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Home My WebLink About93-3648 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt? 3648 H /I-/!-:T~ Date BUILDING ELECTRICAL PLUMBING ~ Sewer Conn Water Conn: P<op,rty Own" f$f:;, j C)y ~iArl'_ Job Address: J - It" Water Meter: T,I.F.'s: Parcel I. D. # Zoning: Description of Work Energy %: . Radon Gas: Ale 0~~~ NO OCCUPANCY BEFORE C.O. FINAL C.O. ' DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, nj~ Inspector \ Permit Fee Signature Company Address Telephone# #}~~ Valuation or Contract Price City License Registration # State Certified License# JQn. tTiJ Yr '783"0381.1 , BUILDING ELECTRICAL PLUMBING Breakers Ducts Ins!. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ..'.~!,~! 1Il..'.... \.~ ".... ~-- 'ti, ,,"- .....:;,.' ~t.;-l:~f _"':,:<"i",,~,~,~.,;:.~~....~.~ Lie # RAB05084 CONTRACT ZEPHYR AIRE P.O. Box 1243 · Zephyrhills, FL 33539 38841 D S.R. 54 E. · Zephyrhills, FL 33540 (813) 788-6284 Contract Sl,lb\1litted To: - Phc:>n~ (office) 'J ...,. 7/~ I Phone (home) I Date ,;,,/;A? 1"\ t ;....'. ~ r.' \.. i ~'- ! : ,-L'j , -, ~ ~. ! S : -7' , '~,--- Street Job Name / I:, 1 , , , " ! .,,' ::""1 I i \~j City, State and Zip Code ,~/ :-,: (- , i./,( Job Location ,,' i-,V) : '}. ! / .,.- , . :~.. ' '1 , ,; ".. We hereby Submit to furnish material and labor - com~lete in accordance with specifjCa#~ below, fo!~~e sum of: dollars ($ .:../<X..:" '~, ). Including Tax. Payment to be made as follows: 40% upon acceptance of contract, 60% upon completion 100% upon completion )/'i'. ~ , /) All material is guaranteed to be as specified, All work to be completed in a workmanlike manner accord- Authorized /""c"_"" ['l r......"... /", ing to standard practices, Any alteration or deviation from specifications below involving extra costs will Signature ;..- ..-I' A /h..~~-" ' be executed only upon written orders, and will become an extra charge over and above the estimate, All Note: This contract may be agreements contingent upon strikes. accidents or delays beyond our control. \j .;:t 0/ withdrawn by us if not accepted within \ days, , ..' We hereby submit: c?,y~, )--;;,,.rJ , Equipment Model No. B.T.U. K.W. RATING S.E.E.R. C.O.P. H.S.P.F. ?J?;J/l i (~_ , /' li { " /'_,J '-/1/- / -{<. ! 1 ',i, " / Q /l _', ,/ Ii /;::/,/1' i, .~~~< {,.{../ , v " " ....~ ' /; ,j Duct Work: Flexible Metal I Duct Board #475 ~' #800 -, No. of Supply Diffuser / '/1 , No. of Return Grilles l Electrical Incl. ) Hot Water Recovery Unit Line Cover YL.i Drain Pan Equipment Removal ""/1:; ! Pre-Hung Door Attic Ladder Walkway Concrete Pad -i7tJlJ Humidistat Refrigerant Line /(/() ('/ ; . I I '5l"/lk \ c,,: i "l-' v: ) ., , -..., - Warranty: No. of Year(s) on Parts and Labor :~)r)l:- " No. of Years on Evaporator , 7 / vZ- No. of Years on Condenser "~:..., ,1 .' / I- v ._ .... No. of Years on Compressor -- -' { /'11 '/' .- Comments: Acceptance of Contract - The above prices. specifi- ," cations and conditions are satisfactory and are hereby Signature ,{.! ~.,.*t" ., .i , accepted. You are authorized to do the work as specified, Payment will be made as outlined above. Date of Acceptance: Signature APPLICATIOIiI FUR PHRJUT CITY OF ZHPBJRHI US BUTILDlliG I,)EPARJMflXT OWER"S NAttE J} t,CR ~D OWNER" S ADDRESS 3 ~ L( 0 .3 JOB ADDRESS .s A-1Yl ~ -::r /1/2 u i..J I t..{ Th. A Ue PHONE 7B~- 7379 , ?'f!;1f>l1y~jl//JJ J 'f"L, .5-:5 S't6 , / LEGAL DESCRIPI'ION: IJJf(S) BLOCK SUBDIVlSIOIIi PARCEL LD.t WRK PROroSIlD:_lNfev Construction _Addition _Alteration _Repair _Install _DeIIOlish CAflN5e- ou..r /1/ C- _Sign _lPIove PROPOSED USE: Single Fa.By --1f/F _, of Units _"'n _~rcial _Indust. _Swi.-. Pool Other _Ilestaurant 5: Health Depaet.ent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COlItItERClAL : ATI'ACII (2) PLot PJ.AIIIS 5: (2) SETS OF BUILDING I'L.US 5: (1) SEI' ERERGY FORKS....... ATI'ACII (3) SETS OF BUII.DDfG PlANS 5: (1) SKI' mlllRCT FORKS....... ......OOPY' OF OORI'RACf RE'QtlfIRIJD. PIlBftlTS REOUESTED ~BUILDING $ Valuaf: ion of Total Construction _ELECfRlCAL, --XJutCHANICAL MIP Service Florida Power Corp. W.R.E.C. $ ~(JfJ Valuation of Kechanica~ Installation ROOFING SPECIALTY _PLUMBING GAS TYPE OF OONSTRUGI'lON: _Block _Frawe _Steel Other FINISHED FLOOR ELEVATIONS: Fr. ISPROJECf Hi FLOOD ZONE AREA? YES NO .............................................................................................................................. aJJD'RAClOR SECfION BUILDER Signature CO!fPMIY State GerL or RegisL I City License Regist:ration I ............................................................................................................................ ELECfRlCIAN COIPIPMY State Gert. or Regist. I City License Registration I ............................................................................................................................ SiJmature PLtltBER Signature CO!fPAIiT State Cert. or Regist. I City License Registration I .......................................................................................................................... KECBAliICAL Signature 4/ 7h~ __ . WltPMfY Z6/,1J7R /1/ ~(!" State CerL or RegisL I Rill!> os-O<;l7' City License Registration I ~~ ............................................................................................................................ O'IBER. Signa.tuee COPIPMY State Geet. or Regist. I City License Registration , .............................................................................................................................. APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ._~._---_.__._----_._-_.._. The undersigned understands that this per.it lay be subject to 'deed restrictions' which .ay be lore restrictive than City regulations. The undersigned assules responsibility for co~plian(e with any applicable deed restrictions. B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o~ner has hired a contractrrr (lr contrad(lr~-t;-~~~~t~;-work, th;'y'-;;;y-'b~- requi;;d'to be iicensed in accordance with state and local regulations. If the contractor is not licensed as required by I~w, 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 what licensing require.ents lay apply for the intended wDrk, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3) 7BB-bb II. Furthertore, if the owner has hired a contractor or contractors, he is advised to have the contractorls! 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 tay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. [' TRANSPORTATION It1PACT FEE? AND UTIJ,JTY r;ONNECTJOI'.J FEE.~, D. c:ONSTRUCT I ON L I EN ~AW. (CHAPTER 713 ~ FLOR I Dr) STATUTES ~ FiS AI'1ENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owoer", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the 10Nner" prior to cOI.encelent. E. c:ONTRACTOR' S/m'JNER.~~-BFE.!J2l:!~!T I certify that all the inforlation in this application is accurate and that all work "ill 'be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced 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 developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern_ental agencies .ay apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treat~ent , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlV Corps of EnQineers - Seawalls, Docks, Naviga~le Waterways , Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abate~ent I also certify that, if fill taterial ;s to be used in Flood Zone "A" Dr "A,etc.., it is understood that a drainage plan addressing a "co.pensating volute' will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit 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 pertit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is cOI.enced within six .onths of issuance, or if work authorized by the per.it is suspended Dr abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of tile, lay 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 COMMENCEMENT nAY 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT - SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this was acknol"lledged , 19_ b}.' STATE OF FLORIDA COUNTY OP The foregoing instrument befc,re me th i s \<'J.3,S ackno\<'lledged , 19_ by who i~ 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 oath. (S i gna tLll-e) (SignatUi-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printe~pr Stamped) NOTARY PUBLIC