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Home My WebLink About93-3601 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 3601 IV; Date /0 --,;2-;7- 9-3 BUILDING ELECTRICAL PLUMBING GC~ ---- Sewer Conn PmpertyOwnec d~~~~~ Job Address: <...'f If 6 0 Water Conn: Water Meter: T.I.F:s: Parcel I.D. # Zoning: Description of Work tn{~: Radon Gas: o/C- ~r~ ~ FINAL 1?_ -,n n-, DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector R.L. Y(IJMANS City License Registration # State Certified License# 110 Pe'm;l Fee 3~ Signature ~ ~f--lU~~ Company Address Telephone# 1- ~O '- (. '-10 - tf'-63.y Valuation or Contract Price ;2 7' "-5'-- tT7) --- BUILDING ELECTRICAL PLUMBING Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. APPLICAl'10!NI fOR PERtflT CITY OF ZEPlffRHIUS BUIlDI IIiG DEPARTnElU OWNER'S NAftE ~~P/5 /: .//://ff~?(' PROfilE 7t:?r - ?fY2:1 , OWNER'S ADDRESS ;?~/t1y ff~~/~ ..-I/f ,rOB ADDRESS Ytfdfd? /fJ//d ~f/" LEGAL DESGRIPI'IOJM: WI'(S) ??~#'~ B 1...Ot."K SIJJBDIVISIOli ~Q;?/",~4~ /R PARCEL I. D_' WORK PRoPOsm:_lJev Construction -----i\ddition _Alteration --.Jl.epair ~t:all _Sign _Hove _D~Hsh PROPOSED USE: /~ngle Paldly _"IF _' of Units _"In _~rcial _Indust. _Swt.. Pool Other _Restaurant & Health Depa:r:t~t Approval BUILDING SIZE: /.f? X ~tf1, Square Feet. 7~~ Height RESIDENTIAL: COIPtftERC'lAI~ : ATTACH (2) PLOT PL.ANS & (2) SEI'S OF BUllDUiG PI..UlS & (1) SET ENERGY FORKS. u ATI'ACH (3) SErS OF BUllDUIG PlANS & (1) SET ERERGY FORItS... ..OOPT OF CONTRACT RIlQUIRIID. ~UlLDING $ PIlmIlTS REQUESTED ,2 9' f"F .352- ValuaUon of Total CoostrucUon _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanica.! Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block. _Fr8lle _Steel &~ '#~/Other FINISHED FLOOR ELEVA~O!NIS: FI' . IS PRO.JECI' IN FLOOD ZONE AREA? YES NO .................................................. COJIiI'RACIOR SECI'lON BUILDER COPIPANY State Cert. or Regist. I City License Registration I .................................................. Signature ELECfRIClAN WlPll"Mf State Cert. or Regist. I City License Registration , ............................................ Silmature PLUllBER COPIPARV State Cert. or Regist. I City License Registration , ................................................ Signature IlEC8ANICAL mtIIPMiY State CerL or RegisL # City License Registration # ................................................................ Signature 01BER COPIPMY State CerL or RegisL , City License Registration , ............................................................ Signature APPLICATlOll API'IIOVI!D BY /1 C!2:IAI~ ~, AAJv.l- PERllIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ~OTI!,:E OF DEED_RESJRICTIO"':!.f~ The undersigned understands that this per.it say be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assules responsibility for co'pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CQNTRA~UJR ~~S~ONS~ILITIE~ If the OHner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to Hhat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13) 7BB-bbll. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they "ill 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 Zephyrhills. c. TRANSPORTATION H1PfiCT FEE!;LAI:.!P U:U.I,..IJ"V u..~QNHECTLOI'''-..EEE.?. 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 LaN - HOleoNner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is soteone other than the "owner", I certify that I have obtained a copy of the above described docu~ent and promise in good faith to deliver it to the "oNner" prior to cOI.encelent. E. ~ONTRACTOR I S/m'JNER I ~...B.FF_!..DflVLL 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 develop.ent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a pertit and that all work Hill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent 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 what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: . Departtent of Environtental ReQulation '- Cypress Bayheads, Hetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water "anaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses f Artv Corps of EnQineers - Seawalls, Docks, Navigable WaterHays I Departtent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Hastewater Treat.ent, Septic Tanks , US Environ.ental Protection AQencv - Asbestos abatelent 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 volute" Mill be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a license to proceed Hith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is cOI.enced within six lonths 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 cOllenced. 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 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"MENCE"ENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~$~ SIGIlj\TURE, CONTRACTOR d&hJ{..e JI3~ SIGNATURE: OWNER OR AGENT STATE OF FLOR)JA COUNTY OF ~~ The foregoing instrument was ac~nowledged before me this oe.r.2 9 , 19~ by . STATE OF FLORIDA COUNTY OF \> ASc...O The foregoing instrument before me this ~ ~~ ~las ackno~lledged , 19 Cj3 by {!;.k; /L kr who is per seiDa 11 pl-oduced / C- as id ification tak tho tCM4/1~e"u known to me Dr who has L P\ \..).:)vz...~CE: f><:. 8.ER G 8<-0 ~ who is personally known to me or who has produced ~ \...-, DL~ [2:>0a<r'S.o\ - s \ - 41/-b tification and who did/did not an lath. (Signature) OEB B \ E... po., (Name Typed, Printed or r~OTAR,{ PUBLIC d.+ (Name Typed, Printed or tamped) NOTARY~C ..' ". OFFICIAL SEAL .~, ! BARBARAA. HUPPERT ; . My Commission Expires .."A~ ..- 4:.1 Nov. 27,1996 ".:?OFf~'. Comm. No. CC 240384 ...... DEBB~ A. ROWELL: NOTARY PUBLIC, STATE OF FLORIDA My commission expir~s Mar. 21. 1997 Commission No. C'C 2'" 0 2 4 9 '.. SERVICE INVOICE Superior Heating & Cooling Management, Inc. 231 Douglas Street, Building A Suite 10 Oldsmar, Florida 34677 (813) 854-3449 Zephyrhills 783-7509 STATE CERTIFIED CAC049271 k,~:~~~-8o~2o~~i~ CD 19097 DATE //J ___2;>~ :;5' . WORK TO BE DONE C~ /A/o/A')'} /JIEU fAl// SOURCE COST QTY. ITEM PRICE CUST~y- .#fS C/Af./fS./ fDL/~/(/1;;b sTRErl3'8J~ ~ %U/4J1?A AJ..t'~~fV' CITV 2;;--//7" /if #//,( /2.. STATE ':yYf' ~d CQHTR.I(;T NO'1 CUSTOMER NO. MA to; 0/ ~~~~o /~/ E/" /Y $/ / ~Y y J ~/ -- STREET 7//4/ I PHONE CITY STATE ZIP ) -z4 7}.JI (>>#'/7/11.1 A~ / &A/C/ffflY-<AJJ) J ///,z/l//dS',J;I/ ) P///J/#f/ A9 YEfl?.eP ) Al; bR lY "I- /Affjf I AS' jl'EEP/".P '0 imlF 142P J/AI// y- /A/5'/:1).1/ A//J/ #,,,////' J I yf /}'JfA / ry~ hpfJYr ,/)Jl/Jf/ ~R;f?.J1J7:Y~- o CC>>l1'RACT' TIME & WJ'ERIAL 0 REPLACE 0 ,.., OC.O.D, NEW UNIT 0 CONTRACT 0 CB, 0 TECHNICIAN: MAKE MODEL SERIAL NUMBER DATE DESCRIPTION OF WORK PERFORMED V~ PI' I ~ 'Ao A." 47i/ /, .-H / "/ Y --/h ~;/ , .I~/o d..-l I> ~. ~ ~ ~$g /fY//'/. -::2"/ A h<A 'j- U~ ~ -7'..:/ 24 ~ /~/: /~ ~~A 4// A ~-/YZ Y 'Z~.~ ;17 /J/) 1(11d- h fA ...,~ /:n./-.v.;-g.i:~ / I' J ,/1 JI 7: iAf#- / jtF:v / / b1A' Nil AJWO// II , IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TELL A FRIEND, IF NOT PLEASE TELL US. TRAVEL TIME: TO FROM PLEASE PAY FROM THIS INVOICE TIME ARRIVED TIME ARRIVED TIME DEPARTED TIME DEPARTED SERVICE PARTS SERVICE LABOR CUSTOMER DISCOUNT TERMS: NET DUE ON COMPLETION This rt'M)ICe is Sl./bfect 10 a FInance Char9"! 01 t',=,' per IT'Onlh Anrn..iAl Perc~nlagt! R.llf> 01 18', ....I\it:r '... ,'If'......rt l'l'lo law DEPOSIT .A.-.. , /1/ $ i:(7?'fw/ TE~~.u- ~ .8 " $ -tJ- ~ciERS SIGNATURE ~ J ~ CARD ExP __I $ ~ ~ DM[. .----------- II IS aoreed and unde>r!.lood by the partleS th.1;1 all eQuIpment ana parts whICh irc SOld PUI~."lnl !~"t'lo ,\1'11\11 t.OT become fixtures or PArt 01 the real estate where IheV are placed Saod parTS and eQu'O'TW!nl It';In .;.1 ,'11 t"I'll'S fol!'f"Alf' personal J)l'ooerty and the Iitle thereto Shall remain In the seI\ef unlit payme,." In lull 's rec.el~t>o Buyf"f IX'It'Il" ~QII'~' lhal all parts and eQ.... t maY~ bel!'OOssess~ 'n the evenl 01 "o,,"'p.Jyrnent Sf!f' rf>Vf"r~lf" o;,...y. ,,,. w;I'I;t"'y ",w! '""'uct,.,.,. ~ t have authorlfY, ~ the worx as oulh 'N.~_ agree ~osts .lnd r".ils()n,lb"~ allOlf'lf',.. l,....~ ,f !ht; ""'CO 's ~a~ r;?J;" a"c<~~~ ~ // 'V-';" TOTAL CHARGE BALANCE DUE