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Home My WebLink About93-3425 BUILDING PERMIT Property Owner: CITY OF ZEPHYRHILLS ",-- (813) 788-6611 __ ~D aD ~L ~ ~HAN~ Sewer Conn ~;~fffJjf~~ Parcel 1.0. # //- ~ t." - a/- ('? O/YJ - ~ 0 bOD - 0070 Zoning: Energy cod~1 ~on Gas: ~--rJ De",,;pt;oo of Wo,k .3 T ~...:t;; (::;0/~ (~-Ie#-< . ,/ Permit N~ _ 3425,1Jf g'-/t,-93 , Date ~. Waler Conn: Water Meter: Job Address: T,I.F.'s: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAl,A- C.O. )r ~/ Inspector DATE NO OCCUPANCY BEFORE C.O. DATE Permit Fee Signature Company Address Telephone# .......--7'~, .3.52/3 Valuation or Contract Price ~ r?S7/~ City License Registration # tI r;:J I? /!-- State Certified License# G 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .....1li:~\.~~~~~~~~liL~;~"..;~,~~~~Il. l.,.1I.,"lJli't:.... ""FI" .._......l...'.-..~ ~r- ---;"" Lie # RAB05084 CONTRACT ZEPHYR AlRE P.o. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 Contract Submittec;l To: /"" //")' "'''Ii,) ,,/ // ~ ''';.! J.j " ~j ,po ,. . ,... , ..., " '/ ,"-- .0' ",~/,. /7 {.-' 7' ~,,-, ' Street . _ /. t ~"I or 'c' I~ ,~. /./~:? ~-/ . < / I.,.' '".fF ~ <..... .. City, State and Zip Code.. ! ;:; >j./ ,iI" ><~::: /; 1,1//.' We hereby Submit to furnish material and labor - comjjlete in ac.cordance with specifications below, for the sum of: f/'i //' /; ',"5::,/ /f~ /~.~~.!"/ ,{:/ ;"",t.:/ ~':f1~'.A::'" /.S;/- '::i/ ,~J:;.. /'~~rs ($ _ :?(~--?' ,~!- ). Including Tax. Payment to be made as follows: ' - )' ,I, , '. ('. '-", I L' Phone (offICe) I Phon,~ (~ome) (813) 788-6284 I D;; <1' '1/, , ,j '..... /-, Job Name Job Location 40% upon acceptance of contract, 60% upon completion 100% upon completion .' . ,1I~5 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 orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Authorized Signature .....----... ,"" iu ,;.1.,n. ..__._~._}rA~.</f~_.,/L/./ /,,/ Note: This contr~ct may be withdrawn by us if not accepted within ,/? _/ I,' days, We hereby submit: ::' ,/ / /V/ fl, ,{< /,./(, . Equipment Model No. ; ./ ,<>;~/4-/ ,,)"::>~4~ ,/.C/ ~;- ,,' It' /;, ,?/;'--;~j"C' B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. II ; ,;'''' /' :" / ,z'. ,/; , ... .' '.i/ ')'/:..'~. \.._ ,~ ~ (., 10-- _ ~ ""'//j t';)/ it '/"'..f", 01' I (.>' ,'.i )>' /,'/ 'X ~,.; A ,/ / /' /,'_., "". .,' ',/ . ... /' /'./'" ./V ?€.. .."....' /' "':/,, ," ""';-;:(" /"; .I, , )." .f/,.,' #, ,-,' '"...~' " ',I .,.. .1" . ",...'" / Duct Work: Flexible No. of Supply Diffuser Vt' 'l ' Metal .Yr~'. . _. J Duct Board #475__ #800 ,;~,. / ..f !" Ve /1/ No. of Return Grilles . . /A/E Electrical Incl. !/i" '" ../ . --' Concrete Pad /.." / I .::;. , /1/;, Line Cover Pre-Hung Door A'~J Humidistat .A/~: , ,It/ l. Drain Pan A / t Attic Ladder ,A/'{/ Walkway ,-1/~ Refrigerant Line /1,:.1;;:;;.' I' Hot Water Recovery Unit Equipment Removal li/, or" Warranty: No. of Year(s) on Parts and Labor No. of Years on Evaporator No. of Years on Condenser No. of Years on Compressor ~',: /'-' (//1/ c: '....--" . /- I J/',E. ./"i v'.:,c" ,r' ,If:" ,;::.... .: i/ C"d> Comments: / Acceptance of Contract - The above prices, specifi- cations 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: Signa!ure . ' , -' // ) U /-.' "' j . -'r '. Signature APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT MiLL/AN 14A1.P#~iIf,e /~...v ~A/A/eY / I' 5bt/f 9 7'" f T Z-A(LL> PHONE 7J"1'p1~7~ ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) /1f!S' ~Lt! BLOCK SUBDIVISION .3' %M p(P..I.7-e ~~/ ;3..y~ PARCEL I. D. ~F WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair .,.2(..Ins tall _Sign/Temp. _Sign _Mo\'e _Demolish PROPOSED USE: _Single Family _M/F _# of Units __M/H _Commercial _Indust. _Swim. Pool Other f _Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.*:; ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. _BUILDING $ ~ dl?.?/' '!Ji PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL r6 _MECHANICAL AMP Service Florida Power Corp. _\<l.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRICIAN \:.<., \)~~~~Gv.:> Company z..-\..\l~\.~ ~~C.\. ~a:Il.';. ~~~' . State Cert. or Regist. # VCJO ~lCD~ . Signature ~C::-\ ,,-' , City License Registrat'ion 4~ C U "**************************************** Signature Company State Cert. or Regist. # City License Registration # ' **********************ft******************* PLUMBER Company ~~d;Yft!! d~e: State Cert. or Regist. 1,1 R..#CiCJ&;~~"2- 0 City License Registration iF <;}1?' ********************************* Signature Company State Cert. or Regist. # City License Registration # OTHER ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay 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 orcon~ractors to ~dertake work, they lay-be re~uired to be licensed in accordance with state and local regulations. If th'! ton'tractor is' not 'licensed as requirei:t."b'y l;~" 'bottJ.the owner' and contr-aCtor laY be cited for a lisdeleanoT violation under state lall. If the owner Dr intended contractor are uncertain as to what licensing requirelents laY apP~y'for the i~ended work, they are advised to contact ,the City of 2ephyrhills'Bullding Dep,dlent, (813) 799-6611. ' Furtherlore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor(s) 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 Ilork. If the contractor Ilishes you to sign as contractor that lay 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 FEE2 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 lall - HOleollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. ! E. CONTRACTOR'S/DWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all Ilork will be done in cOlpliance lIith all I a~plicable lalls regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Ilork and installation as indicated. I certify that no Ilork or installation has cOI.enced prior to issuance of a per.it and that all Ilork Ilill be perfor_ed to leet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern_ental agencies lay apply to the intended work, and that it is IY responsibility to identify Ilhat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastellater Treat_ent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways I De artlent of Health ~ Rehabilitative Services EnvironlentaI Health Unit - Wells, Wastewater Treatlent, Septic Tanks f 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 volule" Mill be sublitted Ilhich 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 Ilork authorized by such perlit is cOllenced lIithin six lonths of issuance, Dr if work authorized by the per_it is suspended or abandoned for a period of six lonths after the tile the Mork is cOI.enced. One 90 day extension of tile, lay be allolled 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, Of the project lIill 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 DR HEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P A "NOT COMMENCEMENT". /" ~., ~...).. STATE OF FLORIDA tJ7 COUNTY OF r 4'S t! // The foregoing instrument was acknowledged before me this fj"- /ef , 19.!i:Z by STATE OF FLORIDA ~ COUNTY OF I:I-s t1 0 The foregoing instrument befc'l-e me th i s !?-/o/ was acknowledged 19~ by . , . . who is personally known to me or who has produced as identification and who did/did not tpktQ,an oatr.t. '-i n _ k h ~-4<JJ, ..:r: ' ~ (Signatul-e) who is personally known .to me or who has produced as identification and who did/did not ta;1t~~.. (fb (SignatLrce) '-4-. ofC.. j:e '\ (Name Typed~ Printed or Stamped) NOTARY PUBLIC (Name Typed~ Printed or Stamped) NOTARY PUBLIC BESSIE F. CASKEY State of Florida My Comm. ExP, Dec. 4, 1995 Comm. II be 165513 ~\ BESSIE F. CASKEY State of Florida My Comm. ExP, Dee, 4,1995 Comm. .ce 165513 ~\ ,~