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Home My WebLink About93-2976 BUILDING PERMIT ~... EL~L CITY OF ZEPHYRHILLS (813) 788-6611 ./~ ,l;> P~~ Permit N~ 29761Y1.1 /-A1-'l;3 Date Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~t:#f'- /1 tit Y!lta1t~ Water Meter: T.I.F.'s: Zoning: Description of Work ~ergyz: c- t'7! . 145 --V h (~on Gas: L {I: .- 01;3 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 Pe,m;t Fee~.. ' . Signature . Company Address Telephone# Valuation or :f! ~J r1 0- ~ Contract Price 9 ~ ." City license Registration # / ~ 9 It / e!.- State Certified License# e f:J.l! 0 /_~--t~ 5 ~1/~~~~-tr MECHANIC~/~7 BUILD~ c-/' ELEC~.' ./ PLU~. ./ Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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\o.".._.,..._..,.. ."-~_.- .'Yfy~,/t;;.. APPLICATION FOR PERKIT CI1Y OF ZEPIIYKH.ll..LS BmI.DDlGDEPARIHEDiT OWNER'S RAKE ac7Z Y L ~, /I1V~L-L-C -/1-- moo Y/3- ;7,f' f--fJ 00 33..sY 0 OWNER'S ADDRESS S 7 S I / Z)lj 5'/ , JOB ADDRESS (jJl-'Vl~ /ls 460 tie:- LEGAL DESCRIPTIOI!J: I.OI'(S) 2c7>//Yfl/!/t! L S / ;Fe. , BLOCK SUBDIVISIOR PARCEL I. D.I / / - 2 t. - 2/ - D (;> I 0 - D/? 0 0 ~ 00// WORK PROPOSED:_5ev Construction ~tion _Alteration _Repair ;./Install L'b"v~/'-'50~ - _Sign -1fove _Deaolish PROPOSED USE: / single Fa.ily _"IF _' of Units _K/B _~rcial _Indust. _SwbI. Pool Other ~est:aurant I: Health Depar..-.ent Approval BUILDING SIZE: x ~e Feet, Beight RESIDEHTIAL: COHKERCIAL : ATTACH (2) PL.OI' PLARS I: (2) SETS OF BUlLDIIIG PLAJi!S I: (1) SET ENERGY FORKS. ** ATJ'ACH (3) SEI'S OF BUD.DDIG PLARS I: (1) SET ENERGY FORKS.** "'*COPT OF CONTRACT IUlQUIRIlD. PRRKITS REOUESTED _BUILDING $ Valuation of Tot:a1 Construction _ELECTRICAL ~CAL A6P Service Florida Power COrp. W.R.E.C. s /8 ?..so!:- Valuation of Mechanical Inst:allation _PLUKBIJIG GAS ROOFDiG SPECIALTY " TYPE OF CONSTRUCTION: _Block ~~ _Steel Other PDIISIIIID FLOOR ELEVATIONS: FI' . IS PKOJECT Di FLOOD zmm AREA? YES NO .........***............................................................................................................ mBTRACTOR SECTION : COKPMft State Cert. or Regist. . City License Registration , ......................................................*............***................................................ BUTTnER Signature Sismature CUKPABY State Cert. or Regist. f City License Registration 1 ................................................................................................*.....................*... F.T.F.CTRICIAN COlIPABY State Cert. or Regist. , Ci~ License Registration 1 .............................................................................................................................. PI.tJKBER Signature Signature Jt COlIPMiY /i 0 yL i /J jt) ..G;; e:- /t 6 Y /1 / c- ~/Z-- P State Cert. or Regist. 1 [?/+C 0 /S,f 2. ,) Qvz.,., ~M. City License Registration 1/29 ...............*.............................................*............................................................ HRalANICAL COlIPARY State Cert. or Regist. f City License Registration f ............................................................*............................................................... flT1I1I:R Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit .ay be subject to .deed restrictions. which .ay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr, tQntractors 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 ONner and contractor .ay 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 Departlent, (813) 788-6611. Furthertore, if the ONner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the .Contractor Sections. of this application for which they Nill be responsible. If you, as the ONner 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 ~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 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 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 Nork 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 develop.ent 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 li.ited to: · Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treat.ent · Southwest Florida Water "aRaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of EnQineers - Seawalls, Doch, Navigable Watenays .. t Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks t 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 .co.pensating volule. will besublitted 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 Nork 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becote invalid unless the work authorized by such perlit is cOllenced within six tonths 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 cOI.enced. One 90 day extension of tile, tay be allowed .for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth 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 CO""EHC~ENT. JO UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.. cC)~ SIGNATURE: A~~} CONTRACTOR STATE OF,FlORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me th i s 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 prc.duced as identification and who did/did not take an oath. (Signature) (Signatw-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ,:;G~'li.i}~~,' .FLORIDA ENERGY Date//;.r!l3 Customer##,OLjt HEATING ANDS COOLING Name C)fEfJ..j L 8 {1 UF, L i2I... CORP. Addres$1SI /a./Jf S. State Certified AIr ConditIoning Contractors #CACO-15825 2&ffly((/ftlLS FL. 3~~~lt # Main Office: 2034 Weaver Park Drive. · Clearwater, Florida 34625 Phone783-S'fO~ h Sc.o~5'2.!i!:. Pine-lias (813) 443-4099 · Pasco 845-4422 ec . Hillsborough 854-3298 · Zephyrhllls 780-8900 SERVICING ALL MAKES AND MODELS. AIR CONDITIONING, HEA T1NG & APPLIANCES ~~~ IlIWIIJ ~ IIIiiiiIIJ RETAIL AGREEMENT ~ondensor 0 A/H (furnance) New 0 Used Ir Conditioner (S.C.) 0 Heat Pump o Gas (LP / Nat.) 0 011 o Thermostat (S.C. / H.P.) o Package 0 Wall Hung o Compressor 0 Evap Coli DUCTWORK: o New Return Air Ducts and/or Grilles ~ Hook Up Existing Supply and/or Returns o New Supply Air Ducts and/or Grilles o New Supply Alr.Roof Ducts and/or Grilles REMOV AL: '.S.Remove Existing ~or Equipment o Remove Wall Unit and Patch LEGAL DESCRIPTION: Subdivision Parcel # 1/ r;.. L .:t I t'Jt' It:) () J tpo (!)OIl Parcel # .. PLEASE NOTE: ThIs proposal does not Include any type of painting 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 o New Electrical Service: 0150 AMP 0 125 AMP Special ~ Hook up to Existing Electrical o Add Electrical Disconnect Box(s) AIR PURIFICATION: o Duct Sanitization 0 (FUll) o Electronic Air Cleaner o Space Guard / Air Bear o Electrostatic Filter o Filter Slze(s) o Supply Grilles ttI' ENERGY COST SAVERS: o Heat Recovery Unit o Attic Insulation - Adjust to R. o Water Treatment '0 Other o Other SERVICE: ~ Start up, Inspection, and One Year Warranty on all Parts and Labor Included. o 5 Year Compressor Warranty ~eventatlve Maintenance Agreement DJ # Yrs.~ OTHER: o D- O o o o o Partial / / Return Grilles J r VAL 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 conditions to obtain a partial refund of the time price differential. Any holder of thl. con.umer credit contract I. ,ubJect to all claim. and defen.e. which the debtor could aBle" aga/n.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 collection of any .um due herein, or the .ame has to be collected upon demand of an attomey, or we have to enforce or defend any provl./on herein, customer .hall pay rea.onab/e attomey'. fee. and after completion at 7. 7/2% 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:............... .$J.K'45'. Cash Down Payments: . . . . . . S 5, FEHCC Rep.I.D. # 5eD/r"#,3-:A c( Date: \r~~-,\~ Unpaid Cash Balance upon Completion. . . . . . . . . . $.3 7<0 Finance Amount: . . . . . , . . , . . . . , . . . . . . . . . , . . s/5'fJo 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. JII1_. I ' I Finance companYVSlVCFI Q. JftL Slgnature~~s:l\\~ ~~\\~\lJ\... Signature: ~ Company Acceptance "gnat",., ~ - :<fLa~ " /1, f ~ ~, 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 will be made as outlined above. Date of Acceptance: \-~~-~~ Int,~~~ All returned checks will be charged $20.00