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Home My WebLink About93-3687 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ _ 3687 /J (813) 788-6611 Date j;L-3-7:..3 Q..b. tJ7) +J-fJ. ~ . C~AN~ Sewer Conn Water Conn: PLUMBING BUILDING ef)f) .tn ~ ;)...(J. /Tl) ~~dV Pmperty owne'_?i~ ~~r Job Address: -.s i ~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energy Code:- Description of Work '-If .;~ ft-/C Radon Gas: NO OCCUPANCY BEFORE C.O. o 0 Jfl9 . P \r" FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE /^'J- SigFlature Com pan Address Telephone# Inspector Valuation or 7 Contract Price / r C1J City License Registration # State Certified License# BUILDING PLUMBING 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Air=-O! PROPOSAL No. Heating & Cooling Systems, Inc. Distributors of High Efficiency Heating & Cooling Equipment Heat Pump Specialists. TECO Rebates Sales. Service. Installation (813) 972-9449. 14609 N. Nebraska. Tampa, FL 33613 Licensed. Bonded. Insured Date 11-1-9~ Sheet No. Proposal Submitted To: 1,1J 1312 .~Q_I.i~___JCnnJ6 ..Ji-. '2:~PI)-lLyjhjI5 ,/~ I-L...~__~__.__ .----.. 8j3-.::__7g0~'-2 ]1/1 Work To Be Performed At: Name Street City State Phone Street City Date of PlansjL-I.-Cj..::L_____. Architect X If a.,i'Je4 .. !Ie/)Q/Z,/ L US'~ :c1B/lC!cr <5lJm6 State We hereby propose to furnish the materials and perform the labor necessary for the completion of Oll&..:j~_ ~C()lJd'It'Q/Jed- c:; *tlJ1i. ;J'}flJ .E/lr:f','C!..11.2/1(! % PKQp H E.ltl._ .i.LO:zPL-:- f Cjf LLI pm en'/- 9 JYJ I-} 18re, J<} /~ To Can.s-' s f 0 . ---ihe:....- O'..JL.H.U-1J 8 y.. . A )Z)jDX.=:.J}e:dM3/f,oJ?J. d c2X.~Q !od 1/"8), g.P.fI"{!/e;-;itJ! #e/ffl1uflp B) Of)E.-Il.5-JJt--J2JAPlp TlJel! 1720~ Y}I- t ,. C )C'I1,JZ.-RtJ..:-f.L.1UJ~F+'U<-:b(} f tv, 110 }? ILI'II D J 0 1lE.-Elef-1-O /6 leer tLlllJ/+1 Ie CrLLQ t- E.) .. [.YJ Ee_ Elef.-LbJa. si:LfJply' Due t j '1.. . . f;J) 0l1c___1!..!e:.(!!,e1(!.141 ser- UfJ 1-0 NeN PU4Y1f 011/1 I.? EOIL.t.._.c.,.ulc..lt~f6PIl1['o B Joe /{s All material is guaranteed to be as specified. and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of 'f \ -. II /l 1../. -1 Dollars ($ 7/3, S~ ). with payments to be made as follows: PIJfll1 ts1J .. J /1. f-tLll iLjJCJ/J L dOlfJ/8lltH1, LU'fJli2JIjLt~~.:~:DJiE- '~lt lLpAiZ lful iII-bad.. Any alteration or devil!lfion from above sp~i:ations involving extra costs, will be executed only upon written orders, and will become an Respectfully submitted extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Y!:: ,~; Note- This proposal may be withdrawn by us if not accepted within days. 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 mad~ outlined above. ~_,'N... I n ~ull Ct. I () 8' Signature #adu~ Date .... ,.:,____~~.-;}~L~~-J Signature APPLICATl.OII I'OR PERllIT CI1Y OF Zl!;mIKHII.Lc; BUII.DIIIG DEPARnmKr 0WlIER · S RAIlE PllDIIE 0WlIER' S ADDRESS JOB ADDRESS LEGAL DESCRIPl'IOII: wr(S) ~SOBDIYlSIOB PARCEL I..D.f '.... 1IJORI{ PROPOSED:_lIev Coosuuction -.J'ddition _Alteration _llepair _Install _Sign _lIove _~1i.sh PROPOSED USE: Single FaUly _II/F _' of Units _II/D _ec-erci.a1 _Indust. _Swia. P001 Ot:her RiPSt:aarant 5: Bea1t:h Departaent Approva1 BUILDIIIG SIZE: x ~ Feet, Height .RESIDENTIAL: aJlmERCIAL : A'lTAaI (2) PI.OI' PLAIIS 5: (2) SEIS OF BUII.DIIIG PLAIIS 5: (1) SEI' EllERGY FOlUIS... ATrAaI (3) SEIS OF BUII.DIlIG PLAIIS 5: (1) SEI' EIIEKGY FOKIIS...... ..00PJ" OF OOIIT.RAcr .RIlQUIRED. PII:KJIRTS RlrOlJR.c;nm .-JUILDIRG $ Ya1uation of Tota1 Coosuuction RI.RCl'RICAL AIIP Service F10ricla Power Corp. V.R.E.C. ---1fECIL\IUCAL $ Va1uation of 1f.echani.ca1. Inst:allation _PUllBIBG GAS ROOFDIG SPECIALTY TYPE OF mRSTRUCl'IOB: .-J1oclt _~ _Stee1 Ot:her FDlISBED FLOOR ELEVATIOIIS: Fr. IS PROJECI' III FLOOD ZOIIE AREA! YES IiO ......................................................... alllBACIOR SECl'IOR RmT.DU aJIIPAIIY State Cert. or Regist. , City License Registration , ......................................................... alllPMY Fi~~f CI tcC;6 E!ecf- State eet-t. or Regist. , City License Registration' L"--7 ........................................... Signature PT.DIRRR aJIIPAIIY State Cert. or Regist. f City License Registration , ......................................................... Signature IlEalAllICAL Signature O~ ~ Cf) NCl~r aJIIPMY State Cert. or Regist. , City License Registration , ............................................................... I;L:L OTRRR aJIIPAIIY State Cert. or Regist. , Signature City License Registration , ......................................................... APPLICATIOB APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ~OTI!;:E OF _DEED_RE~.JRICTIONS 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 co~pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS A~__CqNTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .;y-be r~Quired 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 what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBl3} 7B8-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s} sign portions of the "Contractor Sections" of this application for which they Mill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Mork. 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 perlitting privileges in the City of Zephyrhills. (' TRANSPORTATION IMPACT FEES AND UTI!-ITY _~ONNECTION FEE$.. 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 - Ho.eoNner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'oNner" , I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the "owner" prior to cOI.encelent. E. CONTRACTOR 'S/OWNER'S AFFIDAYI.I I certify that all the inforlation in this application is accurate and that. all work 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 Nork or installation has cOllenced prior to issuance of a pertit 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 .ay apply to the intended work, and that it is ty responsibility to identify Nhat actions I lust take to be in co.pliance. Such agencies include but are not litited to: . Depart_ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environtentally Sensitive Lands, Water/Wastewater TreatMent . Southwest Florida Hater "anaQelent District - Wells, Cypress Dayheads, Wetland Areas, Altering Watercourses t Ar_y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart_ent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks f US Environtental Protection AQency - Asbestos abate.ent 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 "colpensating volute" Mill be subtitled 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 perlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the Nork authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of tile, tay be allowed for the perlit with fee charge of tI5.00. 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 COMMENCE"ENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCEMENT", SIGNATURE: OHNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this I>'laS acknol>'lledged ~ 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 pl-oduced as identification and who did/did not take an oath. (SignatLu-e) (Signature) (Name Typed~ Printed Dr Stamped) t;lOTARY PUBLIC (Name Typed~ Printed Dr Stamped) NOTARY PUBLIC