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HomeMy WebLinkAbout95-5231 BUILDING PERMIT~~ lLTO D. CITY OF ZEPHYRHILLS Permit (813) 788-6611 r~5231 /'1 BUILDING Qb. OV -~ CELECTRIC~ PLUMBING --. --.? ~ . trD ---::::::::- ~ANI~ Sewer Conn Water Conn: Date 7- 6 -7S- fk 1:' Property Owner:"\ /'L.on JabAdd'.." 6/Y, ,- /3,~ 7 Parcell.D. # c2 - (9.- b -jJJ - "Oko - 0 0.,;,1 0 0 - t"?/ /0 Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work i..-/1.LA-J A- /G Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE '7 Valuation or Contract Price d/---5h. cro / City License Registration # State Certified License# BUILDING ~ KDd~ ~I ELECTRICAL PLUMBING ~..<.t #C MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL Driveway 6jP~,- Cj-7-e;S fiB REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c, Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT To- c (s ~lc- -+ ~ ADDRESS \:Ltc 0 \ A 6 \?eLf DI/~U/~ JJOd~ C;~vf{)3-)~HONE 10'1- OWNER F LJC h w', \ \ I'Ct rr-.5 JOB LOCATION Go J Lf l..{ l/fA. APPLICANT S-.;l! - 0 Y..:l- 0 s+ LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) II BLOCK :<... SUBDIVISION Ty,$c;>-n /'1 t3 '-I 1'6 Itt/~ PARCEL I.D.~F ('/-2 - 2~l\;Zf~6080'0026.0 -C?J/V WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: _Single Family _M/F _~F of Uni ts __M / H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BqILDING 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 IC _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~~;. r_MECHANICAL _PLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER :::::::~:~ Company R,,~,,-< s Ei0.-;c . / __ S~ate ~ert. or R~gis t. , ~F E R 06 I ;;L';)' ~ '1 C1ty L1cense Reg1strat1on # ~ 3, I ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # *********************~******************** Signature Company 3Af*'5 Ale C>t H!J State Cert. or Regist. # ~d-cg lj/,,2,;20 City License Registration # 9 ****************************************** APPLICATION APPROVED BY 1tU ***** * ** ****** *** **** * * ~**** ** *** * * * ** **~~:.~ -...,....,.".,.... Company State Cert. 9r Regist. # City Lfc~p~e Registrati~n_ OTHER Signature MIT OFFICER. ~ ~ ".. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be .ore restrictive than City regulations. The undersigned assules responsibility fOT co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Nork, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ONner and contractor .ay be cited for a lisdeleanor violation under state IaN. 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, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 Guide' 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 prolise 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 cOllenced 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 governlental 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 are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatetent I 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 voluae' 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, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol 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 tonths after the tile the work is comlenced. One 90 day extension of ti.e, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. x ~ r)nt-.. ~. l~t~~ - SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this S.f.( ...s<qf-, 19~by ~y U /'-1. hJ;///Q).H1S who is personally known to me or who has produced l:7n\Jt:.f.5 ..J.. -; (. as identification and who .../did not take an oath. PfJ5Co STATE OF FLORIDA COUNTY OF . The foregoing instrument befctl-e me this 5-6- p;rg C 6 "as ackno"lledged 19 q~ by (Name Typed, Prin NOTARY PUBLIC JOhn I. 1G3-~ who is~rsonally produce as identification and who did/did not takKl1~' d. QAd6 (Si}<~ture) R ~i-t I I +a. L. ~ d (Name Typed, Printed or Stamped) NOTARY PUBLIC 'i' JAMES H. ROGERS State of Florida My Comm. Exp, .I1Ile 28. 11117 COMM ICe 298157 RITA l. REDDITT NOTARY PUBLIC, STATE.OF FLORIDA My Ci,;lilf!iISsion Expires May 29, 1999 Commission No. CC 467880 FJ JACK'S \(1JAIR CONDITIONING & HEATING l':'~: 't'n / (.J ;/1; '.,))1'1 ~ . . . TO: LOCATION OF JOB 6/'/ (I / ( ./. /, 2 t::tfA ynh....~/I"., WORK ORDER Cert. # CAC041220 1260 I Abbey Drive . Dade City, FL 33525 24 Hours . (904) 521-0420 DATE 8- ;-3 1- ? .~- 23S'ra 7d'I- 3'-06 We propose to furnish all labor and equipment (license and permit when necessary) for complete installation, to be tested and ready to operate at location above. We have carefully analyzed your equipment to be of sufficient capacity to produce design conditions according to Florida Energy Code High of 91 Q outdoors temperature and 78Q indoor temperature. Building must be kept reasonably tight, windows and doors kept closed except for normal passage of persons and properly insulated (minimum of 6 inches thick). Eqipment includes: 1. Air Handler with: 2. Condenser Unit # 3. Thermostat MO.# 4. Suoolv-Grille & R A 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 11 16. 17. 18. 19. 20. 21. 22. 23. Option: Insulation- II A 24. Up-Grade Service Yes~ No 0 Size- Amps- /A/i rE' V It )1:$. 8 2.0 ~ 25. Existing Ceiling-Damage [] Yes [] No <11/~ ...<;1: F'l B KW:MO# FACf/lF 621t' ~S"L /-!1/ <.. ./)L ~~4 S.E.E.R. /6 C.O.P./HSPF ~ - :.-j-r:;) -; ~ ~7'<::':.1. At- / ,'; ~? ~ c2...p / ,.).~ "J!(.~ - ~ 4-Fl !1 ., ...)~ Total BTU's 1!.p>-n~ v'...::::... /~.41 / / -4...:. .-L~ ~1: /) 4/~Y" ~'J/6:-e /~ v- ;'?A l".-:;;:;::,I; .~ r-e~ ~ n..- :' ;;;~ I ) -t.dl I.J/ J \J. ? .a,) IL ,'f,./:J!. ~ /. ,-,4 ~ ~ ;.s7f~ J.ot.~<-". _ i M ~ ~~~' 0 v~ 'd ~ ~ ~ ~ ~ '~-:~3~/(:~ 'f;'-~,:>l ~?,;';;;-;;~'~~:.; -5 ~~ '-,. . IU.,) y r.,JWZ~6 I.. 10 /0 , ~~~: ~!~~S5 or- Q ,v'-r.n. -rY;-:,: c "'f' :z.. ";f 3' ~ ~ eLO r 3 5-t. C!.!!: Duct work will be designed, Fabricated and installed in accordance with American Society of Heating & Air Conditioning Engineers Standards of Supply and return registers and grills will be properly sized and of aluminum. LIMITED WARRANTY AND SERVICE: All equipment, materials and controls furnished by us has a 1 year warranty from the date of inslallation against defects in workmanship and material. In addition we extend to you the manufacturers 5 yr. protection plan on Ihe compressor. Our one year service responsibility does not include breakdowns of Air Conditioner due to blown fuses, tripped breakers, dirty fillers or plugged drain lines. Warranty service will be performed during normal working hours of 8:00 a.m. to 5:00 p.m. Any request for service after 5:00 p.m. or on weekends or holidays will be billed to customers at current billing rates of lime and one-hall. For this service the purchaser agrees to pay the seller the sum of 3 1St. Dollars, including ta ayable as follows: 00- '" - . Price quoted nol valid after 30 days. Thi order contains the entire eement affecting this purchase. No other agreement, understanding or warranty has been made a part of this contract unless written herein. "If this instrument is referred to an attorney for collection or enforcement, the maker agrees to pay a reasonable attorney's fee, plus court cosls. If Ihe maker is delinquent for a period of thirty (30) days. A delinquent fee of 1 1/2% per month will be charged. Tille to the inslalled merchandise remains vested in the seller until all money due, as Ihe result of the sale has been paid to the seller. Your acceptance below will be our authority to proceed with the installation. Thank you for your business." . ~ PURCHASE~"'.),y' ; h.\ J-.31-9~.- III ( II~I/ (.1 ':',r i' / ACCEPTED DATE