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Home My WebLink About92-2625 BUILDING PERMIT Permit 262511: 9-L/-Yd-.. CITY OF ZEPHYRHILLS (813) 788-6611 N~ ~ d-o. tJ7.) F9 PmpertyOwne' ~a'~ Job Address: ~ _----'- ~ ParceII.D.# J/-:;)...6-d-.-/- 0010- Date PL~ :$ (J . c:.rv ~~-~N~9 Sewer Conn Water Conn: Water Meter: T.I.F.'s: o O,?CJ 0- 6/..3 0 Zoning: Energy Code: Description of Work :J1 ~ A::-/ c- Radon Gas: FINAL a.. - ;l - 7..5 DATE NO OCCUPANCY BEFORE C.O. 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 # gvp- State Certified License# Signatur Compan Addre s Telephone# Valuation or Contract Price ;J.. . Lf / 7, (J7J / ~ 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 Insl. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ""."-""',~,~,._"",,_......:,,~'~); , ,........ i,,'<!iJ..~,,', ,0,. "~:'--, __~]J_~''''-~'C'-----"",",,",,'""'\~~'4i~'"'''''''''''''''''''''''-''''''''''''''~'~-'-'' "-~""",,,'J:~"'~"='.."'"'''''' ~:~,'-.y.,:~-q,.F'''' "'-',' _,; ':JIi,\""".li,\.l,...F~"".lj.....,..,."'~-,~~~~;_,,, _... - ~~.'7,"'T~...F' ,'": '~~:~.lJr":~p. _'if.."l,tl!~~- \'" ,.....r'~..... . _ Lie # RAB05084 CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 (813) 788-6284 I Dat~, ' ", . I,~ I ,..' (" ~ ;.'.~.".~ Contract Submitted To: ,- /.-i" /" /; , I ,,/(/~'.,:/f.~: '~I.':';':<i / .:'-T Job Name Street City, State and Zip Code Job Location . / "/":.. We hereby Submit to furnish material and labor - comJ'lete in accordance with sp'~fications below, for the s :'" " ., ': " ''''-'., ,_ ,~r' ..",r:';,,- >""l' "-'J /" "[ i" . ,'/I'!/,) ""..'\.:. 'A'i)".,:,'/; 'I'!'~/ 'A,' ',,' dOllarS($~~' ~. -. ).lncludingTax. Payment to be made as follows: ~ 40% upon acceptance of contract, 60% upon completion 100% upon completion 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 '" ....4... . ./"/:"t}/' Note: This contract may be withdrawn by us if not accept€id within '. ..e.,v......' days. ,.t" /(' !' .'.' /, /:,: ..~~ <.,>';,/ We hereby submit: Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. r :' :.. l' .' ," A Duct Work: Flexible \',"5& Metal ,,~;' 1:; . Duct Board #475 --:!J:..~ #800 ./~j'~o::' /',' -~{. No. of Return Grilles Line Cover ,,11 ,.-'"i, Electrical Incl. No. of Supply Diffuser Hot Water Recovery Unit t. ;,-,,' /i./ ~ l ., ,.'" Drain Pan .; Equipment Removal ~ ' '- Pre-Hung Door Humidistat rl;. .'/ Concrete Pad ~: "<,, " ,.,.~/,(. Attic Ladder Refrigerant Line /y Walkway 1/" ...< .; ~~./ ....,~- , (,' ,J':;;; ~ fr, ,." . l'(.' ,;l )' ,,'/ < ,~.i,~~ Warranty: No. of Year(s) on Parts and Labor No. of Years on Evaporator No. of Years on Condenser No. of Years on Compressor "'" /'t. or: ,/, ,. / , " Comments: f._ ",":> /{>' ."e 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. '.' , "~ Signature Date of Acceptance: Signature -.'~ ..~' ~' ~.. ;- . ~ ,..--. ','( :: '~..;' APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT R,-o//y,R ~f~ ADDRESS JI'~/r EVeIf'C.et:'~1tI W/#f'" Z? 2- OWNER ~A/AI'? ~e- ~~D JOB LOCATION S-9/b ~ 7# .5'r 2-/~ it. ~/ PHONE 7?J'-62R~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F //"v2"Jr/. COIO - C)b'7LJD (J 130 WORK PROPOSED :_New Construction _Addition _Alteration ~Repair p('1i ~ ~.e ~#pmb.vE~ -//QK"v _Sign/Temp. _S1gn _Move -XInstall _Demolish PROPOSED USE: _Single Family _M/F _~F of lIni 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 ROR.~S. ;;" ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS.*~ **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ..., _MECHANICAL AMP Service Florida Power Corp. _\-l.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 ELECTRICIAN ~ ' ~~~ ~\~'-\) Company 7.. -\\.\\....'- L~~~" S~i\.\,jlL\:_. ~ ~~ State Cert. or Regist. ,/ 0<:><:> ?-lbli- Signat: City License Registration lfr l~ " . **** *** * **** *** * **** * * * ** * * * *,~;,~:;: ** *;: ;:* * PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signatu Company ~#/e .i~ State Cert. or Regist. # City License Registration # ********************************* .R~~~~2o ~r OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitaay be subject to 'deed restrictions. which lay be lore restrictive than City regulations. The undersigned assuaes 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 say 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 lisdeaeanor 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 Departaent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 FEE~. D. CONSTRUCTION LIEN LA~ (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 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 doculent and prolise 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 regulating construction, zoning, and land developlent. J Application is hereby aade to obtain a perait to do work and installation as indicated. I certify thai no work Dr installation has coaaenced prior to issuance of a perait 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 aay apply to the intended work, and that it is ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environaental Protection AQency - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone 'A" or 'A,etc.', it is understood that a drainage plan addressing a "colpensating volule' will be sub.itted 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, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every per.it issued shall becole invalid unless the work authorized by such perait is coalenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six aonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be allowed for the permit 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 considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEMENT "AY 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 OF COMMENCEMENT". x (!/}i/YL-CL )}L-J-0- SIGNATURE: OWNER OR AGENT '.~ 4 P. ,..~ r.( r I ,-"_.__J..n.--C.. - \. )'~ . STATE Of FLORIDA ~ COUNTY OF The foregoing instrument befol-e me th is 9 -0:1 was acknowledged , 1 9.!i..J:= by STATE OF FLORIDA . ~ COUNTY OF ~ ~~ The foregoing instrument befol-e me this '1- z.. was acknowledged , 19~ by who is persc. pl-oduced as identification and who did/did not whet is pel-~,wn ~ or who has produced ~...~4I..~ . as identification and who did/ id not take an c,at take a~~~ 4~ (SignatLll-e) (SignatLri-e) or Stamped) ROBER1 C. lOCK y Comm [xp. 2-27-96 onded By Service Ins. Co. No. CC183505 (Name Typed, Printed NOTARY PUBLIC NOTARY