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HomeMy WebLinkAbout93-3375 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 - _ 3375 Jt( '7-:2 9-9 '3 J P~ -- .:1b ~ Date B~ ,/ ,t}D G~L Sewer Conn Water Conn: Property Owner: Job Address: Parcel LD. # ~m-~~~~r~ Water Meter: T,I.F.'s: Zoning: Description of Work Ene~code: ~ ~ JAd/1Vl.- R~as: , -p,v<.Rr ~~LL FINAL 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. DATE Inspector Permit Fee Signature Company Address Telephone# " J Valuation or ~. Contract Price $, k 0 g . City License Registration # ,off q State Certified License# 1~ . .~ Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Canst. 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 't".,. .-.,....,'In:- "., .""'~............~,~'" -- - ....- -.......- ~ ......."... .-..------. ...-,--., /. / Lie # RAB05084 CONTRACT ZEPHYR AlRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 (813) 788-6284 Contrac~ Submitted To: I. I ;1. O,/c'( - ,;LJ/li?kel .\611/1'1~: e. Street ~?'('//3 /~)'#')t--/ ,.( ~,..-;//""t: City. State and Zip COde ;~7(, /~' HY /7 AI//5 -/ l'..r. ;:?}'_5'11 Phone (office) I Phone (home) I Date 7 p,:J 'J 2' tJ"1 7-12- 13 Job,~~;J(YA) r: / A./, c' /~/(7 / e..... J~~/y//r..1/5 7;( (~~/,.!) #,.lllY'5' '\ We hereby Submit to furnish ma.terial and labor - comJ'lete in accordance with specifications below, for the sum of: 7>;t-:'(' ("' ,r;f&/(. '-":'r/AJb ,~t' hot/,.tJi/A-i/ .Ern ,{/ ~ 4~~..~ dollars ($ ..?t~f;' G;~ ). Including Tax. Payment to be made as follows: 7 40% upon acceptance of contract, 60% upon completion 100% upon completion ~..~ All material is guaranteed to be as specified. All work to be completed in a workmanlike manner accord- ing to standard practices. Any alteration or deviation from specifications below involving extra costs will be executed only upon written (lrders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Authorized /' ...-.~. , S' natur ' r-/~f '/ /;,." .~t'/,/ Ig e ~ ~ ~ . .. J ,/ .~ L,,'" r. /T.', V , / I /;[ Note: This contract may be '-:::t / withdrawn by us if not accepted within .,;.It:,l days. We hereby submit: ..5' /(. ,,/ /-:::? d N~~ Equipment Model No. 7;:' I" t {r; /:-!! ~ (".' /7 /;; ~'/, ~ ~ t:4;-r! I B,T.U. K.W. RATING S.E.E.R. 4~ C.Q,P. H.S.P.F. I~ L I',,~)rj Duct Work: Flexible V.... :5 Metal VI"'; Duct Board #475 ;t.)ti #800 At No. of Supply Diffuser FJ. / ,:,J I r0 7 No. of Retum Grilles F.;(, S -I'I\J~ Electricallncl. 1I~ s Hot Water Recovery Unit rd D Line Cover t\J v Drain Pan N u Equipment Removal Ve t'? Pre-Hung Door 1\)" Attic Ladder A}" Walkway A), Concrete Pad fJ" Humidistat "')", Refrigerant Line N/rl f., i;/\ f\) e C: e r~' I Q t' , t-.) c LH\ f' J Warranty: No. of Year(s) on Parts and Labor In)(' No. of Years on Evaporator tut: No. of Years on Condenser 0 tJ L No. of Years on Compressor r-. J e. Comments: , Acceptance of Contract - The above prices. specifi- cations and conditions are satisfactory and are hereby Signature accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature APPLICATIOIIi fUR PERltIT CITY OF Zlt.mIKAIT.I-c; BtJIIJU]IG DEPAKllmllfr JOB ADDRESS Ze~~y/t ~/,II/ 0 /i.#f'C Jf'/'-/F HA-~)-evl ~t/~e ,.t7~e- PIIOlIE 1<f ,?- 9247 / OWNER'S JIIAItE OVIIER'S ADDRESS -:DL LEGAL DESCRIPl'IOII: 101(5) llWCIL--5UBDIVlSIOII PARCEL I.D.t IiORK PROPOSED :_lIev Construction _Addition _Alteration ----:Repair L-Inst:all _Sign -.JIove _ne.o1ish k/./Ace Fk# All!- 41/1/'Y-- PROPOSED USE: Single Faai1y _II/F _' of Units _II/H 1-eo-ercia1 _Indust. _Swi:a. P001 01:her --Rest:aurant & Bea11:h Depar~t Approva1 BUILDIRG SIZE: x ~e Feet, Height RESIDENTIAL: aJItIIERCIAL : A'JTAaI (2) PUJI' PLAIIS & (2) 5E1S OF BUIl.DDIG PIAlIS & (1) SEt ElIERGY FORIIS."" ATrAaI (3) SEI'S OF BUII.DDIG PIAIIIS & (1) SEt EIIERGY FORKS."" ""mPf OF mllDACI lUIQUIRIlD. PIf.IIKI'IS RmURSTED ----BUILDIRG $. Va1uation of Tot:a1 Construction _ELEC'I'RICAL AIIP Service F10rida Power Corp. W.R.E.C. ---1fttCHAIilCAL $. #, :1(,08 :-- va1uation of lIecbanica1 Inst:allation _PLUftBIRG GAS ROOFIIiG SPECIALTY TYPE OF WRSTRUC'I'IOlI: ----B1ock. _Fraae _Stee1 01:her FIKISBED FLOOR ELEVATIOIIS: FI' . IS PROJECI' IIi FlOOD ZOIlE AREA.? YES RO ................................................... mllT.RACIOR SECl'IOII aJ!IPAIIIY St:at:e Gert. or Regist. . City License Registration . ............................................. RUTT.DF.R Signature :=~ lDIPAIIY '2--\'-\,,-,-:,> "''-'~,. <;;'<.....v. , 5t:ate Gert:. or Regist. t dtteJ ''J-l L 'ir . . . City License Registration t f U ........................................... aJIIPAIIY St:ate Gert. or Regist. . City License Registration t ................................................ PI.DIRF.R Signature Signature ze~///L ~,Rc~ , St:ate Cert:. or Regist:.' "R,8-#61 ~ &; Z-b City License Registration t t?t!' ....................................... aJIIPAIIY ttEaIAIlIICAL aJIIPAIIY St:ate Gert:. or Regist:. f City License Registration f ............................................ OTIIIIR Signature APPLICATIOR APPROVED BY PERIIlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subjert to "deed restrictions" whirh lay be lore restrictive than City regulations. The undersigned assuees responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contrartor Dr contractors to undertake MOrk, 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 lay be cited for a lisdeleanor violation under state law. If the owner or 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 Departlent, 1813} 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) 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 ZephyrhilIs. 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 - HOleowner's Protertion Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applirant 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 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 developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Surh agencies include but are not lilited to: f Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Nater/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental 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 "colpensating volute" will be sublitted 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 work 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 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 perlit is cotlenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"KENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A " E F COft"ENCE"ENT.. ./: STATE OF FLORIDA COUNTY OF The foregoing i~rumen~ before me this 3 ~ f~ who is pers~ to# or who has produced ~ as identification and who did/did not take an oath. STATE OF FLORIDA ~ COUNTY OF / #S C~ The foregoing ins~ument was acknowledged befclre me this ~ ~'l..-- ,19~ by -.$## r /0,-v'fl/'~ who is personally known 0 me or who has produced 7)At.;/et.t!- L,<-- as identification and who did/did not take an oath. was a~$owledged , 19 by (Si(rjtpe~ (Name Typed, Printed or Stamped) NOTARY PUBLI (Signatulif.~ tP ~ (Name Typeo, Printed Dr Stamped) NOTARY PUB