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Home My WebLink About96-5683 Property Owner: Job Address: Parcel I. D. # BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit ]I! /J U:) (813) 788-6611 - t7- ~O Q , ~. ~N~ Sew" Conn /} ~A Water Conn: .'iF;:;;{-2l~-;1V ~. ~~:e:,Mete< j__568~ II( ~-- :21v-rjb Date ~ Zoning: Description of Work Energy Code: G 6/Y/;;1dL Radon Gas: / (J 7 'f7;1.- I /1-/('-- { Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Valuation or Contract Price r;, ~2S' , City License Registration # ./ [J I State Certified License# 0'0 Permit Fee Signature Company Address Telephone# Ftr. Pre SLB Lintel FRM. Insul. CL WL " Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. .:-. -.-..tt ."". ~1r'!I!1 ~ _., '~~'_~"'" "I., .~' -:-i.. ,~'-.:~'~'" ~" ~""'.."' ~~~,~~ CONTRACT CONTRACT SUBMITTED TO: I ,,\' //,/..{ /('/7/1 i '-,."(/,/~ /1/ .. PHONE NO. STREET , , (,'~ / ,,,"'/ ~ ,1" ..c.j~ : <....-r " . / DATE _,'''? 1./ // ,/ .- c CITY, STATE, ZIP CODE WE HEREBY SUBMIT THE FOLLOWING' .' //. /,J /' ( ,- ./ ,//-1 EOUIPMENT MODEL NO. DESCRIPTION S.E.E.R. K.W. R!\TING B.T.U. " \ '- ,\ '\, L( i " . !- , (. .. <- ,.Ii i h t'J ,. 1<- ,J '" i '--' t ( uT I < t. I <, C. ! " " ;, .. /0 I ... i\) ~:: 1'_.. " i ',.,'". ) (' ,', ,. I , C~ / , \ .. , r-' F ')' ( ,r,- '/'j !: c '- I l !') '... ,"- I " , .,/ ,.:, '.. <.~ ( ( l ._1 '" ), " lI.i~, ill ~.' /-'[ ( - \ 1\ I i l , .~'-- . , -,' ," I ;; ,. / fe" ;\.' ,./ I~ ,/r..-' .. / /, / / /1,'- /' ; ,/' ,- " ), /'r,'!'( '/ (' ' ELEXIBLE ~i(: ,~ DUCT BOARD , L <._ NO. OF RETURN GRILLES '''~ HOT WATER RECOVERY UNIT ;' J i, DRAIN PAN EQUIPMENT REMOVAL r L!\: i'i PRE-IRiNG DOOR N (J W ALKW A Y\ .. CONCRETE PAD Yc ' CARPENfRY ;\J REFRIGERATIONLINE 'k INSULATION h~ ' WATER HEATER #4 7 5 ,,1t,800 \ '\ ' '\ ',01 DUCTWORK: METAL NO. OF SUPPLY DIFFUSERS ELECTRICAL INCL. 1(: ~, LINE COVER t\! c ATTIC LADDER ~,J, HUMIDISTAT !\)! ,<- '-- r...J l. i t .. COMMENTS: 'oj i\: \',.. \,,~ (", , ,'_. l.... : \, , , ... \", ! A I .. \ ',C L.l...: 1 "'~. t, . \ ; \ \':.. \ ' I L _ i i h "j (~ t ~:.. r,,' U,' :', \: t,~'... ,\ WARRANTY: NO. OF YEARS: PARTS c. j\) ( COMPRESSOR I \/ !"'. COn.S ~~ LABOR hJ j: WE HEREBY SUBMIT TO FURNISH LABOR AND MATERIAL - COMPLETE IN ACCORDANCE WITH SPECIFICATIONS ABOVE, FOR THE SUM OF: ($ /, < / E ('-~ ). ':'. x ','1 \, l .. ,\ i" 1'/ \. \ (,\ :< \\J L, ,:: (:~ [, 'i \ ,j ( i~ i '\'il' i.. I V C " /1:" c' DOLLARS, INCLUDING TAX PAYMENT TO BE MAIm AS FOLLOWS: 50% UPON ACCEPTANCE OF CONTRACT, 50% UPON COMPLETION, OR 100% UPON COMPLETION: ACCEPTANCE OF CONTRACT - THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. SIGNATURE: /". .~ ,.,,\, JOHN T. KINNEY 39023 CARDINAL AVE. ZEPHYRHILLS, FL 33540 813-782-3503 LIC.# RAB-05084, 6587 LIC.# RA00060620 SIGNATURE: ~~ c.. fI.'~~ DATE: . ; APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER t S ADDRESS ~e~'/e'''',v' f.f~" ~o//,.,./ .$* r# .1'72. PHONE 7r~ ~t!t'YrIY OWNER t S NAKE &r"#/p'/'LI~ ~L,-9 $ S.r .y() JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' '2.1 - *.. (OBTAIN FROK PROPERTY TAX NOTICE) 'IS- t'tf fT tP~~E ".jJ~O WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign --1Iove _DeJIOlish PROPOSED USE: _Siogle Faaily _KIF _' of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: Restaurant & Health Department Approval /#s~/l /t:J 7P"'/ A.L 6,;4/$J/ ~A/.I.vc 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. PROPERTY SURVEY REQ~ FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ELE:zc-,nu AMP Service - 6~)>:rlj _HE GAL $ ~ Valuation of Kechanical Installation Florida Power Corp. W.R.E.C. _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ....'" YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. . ~ City License Registration . *~**************************************** ' ..., ELECTRICIAN,' COMPANY Z.....L-\-II..L~ Ct..~'1'. ~ State Ger<- or Regist. t ODO?-l<-\'- SiQfiAt . , City License Registration , q G:1 ****************************~************ PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration , ****************************************** HEGHANlCAL COMPANY ~t"/,.v' T ~ #A/~)/ State Cert. or Regist. t R#lt:?CJ/4/J ~2 0 Signature City License Registration' ~ /~/ ********************************* OTRRR COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. . .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to .deed restrictions" which lay be lOre restrictive than City regulations. The 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 lilY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor Sections II 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 perJitting 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 _ HOJeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sllleone other tban the .owner", I certify tbat I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the "owner" prior to couencl!leIlt. 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 developllent. 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 perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies lilY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida W~ter HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDJental Protection Agency - Asbestos abateJent . I also certify that, if fill laterial is to be used in Flood Zone "A" or IIA,etc.", it is understood that a drainage plan addressing a .cOlpensating volllle" will be subJitted whicb 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official frill thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the Ifork authorized by such perJit is COIIenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntha after the tile the work is c~ced. One 90 day extension of tile, lilY be allowed for tbe perJit 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 IOntb period, or the project will be considered abandoned. WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEMENt MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVBMmS TO YOUR PROPER'lY. IF YOU INtBND TO OBTAIH FIHAJfCIlfG, CONSULT WITH YOUR LIHDER OR AI AnoRm BIFORE RECORDING YOUR HorICI OF COMMEN JOBS UffDER $2,500 IIf VALUE DO NOT NEED TO RECORD AID POST A " OF COMMENCEMENt". ~. STATE OF FLORIDA COUlfTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF F~RIDA ~ COUNTY OF r ~ The foregoing instrument was aCknowledged before me this .blb7~ NN milt, 19~ by who is personally produced as identification take an oath. known to me or who has C:~~~~~~~~~~~~iiYkno~to miD or who has and who did/did not as identification and who did did not take oc) h (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC .' ~~ ll:1& Bobble S. Swetland t! :~ WN COMMISSION' CC534927 FXPIi.,. '~i'" . *-'<l Februaiy 22. 2000 .'.~p.f.f.,~.' BONDeD llIRIJ TROY FAIN INSURANCE. ,,-: