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Home My WebLink About92-2564 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 cJ.o.pi) ~. 0E~I~ P~ :::::,~:~e3?/fi.f;; {J51~~ Parcell.D. # 1/ - db -.;21 - 00/ 0 - D o~o 0- 00/ D Zoning: Energy Code' Description of Work --t!g h"} .14;7 <:::- Permit 2564/t1 gv - /3 - 7' d , N~ Date Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. t- FINAL-4 C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ ~ (J7) 0-0 City License Registration # State Certified License# ~tj Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool, Pre-Meter Final Driveway DATE Inspector Pe,m;' Fee&~ff Q Signature __ ::5::, _6~~_ Company Address Telephone# y SLB Tub Set Water Sewer Final ~A,~A~~~~. '/L/ Breakers Ducts Insl. Compressor Final 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT _E~t\o &.fs~ M~ ~"\ =CUe.. ADDRESS 3~~3 ~CJ.)'1 ~e\ Sb~'n'" -:DA:b~0.lP"1\ PHONE Sd..l3'4-9 OWNER N\ I LFD~""D "L, LLd\N ~ A~"RClv..::>.s.. JOB LOCATION ~-3~~So ,u~~..r\4 ~\Ie... LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.# II ~<.o ~ l BLOCK SUBDIVISION 0010 DD(c,OC> 001 Q WORK PROPOSED:____New Construction ----Addition ~lteration ~Repair ____Install ____Sign/Temp. _Sign ____Move ____Demolish PROPOSED USE: ____Single Family _M/F ____~~ of Uni ts ,~/H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ITACH (2) PLOT, PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS." COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL I So AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ ~~ 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 ::::::~ Company 91kMAN ~~5'rEMS :.--- ~:::;;z.. State Cert. or R~gist. .11 E(l_~~C4ql ~ City License Reglstratlon # ****************************************** PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company Ek)V'~"-IIV\EAJTI\L ~".j'rii::.Itr<:L\o~s... State Cert. or Regist. # OA(l~~;;f:l~ ~ City License Registration # ****************************** OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this perlit lay be subject to 'deed restricti~ns' 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Departlent, (813) 78B-6611. 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 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 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 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 protise in good faith to deliver it to the 'owner" prior to COllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all 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 perforMed t~ leet standards of all laNS regulating construction, City c~des, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply t~ the intended Nork, and that it is 'Y responsibility to identify "hat actions I lust take to be in cOlpliance. Such agencies include blll ~I e not haited to: . Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive lands, " Water/Wastewater Treatlent . S~uthwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent. Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc.', it. is underst~od th~t a drainage plan addressing a "colpensating volule" Will be subtitted which is prepared by a professional engineer regisleiQd in the State of Florida prior to perait issuance. A per.it issued shall be construed to be a license to proceed with the work and n~t as authority t~ vi~l~tp, cancel alter, or set aside any' provisions of the technical codes, nor shall issuance of a pertit prevent the Building Uffici~l fr~' thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit isslled ~hall beeole invalid unless the work authorized by such penit is co.tenced within six tonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six aonths after the ti.e the work is COllenced. One 90 day e~tEnsioll 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 .onth period, Dr the project will be considered dbdlidoned. 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 A1TORNEV BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~~------ SIGNATURE------COijTRACTOR-------------- DATE____~~_~t>_~~---------------------- NOTARY AS T~(\ OWNER OR AGEN~_ Notary Public, State of Florida MY COMMISSION EXPIRES____~~~~Mr,~r.- My Commission Expires April 27, 1996 Comm, No, CC 196771 DATE___________________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ @ "'~'6 F"'~Consumer Content . 10% Post.Consumer Content t~h~npnnal Page No, of Pages State Certified ENVIRONMENTAL CONTRACTORS 3843 Hwy. 301 So. Dade City, Florida 33525 Phone 567-5515 Electrical EC 0000491 Plumbing CF C037171 Air Conditioning CA C029382 . PROPOSAL SUBMITTED TO P!>,S'IOR PEL PN~ROv;S PHONE DATE 782-259G 07/28/92 STREET JOB NAME EXIST Jj()~T liEj\T PlWP I]\'ST. CITY, STATE AND ZIP CODE ZF,PHYRHILI..S JOB LOCATION NOR'r~i }\ VI' ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: NSTJl.LL: 2 ton HElL high effic. AM'j ~~ air handler 2 tnn HElL high effic. Millt f.HiRlp condenser "'~o0el PH3024sn~ T"0de 1 CH:) (174 V;<;' 24000 ~TU'S 5.0KV~ Heat Strip EER : 10.00 ~ ~\~ ~ t ~J. ,T ~ '" G;l.~oo .00 n~STALLJI..TION 'TO INCLUDE THE FOLLOWINC \lct system of one inch foil-backed fiberqlass board (OWens-Corning IlBOO R=6. C) and insulaterl foil-faced flex duct as required. All joints to be stapll'?r'J aN:~ t.2.pec \.]lth Fasson 810 COiEmer- ial grace foil tape. Rutt joints to be cloth taped ana douhle st1plE'c' hc'fore foil tap'" appli- ation. All flex duct joints double fastened with panc1uit-tY0e straps, a]! 1 flex duct supply runs to be individually dampered. Copper refrigerant lin'es with insul'-1tion (wer suction line . ingle return air system, metal white baked enamel return ane sImply (.riDs, low voltaoe iring and therrr:ostat. Condenser to be placed on foundation of 4xOxl(; C0ncrete blocks, or ther foundation as supplied by owner or builder. Duct installation in new construction will he blocked up 3 ]/2 inches atnve raftersv.;'here possible for pror,er insulation space. Scrap 2x4's on job site to hi? usee} for this purrDse. " J. SFRVICE fJPC-RJ\f>F t':ILL EE REQUIRED FOR. THE Ir-1ST1\I.lLATIC~.~ t')F IHIS SY:::'t!_'~lr,'. **v;",RR~J::'t'Y** 1 yr parts/labor 5 yr manufacturers CG);,orp's,sor cClrt: Guaranty Dr Jroponr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: S2511. 00 Payment 10 be made as follows: 50% at contract signing - 50% at cOHlplc~ticn dollars ($ ), All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard practices: Any alteration or deviation from above specifica- tions 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. Owner to carry fire, tornado and other necessary insurance, e: This proposal may be Our workers are fully covered by Workmen's Compensation Insurance, withdrawn by us if not accepted within days. PRODUCT 118.] fNi=iS4lnc..croton, Mus. 01411. To Order PHONE TOUFRH 1+800-225.6380 Atttptnutt of Jroposnl- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature