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Home My WebLink About93-2922 BUILDING PERMIT Permit 2922 t? j - 13 - .9',-~ CITY OF ZEPHYRHILLS (813) 788-6611 ~ro J:." . Date g ~ ~BINO ME~ P<operty Own., .~O ~~~ Job Address: . ?,-~- - ~ ~-' ~ Parcell.D. # Zoning: -r~ Code: Radon Gas: Description of Work 7AA~- ./ ,_ .A~~ t:('./1 ..; _-b~ ..) Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL 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. Inspector City License Registration # State Certified License# ~//r h~ Permit Fee Signature Company Address Telephone# M~ ~/u- Valuation or Contract Price 1& ~ ~~(j ~~u~)h.3 M~N~ SLB Breakers Tub Set Ducts Ins\. Wagr Compres~r Sewer Final Final B5U...DING ----- -Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final EL~ICAL ~ Ftr. Pre SLB Lintel FRM. Insu\. 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. . ,.__.:'l''l''..''''~:T.,~-:lloa':!lIl.~.:~'_~';oo-''''',''' ~', P,', .,~,..'" APPLICATION FOR PHRKlT CITY OF ZI\PIIYRIIILLS BUTIJ)I.BGDEPA.RnfH.JiI'T OWNER'S MAKE l2~slM OWNER'S ADDRESS .1 B oJ 1 It RJ])(; € /TV ~ 15Pj~E /l't/. G e~1G6 ;Z mORE 702 -1//) '7 JOB ADDRESS ?BoJf LEGAL DESCRIPTIOJI: UJI'(S) BI..OCK SUBDIVISIOIi /L//plOCS ~)j ~ PARCEL LD.' I) - c2-6 - ;ZJ - 0 D '3 f/ - t) ~ I CJ() '- LftJ /0 WORK PROPOSED:_lIJev Construction ~ition _Alteration _Repair /'I05t:a11 _Sign -3f0ve _DeIIOlish PROPOSED USE: Single Faaily _"'F _' of Units -~ _cc-ercial _Indust. _SwU. Pool Other _Restaurant &: Hea1th Depart:ae:o.t Approval BUILDDiG SIZE: x ~e Feet. Height RESIDENTIAL: COttttERCIAL : ATtACH (2) PL.OI' PlABS &: (2) SEI'S OF BUllDIRG PLARS &: (1) SEt' ENERGY FORKS. u ATtACH (3) SEI'S OF BUllDDIIG PI.A!lIS &: (1) SEt' FJOIRGY FORKS."'''' "''''COPY' OF CORTRACT KltQmllIID. PIllmUTS REOUP..5TED O~ _BUILDTNG $ Jl~ valuation of Tota1 Construction _ELECTRICAL AIfP Service Florida Power COrp. W.R.E.C. ~CAL ./" PLUKBDiG $ Valuation of Kecbanica.1 Installation GAS ROOFING SPECIALTY .. TYPE OF COBSmUCI'IODl: _Block _FraIIe _Steel Other FIJIII.SBED FLOOR ELEVATIOIiS: Fl' . IS PROJECT Di FLOOD ZOlfE AREA? YES BO ",,,,,,,,,,*,,,,,,,,,,,,***,,,,,,*,,,,,,,,,**,,,,,,*,,,*,,,,,,,,,*,,,,,,,,,,,,,,,,,,,,,,,,*,,,*** COIlTRACI'OR SECTION CO'!tPMIY State Cert. or Regist. I City License Registration , *",,,,,,,,,,,,,,,,*,,,,,,,,,,,,.,,,..*,,,.,,,,,,.,,,.,,,,,,,,,..,,,**,,,.,,,,,,..,,,*,,,* BUILDER Signature Sienature COIfPARY State Cert. or Regist. , MY!) J oJ /:fOr City License Registration f ..",...",,,,..,,,...,,,...*,,,..,,,.,,,..,,,....*,,,.*.,,,,,,,,,,,,,,, ELECTRICIAN Signature . ~~Je; L rDfPAKY State Cert. or Regist. j ~ City License Registration f .",,,,.*.........,,,,,,.,,,.,,,...,,,..,,,......,,,.,,,...,,,.* PLUKBER COKPANY S....ate Cert. or Regist. t City License Registration f *..",...",....",,,,,,,.....*~,,,*.......,,,.**...*,,,,,,,,, ItEalAllICAL Signature COIfPMY State Cert. or Regist. I City License Registration , ...",.",,,,,,,,,,,,,,,,...,,,..,,,**..,*,,,*.*,,,*,,,.,,,,,,.,,,,,,.,,,.,,,,,,*,,, 0'1'1IER Signature APPLICATIOR APl'ROVIlIl BY ?1 d ~ ~J\A."--'-Y PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it.ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or ~ontractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the ONner Dr 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 Depart.ent, 18131 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 work. If the contractor wishes you to sign as contractor that .ay be an ~ndication 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "oMner", 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 '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 wotk will be done in cOlpliance with all applicable laMS regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Mork or installation has cOllenced prior to issuance of a per.it and that all work Mill be perforled to leet standards of all laws 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 work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Any Corps of Enqineers - Seawalls, Docks, Navigable Watenays 0' f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. . A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or 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 beco.e invalid unless the Mork authorized by such perlit is co..enced Nithin six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, .ay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned. 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". ~ . ~~ f12-~ SIGNATURE: OWNER OR AGENT ' Sl ATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA f/ir, L' COUNTY OF ~ L:) The foregc'in~O inst~um7~"'as ackD.c~ledged befc,re me thIS I - J , 19~ by STATE OF~FLORIDA COUNTY OF The foregoing instrument before me this known to me or who has !J RAp who is personally pr 8 I!h:le:I!cl as identific take an oat . S~JIIL)~ ./ who is personally produced as identification take an oath. known to me e.,.. ui'leo Iolss nCtt and who did/did not (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC )C"id C luke, Nctcr\ ' - :. (:" FLORIDA P\JO;;,;, \1', ','I'fl ::'<.05/7/95 ',,,-, ::s(..\)EO - '~":'. - _. __"""'''''''' ,:....,-"".,u.,...~~,4t~~~~'~~:.I"<\'ll~I?"'.JIIIf1'''"'''''''''~~, 'FLORIDA ENERGY HEATING AND COOLING D~e I I, 2. 9'3 Customer # 3 c; Or z.:.. - Nome.4u7 ~ A2~~ Phone ')frJ-7/o 7 Mech, ~ .' CORP. State Certified Air Conditioning Contractors #CACO-7 5825 i Main Office: 2034 Weaver Park Drive. Clearwater. Florida 34625 Pinellas (813) 443-4099 · Pasco 845-4422 i\ Hillsborough 854-3298 SERVICING AL.AKES AND MODELS - AIR CONDITIONING, HEA T1NG & APPLIANCES i:I.~ RETAIL AGREEMENT EQUIPMENTd~OOLlN~ Ton/~1> . ~ WIRING: o New Low Voltage Wire 0 220V Power Wiring o New Electrical Service: 0150 AMP 0125 AMP g Hook up to Existing Electrical o Add Electrical Disconnect Box(s) Special ,0 o o o o o o Condensor New Air Conditioner (S,C. Gas (LP / Not,) 0 Thermost ,C, / H.P.) Po ge 0 Compressor 0 AIR PURIFICATIO . o Duct Sanitiz on 0 (Full) o Electroni ir Cleaner o Spac uard / Air Bear o EI rostatic Filter o ter Size(s) o Supply Grilles ENERGY COST SAVERS: o Heat Recovery Unit o Attic Insulation - o Water Tent o Q r Other o Partial Wall Hung Evap Coil DUCTWORI{: o New Return Air Du nd/or Grilles ~,. 0 Hook Up Existi . upply and/or Returns o New Su Air ~cts and/or Grilles o N upply Air-Roof Ducts and/or Grilles / / Return Grilles REMOV AL: o Re ve Existing Ducts or Equipment o emove Wall Unit and Patch ,;. SERVICE: LEGAL DESCRIPTION: W Start up. Inspection. and One Year Warranty on Subdivision ~ jrJ II prall Parts and Labor included. Parcel # 0 5 Year Compressor Warranty ::;:s~~~~osal does not tn~~a~Y~~~ 01 painting Of re- i~~:;n~en~~ decorating, or maintenance of filters or drain lines, 0 This agreement contains the entire contract and the parties 0 hereby agree that no statement, remark, agreement or understanding oral or written, not contained herein, will be 0 recognized or enforced. 0 , I i RETAIL INSTALLMENT CONTRACT NOTICE TO THE BUYER: (a.) Do not sign this before you read it or if it contains any blank spaces. (b,) You are entitled to an exact copy of the paper you sign. (c,) You have the right to pay in advance the full amount due and under certain condi- tions to obtain a 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 after completion at J - J /2% interest per month. l!:""". .. f'r ....~ ; ~. ~ Cash Price: , . . . , . . , , . , , , . , . $ J~S(),. , c1V Cash Down Payments: . . , , . . $ JJ. S-u . FEHCC Rep, 1.0, # t>2 ,y I II.;.. J" ~ ' f I LlJ..~ ~,'\ J Unpaid Cash Balance upon Completion, , . , , , . , . . $ ~ Finance Amount: . , , . . . , . . . , . , . , . . . . . . , . . , , $ I ... Time Balance: , . , , . , , , . . , , . , . , . , . , . , . , . , . , . , . , . $ which time balance agrees to pay in consecutive monthly installments of $ __ each, beginning on "Buyer" means each of the Buyers, if more than one, Jointly and severally. Date: Finance Company Signature: ~~~ IJ rf.,--J-4-~ Signature: ~ Company Acceptance Signature: ~ ~~~ FE 105 (Rev. 9/91)