The URL can be used to link to this page

Home My WebLink About96-6022 BU"ILDING PERMIT CITY OF ZEPHYRHILLS Permit Nt? (813) 788-6611 602201 Date g--d- -9~ BUILDING ELECTRICAL PLUM81NG (MEZHA-~~ pwpertYOwne~ f::;~ ~~ Job Address:'-.? _ _ ~_ _ ~ - Parcell.D, # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work ~Ene~p Rad~,G s: ~z;-~ ~ NO OCCUPANCY BEFORE C.O. FINAL J'~ DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector permit~~. ~~ S;grtat . ~ ~ . Compa __ Address Telephone# Valuation or Contract Price .::?I t7tJ . o-=D City License Registration # / K:'.s ':..3 State Certified License# a~A-LA~ a ~ 8UILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SL8 Tub Set Water Sewer 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER t S NAMED A-tu So J.v.f. OWER t S ADDRESS '3 q 1/1/ () JOB ADDRESS ~7 6;f'A y Jl h ~ I L <- LEGAL DESCRIP'l'ION: LOT(S) ..<; Pml-1 ft)~~')U (~U ~ ~~ 3'3~40 PHONE tf~3--/Yt'--6?f~ BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair iInstall _Sign _Kove _DeIIOlish pmPOSED~E: _SiqleF~i~ _KIF _, of Units _K/H ....:!(..eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: P,n ()~. /A/c:;t-dlrrrJ:IA} 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 REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction _ELECTRICAL ~KECllAliICAL , AItP Service Florida Power Corp. $ ,;< / {)tJ $! Valuation of Kechanical Installation W.R.E.C. _PL~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr_e _Steel Other FDlISBED FLOOR ELEVATIONS: F'f . IS PROJEC'l' IN FLOOD ZONE AREA? YES NO .......................................... CONTRAC'l'OR SECTION BUTIJ)ER COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature 1q.R.r.TRTCIAN COMPANY State Cert. or Regist. t City License Registration , ....................*....*.*.*.......*...* SionAture PLUKBER COMPANY State Cert. or Regist. , City License Registration , ~ ., *.*...................................... - IIIlaIWCAL?L: d ii1.. roHPAllY--1tcc UJ? Wf?L ttt/b ~$ ~ """ . ~ ,. " /' State Cert. or Regist.' ~CO Signature / .~ / City License Registration , ~ ..**.*.** *..******.**...*...**..*.*****.. / . I Signature . OTIIRR COMPANY State Cert. or Regist. f Signature City License Registration , ...***.*...*...******..**.*.***...**....*. APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pellit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOtpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey 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 JaY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to Mhat licensing requiretents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (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 "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, ratber than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. 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 - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleOne other than the "owner", I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the "owner" prior to cottenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infollation in this application is accurate and that all work will be done in cOtpliance 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 COIIenced prior to issuance of a pellit and that all work will be perfoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governteDtal agencies Jay apply to the intended wort, and that it is IY responSibility to identify what actions I lust take to be in cOipliance. Such agencies include but are not lilited to: t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Bnvirontentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Vastewater Treattent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatetent I also certiCy that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cDlpeDsating volute" will be subtitted which is prepared by a professional engineer registered in the State of Florida p'rior to perlit, issuance. A pellit issued shall 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 tbe technical codes, nor shall issuance of a pellit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless tbe work authorized by such pellit is cOlllellced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tite the work is coaenced. One 90 day extension of tite, lilY be allowed for the pellit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned. WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHBNTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FHfAXCING, CONSULT WITH YOUR LENDER OR AX AnORNBY BEFORE RECORDING YOUR IfO'fICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGIIA'l'URE: OWNER OR AGENT SI GNA'l'URE : CONTRAC'l'OR STATE OF FLORIDA COUNTY OF The foregoing instrument was aCknowledged before me this , 19____ by STATE 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 ~ ACCURATE PROPOSAL Air Systems P.O. Box 363 TEL.: (813) 661-5560 FLORIDA STATE LICENSE CACOS6836 Thonotosassa, Florida 33592 (813) 986-4118 AIR CONDITIONING · REFRIGERATION · HEA TlNG · DUCT SANITIZING PROPOSAL SUBMfITED TO PHONE I DATES / 1 /96 Dawson Snort Aviation 788-6885 STREET JOB NUMBER OR NAME ~ 39440 South Ave. CITY, STATE,ilIP JOB LOCATION Zeohvrhills, Fla. 33540 ARCHITECf I MAIN CONTACf I JOB PHONE R&:>n WE RESPECTFULLY SUBMIT THE FOLLOWING SPECIFlCAl10NS AND ESTIMATE FOR: I Installation.of 3 ton air conditioninq system with air ducts for office area of bldg. Units to be connected to existinq electrical disconnects. Brand: Lennox . ~ propo~ hereby to furnish material and Labor-Complete in accordance with above specifications, for the SOlo of: , /OO!-- Payment to be made as follows: On Completion /~ / All material is guaranteed to be as specified, All work to be completed in a workmanlike AUTHORI,~ f ~ -:i~ JL )/7 manner according to standard practices. Any alteration or deviation from above specifica- SIGNATU tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate, All agreements contingent upon strikes, Note: Thi oposal may be withdrawn by us if not accepted accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary within ':In days insurance, Our workers are fulIy covered by Workmen's Compensation Insurance, ~rctptamt of ~ropo5al ~ The above prices, specifications and condi- tions are satisfactory and are hereby accepted. You are authorized to do /3--./)~-~ work as specified, Payment will be made as outlined above. Date of acceptance Signature