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Home My WebLink About92-2493 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 2493/J( 7-/lo-9V o~ ~ ~ .~ 73-0 ~~~~ Date ~{) ~.~L ---- Sewer Conn Property Owner: Job Address: Parcell.D. # ~~1)q ~F(pk. Water Conn: Water Meter: T.I.F.'s: ~::~~t10nOfWO'k r~-L G'~ iJ~~/(~~~ - FINAL - NO OCCUPANCY BEFORE C.O. DATE ./ C.O. -I- Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # <??<Z State Certified License# Permit Fee 4' tJ I . Signature ~,~ Company Address Telephone# 11U Valuation or M 'i I ~ Contract Price 7- .::J Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~/,f{, ~..~ :'w, :"...~" .,,-l~';V:'(T;~~:;J_~;~'~-~~. ~.'~~.i8;~~,1~~:tI~~f~;."'-';: Lie # RAB05084 CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 , " L..-~ (813) 788-6284 . ' " <' ,1/ >>,,; /:: /(<~. ,1./ (.;'1-",: "t.,/ Phone (office) I ~e jhOmel f I Dat~ 7'7< ol.. - C/W lJ ". - /;;.< ;>>,.:.,~~.. Contract Submitted To: ,:r </,,,, .:,/ c; ..~_' '. I...... " ,..J / / ,", t ," ,....j 7,'S 'r _e)' ., 'j' ''P /, //, , Job Name Street City. Stat~.~d Zip Code '" //"/'//Y~1~/;.I,(/ ~; Job Location ['/ / -4-'" We here?y~ubfi,1it to :~rnish materi~andlab~r ~"com".'~.!e i~}iCc:~~~nce ~~t.~~~ecification~ '~~VoI~ f~~}he sum of: ..;( //,(t/~>//.f../2) ",l'l,"'-A/ /){//{./Z;.: r(.' ..".:.."I'.~//,uJtP .' dOllars ($ c./;" ~~;..-!._- ). Including Tax. Payment to be made as follows: 40% upon acceptance of contract, 60% upon completion " 100% upon completion .,,;r :,., 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 .~J. ,d ." ~. ~:=,.-,';~f"~, -~:).. ' .,,- _~! ./l'.-/l.t., . t f!''''' : ;..'~ /' .- t~.,) Note: This contract may be withdrawn by us if not accel}tad within t~:<;<~1 -' days. We hereby submit: f,,'3^T " ;~: ~'1, ,. '-, ,'I'" / ,.Ii//./ V....- I ' .' ~ 1'-/ .-':' ,t.'- ,) //; ,/,. 1', ,?'. // I.if...".. .t, ' of'" / 1",,-;-' /.; ;1/ ,/ // ;..:tl, .~";J ,,;' /,,.c;"',-'J'/~/i..,c..~:- Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. -'/ :'",. ,:.. -. / /"" .] .... ;<, ,,A' I/~.' /",. [ / (" (., " :f;'( .:> C) ;;.,. J ,/ /, /". / '"r- " " ' ,'! , . '-.' " " _'" /,' i t/ , . ..... ,,' " -",t",, I' V" l; / // ,<:- J'/ ~'/ fi ,t:.o) ,.~,'%~. /;'A~!' ~1/ !? , ~.,>~, .- -> .' ../.... ..., "_ ' / .,---1- ',; "/~:' , ',' ;;,." ..7.:;;" c.; /L.,Iot. f"l ,I " "'.r/ / " " ~../ ..,:' ~~... ..' ""'~" , /.,,~ . .' ,. (..,: .~ t';' " " j " , : Duct Work: Flexible .Iv .t- Metal /'(-.<) Duct Board #475 ----1.'J/-::' #800 No. of Supply Diffuser J x'" .5"/ j(/,< No. offletum Grilles /-:> .II;' ,).,:: /1>' ,:. Electrical Inc!. Hot Water Recovery Unit1t: _'~:I../(> Q,c:.. Ai'~ " 1,/i,~...t:~-..,. , , v...... .' .r .~ Pre-Hung Door Humidistat .~\/ i) , or I )il.... . Drain Pan I <':~ ...... u.'" Attic Lad~r" ~,~. .., .;' ........' , Line Cover Equipment Removal . I ),,'l-:' ~; ,.v,;' Walkway .~, ~"': Concrete Pad , 1 ' /:/ CI Refrigerant Line ).:" ". ( ....' Warranty: No. of Year(s) on Parts and Labor No. of Years on Evaporator No. of Years on Condenser No. of Years on Compressor C',1./L' ,,,c',, 1/ l-:'" jf'-~ ;"/.r T" - .' /~ lv"t:, Comments: Acceptance of Contract - The above prices, specifi- cations and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature ,/ c/)1:~~ka' f /,' .' *7,'7" ;h/ ~(/~ .... ..... . Signature APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT !/!A/Ale.. A;Alfl2J~/'1 / ~/'//YR .4"e~ ..0 . ADDRESS ..39::;'~9 &/a/A ~f' /3.P-Y/-5" ,.cC~~~~HONE / ' / / OWNER a71Y/vC )'(;d;; ZJ~),/l--1 JOB LOCATION .79,$~y &7~~ ~~ LOT SIZE_X ~~, _ .t/~..? / AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. jfr WORK PROPOSED:____New Construction _Addition _Alteration ____Repair ____Install _Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: ____Single Family _M/F _# of Units __M/H Jf? P40t';JN~/~h!l/C!- _Commercial _Indust. ____Swim, Pool J _Restaurant & Health Department Approval BuiLDING SIZE: x_. Square Feet. Height RESIDENTIAL: COMMERCIAL : A TT ACH (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 -LELECTRICAL v ,,' ~MEtHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp, _".R.E.C. $ Valuation 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, # City License Registration # ****************************************** BUILDER RLRCTRr CrAN '\;2 ~"'~"- , ~ Company '2 - \\'>.L "> F Lcq, <; €Ci\.u, c---~ (~) , ). l State Cert. or Regist. # OVCJ '2...(('" r Signature'~, ,,~ ." ~-- '----' City License Registration lfr {O ~. **~************************************** PLUMBER Company State Cert. or Regist. iF Signature City License Registration i~ **********************~******************* Signature Company ~AI ~.t.VA/e'Y State Cert, or Regist, i,= r '.2?/k}t:')d'0 ~Zb City License Registration IF . E'P Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERmT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ~ T~e un~ersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 lisdeleanor 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 City of Zephyrhills Building Departlent, (B131 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl sign portions of the .Contractor Sections" of this application for which they Nill 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 - HOleowner's Protection Guide" prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. J 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 co.pliance with all I applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforted to teet 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 lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treattent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De attlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environlental Protection AQency - 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" Nill be sublitted 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, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol 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 perlit is cOllenced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tile, lay be alloNed for the perlit 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 lonth period, or the project will be (onsidered abandoned. 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 LENnER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .N~IC~/~F COMMENCEMENT". ~ c /.' . .~ · SIGNATUR NAT E: CON RACTO STATE OF FLORIDA /.J COUNTY OF f;!/(rtt.,1'.._' The for. egoing instru~as acknowledged before me this I$(" / 19.2...;1. by STATE OF FlO'IDA ~ COUNTY OF ) __ The fc.regc,ing ~/j.n~-..~ vias acknoviledged before me thi~ , 19~ by n~ ~ns. CO. NQ (:c 183505 who is per~kno~me or who has produced /~ ~.Q as identification and who did/pid not take an tho NOTARY