LaM - Hoaeowner's Protection Guide. prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is soaeone 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 coa.enceaent. ! E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all worK will be done in cOlpliance with all J a~plicable laws regulating construction, zoning, and land developaent. Application is hereby .ade to obtain a perait to do worK and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a per.it and that all worK will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent 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 .y responsibility to identify what actions I aust taKe to be in co.pliance. Such agencies include but are not lilited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks '. f OS Environ.ental Protection AQency - Asbestos abateaent I also certify that, if fill .aterial is to be used in Flood lone "A" or "A,etc.., it is understood that a drainage plan addressinq a "co.pensating volu.e' will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait 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 ~erait prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole invalid unless the work authorized by such perait is coaaenced within six aonths of issuance, or if worK authorized by the pertit is suspended or abandoned for a period of six .onths after the tiae the worK is cOlteneed. One 90 day extension of tile, lay be allowed for the perait 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 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 COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A.~C OF COMMENCEMENT". / ) /# ,.. / / was acknowledged , 19 _ by ;/ STATE OF FLORIDA COUNTY OF The foregoing instrument befcl\-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th is 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 knDwn to me or who has produced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC