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Home My WebLink About95-4679 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit HoC? 467911 BUILDING .20 ~ Jt.) GECTRIC?O PLUMBING YS",o/) .._-~ ~ANlc~)sewer Conn Water Conn: Date ;2.-b '-7~- Pcope"v Dwnec ?!-d< I'r) b Job Address: ...j" / -:z. · Parcell.D. # /1- ;2b- ;L/ -00/0 -/ tJA.!,}-(J 0- b/~-o Water M.!:!.ter: T.I.F.'s: Zoning: Energy Code: Description of Work '-/7...LA-.' ~ L Radon Gas: tb~ ~-r-~J! ~ NO OCCUPANCY BEFORE C.O. FINAL .;J- I DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 1/1 ~-.... ~ Permit Fee ~ . 0- Signature fv A ' ~ Company Address Telephone# Valuation or Contract Price 3,-s--b-S ---.. cTD , BUILDING ~~~ ELECTRICAL '/ b / ~~JJ 4~1 PLUMBING MECHANICAL Breakers Ducts Insi. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 2"'1()~'~ ~ ~~l~ v~P;L SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway 2-9-1) /doh 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT (} o;UTJ2.H C-./CJRS. 7JA-U to/ PHONE 67R It ~:5'J 6" f}AJ II ~ R c5}J (YI E!/;tJT!1- I--. ADDRESS )O;;;~ / NWY. 301 OWNER ffI ff1~XL- Y nJ' L:;cJU~~ JOB LOCATION 56, /1 I;{ 711 5:;-; LEGAL DESCRIPTION: LOT(S) 1/ .2~J,' //-;({p~:)1 - OO(D , LOT SIZE_X AREA SQ. FT. BLOCK SUBDIVISION PARCEL I.D.~~ - )OSOO - D)SO WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts _____M I H ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,*it **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING ~ELECTRICAL XMECHANICAL _PLUMBING $ /.6"() AMP Service $ :15%~ Valuation of Mechanical Installation Valuation of Total Construction ~ Florida Power Corp. I _W.R.E.C. 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 ::::::~ ~ Company ;;/JRmf11t} :;'V,''if{f!/ ,em . /l; . s~ate ?ert. or R~gis t. . # ' . }t'/tJ C1ty L1cense Reg1stratlOn ~F /~/ - ~/ .......................................... PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company gill IIr~OIJ/nc,I/77fL (!olv71M(!..7ab State Cert. or Regist. ~,! ~~Ac.~f}r3g 2- 1 License Registration _____ ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY PERI-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this persit aay be subject to "deed restrictions' which may be more restrictive than City regulations. The undersigned assuses responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they aay be required 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 sisdeseanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner 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 work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES 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 law - HOleowner's Protection Guide" prepared by the Florida Departsent of, Agriculture and Consumer Affairs. If the applicant is so.eone other than the "owner", 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 cOlmencesent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a persit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development 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 .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~ie not liltited to: . Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive 1.dnds, Water/Wastewater Treatlent . Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Deoartaent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks . US Environlental Protection AQency - Asbestos abatelent I also certify that, if filllllaterial is to be used in FlOCod Zone "A" or "A,etc.", it is underste,e.d th,\. a drainage plan addressing a "coapensating volume" will be sub.itted which is prepared by a professional engineer reqistfied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici~l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit iss\l~d ;nall beco.e invalid unless the work authorized by such penit is COlllenced within six months of issuance, e,r if work authclIlZed by the per.it is suspended or abandoned for a period of six sonths after the time the work is cOlllmenced. One 90 day e~tE~sIO" of tile, lay be allowed for the permit 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 to nth period, or the project will be considered dbaildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NE~ RECORD AND POS A "NOTICE OF COM~MENr". SIGNATUR~~- SIGNATUR~~ DATE____________~-~~~~---------- DATE___~:-~~~~:~::-------------- NOTARY AS TO OWNER OR AGENT _~-4~------ MY COMMISSION EXPIRES______________________ NOTARY AS TO CONTRACTOR__~~~--- MY COMMISSION EXPIRES__________________ "~...,'\,\\\~yl"r;;",'q,,...,. ~o.....t;:....-,.,.,~~~% GERALD A SAVOY :i~' ",," -;;. . f + (~rf \ Notary Public, State of Florida \.~\~/,,+ 1 My Comm. Exp. Aug, 21. 1993 -><:/,iif.'lt'ii'~~/ Comm. No. CC 401875 "'"11111111\\\\\\\'1: ~~,\,\,\,~l~ll'";,,"',~,,/. (?r:~glr) ~..r......~...~~ % ~ .I..................~ ,<::',f '\"II;',II?1 ~Illll~\~'\\""~ GERALD 1\, SAVOY Notary Public. State of Florida My Comm. Exp, Aug, 21, 1998 Comm. No. CC 401875 .ff>- 40% Pre-Consumer Content. 10% Posl-Consumer Content /1 ~;l,(,-J 1.00/ 0 ~JDSOO ~ DIDO State Certified ENVIRONMENTAL CONTRACTORS 3843 Hwy. 301 So. Dade City, Florida 33525 Phone 567.5515 Electrical EC 0000491 Plumbing CF C037171 Air Conditioning CA C029382 , Jrnpnllul Page No. of pa-ges 7"1- '1 OJ.. - JJ :J... PROPOSAL SUBMITTED TO mAAfJ... N ~ Lince STREET PHONE 782-3694 DATE 01/31/95 JOB NAME Existing(950) CITY, STATE AND ZIP CODE Zephyrhills fJ..., J35'10 JOB LOCATION 5614 12th St. ARCHITECT DATE OF PLANS JOB PHONE. We hereby submit specifications and estimates for: INSTALL: 2 ton YORK high efficiency A/C air handler MJdel FlSF030R06 2l6riHYOR't('..high..efficIencyA/C.HOOridenser......H,...'.J.f)deIHHlDBO24S06'..H.....H.H...PRrCE'..$.'H3325~OO. ......... ...............;:~:~~q~~~l~:~~~:a~~~;;~::JJ:; ..............................................................................................................................................IH..'..i~E:;gL?ffi?:~......~,H.,.,H..J!.......,........~......,',.....~,....'.......r........a,.rr.................~......~.....':~......~.."..~.....'......~...................... ... ..... ... ...H. .H.... .H...HHINSTALIATION.ro N:IlID L ~tf.- ])Uc, /7etfl~ Ductsystem.Hof"ohe.Ihch.f6iT;;;;baCkedfibeiglass..b6afdTowehs;;;;cofhihg.t8OO.....R=6H~Ol.aoo..tfiStilated foil-faced flex duct as required. All joints to be stapled and taped with Fasson 810 camer- claI....grade...foII...tape.~..H.Butt.....joihts....tO..beHcI6th...tiipea.aoo..dOUble.sUipleCl.'before..foir.tiipeHHappli;;;;;... cation. All flex duct joints double fastened with panduit-type straps, all flex duct supply runs..t6....be....ifidividt1ally....dart'ipered.~.....Copper .refrigerant...lines...with.....insulation....over....suction.ltne... . Single return air system, netal white baked enamel return and supply grills, low voltage wirihg...aoo....thetfi'bStat.~..HC6fidenser..t6..be..placed.H6Ir.f6tifida.ti6n....of..4x8xl6...ooncrete..blocks,.'...or..... other foundation as supplied by owner or builder. ...... . ....... ..... *l~.L.I:I: FOrailHt,oh.riru'RijfW:at.eE.RecovCi:Y...T'riH::."lfiSWledH.a&i'.$.~qt:;"~~n....H......".H"'...'.H. Prices stated above include ELEX:TRIC SERVICE UR;RADE to 150 Amp-Electric wirin~*~*:1t~. ~~;/~ ~e;~=~::~:;a~~~~~~~or ~t~::~;."""..'...'.. JIb 'rnpnsr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dollars ($ c!S(P~'Y CV), , "'.~ 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 speciflca- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature 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. Note: This p posal may be Our workers are fully covered by Workmen's Compensation Insurance. wi~hdrawn by us if not accepted within days. .Atttptautt nf 'rnpnsa1- The above prices,~pecifications 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: J';';". 1, / q'1.? Si'"M~o/llhft/ If'c{~ Signature PROOUCTTl8.] ~1nc.._._OlmT.OnIor_IOU.FRUI+IOO-m.6ltO