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Home My WebLink About95-5406 BUILDl~~Hy~!RM!,!N! f~5406}f (813) 788-6611 BUILDING PLUMBING Pmperty Owne". J~ ~ ;g;,~d A. Job Address: /;, _ _ _ ___ Parcell.D. # / j- Jb -;)/- 0 tJ/ {),~ J-I 0 tJ 0 - 0 ~/1- 0 Zoning: 9-Energy Code: ,~ Gas: Description of Work C;tf /7 A/1 if.f? ~-r- ~ ELECTRICAL Date / J - ;l,.:1-9~- ~N;V Sewe, Conn Water Conn: Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. /--3o-'r DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector p~'mitF~, '.~ _ Slgnature_ Company Address Telephone# ;Y;$- 5:;>..2 - ?.;;} Y y Valuation or Contract Price ..3 tJ ~r; Vi) / City License Registration # / t../,-s- State Certified License# tZ ~~.,k BUILDING ELECTRICAL PLUMBING MECHANICAL 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. APPLICATION FOR PKRKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME ,412[&/6-11 #. ##tW~~PI..t)./E fflL~ PHONE OWNER'S ADDRESS 3. 73' ?fa, 7Je.-1 ( P,(It/,;;:' , Z-E /'# V /f l'fi'll.s / rl. .:s :s s-Z'o JOB ADDRESS 6 ~ .s ? 6>~1 / LEGAL DESCRIPTION: LOT(S) ,g IV~ 7E./'// y~ /ft // J //7 3YO '1g' , BLOCK SUBDIVISION PARCEL 1. D.' (1 ,;),1:. ~ I c::re 1(;> ~ 10lJT) f") :s;- A-r'l (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration _Repair -k.-Install _Sign --"ove _Deaolish PROPOSED USE: _Single Faaily -Keo..ercial _H/F _' of Units _M/H _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ~I..I /Y / ck/lu t"? 77./. r J J)vp t' X Square Feet. ~//' /XH~~/~ Height /Ln/~ ",,g r~ , BUILDING SIZE: 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTIUCAL AMP Service Florida Power Corp. W.R.E.C. A-MEGHANICAL $ :SO:??~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIJII.DER COMPANY State Cert. or Regist. f City License Registration . ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature COMPANY ~ State Cert. or Regist. . City License Registration . ****************************************** PLUMBER Signature MECHANICAL COMPANY AY.e'PrY A7A? L/VP///Piv./~ od/ ---:::7: ~ State Cert. or Regist. f L'h?~.o:;69~Y Signature ~ ~ City License Registration . ~ ****************************************** OTHRR COMPANY State Cert. or Regist. f Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pel'lit lay be subject to Hdeed restrictions" which JaY be lOre restrictive than City regulations. fhe undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions. 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building DepartJent, (813) 788-6611. FurtberlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections. of this application for whicb 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 pel'litting 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 with a copy of .Florida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the .owner", I certify that I bave obtained a copy of the above described dOCUlM!llt and prOlise in good faith to deliver it to the "owner" prior to co_ncelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIJation 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 COlleDCed prior to issuance of a pel'lit and that all work will be perfoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in colpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Al'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, HnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic ranks * US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone HA- or -A,etc.H, it is understood that a drainage plan addressing a .c~pensating VOlUieH will be subJitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pel'lit issued sball 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 sball issuance of a pel'lit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pel'lit issued shall becOJe invalid unless tbe work authorized by such pel'lit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day I!Itension of tile, lilY be allowed for the pel'lit with fee charge of $15.00. rbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWHER: YOUR FAILURB ro RECORD A MorICB OF COMHEMCBIIBtrr MAY RESULr IN YOUR PAYING fWICE FOR IHPROVBHBtrrS TO YOUR PROPBRTY. IF YOU IIft'BRD TO OBTAIN FIIWICING, CONSULT WITH YOUR LENDER OR AN Af'fORMBY BBFORE RECORDING YOUR NOTICE OF COHHHNCEHBlft' . JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NO!ICB OF COHMBNCEHBlft'". J~~o :X~&fMJ S GIlATURE: OIfIfBR OR AGBIft' Y1!l1 ~ _ : COIft'RACTOR /J?/?kL~/ Iff. ~~ STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STArB OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 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 11-20-1 ~5 8: 30At.' FROM GOODWILL ~Ur-.JCOAST 813 577 27.:19 , , ::>,6- " ." ... - ~ CAe P,~lIa. Coun\)' "'1II~t)of"l'g" C~",,!), Toll FIW Fax (813) E22-7247 (8' 2) !/:l3-:J2"7 (SO:l) $Z4-73JS' (8'3) ~<?5"W7fl M...~ha.,iI"oll Licl'n'l' Ntlmb..r CMC ()567IN C~9SJ S-a PROPOS,AL 17 No\'emb~r. 1995 To: Goodwill 10596 Gandy Blvd. Sr. Pct:rsbut'g, Florida 33702 \~, ~1 r ( V ~, ;~~ " t Re: 7...ephyl'hills Loc:lti,)!\, ;\/C ...J...~..l'-( c._.- -' We hereby submit specifica1iom' tlml propus"l fin'." The replacement of two existulg 3 Ion condensing units, 10 include: ~ \" .I \ ~' .J . " .. -"-.. \ ]. Removcidisc.lrd existing equipment ~md r<:pl:lcc \vith new 2, Set in pl:1cc 2 BRYANT model il56I.I\.1.xO~6 3. Retrofit 10 existing rc[iigerant lines & ekctlic~1 4. Reclnim, evacu:ltion & new equipment start :md test 5, 1 yeill' 1Th1nufacture's P,U1S wan'Jnty 6. 1 year Airdex /VC workm:msh.ip:'labc>r warral1ry \V~ propose to perform Lh(.' work:'ll; {llltlinrd h('rdn for' tl\(' lump slim of: $3,ORR,30 Indud,-"s Ill()..) dis';OlJllt 1't!rms of pflY11unr.' Due And Payable On Complelion vtk"I~~'--~ Note: This propos;tl m::lY be \vithJr,l\vn if not .1CC;CptCJ within 30 (hys Acceptance: The :lbove quote, specific:lCions, conditions ilnd lerms or p:1~menl are satisfa<:,tory, I hereby acc,e ed, I hereby ;mthorize Airdc'\ A'e Cmp, to procCA-,d . ,., / a- , , ) _m dale (l_,LJL~ 7!J ~ Authorized Si I . Ai, Conditioning. Heating. Rt:f'igeraticn · Ice Makers. Ventilation' Appi.'a/1C65 . Energy Ssving Agreements.