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Home My WebLink About95-4593 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4593M BUILDING ~o . trD ~~ PLUMBING 3 6J. l'J-i) G~NI~;> Date 1- L/ -7~- Pmperty Owoe' ,?fis4 U2 Job Address: --5 ~ - -_ d ~ Parcell.D, # Sewer Conn Water Conn: Water MJljer: T.I.F.'s: Zoning: .f Energy Code: Description of Work '---;/'~AA) .4/ C Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL /., - )-'1 < DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarce with City Codes and Ordinances. Inspector Permit Fee ~c7i) Signature (. d~ Company Address Telephone# Valuation or Contract Price ~/ / t). o-v City License Registration # ~ / I 0 State Certified License# BUILDING ~~~ ELECTRICAL~ / PLUMBING /~~~ MECHANICAL .. Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Me}jr Final /-f- 7-C, )" SLB Tub Set Water Sewer Final Breakers Ducts Insl. compr:;.sor ,- Final -7-9") ,(it ~ Driveway f{..!{.~ I 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. APPLICAnON FOR PERKIT CITY OF ZEPIIYIUIILLS BUILDING DEPARTKERT OWNER'S IiAHB 111 P.. ~ rn /2...S SoI..S-S- . ~ ;;..S"S Wi wI) Ross ~ t-H S T 7/ r-J-j <;; r . PHONE gfl 3 - 7 g-d - 7.3 9<::f OWNER'S ADDRESS JOB ADDRESS LEGAL DESCR.I.P'l'ION: LOT(S) BLOCIL.--SUBDIVISION PARCEL LD.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:____ew Construction ---..Addition ~teration --.Jtepair _Instal.l _Sign -.JIove -Peaolish PROPOSED USE: ~ingle Faaily ---.Jt/F _' of Units ---.Jt/a _ec-ercial _Indust. _Swia. Pool _Other Restaurant &: Health Departaent Approval DESCRIPTIO. OF WOH: -::r: I1.J STY#- )... L 1--/12- lA- '( .pu~ , BUlLDIMG SIZI: X Square Feet, Height RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLAHS &: (1) SIT ENERGY FORMS. COIIKERCIAL: ATTACH (3) SETS OF BUILDIRG PLAHS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -BUILDIRG $ Valuation of Total. Construction Rl.RcrJlICAL /')0 AIIP Service ./' Florida Power Corp. 03 $ ;).. / J D Valuation of Hechanica1 Installation W.R.E.C. -lIECllARICAL --PLUHBIRG GAS ROOFING SPECIALTY . TYPE OF COIISTRUcnON: ~1ock -Fraae _Steel Other FDlISHED F1OOB. ELEVAnONS: Fl. IS PROJECT III FLOOD ZOIlE AREA' .......................................... YES NO CONTRACTOR SECTION o. Bml.DER ,., Signature .cdHPARY State Cert. or Regist. . City License Registration . ~.........................."............. COMPANY I (oq Rill lZ L~ C State Cert. or Regist.' E" ([(JQ ll. l ~ ~ City License Registration' J....3 I .......................................... PLUMBER COHPARY State Cert. or Regist.' ~ ~ City License Registration . .......................................... Signature ... IlECllANIGAL COHPABY SouTH ERv c.o~~te...r ~ T State Cert. or Regist.' R JIYI ()C IS Q 2.. L Sigoature City License Registration f ~1 .......................................... OTRRR COHPARY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERKIT OFFICER. J CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit JaY be subject to 'deed restrictions' wbieb JaY be lOre restrictive than City regulations. !be undersigned assUles responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, tbey JaY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor laY be cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to "bat licensing requireaents laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. . FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe 'Contractor Sections' of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as the contractor, you are indicating that you, ratber than tbe contractor, are responsible for tbe work. If tbe contractor "isbes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entiUed to peraitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided witb a copy of 'Florida's COnstruction Lien Law - JbIeotmer's Protection Guide' prepared by tbe Florida Departlent of Agriculture and Consuaer Affairs. If tbe applicant i8 BOIeORe other than the 'owner', I certify that I bave obtained a copy of tbe above described docUleDt and prOlise in good faith to deliver it to tbe 'owner' prior to COIIeDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application i8 accurate and that all work "ill be done in coapliance with all applicable laws regulating construction, loning, and land developaent. Application is herehy Jade to obtain a perlit to do work and installation as indicated. I certify that DO work or installation bas CDIeJ1ced prior to issuance of a perlit and that all work will be perfomed to .et standards of all laws regulating construction, City codes,. loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other govermtental agencies laY apply to the intended IIOrt, and that it is If responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not liaited to: t Departlent of Envirol1lt!lltal Regulation - Cypress Baybeads, lIeUand Areas and BnviroDlentally Sensitive Lands, lIater/llaste"ater Ireatlent t Southwest Florida lIater Hanageaent District - lIells, Cypress Baybeads, Wetland Areas, Altering Kitercourses t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Watenays t DepartJent of Health & Rehabilitative Services, EnvirODll!Jltal Health Unit - Wells, Wastewater rreatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood ZOne lA' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpeJI8ating volUll!' will be sublitted wbieb 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 "ith the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perIlt prevent the. Building Official flOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCCE invalid unless the work authorbed by sueb perlit is COIIIlJlced within slllOntbs of issuance, or if wort autboriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the IIOrk is co.enced. One 90 day atension of tile, laY be allowed for the perait with fee charge of $15.00. !be atension sball be requested in "riting to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned. IfARJIIlfG !O omR: YOUR FAILURE !O RECORD A 1I0nCB OF aJlMDCEIIBI'f MAY RESUL! III YOUR PAYIlfG filCH FOR IIIPROVBIIBI'fS !O YOUR . f. . .. PROPER'lY. IF YOU IBEJID TO OBrAIJIFIlIAIICIIG,. COIfSULI IIlrH YOUR LEllDER OR U AnoRDY BEFORB RECORDIKG YOUR IIO'IICB OF COHHEIICBHIMI. JOBS UKDER $2,500 III VALUE DO 101 IlBED TO RlCORD AID POS! A 'II01ICB OF COIMEJICBIIBIII. . ,... SIGIlIIURE: COIIIJIAC!OR SIGJIA!URE: OIlIER OR AGEII STArE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19 by SUIB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an Oif,th. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Rame Typed, Printed or Stamped) ROTARY PUBLIC (Rame Typed, Printed or Stamped) ROTARY PUBLIC ~31 PROPOSAL SOUTHERN COMFORT P.O. BOX 486 DADE CITY FLA. 33525 904-567-6111 ENTERPRISES, INC. 3425 COUNTY RD. 656 WEBSTER, FLA. 33597 904-793-5501 ----------------------------------------------- RM0015022 ----------------------------------------------------------- NAME DATE MR. & MRS. WINDR.SS DECEMBER 29, 1994 ----------------------------------------------------------- STREET 5255 4TH. ST. JOB NAME SAME ----------------------------------------------------------- CITY, STATE ZEPHYRHILLS FLA. 33541 JOB LOCATION SAME ----------------------------------------------------------- JOB PHONE: 780-7394 WORK PHONE: ----------------------------------------------------------- ----------------------------------------------------------- We hereby submit specifications and estimates for: INSTALL HEAT PUMP SYSTEM OPTION # 1: TRANE TWO TON EQUIPMENT: TWR024C WITH TWH024B AND BAY96X140.5 COOLING CAPACITY: 24,200 BTU. SEER. 10.6 HEATING " : 22,200 BTU. HSPF. 6.85 HEATSTRIP" : KW.5.0 PRICE-------------------------------------___( $ 2325.00 ) OPTION # 2: TEMPSTAR TWO TON EQUIPMENT: CH5024VKB WITH BH3024SKC AND AMBOOIAHA COOLING CAPACITY: 23,000 BTU. SEER. 10.0 HEATING " : 21,600 BTU. HSPF. 7.0 HEATSTRIP" : KW. 5.0 PRICE-------------------------------------___( $ 2110.00 THERMOSTAT: DUCT WORK: ))j- HEAT AND COOL COMBINATION, MANUAL SET. FIBERGLASS AND/OR FLEX, R-6.0, PER LAYOUT RETURN THRU FILTER BACK GRILL. WHITE ALUM., FIXED LOUVERS, M/S DAMPER. LIMITED ONE YEAR WORKMANSHIP AND Ml\.TERIALS BY DEALER. FIVE YEARS ON COMPRESSOR ONLY BY MFG. LINES, LINE COVER, LOW VOLT. WIRING, TAX & LABOR. ELEC. WIRING TO UNITS, FRAMING OR PAINTING REGISTERS: WARRANTY: INCLUDES: NOT INCLUDED: --------------------------------------------------------------- -------------------------------------------------------.------- WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: SEE BODY OF PROPOSAL --------------------------------------------------.--- Payment to be made as follows: 50 % DOWN, BALANCE ON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications 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 strlkes, accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are f~llY cov red by workmen's compensation insurance. ~~-- --- ~~~~~~~~~~~~~;~~;~~~~;-~~~~-~~-~~~-~~~~------- within 30 days. ACCEPTANCE OF THIS PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment wlll b~m~~e as outlined above. ~ = ~~~:~~~~ - - -~ - - - - - ~~:~ - ~~~~~:~~ - - - _1'! i ~-~ - - _ _ __