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Home My WebLink About95-5113 ~- BUILDING PERMII- CITY OF ZEPHYRHILLS Permit l\T! (813) 788-6611 _ /)D -- 1S- ~ p~ ~~H~NI~~ Sewe'Co"" -... (?~ ~ . 0 Water Conn: :~::~:~." m~~-~ .~';:t1r10;.5~;~~.:,Met" Parcell.D. # 1/'- ~(o - 4/ - 00/0 - /107oC) ,- /J;l;U Zoning: Energy;;ode: /CJ :::: ~ Description of Work 1f{'- ;'="""'7-74&--( 1...-~ -.;-- II/I.? JD ./ :~5113 It( 1- /:3 -'}6 Date NO OCCUPANCY BEFORE C.O. FINAL 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 Valuation o~ _<:Ii. .c- h 0 --; iL5) Contract Pnce Z!:.... ~ I ~ /..!J- City License Registration # ex;;l State Certified License# Permit Fee Signature Company Address Telephone# PLU Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp,Serv, 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b, Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d, Work not ready for inspection when called, e, Permit not posted on job site. f, Plans not at job site, g, Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same, .. ~ L CONTRACT ~ ".. ... \ cbNTRACT SDaMIITED TO: ! ,~, " /;' /I.!!;/' .' ,/: ,d.: 5 ,. tJ ;1/ ,--';ii' ,,-. l ~f'}.I' n,', .,r h l. /' ,;J/L.~. PHONE NO. ,>/. >-/f.: ;.' STREET ;A' ,~'// ;:.1/ "../ t" ,(~. (' -, j.it' ./;{'c DATE __<, . ,./._ ~I :_':;t:. ~~;,.. CITY, STATE, ZIP CODE >-';.... /'1) /' -'-,J"; ,"".; ,. .. <.<:: /'--,/, ,/--,~ /"'j .. :1.:,-:1.'- '" ~~i(.i WE HEREBY SUBMIT THE FOLLOWING: EQUIPMENT MODEL NO. DESCRIPTION T (...'/11t..li:: 1\ (A-t r~f":p S.E.E_R K.W_ RATING B.T_U. 7vvlll) Ii; (. t' ,;:.\ L! c..../t iC;l, ~.o (' {'~S/0~';-l.~ {(~ I -iA,../E 0 t:.:--)" "J.;: /.:3' j ;1'/l-"'--'-; , . ~ ~f .' ... ,'7 f !;/ t1< /.' ' ,_ ,. " u //t.{ //~i4.-'b-:.!(/ I ___ .~~..~. 7.A to ''C ;f./.;.- ~ / d / '. ) : DUCTWORK: METAL Y'L:; ELEXlBLE A.J [., DUCT BOARD ;1/4, #475 #800 . NO. OF SUPPLY DIFFUSERS ... ('/ X NO. OF RETURN GRILLES /,7// E ,.i./ tll/;' ELECTRICAL INCL.Vt':', HOT WATER RECOVERY UNIT /1/ .:.. DRAIN PAN iLL LINE COVER Nr; EQUIPMENT REMOVAL )C:5 PRE-HL'NGDOOR ,A/l; ATTIC LADDER /1./' WALKWAY Nu CONCRETEPAD y~, .~ CARPEN1RY A':~I HUMIDISTAT ")t, REFRIGERATIONLINE X~'..s INSULATION ,:Vv WATER HEATER ;lit> I / II.' - I. 7,/ COMMENTS: /;//5'/.",( t. .~",vv' ,,:)t/c 7' j1/C/-!/,< ,~.( ",,/ /;-":'l;:;-1Vt /V/7i".,<-, ,A/;o'-'r.:;,5/),J: 'f . I / /;.1;;- ~~/:c 5 7- ,j"' / 1/ L:~ ,(;'J: ._f )~:~,,: /~~. l> :~':-Y'(' >- WARRANTY: NO. OF YEARS: PARTS Li,{IE COMPRESSOR /-//'"/L- COILS {'/Vl- LABOR ..<"/J,..i.:. WE HEREBY SUBMIT TO FURNISH LABOR AND MATERIAL - COMPLETE IN ACCORDANCE WITH SPECIFICATIONS ABOVE, FOR THE SUM OF: ($ :)-395~~ ). /L7,//<.- 7//0t...J.'5>9/l/i> /Z"-erc /"!.'/!.I.C:/').'l) A">,tk/... A.. /(/ / l'/v) e.:l' /'/ <.:-- 0 DOLLARS. INCLUDING TAX. PAYMENT TO BE MADE AS FOLLOWS: 50% UPON ACCEPTANCE Of CONTRACT, 50% UPON COMPLETION, OR 100% UPON COMPLETION: ..... ACCEPTANCE OF CONTRACT - THE ABOVE PRICES, SPECIFICA nONS, AND CONDITIONS ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO .TiJE WORK AS SPECIFIED. ./' . / . ,.;1 ;'," __-/;r":' ~., / SIGNATURE: -. ..' ,,-,;,v'/l -1 C " t .-/-/L nA. 1./ ,,,,/./ ,,/ / //' , 't, JOHN T. KINNEY 39023 CARDINAL AVE. ZEPHYRHILLS, FL 33540 813-782-3503 LIC.# RAB-05084, 6587 LIC.# RA00060620 \ I~,," SIGNATURE: j~(!::A{ r:~ .,' i .~,_/ ,;//' // . "4" 11 '''_._~ ... : ~ 4' J,-c._ _, ,f .J; r . ./ / - / r.i" , DATE: <., - .! ;;/- ~.:~~:::~- APPLICATION FOR PERIIIT CITY OF ZEPIIYRBILLS BUILDING DEPARTtIERT OWNER' S HAHB L.4(/,t'F) '5 6A/s~q".v'/?~,A// ffu//,: , ~ rh~~L 7=~LL.s PHONE 3" $..?""7"p ;7;Z - 7$L~.3 OWNER' S ADDRESS 3.f1~4 JOB ADDRESS ~ e...- LEGAL DESCRIPTION: LOT(S) BLOCIL--SUBDIVISION PARCEL I.D.' 11-J,.6-;)..!-OOIO-/b 700 - 6~/O (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:--...Wew Construction ---.Addition --J\1teration ~pair _Install _Sign -JIove -Peaolish PROPOSED USE: ~ingle Feaily ---.Jf./ F _' of Units ---.Jf./S -A.~rcial _Indust. _Swia. Pool _Other --..Restaurant lr Health Departaent Approval DESCRlPTIOIi OF WORlt: k/~L"e ~A! 6A/~/~pA//~ BUlLDIliG SIZE: x Square Feet. Height RESIDEIITIAL: AnACII (2) PLOT PLANS lr (2) SETS OF BUILDIliG PLANS &: (1) SET BOGY FORKS. COtlHERCIAL: AnACII (3) SETS OF BUlLDIliG PLANS &: (1) SET EIiERGY FORHS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDIRG $. Valuation of Total Construction RI-RCTRICAL ---"EClWlICAL -PLUHBIRG $. AIIP Service Florida Power Corp. .." 5395'" ~ Valuation of lIechanical Installation W.R.E.C. GAS ROOFIRG SPECIALTY . TYPE OF COllSTRUClIOIi: -Block -Fraae _Steel Other FIliISBBD FLOOR ELEVAnOIiS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION .' BUTI.DER COIIPAIIY State Cert. or Regist. , City License Registration , .......................................... R1.J!cnu~ . COIIPARY~A'~d~u-' ~ ~ ~~ State Cert. 0 gist. f S{QDJlture ~ . Z?',41City License Registration' / '7~~ ... ................................... Signature PLUHBER COHPABY State Cert. or Regist. , City License Registration , .......................................... Signature IlECllABICAL COHPABY -4#/1/ /-:- /{jN,..ve Y State Cert. or Regist.' ~~~()~LJ&'?&7 City License Registration . ~~ ................................... Signature OTRRR COIIPABY State Cert. or Regist. , City License Registration , .......................................... Siaoature APPLICAnON APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT NOTICE OF DEED RESTRICTIONS Ie undersigned understands that this penit lilY be subject to 'deed restrictiOll8' wbich lilY be lOre restrictive than City ,egulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictiOll8. B. UNLICENSED CONTRACTORS ANDCONTRACTORRESPONSIBILIT~ES If the OIRler bas bired a contractor or contractors to undertake 1IOrk~ tbey' lilY be required to be licensed in accordance with state and local regulations. If the.amtractor is not licensed as required by lil1l, both the 0IIDl!I and contractor lilY be cited for a li8deleanor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing requireJeDts lilY apply for the intended IIOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the OIRler bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portioua of the 'Contractor SectiOllS' of this application for wbich they will be responsible. If JOU, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor ,isbes you to sign as contractor that lilY be an ~dication that be is not properly licensed and is not entitled to perIltting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILI~ CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, bave been provided with a copy of 'Plorida's construction Lien Lil1I - lIo8eolmer'a Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUIIeI Affairs. If the applicant is SOEODa other than tbe 'mmer', I certify that I bave obtained a copy of tbe above described docUElt and pro.ise in good faith to deliver it to the 'olll1er" prior to C~CeleDt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT, , . I certify that all the infOIlation in this application' is accurate and tbat all IIOrk' will be done in COIpliance with all applicable laws regulating construction, loning, and land developent. Application is hereby Jade to obtain a perut to do work and installation as indicated. I certify that no IOrk or installation bas ~ced prior to issuance of a penit and tbat all IIOrk will be perfoIJed to leet standards of all lil1Is regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdiction. I also certify that I understand that the regulatiOllS of other goverDleDtal agencies lily apply to the intended IOrk, and that it is Iy responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not liaited to: I Departlent of EnvirOlllBl1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllellta1ly Sensitive Lands, Water /Wastnater 'I'reatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses I AIly COlpS of Engineers - Seawalls, Docks, lavigable Watenays t Depart:lent of Health i Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastnater 'I'reatlent, Septic 'I'anks I US EnviIODleDtal Protection Agency - Asbestos abatl!leDt ' I also certify that, if fill Iilterial is to be used in Plood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COJP8DSating vol_' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued sball be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perIlt prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perIlt isaued sba11 beC(118 invalid unless the IOrk authoriled by such penit is c~ced within slllOntbs of issuance, or if IOrk authoriled by the perlit ia suspended or abandoned for a period of sil IODtbs after the tile the IOIk is ~ced. One 90 da, atension of tile, lilY be allowed for the penit with fee charge of $15.00. 'I'be atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project .ill be considered abandoned. WARRING 'f0 omR: YOOR FAILURB 'f0 RlCORD A lorlCE OF C(IIIDCBIIBH'f MAY RlSUL'f II YOOR PAYING !IIICE FOR DIPROVIIIBI'fS TO YOUR PROPBR'lY. IF YOU IJI'IBIID '1'0 08'1'1111 pIlWtCIlG, COIISULT 111'1'8 YOOR LBlfDO OR II AftORDY BBPORB RBCORDIIIG YOUR IIOIICI OF ClJIMIICIIIBII!. JOBS OlDER '2,500 11 VALUE DO lor IIDD 'f0 RICORD AID POST A 'lorlCl OF C(IIIDCBMBJIII. ~~~~- SIATI OF FLORIDA a coumOF /9Sto The foregoing instrument was acknowledged before me this 7-/3 ,19 911' by, STAIB OF PLORIDAQ . coum OFr~{J p The foregoing instru88Dt was acknowledged before me this 7-/3 , 19 9.5"" by w~ i"; personally known t~r who has produced ' ' as identificati.on and who di~ QOt-J take~f>~ff ' (Signf{Jr~ I (Name Typed, Printed or Stamped) NOTARY PUBLIC 4iPo 18 oersDDaIfy known to myor who has produced . as identification and who di~ ~~rI (Signa ure) (Name Typed, Printed or Sta.ped) NOTARY PUBLIC ROBERT C. lOCI< y Comm [lCp. 2-27-96 onded By Service Ins Ct ~. ~ .,' 1 r.~ .~c.n".