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Home My WebLink About92-2644 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 264411! 9 -' / ~-, 7' 1. Date ~__ ELE~ ~~ ::~:;:,~:~e?~~~~ (~ Parcell.D, # ~ ---~'_.,...,,=--- G~CHANI~~~ Sewer Conn - Water Conn: Water Meter: T,LF.'s: Zoning: ~Energy Z Description of Work {' /1't. orJ ,,4don Gas: FINAL :.2 -;;;L <j- 1'3 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# JIO , :~;~~::,:e rl4 ~F~ Company Address Telephone# Valuation or Contract Price 19 o~-. I.nl Ftr. Pre SLB Lintel FRM. Insul. CL WL --..---- .---. SLB Tub Set Water Sewer Final '-.._____......_w.._-,~..-~--...,- <:;,,: 1m1tetNG---... " ECTRICAL Breakers Ducts Insl. Compressor iFinal Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter 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. ~ \f ~r O~A<<:' ~ Superior Headng & Cooling Management, Inc. 231 I)c;ugll~s Street, Building A Suite 10 0ldsmar, Florida 34677 (813) 854-3449 Zephyrhills 783-7509 Lakeland 688-1823 CD 13639 SERVICE INVOICE STATE CERTIFIED CAC049271 DATE 9-/.>"fl~ WORK TO BE DONE STREE. CITY SOURCE COST QTY ITEM PRICE , BILL TO NAME STREET CITY ZIP TECHNICIAN: MAKE T1ME & wrrERIAI.. 0 REPlACE 0 NEW UNT 0 CONTRACT 0 C,8, 0 ~'-::;;;-// o camw;T i WARRANTY SERIAL NUMBER IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TELL A FRIEND, IF NOT PLEASE TELL US, . TRAVEL TIME'~"': \ TO FROM PLEASE PAY FROM THIS INVOICE TIME ARRIVED TIME ARRIVED TIME DEPARTED TIME DEPARTED SERVICE PARTS SERVICE LABOR CUSTOMER DISCOUNT TOTAL CHARGE DEPOSIT TERMS: NET DUE ON COMPLETION This ifM:)Ce is subtect 10 a Finance Cha(~ of 1'~'o per moNh Annual PetcenlaQe Rafe Of lS"o. wl'lw:t'. IS .t'l(>v.or.C! by law tt fa a~ and understood by ttle DarNa thai all eQUlC)ITlent al"d parts when arc $06d I).Jrsu.'''''~ 1'P"f'fO Sf'la" NOT become lilltures or OfIIrl 01 the real e..a. where they are plac~ Sad parts and eouo-ne"t V.lll ;:1 .'\11 ,,~s '~I" ~ prooerty and the htIe thereto shall rema." In the _let' unlll payment If'l tuft tS recl!lW'O S&"yPr .,-.pt)<., aQl'HS thai atl parts and eQUlCll'TM!nt '"'" be reoossessed In the ev~nl 01 no,.,.oayment Seeo r~rse ~Idr 10' *~".1nt'r' ..ncl tnStructlOns . ,f~ I have authoritY. or: the ~'.a q a . I ac)I'e.! to Day all co and rtOdsonabi(> altorrw--,' 0; Il"'f!'S ,I Ih. .. "-bol n-i1nC'l' y fol' cotleChOl"l / / / ~' - ~ / . .- .~ " ".' ,/" I NATURE ' :/ .'.; BALANCE DUE s s s EXP, DATE ,--I APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER Sre~/a~ ~<?~/~'1 ~ ~~o/;.y ;7~/c&/'If~OVdq.5 // #~-/o ,/bS'eLJ -< ko~~ / /l4r- v ADDRESS PHONE ~N'C.. $S'Y -3P-V9 APPLICANT JOB LOCATION .15'floI'7 Mw ~/ ..Aye ~L~.. 3'~OT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish ____Commercial ____Indust. ____Swim, Pool _____M / H .-j/e ~........ck~Other (!"i17A/Jt2 our PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts ____Restaurant & Health Department Approval BuILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL oJ' ~ECHANICAL AMP Service Florida Power Corp, _W.R.E.C. $ /9"05 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 4ft ****************************************** BUILDER Signature Sil;mature Company State Cert. or Regist. # City License Registration j~ ****************************************** ELECTRICIAN Company State Cert. or Regist. 4ft City License Registration # ****************************************** PLUMBER Signature Signature b-~ Company S':/leR/o~ ~<?//~Cj~~ ao~Jy ~r...z;..c: State Cert. or Regist. ~#', ,{,/fC'o~?.;z7/.. City License Registration # **************************************** Company State Cert. or Regist, # City License Registration 4ft OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. \ "'- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" Nhich lay be lore restrictive than City regulations. The undersigned aS5Ules 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 Nith 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 ONner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Nork, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the ONner 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 Nork. If the contractor Nishes 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 2ephyrhills. 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 .FIorida'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 pro.ise 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. 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 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 lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, 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 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 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 perlit 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 perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of time, lay be alIoNed for the perlit with fee charge of SI5.00. 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 Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMKENCEMENT KAY 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 ::-~T. JOBS 0~'::5AOO ~M':-:~ MEED TO RECORD"O POST A "..TICE OF CO""NCE'ENT". \ SI~NJ~ O:~ SIGNATURE: CONTRACTOR was acknowledged , 19..fl2:.. by STATE OF FLORIDA COUNTY OF . The foregc. i ng ins tl-ument befDre me this STATE OF FLORIDA COUNTY OF PA St...D The foregoing instrument before me this q-I S was acknDwledged , 19_ by l..F\""'~E.tJc...t= A. BE:Rkc:sRo~ WhD is personally known to me Dr who has produced bR\\l\9""; L\c.EcuSE "dentificatiD nd whD did/did not ake ,an ath. ~ WhD is persDnally knDwn tD me Dr who has prDduced as identificatiDn and WhD did/did nDt take an Dath. ( 1 gna tUl-e) DEBB\E: p.... ROWEL (Name Typed, P~~b~~~~ Pl(lBd~;~'fg )OF FLORIDA NOT ARY PUBL I C My commission expires Oct. 2, 1992 RQndecl thru Pattflrson - .Becht Agllno,v (SignatLll-e) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC 'tih..- ,j