HomeMy WebLinkAbout96-5811
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
. Rad~~S:
,
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AIC!
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NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
BUIL~-'-"
....-
ELE~-'-
Inspector
Permit Fee C:<&' PC)
Signature /,./~/-..'" , ;;7-:~ J:;Z" "2-/~--?
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Company
Address
TelePhone#~!': /;) ~?r;;-)- r:;'1/ C;
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PLUMBING --..<___ .MECHANIC:> F{;7'.
-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or ji 4 rJ. n - lIO
Contract Price c . ~S.-
City License Registration # ~~ /
State Certified License# t2 /l eo ~ 7.31
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
[)ucts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
S!:MINOL!: FORM !l1I6
.,.
PROPOSAL
O'DONOVAN'S AIR CONDITIONING
AND HEATING
6610 16th St.
Zephyrhills, FL 33540
(813) 782:4075
Page No.
of
Pages
I
~\
".l" _.
PROPOSAL SUBMITTED TO:
PHONE,
(813) 7833839
JOB NAME:
Sam~ af:: lpft
STREET:
II DATE:
May R, 1 qqf;
NAME:
STREET :
Lynn Mason
6121 20th St.
Zephyrhills
STATE,
.J STATE:
CITY:
CITY:
FI
w. hereby submit specifications and estimates for:
to replace present heatpump system with a 2 ~ Ton
Ruud airconditioner with 10 R.W. electric heat.
Includes
slab thermastat copper lines linecover and airhandler.
One year warranty on all parts and labor.
Five year
.
warrBn~y an compresser.
"-
10 SEER $ 1835
J
11 S-EER $ 2 , 1 35
We hereby p,opose to furnish labor and materials - complete in accordance with the above specifications, for the sum of:
r ""A #i. ~/--)/ ,.-:;; 1'/ /'.. / I; '7(' ~
(/'1 i {' / LCvCc.;.2':">r-(: C:y{/ /1I-t-t'l;~tJ.{ /.ilt.f I.c.-t:-:Ldollan ($ ') '"J . /, I with payment to be mede as follows.
.Y
Half before starting. In full upon completion of work.
, ),
All mate,ial is guaranteed to b. as specified. All work to be completed in e workmenlike menner eccording to stenderd prectices. Any elteretion or devietion
from ebove specificetions involving exlre costs, will be executed only upon wriflen orders. end will become en elltre cherge over end ebov. the estimete. All
agr~ements contingent upon strikes, accdents or delays beyond our cont,ol. This proposel subject to ecceptenc. within - - 3 0 - - - - - days and is void
thereafter at the option of the undersigned, " ~. 22
// .,--/ ---'i/ I' / ~~..--;>
Authorized Signature /./ / I C L- 1,..("/ I '...Z...... '"'1, C' 'r, .T <- ----
//
ACCEPTANCE OF PROPOSA
Date
5-6'(f~1
Signature
ewo"'e. 'P~
The above prices, specifications and conditions are hereby accepted. You are authorized t
as outlined above.
ACCEPTED:
Signature
APPLICATIo.N FOR PER!U'i.'
CI'lYo.FZEmYRIIILLS
BtDILDI8G DEPAR'DtE'RT
OWNER'S liAKE
LY/l/1
6/ j I
I,ll
J ~~/f~i1-
L
,]- Oil, 5/
PHOn:
,If /~;/?~} --5~} ?
, /
OWNER'S ADDRESS
Jo.B ADDRESS G
LEGAL DESCRIPl'Io.N: LDr(S)
PARCEL LD.' () J-- J- & ''-)- I
BI..OC:K
SUBDIVISIo.N
0/90-00000
011/::)
WRK PROPOSED:_lIev Construction _Addition -1.L..A1teration _Repair _Ins t:a II
_Sign
_!!love
_Deaolish
PRo.POSED USE:
I / Single Faaily
-
_KIF
_, of Units
_M/H
_~rcial
_Indust.
_Swia. Pool
o.ther
_Restaurant 5: Bea1t:h ~t Approval
BUILDING SIZE:
x
Square Feet,
Height:
RESIDENTIAL :
COttttERCIAL :
AtTACH (2) PI.OI' Pl.MS 5: (2) SEI'S o.F BUllDING PLANS 5: (1) SET ENERGY Fo.RMS. **
ATTACH (3) SEI'S o.F BUllDIIIG Pl.MS 5: (1) SET ENERGY FORMS. ,U
**COPI' o.F COI!i1TRACT RllQm:RED.
_BUILDING
,...~TSREOUF.STED
$ {) 7{ ~ 7, ~U'" of Total. Oooshuctioo
_ELECTRICAL
AIfP Service
Florida Power Corp.
W.R.E.C.
_tlECllAlUCAL
$
Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
SPECIALn"
TYPE o.F CONSTRUCTIo.N: _Block _Pralle _Steel
o.ther
FINISHED FLOOR ELEVATIo.NS:
FI' .
IS PROJECT IN FLOOD Zo.NE AREA?
YES NO.
******************~**********************
aJlITRACIOR SHCJ'Io.N
BUILDER
COItPANY
State Cert:. or Regist:. #
City License Registration #
******************************************
Signature
ELECTRICIAN
COIIPMY
State Cert:. or Regist:. :fI/;
Ci~ ~icense Registration ,
******************************************
Sil!'nRture
PLUKBER
COIIPAIIY
State Cert:. or Regist:. :/#
City License Registration ,
******************************************
Signat:ure
KECllAlUCAL 7
/~
/ - '/1'
Signat:ure -,l,1./L.~~ ~
1/
f/
r
. - -'1 COItPABY tJ/l.CJ v/?'" /I
State Cert. or Regist. I C
1t/~_, City License RegistraUon I
***************************~**************
9(4-('/J 7
0T1IER. COIIPABY
State Cert. or Regist:. ,
Signat:ure City License Registration I
******************************************
APPLICATIo.N APPRo.VED BY PERKIT o.FFICER.
CONDITIONS OF PERMT; AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlituay be subject to "deed restricticns" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for co.pliante with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they eay be required to be licensed in accordance with
state and local regulations. If the c.ntRactor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner 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, !8131
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) 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 FEE~
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 promise 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 Dr
installation has cOI.enced prior to issuance of a perlit and that all work will be perfor~ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that'it is
IY responsibility to identify what actions I .ust take to be in co.pIiance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.entaI 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 WaterMays
f Depart.ent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood lone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be sub.itted Mhich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed Mith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it 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 cOI.enced within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the Mork is cotmenced., One 90 day extension of tile, 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 .onth period, or the project Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT "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
COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEKENT".
/ -~1l ---- ~
~/7 //1 c~ ~
/ SIGNATUR : ER OR AGENT
-( {;
, '. /V4~(
~--4L-e/
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befctl-e me th i s
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 Dr who has
produced
as identification and who did/did not
take an clath.
(SignatLU-e)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC