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Home My WebLink About95-4973 BUILDING PERMIT :2-0 B~ C~~ErT~~ PL~ Q ~ ~ 2 'iate,conn PW"""y owne'~~~~ ~1, If ~. rJ -'--- *' .. w~' ate: Mete' Job Address: .J q Ti ("-;,I.F. s. Parcell.D. # CITY OF ZEPHYRHILLS (813) 788-6611 No Permit ". 4973 III 5-r22~tj~ - Date Sewer Conn Zoning: FINAL 6 - c.o. 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. DATE Inspector Valuation or Contract Price ~191~cP.9 ~~Q Permit Fee . I Slgnatu'e~' r?~ Company. ;& y City Ucense Reglst<atlon # I ~ State Certified License# /'! J9 ] Address Telephone# BU IU311\rG"/ .....,..- ~~75 ( ~M~' . . E~r~IC- .'2: I Ftr. Pre SLB Lintel FRM. Insul. CL WL ) ~ 0tJn <Ki/-!C, ~.. e: MECHANIC -'.". · 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. SEMINOLE I"ORM lJlI6 PROPOSAL ~17?~ t, r-f. 1 7 "7/ OtDONOV.ANIS AH1 CONDITION!NG ./r/1.>(/) e / e. , "AND HEATING ) 09 5 pv1 /'1 ?T~ .57-1 6610 16th St. f) 4' ?! e C -;1 F!- ) 3'.s-.? Zephyrhills, FL 33540 Page No. of Pages PROPOSAL SUBMITTED TO: o (516) 329-1758 JOB NAME, pency Owens STREET , I ' DATE, May 22, 1995 NAME, Grace Wilson STREET, Realty (Agnes Buckley) 52 Seabriqht Av. 5402 9th St. CITY, East Hampton N.Y. STATE, 11937 CITY, .Zephyrhills Phone# Ofc Wk J STATE, Fl 788-0459 7AA-7q?4 We hereby submit specifications and estimates for: Replacement of Existing Airconditioning unit with 10 SEER Three Ton Rutid Airconditioning unit. (Airhandler 10K.W. UBEA17J10NFBA Condenser UAKA037JAZ) One year warranty on parts and labor. Five year warranty on compresser. Includes new copperilines, thermastat, and the electric up to code for the airconditioning only. Parcel# 21-26-11-001.0-136.00-0-1301 \ I One Thousand Eiqht HundredSeventvFJ Vcrallers (S 1,875. -------..., wilh payrnenllo be made as follows, We hereby propo.. 10 furnish labor and malerials - complele in accordance wilh lhe above specificalions, for Ihe su", of, In full within 30 days after work is completed. All "'alerial is gAranlNd 10 be as .pecified. All work 10 be compleled in I workmanlike manner Iccording 10 .tlndlrd prlctice.. Any Ilterllion or devillion 'rom above .pecificalion. involving exlra co.'s, will be execuled only upon wriUen order., and will beco",e an exlrl chlrge over Ind Ibove lhe .,';male. All agreem.nl. conling.nl upon ,'rike., Iccidenl. or delays beyond our conlrol. This proposal .ubiec, 10 Icc.pllnc. wilhin-7 t7 - days Ind i. void Ih.....',.r Illhe oplion of Ih. und.rsigned. Aulhorized Signalure The above prices, specifications and conditions are hereby accepled. You are authorized to ~o Ihe work as speCifie~d' Pay ntwill be made IS oullined above. .-1 Jtl ACCEPTED: Signalurer-: tr-fj1lLl fJLd: ~~ Dale f..- Signa lure ~ l F;C1GERS ELECTRIC I' TEL NCI.9045832949 .Ma~-.2T;95-.-r6~:33'" P .01. i' ROGEHS ELECTRIC DOU(~ ROC1~RS 6007 1308Wf lirE CT. RIDGE MANOR, FLA. 33525 $3-5611- I .,..t ~ - ~ m i\o<..l.~lAS" uJ2L't~~~ _ b.1?1~~.__ . 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APPLICATION FOR PEmfiT ex ic'Y OF ZEPHYRllIUS BUILDlliG DEPARnIfJ'NT OWNER'S MAKE PROSE OWNER'S ADDRESS 9t I, 5'i- , LEGAL DESCRIPTION: I.OT(S) 17 {l / Lf. g- /- I) 6- j/-(JtJl/ tJ PARCEL 1. D .1 rr- f Lf f I- 2 eLJ 0 t rt/l'(('7 Pj, 7) 5"~' Q { B1OC1{ /} 0sUODIVISIOlti / 19 J -/ 6.00-0-/3.1// JOB ADDRESS WORK PROPOSED :_!NIev C'onstruction ~tion _A1teration Repair ~Inst:all _Sign _Move _Deaolish PROPOSED USE: ~iJJg1e Faaily _KIF _, of Ulnits _KID _~rcial _Indust. _Swill. Pool Ot:her _Restaurant &: Hea1t:h nepan:.ent Approval BUILDING SIZE: 1" b xn. ~ ~ L{ Square Feet, f(/ Height RESIDENTIAL: COHKERCIAL : AlTACH (2) PLOI' PLAIIS &: (2) SEI'S OF BUlLDDIG PI..US &: (1) SET EHERGY FORKS. ** ATTACH (3) SEI'S OF B1JII.DDiG PLAIIS &: (1) SET EHERGY FORKS.** **COPY OF CONTRACT ~. PEmIITS REQUESTED _BUILDING $ Valuation of Total Construction $ A!IP Service f7f? ?:~ Florida Power Corp. W.R.E.C. ELECTRICAL V HECHAJnCAL Valuation of Kechanical Installation TYPE OF CONSTRUCTION: _Block ROOFING ~Fraae _Steel sptCIALTY _PLUKBING GAS Ot:her FII!iISHED FLOOR ELEVATIO]tiS: FI' . IS PROJECT IN FLOOD ZOSE AREA? YES NO ****************************************** C05I'RACIOR SECTION COIIPANY State Cert. or Regist. , City License Registration , ****************************************** BUILDER Signature ELECTRICIAN ~5-e...L- Sismature COIIPANY ~ ()J e r .7 r;: I ~ [1/' ; C- aft;~~ Stat.e Cert:. or Regist:. , __ City License Registration I .2'5 I ****************************************** Signature COItPANY State Cert. or Regist:. :f City License Registration 1 ******.*********~*****~**~~++.************ PIHtBER Signature COItPANY 0 r State Cert. or Regist:. I City License Registration I ************************** (1'-1'1( (f( ?'1'7 J KECHAlUCAL OTHER COIIPARY State Cert:. or Regist. :f Signature City License Registration , ****************************************** APPLICATION APPROVED BY pERftTY OFFICER. CONDITIONS OF PER~IT AFFIDAV!T A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject tt, "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for tOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIB~LITIES If the owner has hired a contractor or contractors to undertake work, they may be required ,to be licensed in accordance with state and local regulations. If the S~~~r,~ctor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the ONner 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 Departlent, (813) 788-6611, . Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the "Contractor Sections" of this application for whirh they Nill be responsible. If you, as the ONner 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 Ilot properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE?. D. CONSTRUCTION LIEN LA~ (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 Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cOlaencelent. 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 co.pliance 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 cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNs regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended Nork, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, WaterlWasteNater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial i: 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 violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuan'~ of a pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is comtenced. One 90 day extension of tile, lay be alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six lonth periOd, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT IlEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT 3iSNATURE: ~ONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC