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Home My WebLink About95-4873 BUILDING PERMIT No Permit '. CITY OF ZEPHYRHILLS (813) 788-6611 4873/1 Date 7'- :2./- f S' BUILDING ELECTRICAL PLUMBING c:MECH'~I~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~~~u ' . oo.j /:.. _ t:l ~ / C s""" =-11 Water Meter: T.I,F,s: Zoning: Description of Work Energ~e: A/~ ~ ~(fJ2 Radon Gas: FINAL ~(./ .--CJS DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # State Certified License# /513 Permit Fee ~ '~ Signalture-' ~ Company Address Telephone# Valuation or Contract Price c2. y"S7? " o-D , O.f-A ~ , BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Canst. 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. APPLICATION FOR. PERKIT CITY OF ZEPIIYRIIILL'i BUILDING DEPAR'l'HERT OWNER'S IWIE To hi/I; ~ :s/-€ If/{ ~ SR;f-/~&/ PHONE 7 <J ~- / b 2? ~ OWER'S ADDUSS ,3 9;' 3~ ( ()OUYl/f.-,Y 62() c;f fl/-,Sr JOB ADDRESS c ~te LEGAL DESCIlI.P'fiON: LOT(S) BIDClL--SUBDIVlSION PARCEL LD.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:~ew CoIIstruction .--.Addition ----.A1teration ~pair f::tn;tall _Sign ----.JIove ->>eaolish PROPOSED USE: ~ing1e Fsaily ---1t/F _' of Units ---...Jf/B Leo-ercial _lDdust. _Swia. Pool _Other BUILDING SIZE: lA' Otl~. ~ DESCIlI.P'fiON OF WORK: RESIDEIiTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: AftACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQ1JIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDING $ Valuation of Total Construction RT.RCTlUCAL AIIP Service Florida Power Corp. W.R.R.C. ~awnCAL $ 2 g So. d-t) Valuation of Kecbanical Installation -..PLUIIBDlG GAS ROOFDlG TYPE OF CONSTRUCTION: ----oBloclt ----Yraae _Steel SPECIALTY Other PDIISIIED :FLOOK ELEVATIOI1S: n. IS PROJEct IN FLOOD ZONE A1lEAT YES NO .......................................... CORTRACTOR SECTION COIIPAI1Y State Cert. or Regist. . Ci1:y License Registration . .......................................... R(ITT.DER Signature SionAture COMPANY State Cert. or Regist. . City License Registration . .......................................... RT.RCTRTCIAII COIIPABY State Cert. or Regist. . City License Registration . .......................................... PLUMBER Signature IIECIWII~ 2 OOIIPABY SQl,2J.r oS .. --- -, State Cert. or Regist. . Signature ' ~ ~1A-1''-~ City License Registration f .......................................... .., 4--I-"\C COMPABY State Cert. or Regist. . City License Registration . .......................................... OTRRR Signature APPLI~noR ~~ ~~.~~ \. _' ........J.....'....+-... ..~.....,..".,._ -' l 1'."........ !, PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pemt laY be subject to 'deed restrictions' wbich laY be lOre restrictive than City regulations. !be undersigned assUJes responsibility for ~1iance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner has hired a contractor or contractors to undertake work, tbey laY 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 lisdl!ll!allOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireIeDts laY apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich they lill 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 wisbes 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 Zepbyrhills. . C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW' (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of 'Florida's Construction Lien Law - &.oImer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsWIeI Affairs. If the applicant is 8OIl!OI18 other than the 'owner", I certify that I bave obtained a copy of the above described dOCUleDt and pnmse in good faith to deliver it to the lIownern prior to COIIeJlCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoflation in this application is accurate and that all wort will be done in COIpliance with all applicable laws regulating construction, loning, and land develOpleDt. Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation has ~ced prior to issuance of a perlit and that all work will be perfOIJed to .et standards of all laws regulating construction, City codes, zoning regulations, and land develo(lEllt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlleDtal agencies laY apply to the intenc1ed wort, and that it is If responsibility to identify wbat actions I lUSt take to be in co.pliance. Such agencies include but are not lilited to: t Departlent of BnviIOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lauds, Water/Vastewater !reatlent t Southwest Florida !later lIanageleDt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t AIIY COIPS of Engineers - Seawalls, Docks, Ravigable Waterways t Departlent of Health i Rehabilitative Services, EnvirODlelltal Health Unit - !lells, Wastewater rreatlent, Septic ranks t US EnvirODleDtal Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood ZOne IIA' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpeDSating volute' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. .. l' / / ~~""" A perlit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building OUicial fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pem1t isaued sball beCCIIe invalid ' unless the wort authorized by such peIlit is COIIeJlced within sillODths of issuance, or if wort authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day utension of tile, lilY be allowed for the perlit with fee charge of $15.00. !be utension shall be requested in writing to tbe Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. WARlfIRG ro omR: YOUR PIILURE ro RECORD A RO!ICE OF CCIIMDCIIIIIfl' IlAY RESULf IR YOUR PAYlRG DICE FOR DIPROVIIIIIrS ro YOUR PROPBRrY. IF YOU IJIUID ro OBrlDf FllflIfCIRG, COJISULf WID YOUR LBIIDIR OR 11 AftORDY BI10RI RICORDIRG YOUR JIOflCE OF COODCEMm. JOBS UlDIR '2,500 IR VALUE 00 RO! mD ro RECORD AMD POSr A -DICE OF CCJIIIDCBIIDr'. i{j~,,~ ;jf1t2Xl/1 SI ruRI: COIfJ'RACro ~ ::rO~/LORID~O . The foregoing in~as a~OWledged before me this '" 19 by . , , <>r who has Sf ArB OF FLORI~ COURY OP ~ SC 0 The foregoing inst~t was aCImQ)l1edged before lie this dO y, I J...., 19~ by ~ e' I\J <;-j-; tV IV e1t- who 1S perso~ll.Y known to me or who has produced \'J'o u.J N as id .ficatian and who did/did not tat iJth."" (Si~Ure) , P C5S1 e. F. A-s f</ e ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC DARCY REISMAN MY COMMISSION' cc 364671 EXPIRES: May ,. 1998 Bonded ThnI NolaIy PubIlc UnderWri18rs 'i' BESSIE F. CASKEY S1Me of Florida My ConlIlI. EllD. Dee, 4, 1995 Camm.' Cc 165513 ~ " A and B SERVICES of CENTRAL FLORIDA INC FL LIC # RA0066560 P.O. BOX 897, 788-3129, ZEPHYRHILLS FLORIDA 33539 te: 04/08/95 Quotation: 00 5 7 Customer: JOHN'S STEAK AND SEAFOOD Telephone: 783-1623 Page 2 ~SCRIPTION (Continued): ACCEPTANCE OF PROPOSA DATE ,/ A and B SERVICES of CENTRAL FLORIDA INC FL LIC # RA0066560 P.O. BOX 897, 788-3129, ZEPHYRHILLS FLORIDA 33539 Page 1 ate: 04/08/95 Quotation: 005 7 . JOHN'S STEAK AND SEAFOOD JOHN 38361 COUNTY RD 54 EAST ZEPHYRHILLS FLORIDA 34248 Telephone: 783-1623 DESCRIPTION: PROPOSE TO INSTALL A CARRIER AIR HANDELING UNIT NEAR THE CEILING IN THE STORE ROOM MATCHED TO THE OUTSIDE UNIT FOR SIZING. SCOPE: WILL INCLUDE RECLAMING EXISTING FREON, REMOVAL OF EXISTING UNIT, REMOVAL OF DAMAGED DUCTING IN THE STORE ROOM, HANGING NEW UNIT USING PROPER METHOD, PROVIDING AN EMERGENCY DRAIN PAN, REATTACHING NEW UNIT TO EXISTING DUCT SYSTEM, NEW THERMOSTAT WILL BE INSTALLED, RE ROUTING EXISTING CONDENSATE DRAIN LINES AND HOOKING UP TO NEW UNIT, REROUTING AND REATTACHING FREON LINES, NEW LIQUID LINE FILTER WILL BE INSTALLED, RELEVEL OUTSIDE UNIT TO CODE, REWIRING TO EXISTING ELECTRICAL ONLY (NOTE:IF ELECTRICAL NEEDS UP GRADED AN ELECTRICAL CONTRACTOR WILL BE REQUIRED), ALL LABOR AND MISCELANIOUS SUPPLIES TO COMPLETE THE CHANGE-OUT. NOTE: WORK WILL BE PERFORMED AT TIME SCHEDULED BY MUTUAL AGREEMENT BETWEEN CONTRACTOR AND JOHN'S REST. CONTRACTOR WILL REMOVE OLD UNIT IF JOHN'S REQUESTS OTHERWISE IT WILL BE DRAINED OF FREON AND OIL THEN LEFT AT LOCATION WHERE CUSTOMER DIRECTS. ALL MATERIAL IS GURANTEED TO BE AS SPECIFIED AND THE ABOVE WORK WILL BE PERFORMED IN ACCORDANCE WITH SPECIFICATIONS AND COMPLETED IN A SUBSTANTIAL WORK LIKE MANNER. FOR THE SUM OF $2850.00 INCL~S PERMITcfE~ , RESPECTFULLY SUBMITTED ~~ ~ THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO WORK AS SPECIFIED. PAYMENT WILL BE UPON COMPLETION.