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Home My WebLink About92-2652 BUILDING PERMIT 2652,#(' ; Date 9- I?'-,~ ELE~ P~CHAN~~CO"" ~ Water Conn: ~9<7I' ~ wate: Mete, _ _ ___ ~€91 J1 f T I.F. s. CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ ~. Property Owner: Job Address: Parcel 1.0, # Zoning: Description of Work Energy Cpd'C- ~ ~-Q. 3 Y :N tydO"J-r ~~A4</-:; 0 - - NO OCCUPANCY BEFORE C.O. FINAL q -;,1.5- q ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Q 7 Q I E. Contract Price f- - ~ City License Registration # t; ~ TJ J1.- , State Certified License# Permit Fee Signature Company Address Telephone# ELECT ~t~ M H IC Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. " :1 z ~ }> ~ r- ;:0 r- m n C 3 VI o :J 0- ;0 l1) c .., :J l1) 0- G) o o 0- VI r-:. ~ c Vl -l tXl l1) }> n n o 3 -0 o :J iii' 0- tXl -< -l :r Vi' tXl --.. ~ '$ '- '\ ~ I ~) ~ ~ c. ~ 'r ~ . ~. -i ~ ". <> g C> . Z ~ ,. )' ~) ~ c. ~J-" t" ~ 8 '4 I ---~ \:'. ~ ,~ ~~ \ c:.-. . ~, Vl )> }> Vl ~ r- 0 0 m 0 r- '" Vl ;0 0 J: 3: m }> ,Vl --i Z Vl 0 on a.; .~ ~ 0 _-, \"-. 3 , ' ~~, \ OB / s: ~ ~. " ~\ .. . o o c .... -l m "" ;0 !!l ~ ? Vl ~ ~ 0 , .. '" .... . !" C) i'i l) ... I ~ I '" G'\ ,~ t:...r...) ... ~.~ . ~ en ~ 0 0 ~/ c...u C z z G...) .... . ".i -0 n I~ CO ~ +:- ACE REFRIGERATION INC. Air Conditioning Sales and Service LICENSED ELECTRICAL CONTRACTOR 923 WEST MEMORIAL BLVD, LAKELAND. FLORIDA 33801 LAKELAND FLA. WATS 688-2238 1-800-282-7841 ~ /f, /ff'~ , ? '~" [7 r #-1Yi . ct Dear Sirs: Please be advised by this letter that I, Susan K. Burgner do hereby authorize ~~~ ~~ to pull mechanical permits on my behalf. If there are any questions please feel free to call me. Thank you. Sincerely, ~:g"~~X!! CAC039755 No'.ry, ~ ~j. ~~~ Nowy ..... Staff of FIorIcIa Mr (otnnIisslon ExpIres Sept. 1', 19M ........ Thtv T"" fain - 1oo1W1l_'- APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS , PHONE OWNER Oy('otn~r JOB LOCATION 6<=\ \C)C) \'fl()n~( ~r '. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ____Single Family ~/F ____~~ of Uni ts . .____M / H ____commercial ____Indus t . ____Swim. Pool Other ____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 R~QUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL 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. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. ~ City License Registration D ****************************************** J3U1LDER Sirrnature Company State Cert. or Regist. D City License Registration D ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration D ****************************************** PLUMBER Signature Company State Cert. or Regist. D City License Registration # ********************************* MECHANICAl. Signature Company State Cert. or Regist. U City License Registration U pTHER ****************************************** PEFJlIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bl subject to "deed restrictions" which. lay be more restrjctive than City regulations. The undersigned al5Ulel re5ponllblllty";for.cotpllance with any applicable deed restrictions. 8. 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 ftay be cited for a .isdeleanor 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 Departtent, (813) 788-6611. 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 per&itting 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 - Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle6ne other than the .owner", I certify that I have obtained a. copy of the above described document and pro~ise in good faith to deliver it to the .owner. prior to co..enceeent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby eade to obtain a per.it to' do work and install~tion as indicated. I certify that no work or installation has coe.enced prior to issuance of a pertit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I und~rstand that the regulations of other governlental agencies fiay apply'to the intended work, and that it is IY responsibility tc' identify what actions I lust take to be in cOlllpliance. Such agencies include bul ~l e liC,t lillited to: . ".#' f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQeeent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArtY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health t Rehabilitative Services. Environmental Health Unit - Wells, WasteHater Treat~en~, Septic Tanks f US Environmental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or 'A,etc.', it is understc.c.d th~l a drainage plan addressing a .colpensating volule" Hill be subtitted which is prepared by a professional engineer fegist~ied in the State of Florida prior tD permit issuance. A pereit 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 perlllit prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d :hall becole invalid unless the Hork authorized by such permit is co.eenced within six months of issuance, or if wOI'k authol Ized by the per.it is suspended or abandoned for a period of six tonths after the tiJe the work is co~menced. One 90 day e:IE~5iD" of tile, aay be allowed for the perlllit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An approved inspectic,n l!Iust be logged during each six .onth period, or the prc.ject Hi II be consider!?d dbol.dc.ned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE --------------------------------------- DATE___________________________________ NOTARY AS TO . OWNER OR AGENT_____________~_______________ NOTARY AS TO CONTRACTOR_____________________________ " MY COMMISSION EXPIRES MY COMMISSION EXPIRES ------------------ ----------------------