The URL can be used to link to this page

Home My WebLink About92-2869 BUILDING PERMIT ~ cP.D~ ----....... ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2869;J( /~ -~~-9~ ~G cJ5~ ~L Date Sewer Conn Property Owner: Job Address: Parcell.D, # fiffs ~d VJi-. :;- rP6-,~ 1- () D.40 - 003/)0 - O()/O Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL Zoning: Description of Work Of- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. '1 DATE City License Registration # State Certified License# /9. 6} AIL I Inspector ~DO Permit Fee I --- S;gnaMo - = - n/l~ Company Address Telephone# ;rr Valuation or ~ 4 <if< - t2....Q. Contract Price ,g. D · JU~ J)AJ..E'b.JM/JlJLL E~ ~c.. ~CTRIC~,d/jt, ~ ;:;~z;!{!1J/lP. C,ECHANIC;U Breakers Ducts Insl. Compressor Final ~-lj;9c5 8k- 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 ($15.001 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. .' (... , ~: " ,", \ '. . .......\'O'-"IIIT.l!IIl,......._~~_.~_J,...~_J_- ,pqw._,_~ .,~~....,.1!n.,~~~~ CORP. State Certified Air Conditioning Contractors #CACO-7 5825 Main Office: 2034 Weaver Park Drive' Clearwater, Florida 34625 Pinellas (813) 443-4099 · Pasco 845-4422 Hillsborough 854-3298 SERVICING ALL MAKES AND MODELS - AIR CONDITIONING, HEA T1NG & APPLIANCES FLORIDA ENERGY HEATING AND COOLING Dote \ ....;.l--:~ \ !ei :::~-Customer # ~ ~~:/ Nome '1\<- -\-<\'\'5 L... C. \~cx')\,)eC Address b \ b S \ ~>; '" S-'\ . ~ ~ V~ ~,,2>\ \ \ s. 1" ?'~ S:Li.~~. Phone l<;>d--::) f:,(') Mech. l<-cL Tl'c<.:s ~.==. RETAIL AGREEMENT EQUIPMEN\ JiEATING/COOLlNG . Ton / BT.U. ~ I~ \t)~\4'~~}i'CI~"j~ 0... \ \ Co ~ ~ -\,,\ lJ ~ N (\_ . ~O<>--.J______~ t--,) ~ + f\ C C\ ,\..-- ",. o Condensor 0 A/H (furnance) C8l New 0 Used ~ Air Conditioner (S,C.) 0 Heat Pump o Gas (LP / Not.) 0 Oil 5a. Thermostat (S,C. / H,P,) \-\\A.l--'\' 'j+O:::~ ~ o Package 0 Wall Hung o Compressor 0 Evap Coil DUCTWORK: o New Retu~g' ucts and/or Grilles D Hook Up isti Supply and/or Returns D New Suppl ir cts and/or Grilles o New Supply ir- of Ducts and/or Grilles REMOVAL: D Remove(EXis~ng Ducts or Equipment o Remove 3all:::ynit and Patch LEGAL DESCRIPTtON: Subdivision Parcel # Parcel # Cl:::.>-.. -k s ~d-..~ La T ~ ~ PLEASE NOTE: This proposal does not include any type of pointing or reo decorating, or maintenance of filters or drain lines, This agreement contains the entire contract and the parties hereby agree that no statement, remark, agreement or understanding oral or written, not contained herein, will be recognized or enforced. WIRING: o New Low Voltage Wire 0 220V Power Wiring D New Electrical Service: , D 150 AMP 0125 AMP Special 1R1 Hook up to Existing EI~c2~: ' c; .3 D . Add Electrical Disconnect Box(s) AIR ~UR~CATIOt.rs~ o Duct Sanitization 0 (Full) 0 Partial I , o Electronic Air Cleaner /..... '-:::(/'Wy~.w~ o Space Guard / Air Bear ds':J......r:::> I&L Electrostatic Filter .' D Filter Size(s) / / o Supply Grilles Return Grilles ENERGY COST SAVERS: D Heat Re overy D Attic In ulation o Water atme o Other D Other SERVICE:. S S . (>,,\ . ~,-\S W(H;'\"'~~ fi(] Start up, Inspec~nd o~ Year Warranty on' all Parts and Labor included. I2?J 5 Year Compressor Warranty 1XI Preventative Maintenance Afy(5€1fa~~ D Nee: c,,- '::\ Q.c" '<, OTHER: '" ~ ?,,~c.~ \0 ~~ c-,^\~~e~ a. \ \ -\~~ o ~ fc ~~ '- ) \... CA \s.c.,~. +- M G'-- -\9 ~- ~ \,s o ' D Re.<0 \--,0. c...~ 0.. 'f' ~ \. \. Q... \ l-.J \:.... ,,) \ (~)(, \ o() \i , . \ o -- o RETAIL INSTALLMENT CONTRACT NOTICE TO THE BUYER: (0,) Do not sign this before you read it or if it contains any blank spaces. (b,) You are entitled to on exact copy of the paper you sign, (c.) You hove the right to pay in advance the full amount due and under certain condi- tions to obtain 0 partial refund of the time price differential. Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. In case suit shall be brought for the collection of any sum due herein, or the same has to be collected upon demand of an attorney, or we have to enforce or defend any provision herein, customer shall pay reasonable attorney's fees and affer completion at 1-1/2% Interest per month. =CJ I~D SO .fiE -< /D 'ilnpaid Cash Balance upon Completion. . . . . . . . , .I~ Finance Amount: C '.D~ '0' .r.".....,.,' $ Time Balance: . , . , . . . . . . . . . . . . , . . , . . . , , . . , , . . , ,$ which time balance agrees to pay in consecutive monthly inslallmen,. ~, $ __ each, beginning on "Buyer" means each of the Buyers. if more than one, Jointly and severally. Cash Price: . , , . . , , , . . . . , , . , Cash Down Payments: , . , , , , $ FEHCC Rep.I.D, # / (::) ~ Date: \;;.L \ ~ \ \ ~ ~ \ \ ACCEPTANCE OF PROPOSAL. The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do t~/s specified, Payment will be rad1 qS outlined a , Date of Acceptance: \ ~ ~ \ ~ Int. All returned checks wiil be charged $20,00 Finance Company Signature: A ~ C ~~~ I . .,. Signature: Company Acceptance Signature; FE 105 (Rev, 9/91) ...... .- - APmCATIOlNl FOR PERKIT CI'IY OF ZEl'UIKH II.T,'s BlllII.JllliG DEP.ARJKEJrr OWNER'S RAHE 1. t. f/-z;o v & R OWNER'S ADDRESS j J tJ ~- lift( )C JOB ADDRESS /; / j; ~.... J-.- M )c PIIOIm 78;( -:2~'/!l sJ: S't-{ SOBDIVISIOlNl LJp:;. J( S / bE PJ. ~ I? PARCEL LD.' ~"'J if- ? I - 1!6~ bL ... ,.;zi -:< / - (j~.2 6 - ~ 6 St)[) -.. () I!J 10 WORK PROPOSED:_lNIev Construction ~tion _Alteration ~epair "./ Install .> LEGAL DESCRIPTI08: I.OT(S) BI.OCK S' - 19D. _!!love _Deao1ish PROPOSED USE: Sing1e Faai1y _KIF _, of Units ~K/H _~rcia1 _Indust. _Swi..-. Poo1 Other _Rest:aurant &: Hea1t:h nepan:.ent Approva1 BUILDIIIG SIZE: x Square Feet, Height RESIDEIITIAL : COKtfERCIAL : A'lTACII (2) PLOI' PLMIS &: (2) SEI'S OF BUII.DDiG PI.AlNIS &: (1) SEr ENERGY FORKS. ** ATI'ACII (3) SEI'S OF BUII.DDiG PLMIS &: (1) SEr ElNIERGY FORKS.** **COPT OF cnNTRACT REQm:RED. PI!RlPfTTS REOOESTED _BUILDING / ELECTRICAL """'--KECllAlUCAL $ Va1uation of Tot:a1 Construction AKP Service F10rida Power COrp. f n\'~ ",0 $ 9 I:) '..) v Va1uation of Kechanica1 Inst:allation W.R.E.C. _PLUKBIlfG GAS BOOFDlG SPECIALTY " TYPE OF COIISTRUCTION: _B1ock _FraIIe _Stee1 Other FTInSHED FLOOR ELEVATIONS: FT. IS PROJECT DI FLOOD ZOO AREA.? YES NO ***************...................*.....** COftD'RACIOR SECTION .. CO!IPANY St:ate Cert. or Regist. , City License Registration , .*....*...................*...*..........* BUILDER Signature ::crRIrnH JJ S' ::Iture d~} ~A "p-.r St:ate Cert. or Regist., f City License Registration **.**~.**....**.....**.........*..*..***. CO!IPARY COlIPARY State Cert. or Regist. , City License Registration I ................**..............*.*.**.*.* PI..OtmER Signature Signature D ~' COlIPARY r.(t I:i-,l/e'/lk-~ 114~ ;t/Jt jJ St:ate Cert. or Regist. ,f _ ~ ~ ~ CHy License Registration t L;( 1 .*............**..........*......*..*....* KECllARICAL CO!IPARY St:ate Cert. or Regist. t City License Registration , .**.......****....**. ........... .... O"I"RF.R Signature APPLICATION APPROVED BY PERKIT OFFICER. ~" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . .. , The undersigned understands that this per.it.ay be subject to "deed restrictions" Nhich .ay be lore restrictive than 'City' regulations. The undersigned assu.es responsibility for co.pliance Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be cited for a .isde.eanor violation under state I~N. If the ONner or intended contractor are uncertain as to "hat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB131 7BB-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 .ay 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 LaN - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the 'oNner', I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "oNner" prior to co..encetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all Nork Nill be done in co.pliance Nith all applicable laNs regulating construction, zoning, and land developtent. Applicaiion,i-s hereby .ade to obtain a per.i tuto do Nork and installation as indicated. I certify that nOcN~k -or- installation has co..enced prior to issuance of a per.it and that all Nork Nill be perfor.ed to leet standards of all laNs regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended wDrk, and that it is ty responsibility tD identify Nhat actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f SouthNest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - SeaNalls, Docks, Navigable WaterNays ,- f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 pertit is co..enced within six .onths of issuance, or if Nork authorized by the perlit is suspended or abandoned for a period of six lonths after the tite the Nork is cOllenced. One 90 day extension of tile, lay be alloNed ,for the perlit with fee charge of $15.00. The extension shall be requested in Nriting to the Building Official. An approved inspectiDn lust be IDgged during each six .onth period, or the project Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEHENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"HENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.\-e me th i s STATE OF~FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~.