HomeMy WebLinkAbout95-4785
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
4785#
BUILDING
02-0 - cTD
GLECTR~
PLUMBING
g:s.--07J
-~
~CHANIC~ Sewer Conn
Water Conn:
Date J~~/-~..!:>-
Pmpe"y Owne, ,:-4.,:.':' ~.
Job Address: -.5 .y..3 _ -'---
Parcell.D. #
Water Meter:
TI.F.'s:
Zoning:
Description of Work
Energ~
A;/C ) AAr(j~
Radon Gas:
FINAl_~d:Z .
DATE
NO OCCUPANCY BEFORE C.O.
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 # c:2-_ 7
State Certified License#
Pe,m;,Fee ~~
Slgnature_ _L~_
Compan/"
Address
Telephone# (.6)3) f3bfJ -'153)
Valuation or
Contract Price
J.s, ~ ,,967. o-D
,
BUILDING
~/MA~J;{ L_
ELECTRICAL / ~.,8-.
Q;J;j'~ff~
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Canst. 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.
, ~.... - .~. ''''~''-..'._..,_.-
- ---.-.-- -~'..-.- - _.._- ...... -- ,-
APPLICATION FOR PERKIT
CITY OF ZEPllYRBILLS
BUILDIRG DEPARTMENT
OWNER' S NAHE
SUN BANK & TRUST COMPANY
OWNER I S ADDRESS
1 EAST JEFFERSON
PHONE 904-754-5701
BROOKSVILLE, FLORIDA
ZEPHYRHILLS, FLORIDA
JOB ADDRESS
5435 GALL
LEGAL DESCRIPTION: LOT(S)
BLOCIL--SUBDIVISION
f";'
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-Rew Construction ---/iddition -..Alteration ---Repair ~Install
--8ign
---JIove
-Deaolish
PROPOSED USE: _Siogle F_ily
---.Jt/F _' of Units ---.Jt/H
_~ercial
_Indust. _Swia. Pool _Other
---Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:REPLACEMENT OF AIR CONDITIONING SYSTEMS
BUILDIRG SIZE:
x
Square Feet.
Height
RBSIDERTIAL: ArrACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ArlACH (3) SETS OF BUlLDIRG PLANS & (1) SET ENERGY FORKS. .
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUR.<<;TED
-BUILDIRG
x
RI.8CI'IUCAL
$ Valuation of Total Construction
TIE INTO EXISTING SERVICE FOR NEW SYSTEMS
AIIP Service Florida Power Corp.
H.R.E.C.
2.JmCIWIICAL
$. 13,690.00
Valuation of tlechanical Installation
-PLutIBING
GAS
ROOFING
SPECIALTY
TYPE ~fl CORSTRUcnON: --..Block _Fr_e _Steel
Other
FIllISBED FLOOR BLEVAnOIlS:
PT.
I.S PROJECl I.H FLOOD ZONE AREA.,
,-
..........................................
YES NO
CONTRACTOR SECTION
BlflIJ1RR
COtlPANY
State Cert. or Regist. t
City License Registration t
....................................
Signature
COtlPANY SCHMITT, INC.
State Cert. or Regist. . ER0000579
City License Registration' 138
..............................
Signature
COMPANY
State Cert. or Regist. .
City License Registration t,
..................................
COtIPAHY SCHMITT, INC.
State Cert. or Regist. t RM0017343
City License Registration' 29
.................................
l11IIB COtIPAHY
State Cert. or Regist. .
:igoature City License Registration I
..........................................
PPLICAnON APPROVBD BY PERKIT OFFICER.
__,__~~"",,--,,---""--'r--- -,a .__' __~...__ _ __ --__..._..._ -,-,-- -......--,--..-----............'- ---I.
r~ations. I'be undersigned assU1e8 responsibility for COIpliance litb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe 0IR1el' bas hired a contractor or contractors to undertake IOrk, they lilY be required to be licensed in accordance "itb
state and local regulations. If tbe contractor is not licensed as required by lal, botb tbe mmer and contractor lilY be
cited for a IisdeJeanor violation under state lal. If tbe OllJler or intended contractor are uncertain as to "bat licensing
requirell!llu lilY apply for the intended IOrk, tbey are advised to contact tbe City of ZepbyrbUls Building DepartElt, (813)
788-6611. '
FurtbeIllOre, if tbe ower bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiODl of tbe
.Contractor SectiOO8. of this application for "hieb tbey lill be responsible. If you, as tbe OlDer sign as the CIIltractor,
you are inc1icating that JOU, rather tban the contractor, are responsible for tbe lark. If tbe contractor wiabes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ASAHBHDED)
I certify that I, the applicant, bave been provided litb a copy of .Ploric1a's Construction Lien LaI "!' s..o.mer's Protection
Guicle. prepared by tbe Florida DepartJent of Agriculture and ConsUII8I Affairs. If the applicant is ... other than the
.000er., I certify that I bave obtained a copy of the above described docuJent and PreEU in good faith to deliver it to the
.000er. prior to co.enceleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in tbis application is accurate and that all IOrk "ill be done in COIPliance litb all
applicable lals regulating construction, loning, and land deve1opElt.
Application is hereby lilCle to obtain a peIlit to do IOrk and installation as indicated. I certify that. no ak or
installation baa cc.I8Jlced prior to issuance of a perait and that all IOrk "ill be perf OIled to .et st:aDc1ards of all 1l1ls
regulating construction, City codes, loning regulations, and land developll!llt regulations in the juris4ictilll. ,1 also
certify that I understand that tbe regulatiODl of other goveruental agencies lilY apply to the intended at, and that it is
Ii responsibility to identify lbat actions I lust take to be in COIPliance. Sueb agencies include but are not lilited to:
I Departlent of InvirODll8lltal Regulation - Cypress Baybeada, lIetland Areas and Invirolll8lltallr Sensitive Lands,
lIater /IIaste1tater !reatlent
I Soutblest Floric1a lIater ManageleDt District - lIells, Cypress Barbea4s, lIetland Areas, Altering Ilatercour888
I lIlY Corps of lDgineers - Sea"alls, Docks, Xavigable lIatenays
I DepartJent of Health' Rehabilitative Services, InvirDDl8lltal Bealtb Unit - lIells, lIaste"ater I'reatlent, Septic !anks
I US Invirouental Protection Agency - Asbestos abateEllt ' "
I also certify that, if flllllterial is to be used in Flood ZOne .A. or .A,etc.., it is understood that a drainage plan
addressing a .cmpensating vol.. lill be suhlitted whieb is prepared bJ a professiODal.engineer registered in..tJIe State of
Florida prior to perllt issuance. '
A perIIit issued shall be construed to be a license to proceed lith tbe IOrk and not as authority to violate, cancel alter, or
set uide anJ provisions of tbe technical codes, nor sball issuance of a perlit prevent tbe Building Official fa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued sball ~ invalid
unless tbe 1IOrt autboriled,br Bueb perait is co.enced "itbin slllOlltbs of issuance, or itlOrt autboriled bl tile pettit is
suspended or abandoned for a period of sil IODtbs after tbe tile the ak is ~ced. One 90 c1aJ atensiCll of tile, lilY be
allOled for tbe perait lith fee charge of $15.00. !be atension sball be requested in lriUng to the, Building Official. An
approved inspection at be logged during eaeb sillODtb period, or the project "ill be consic1ered abanl1oned.
IIARJIIXG '10 CMIIR: YOOR FAlLURB 1'0 RECORD A IO'IICI OP CCJIIIICIIIII'I MAY RISUL! 0 , FOIl '10 YOOR
PROPIR'IY. IF YOU UIIXD '10 OBt'AII PIlIAIICIIG, COISOL! Ill!! YOOR D lnoRllY BIroII tOOl lmICI OF
CIIIBI'I. JOBS $2,500 II vnUl DO 10'1 KDD 1'0 RECORD . )A 'MICI OF CCJRI '0
S'IA'fE OF PLORIDA tkT
coum OF t'\8nd(')
The foregoing instrument was acknowledged
before lie this 01a1T~ ~ , 19~ by
-Johl'\' A La. G r~s..s e..
who is personally know.o to lie ~ whe, bas
pPOClucetl '
as identification and who
take an 0
1'1 OP FLORIDA
OP Pasco
he foregoing inst1'Ull8Dt was acknowledged
before me this1J1oAcLcX 0 , 19~ by
:IXU0;e L k' s,c.1,Vl');+ +-
who is personally know.o to ~ or who has
produced
as identificati
take an oQ.th.
~
(Signat ~~. ~ht"&
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NOTARY PUBLIC STATE OF FLORIDA \
MY CO..".,ISSION EXP JUNi. ZS.lH& ;
BONDED THRU GENERAL It~S. lJII). ~,"
Idid not
'(Signatu~. A /' b
11-1 . we '~~
(Rame Typed, Printed or Stuped)'
ROTARY PUBLIC "
t-~Y PI./8.. OPPICIAL NOTARY IIAL
0" ~;!: GAIL A WlllfIl
~ W ~ COMMI"ION HUMU"
; < CC407572
'7',1] j My.coMMlUlON IXP.
(C'OFf\.O SEPT 111908
1 '~':
03/07/95 16:15
'8'904 799 3606
SUNBANK FINANCE
1aI 0011001
Pasco: ('13).888-9531 .
Hemando: (904) 8e3-l .
Pln.llas: (813
ItNs'
1
AlO. AM0017343
Page No.
Proposal ~"'I(J4
Job No,
Date
03/(16/'7'5
7928 W.GVlF'To-LAKE HIGHWAY
WOAKTO..PU.OAMEDAT
SlrOOI
Clly, Slat.
Oal. of Plant
An:hlltct
543:;' GALL.
,~
* *
A I It(
KEY ..
CON 0 I T ION 1 N G
9S-f/
.
F'1~(')POSAL.
*
*
*
WE WILL FURNISH ALL TH~ SPECIFIED MATERIALS AND PERFORM ALL THE LABUR
f;;:I::;CilU 1 f~Em ';'OR THe: COrIP'l.ET l ON OF,
INSTALl.ATlaN OF 5 - 5 TON 'J"f;:(.\NE 10 SEE.R SIC Sf:'L1T SYSTEMS INfJ"r'(.)LLEJ)
AT SAI1C: T'Irm: USING EXIS'TING EU::C'TfUl: ~\ND DlJC"W(JRI(~
F'f~ 1 C~! I NCL.UDES I
1-
2.
PERt'I} T
NEW THERMOSTAT HT233D04 10 CONTROL SYSTEMS
W~'Rr1:ANTY .. ONE YEAr~ r'AfH'8 ~~ND LABOR DUfUNG
NORM(.,'L WOfi:tONG HOUR:~l I"IONI>AY HIF\U Ff\Ir)t~..,..
SECtJND THf~U FIFTH Y~~A'~ W':'\r~RANTY ON COI1F'RESSOf~
':~NJ} OUTDOW.: COIl. ONt Y.
ELE:CTF~ 1 C ('~ND [)UC'rWOH~~ AS NEt;E~'3SARY TO TIE
IN"rO EX IS'rING.
Cf~ANE; SEf~V 1 CE
".
~.
"I.
11I:'
iOIo
NEW EQUIPMENT. 6 - TTROhO 5 - 10 KW HeATERS
'; ~ ... 'nl~~CI60
THE ABOVE WORK TO Be PERFORU&D AND COMPLETeD IN A WORKMAN LIKE MANNEA FOA THE SUM OF:
· .:n'f H~'l'Fn~'DI 'Hfl1!19ANP s r '( &.~J Il\Jlu..~'n I\J 1'l\JJ:'TV ANI) n{'/1('tfl.,..... ....~1\tI
WITH PAYMENTS TO ee MAOE AS FOlLOWS:
.. 13
w I ;~... 6tL("~ .llO ~
.
;. ~:
IN FULL ~PIJN CbrvIP[ETION
C~ In the ebove .ptelfk!allont mer be made only upon wrllt.n agr'emen~ and extra charges ""/111M mtde. AI agrHmenllar. conllngenl upon tllfl<.t.
aooldenll or de'ays beyond our control, Yo" ".10 ~ h, lornado and oth.,. neceSSIty lNuranc. upon above WOI1c. Our wor1(ell,,, 'ully COVered by
WOMnen" CampIr1llallon end PWlIo LIIbIIIty ,",,,tInCt. Thill propollal mey be Withdrawn by UI II any Um. before ilCcfpI8l'lC:..
P1OpONI void If not IOCIpNd., ~ .I ~
~. S~';~<'~~_--'_J:: _~
CEPTANCe CONSTANCE HACHNICA
ntwlll be........ Nt forti! lIbovt. W. .cknow'.d.,. thtt..oc.p1tt1ce 0' thr.propo..,
.t.II ~ulpm.nl.nd pIlt1.t whlc".... eold pu,..,.1tI hereto.heH NOThcom. f1x1urt.
Ipltltn..ft.lI.f "mea /1IfN'n "rtOM' p::::r 1t1d Ute 1111. .....to ."." ......,In In
.t ." ~ ""d Iqufp,,*,t -v k ... In ... .".nt of !'Oftll.VIMfIL I h.v.
Mer ""10".111. .ltom.y' . " thl, , I. "10.4 In .... hMcIe 01 an ItOm'Y
"'UUbIeot 10. """" of 1.$% per nth, an". perce" ,. of1.%,
Q
John A, L.Or....
Malnt.nanee Officer
&. Aeslat.nl Security Officer
,
A SunTrult Bank
SunS,nk .nd Truet Company
Poe. Office BOll 158
Brooksvlll.; FlorIda 34805.0158
' 904 754-5701