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HomeMy WebLinkAbout95-4953 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 495311 BUILDING ELECTRICAL PLUMBING , ~- - / b - '?.s.- Date -..J '=C- ~ ~HANlc0wer Conn Water Conn: '1'// ~"' /1<<1117 1)/1, Property Owner: !~{--: ' .1,,/' ..... r ~ Job Address: J _0 ~_S _ .--!"'<'~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work 0/' /"e'~-r Radon Gas: FINAl~'::' Z c. - 7' f 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 City License Registration # 9' 't- State Certified License# :~;~~;:,:e~~? d'~ Company _ _ _ Address Telephone# Valuation or L /. L/ "- -;". A-71 Contract Price 77 7 -J V V U &~-b"~,J;:jl ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. @ 40% Pre-Consumer .content . 10% Posl-Consumer Content 'ropollul Page No. of Pages ; , State Certified ENVIRONMENTAL CONTRACTORS 3843 Hwy. 301 So. Dade City, Florida 33525 Phone 567-5515 Electrical EC 0000491 Plumbing CF C037171 Air Conditioning CA C029382 PROPOSAL SUBMITTED TO Mitchel Ellis PHONE DATE 782-1431 05/10/95 STREET JOB NAME ARCHITECT EXisting C/O JOB LOCATION 39321 5th AV. CITY. STATE AND ZIP CODE Zephyr hills DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: .JN$TMJ.,.;...... .. J....tQn.....XQRK...h:i,gh...~~f.,tG... ..h.~~t....pYJIlp...~lr...h~.D<3.1~r... Model F lSF03~....................... 3 ton YORK high effic. heat pump condenser Model ElFH036 .. ..........n.............w............... ..................................................h..................h...w......................... 34300 BTU's 7.5KW Heat Strip EER : 12.00 COP :3.10 . R~pl~G~~nt...Qf.....Gqrr~nt.."l)lC,.,f$yf3.t~IIl,.",tnGll.1q:i,ng..II19qH,tG~t:::i,()r1..,.Qf.....~~.:i,f3.t:::i,ng.qqGt::....w.9r;Js,...~.~.,Jl~~.~~........ sary using foil backed fiberglass duct board and/or foil-faced flexible insulated duct as ... ~ppJ:i,c;::~t:::i,Qn.g~l@,nqf3.......P.l.,l..."ql.1Gt::...,.I:::lQ~rq..Qqt::t::....jQ:i,nt::.f3.J::Q....Q~...GJQt::h....t::~~g...,.~n(3.qQqQl.,~.....f3.t::~pl~.......~U.... joints to be sealed with Fasson 810 commercial grade acrylic foil tape. EXisting copper . .I~trig~I~nt...li.n~f$."....t::h~,rlJQf3.t::gt::.,.,w:i,r~I.....~nq....~l.~.t::.IJG~1..GQnn~t::JQnf$c.mqh9IqW9~~....wUl.....~.... used where possible or replaced when necessary. A new thermostat will be provided. ----------------------------------------- INSTALLATION ro IOCLUQI;: THE FOLLQWJ,:NG... .... ..............H......H pr:i,c;::~$.t::~t::~q...:i,nGll.1g~f3.AQ';IQ:$.~Aq~W~TP.T...I.. EIJ:CTRIC . SURGE PROTECroR and 2 SERVICE CHECKS during 2nd year of operat:i.on~ ...............HH...................H..... ......................'....... ..... !~W.~~,* ...1...,yr,....pg'(,t::f$/l.~QQr,.... ........S..yr,... mgnl.1f~C;::t::yr;~r,f$ ..c;::QffiPr~$$.Qr,..pgr,t::...gqgr~nt::y.... lit Jlropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ $4450.00 ) . 50% at contract signing - 50% at completion All material is Buaranteed to be as specified. All work to be completed in a workmanlike manner accordin&: to standard practices. Any alteration or deviation from above specifica- tions 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 strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. days. Atttpfantt nf Jfrnpnsal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. S-16-:'-9~ Signature o/~4 CZ ~ Date of Acceptance: Signature PRODUCT 118.J 1NCi!!iSl.lnc, GloI:OO. Mass. 01411. To Ofdel' PHONE TW. FREE J +800-225.6380 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS APPLICANT --.lJPt rr~HE& E ilis Sll/fit! fYJ I TC...t!€U ELLI S 393~1 fNI/{~WMEAJ,AL GJ)KJ'ttA<0:0~ S PHONE /B~ ~ JL/3/ OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.-D.# /~ '-d0-d/ - OO?/O .- 00100 .- O/IoD , . WORK PROPOSED:____New Construction -^ddition ~lteration ____Repair ____Install ____Sign/Temp. _Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts __M/H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**. **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ._MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUII.DER Signature :::::a -:;~ Company 'iJJ~mfHIJ S~WF !ftIf-~ , '. State Cert. or R~gi5t. . # (1,' 00 L City License Reg1strat1on # , -. .......................................... " PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** J Compsny /3915/fuAJtJ2r'PJi:o _~ State Cert. or Regist. # ~ City License Registration # $/'1 ****************************************** Signature OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~~at this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned usules responsibility for cOlpliance with any applicable deed restrictions. ...-,-~ '.' 5-iIr 'I' - if.,: _~ ~ .. "," ;> I B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to. undertake work, they 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 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 Depart.ent, (813) 788-6611. Further.ore, 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 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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 Suide" prepared by the Florida Departlent of; Agriculture and Consuler Affairs. If the applicant is SOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and proaise in good faith to deliver it to the "owner" prior to ,collencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 work or installation has cO'lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent 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 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ~l P. not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent 1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Ufficial frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issll~d ~~all becole invalid unless the liork authorized by such penit is co..enced within six tonths of issuance, or if work autholli:ed by the perait is suspended Dr abandoned for a periDd of six lonths after the tile the work is co..enced. One 90 day e~tEnsioll of tile, lay be allowed for the permit with fee [harge of ~IS.OO. The extensiDn shall be. requested in writing to the Building Offitial. An approved inspection lust be logged during each'six lonth period, or the project lIillbe considered ab,ilJdoned. 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 All"ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~1r~~Ji~'_-~~~-~~~---- OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE_______________________________________ DATE___________________________________ NOTARY AS TO OWNER OR AGENT___ -~- MY COMMISSION EXPIRES Notary Public, State of Florida - - IToo'EH't"CTlm1t!S -t:'t1rrrran-:-:f1T- -- My commission Expires April 27. 1990 Comm. No. CC 196771 NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________ ...