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HomeMy WebLinkAbout96-5811 Sewer Conn Water Conn: Water Meter: T.I.F.'s: . Rad~~S: , C;Z - !~ AIC! I NO OCCUPANCY BEFORE C.O. FINAL C.O. BUIL~-'-" ....- ELE~-'- Inspector Permit Fee C:<&' PC) Signature /,./~/-..'" , ;;7-:~ J:;Z" "2-/~--? <-- I~ Company Address TelePhone#~!': /;) ~?r;;-)- r:;'1/ C; 8a~d~ 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