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Home My WebLink About93-2974 BUILDING PERMIT Permit 29741/: Date 1- cJ.. f--2g ;Lo _~ trD ~ --. 07:; B~ ~C';;;C~:) P~G EANIC~ Sewe, Cone _ ----.~~ - ~/ Water Conn: P<aperty Owne" ~; _L ~ ~ Job Address: ,::r _I ~- - - Parcel 1.0. # /;2 -;26 > ;2-1- GJ~6 (') - (;7 t!J:) b - 0(") 9 0 Zoning: Energy Cod~i-ff Radon Gas: /. ~ ~ Oe,c,lptionof Wo,k A/L t".A':A'L?" M.d- - Ca'A ~,/.E;/Z- j CITY OF ZEPHYRHILLS (813) 788-6611 N~ 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. City License Registration # I::L 7' State Certified License# LbC () / 5)f- cJ-S.- Inspector :~;~~:~~ Compa _. Address Telephone# Valuation or Contract Price ~ ,r cro. o-c) BUILDING PLUMBING 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 ($15.001 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. _ ~"""-:"I'C'l!'Il''''''-_ ".-"-"'..:'. I. APPLICATIOII FOR PER!IlT GIn OF Zl!:PIIIKHU..LS BUII.DIliGDEPARnIRKT OWNER'S IiA!tE ~,v I c;;- OWNER'S ADDRESS 3900 I JOB ADDRESS cJ1Me ~/l-/furr 1171/ A ve:- 4-3 AD ue:- mmm ?.P 2 - /37 a.:- 2=-PHY/l/i /. c. t. 5; r L , ....:J-::.5-.5 yo LEGAL DESCRIPl'IOlII: UJI'(S) IlLOCK SUBDIVISIOR PARCEL 1.. D. f /~ - .:<" -;2 / - 0 2. t 0 ~ 00 L 0 - 00 9 0 WORK PROPOSED:_fIIev Construction ~ition _Alteration _Repair VInstall _Sign _l!Iove _Deaolish PROPOSED USE: ~ing1e Faaily _KIF _, of Units _K/H _ec-ercial _Indust. _Swill. Pool Other _Restaurant &: Bealt:h Depar~t Approval BUILDING SIZE: x ~e Feet. Height RESIDEMTIAL: COttKERCIAL : ATTACH (2) PLOT PIARS &: (2) SEIS OF BUILDING PI.AliS &: (1) SET ENERGY FORMS. ** ATJ'AaI (3) SIJ.TS OF BUII.DIliG PI.MS &: (1) SET ERRRGY FORKS.** **ropy OF roR"J"RACT Rm!UIRED. PERKITS REOUESTED -'BUILDING VELECTRICAL ~CAL $ Valuation of Tota1 Construction AItP Service Florida Power COrp. 0<'> $ I t/ 00 --- Valuation of Keehaniea.l Installation W.R.E.C. _PLUKBIliG GAS ROOFING SPECIALTY .. TYPE OF roNSTRUCTIOR: _Block _FraIIe _Steel Other FIJ!IISIIED FLOOR ELEVATIOIIS: FT. IS PROJECT Di FLOOD ZONE AREA? YES NO ****************************************** : COIITRACI'OR SECTION BUTT J)F.R COltPOY State Cert. or Regist. I City License Registration I ****************************************** ELE~~~iA~ I ~L' COIIPMIY /1 )J/TLG d/1JMN~. ~/Z-- ~{, _ F:~ ~State Cert. or Regist. f E/2 t!JOOYS-S 3 Sf 'dL..- City License Registration f ~yc, . ********* ************************** # 1/ /~ =~Cert. or Regist. I Signat:ure K;;t....6..t City License Registration f . ***** ************************************ COltPARY hon..;"oJC} EA-C7'l6Y &~7/,A.I(.. ./ ~L//vb (;/1/, State Cert. or Regist. f (7/1CO /5-? Z c:;- City License Registration f /2- '7 *********************~******************** Signature PL1JItBER KECllARICAL Signature G:JplYl A 'UH'~ 01"IIF.R COIIPMIY State Cert. or Regist. i Signat:ure City License Registration f ****************************************** 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' 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, ~Qntractors 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 reQuirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IB131 7Ba~6611. Furtherlore,if the ollner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections. of this application for Ilhich they will be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Ilork. If the contractor wishes you to sign as contractor that .ay 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 FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Ilith a copy of 'Florida's Construction Lien Law - Ho.eollner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and Consu.er 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 co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to. obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 aay apply to the intended work, and that it is 'Y 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 Waterways 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. will be sub.itted 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 work 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co..enced within 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 ti.e, .ay be allowed for the per.it with fee charge of $\5.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 COK"ENCEMENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO"MENCEKENT'. SIGNATURE: OWNER OR AGENT Q~ A \W~ SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcol-e me th i s STATE OF,FLORIDA COUNTY OF The foregoing instrument before me this l<'Jas a clmc.l<'J 1 edged , 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 [lath. (Signatul-e) (SignatU'l-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~.,..~ FLORIDA ENERGY HEATING ANDS COOLING CORP. Date 512 ';j fr Customer * t; 0 ,!!i . Name f! OJ1/'5 TA!tIe L= VI:/< /f () r;C ~ddress~ t () (J / J / J4//~ . " , 2EPh If /L.. Unit # 3"1 S 1.// Phone )%d I jj; Mech.S' A1-c): ) // State Certified Air Conditioning Contractors #CACO.75825 Main Office: 2034 Weaver Park Drive · Clearwater, Florida 34625 Pine-lias (813) 443-4099 · Pasco 845-4422 Hlllsborough 854-3298 · Zephyrhllls 780-8900 SERVICING ALL MAKES AND MODELS. AIR CONDITIONING, HEA T1NG & APPLIANCES rilltI == RETAIL AGREEMENT EQUIPMENT: HEATING/COOLING Ton / BTU .fJ (( I1I1/D IV e w ;1 / /<. 1/ /111/ /)L(~/l. d J'() M S o Condensor A/i-t (furnance) o New 0 Used o Air Conditioner (S.C.) ~eat Pump o Gas (LP / Nat.) 0 011 . o Thermostat (S.C. / H.P.) o Package 0 Wall Hung o Compressor 0 Evap Coli WIRING: o New Low Voltage Wire 0 220V Power Wiring o New Electrical Service: -1. .....0150 AMP 0125AMP Special LY.....'Hook up to Existing Electrical o Add Electrical Disconnect Box(s) AIR PURIFICATION: uct Sanitization 0 (Full) o EI ronlc Air Cleaner o Spac uard / Air Bear o Electrosta liter o Filter Slze(s) o Supply Grilles ERGY COST SAVERS: o eat Recovery Unit OAt nsulatlon - Adjust to R. o Water atment o Other o Other o Partial DUCTWORK: o New Return Air Ducts and/or Grilles ~ook Up Existing Supply and/or Returns o New Supply Air Ducts and/or Grilles o New Supply Air-Roof Ducts and/or Grilles / / Return Grilles REMOVAL: ~move Existing Duetf'liH Equipment o Remove Wall Unit and Patch S~I!)IICE: l!(" Start up, Inspection, and One Year Warranty on all Parts and Labor Included. o 5 Year Compressor Warranty o Preventative Maintenance Agreement 0 # Yrs._ LEGAL DESCRIPTION: Subdivision l.:l-:J.,~-~/- (};l.l..o - 0001.0- DO "Ji!!) Parcel # Parcel # 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 ~Ogn/Zed or enforced. _ E/JPIt ~/-j:./LlflP~~ RETAIL INSTALLMENT CONTRACT OTHBR:. /-/, o _\ ((All}) /lJ~ lV Jd If<. 14//J OJ. ~ /( o ~ f=j -# J 1 DtJ -;; o 0,11/ - en / " I ;-J o o o 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 conditions to obtain a partial refund of the time price differential. Any holder of thl. cOnlumer credit contract I. ,ubJect to all claim. and defen.e. which the debtor could assert agaln.t the .eller of good. or .ervlce. obtained pUfluant hereto or with the proceed. hereof recovery hereunder by the debtor .hall not exceed amount. paid by the debtor hereunder. In ca.e .ult .hall be brought for the collect/on of any .um due herein, or the .ame ha. to be collected upon demand of an attorney, or w. have to enforce or defend any provltlon herein, cu.tomer .hall pay rea.onable attorney'. fee, and after completion at 1.1/2% Intere,t per month. BUYERS RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT OF PUIRCHASE BY MAiLING A WRITTEN NOTICE TO FLORiDA ENERGY. POSTMARKED NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE THIS AGREEMENT WAS SIGNED. YOU MAY USE THIS PAGE AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND ADD YOUR NAME AND ADDRESS. THIS NOTICE MUST BE MAILED TO: FLORIDA ENERGY, 2034 WEAVER PARK DRIVE. CLEARWATER. FL 34625 Cash Price: . . . . , . . . . . , . . . . . $ Cash Down povm1ts: . . . . . . $ .JiJ; FEHCC Rep.I.D. #(= ~ ,(J 'AtJ... "- Date: Unpaid Cash Balance upon Completion. , . . . . . . . . $ Finance Amount: . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6- Time Balance: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . $ S. 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. -- ACCEPTANCE OF PROPOSAL. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment w~m~a~utllned ab'l.e. Date of Acceptance: ?. (j Int (!. L . All returned checks will be charged $20.00 Finance Company Signature: Signature.:- / ()"A~.L~~~ Company ACC~Plonce Slgnolu,., ~ - '0~ ~ ~ . QCJA.lY~