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Home My WebLink About96-6034 B.UILDING PERMIT Permit Nt] CITY OF ZEPHYRHILLS (813) 788-6611 - 603&;J( ~" ;s- 7h e Date B~'" ~~L ~. '-~~:~~ :=::,::~., ~o.;r;; 990;L~J( cn~ l~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel J.D. # Zoning: Description of Work FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation o~ ';/6 ~ ~ ~", D e,) Contract Price Permit Fee r Signature'V- Company Address Telephone# City License Registration # / R (, ,3 State Certified License# /!.. /J eo ~~ <:;;;; .7 D rI ~ /I~P /p'" /~-7~ ELECT~' ..- p~. - MECHANICAL BUJ.LDtNG ---- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB 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 ZEPllYRBILLS BUILDING DEPARTMENT OWNER'S NAKE O<:::Q. ~ ~V--) PHONE "7'1: 0 .-; ~ X-?- OWNER'S ADDRESS ~ ')()Ll) r ,\L \)r (. ~ JOB ADDRESS ?) c; 0 ':d <J r Q d- Dc ( '(;C': LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: L'tUo..O (' ,\--a'l<7 O~ (}..-\vn ~1i.:tA--\( ~~~ BUILDING SIZE: X Square Feet, Height ) O~..- 1 j;J- t:-~'-.J 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. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~CHAlUCAL AMP Serv'ice Florida Power Corp. W.R.E.C. $ 1 aL\Co ,00 Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** r CONTRACTOR SECTION BUTI.DER COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature RT.RCTRICIAR COMPANY State Cert. or Regist. . City License Registration . ****************.....***********.......... SionAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . ........**...*........*****...*.....*..... -.IC6L ~ ~ .~ Signature \' \, u~ Signature .. COMPANY C. au \ k5 ~ ft~P~(-l ~ C\- 4/ L.. State Cert. or Regist. . q CQ...~(.q 7\1. <] City License Registration . ...*........*..*...**......**............. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration , .*.*..*..*.*......*........*...*.*.....*.. APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT. . . . . A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait laY be subject to Rdeed restrictions. wbich laY be lOre restrictive than City regulations. Tbe undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor laY be cited for a .isdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the RContractor Sections. of this application for wbich 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 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, bave been provided with a copy of .Florida's Construction Lien Law - HOIl!OWIler's Protection GuideR prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other tban the Rowner., I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "ownerR prior to coaencl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforaation 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 bereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perait and that all work will be perforaed 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 governJeDtal agenCies laY apply to the intended wort, and that it is ay responsibjlity to identify what actions I .ust take to be in co.pliance. Such agencies include but are not liaited to: t Departaent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, WaterfVastewater TreatJent * Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departaent of Health & ~ebabilitative Services; Bnvironaental Health Unit - Wells, Wastewater Treataent, Septic Tanks t US Environaental Protection Agency - Asbestos abatl!lent I also certify that, if fill aaterial is to be used in Flood Zone "AR or "A, etc. n, it is understood that a drainage plan addressing a .cOlpensating voluae" will be sub.itted wbich is prepared by a professional engineer registered in the State of Florida ~rior to perait. issuance. A perait 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 tbe technical codes, nor sball issuance of a perait prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becoae invalid unless the work authorized by such perait is cODenced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IOntbs after the tiae the work is coaaenced. One 90 day eltension of tiae, laY be allowed for the pera~.t with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection aust be logged during eacb sil IOnth period, or the project will be considered abandoned. NARNING fO ER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEllBNT HAY RESULT IN YOUR PAYING !lUCE FOR IMPJIOVBIIEIfS TO YOUR PROPERTY. IF, YOU INTEND TO OB'l'AIH FIHAIICIHG, COHSULT WITH YOUR LODER OR All AnoRNBY BEFORE RECORDIHG YOUR HOTICB OF COMMENC HT J JOBS UNDER $ , 00 IN VALUE 00 NOT D TO RECORD AlID POST A "NO'l'ICE OF COMMEHCBHBIiT". I , SIGHATURE: CONfRACfOR 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 ('OUTES\: A'C P02 ILLSBOJ:lOUGH AVF 33635 '')44461 APPIIAN( I: 8- AIR r.ONDITlONINU SI:RVILE TAMPA CLEARWATER ST PETERSBURG BRANDON 'TARPON SPRINGS (H':~i 935-:;>850 449.2898 823-67U:j 654-272fl 93H-6343 AIR CONDITIONING proposallnvoice#lG1883 i~DATt!- ~-~-~- ~'(""""""';'@iSf~~~-=- " '~:1,1 ,If;n"'~ "\T=7Ti1 ~STRA'GHTCOOL PRO~O~AL. SEER ..Ii ,,--' _ HEAT PUMP TON ;:(, ...) CONDENSER: --V~ OPTION 1: {:Jt41b~~"'Y~?b OPilON 2' -..---- -- OPTION J: AIR HANDLER: ~PT10N I: ~~....-J or:T ION 2: ;(J ~ C 2- ~ f:/r f... orTION 3. -- . -. PACKAG~ UN!T; , OPTION ,: OPTION 2: OPTION 3: KW. Hea~ K,W. Heal ..K.W. Hea!...., K.W. Heat "~ ~ If -it Hi 0-' ?/r- r;;t ~":Jt2 -v / tI KW, Heat K.W Heat $................... CIO"!;!! Door Fri'lrT1f'rl S................... Standard Thermostat $................... Programmable Thermostal $................... Duct Cover $................... Condensate Pump $................... Extended Warranty_oo .yr P & L $................... Other:_~._.__ $. ................ $.............,..., $........,......... $.................. $.................. $..:..... ........., $.................. $ $ $ $ OPTION # 1 TOT At PRICE OPTION # 2 TOTAL PRICE OPTION # 3 TOTAL PRICE DISCOUNTS/REBATES All uf the above work to bo comlJlQh~d in workmaMhip Iiko mannar for the sum of $ 4112.'!{a ,Balance due upon completion $ Form of p~~~ . f) ~ akt WARRANTY: , yearpans and Itluor, 5 year~ compre9sor (part!; ullly) unle!;s ~xtencip.r1 warranty is purchased Any extru work not cor1\ained herpin will be periormed only upon appro....al of the owner Clnd will be considered an additional charge over and above the estimated cost. Should the entire balance not be paid in accordance with ttlt:! tt:!IH1S described above and it becomes necessary for Courtesy Air Conditioning to seek legal recourse, the debtor or debtors agree 10 pay reasonable attorney fees and court costs pius interest as a result of this action. ACCEPTANCE OF PROPOSAL: The above specifications and conditions are satisfactory and are hereby accepted. You are authorized to dQ the work as specified Payment will be made as outlinl~d above, . r' / Sut.mitted by&- ''.(.f.{_. ..It ~.<..L/' Buy." ~ Slgnatvre: L_=' Signature: 'D~ "--. - =x' ~. - cf ~ Datp.: .'_ Date:_ cOrTES\' A.( POl COURTESY APPLIANCE AND AIR CONDITIONING SERVICE, INC 13962 WEST It:ILLSBOROUGH AVRNUB: TAMPA, FLORIDA 33635 (813)854-4461 FAX (013)85.-3906 STATE LICENSE N CACOS6929 ( 'rRANSMITTAL FORM - 'fELEP'AX {) " \-'\nt'\ \ . ~'O:.~~\\c~._~~~ATTN:__...__ FAX fI: ~_______~_.n____'.:..:-~____.__.._._II'II(OM 1 _---____ DATE: NUMBER OF PAGES SENT, INCLUDING COVERSHEET: AN ANSWER IS REQUESTED: ~____m_hh_~YES__h__ NO SPECIAL INSTRUCTIONS; ---'-- If you did not receive all page. designated, please con~act our office at (913)854-4461 between 7:30 A.M. and 7:30 P.M. Eastern Standard Time. .. Pamela J. Dew 39049 Park Drive Zephyrhills, FL .33540 November 14, 1996 Robert Yomans C/O City of Zephyrhills Building Department 5335 8th street Zephyrhills, FL 33540 Dear Mr. Yomans: This letter is to inform you that we have received a settlement payment from the insurance company that represents Tardif Electric. This is for us to have our ceiling repaired from damages that occurred during installation of our air conditioning by Courtesy. We are satisfied with the settlement by the insurance company and as long as your are satisfied with the air conditioning installation, we have not problems with you passing the work done. Please contact me at 780-7282 if you have any further questions. Thank you for all your assistance in this matter. your looking our for my best interests. I appreciate ly, </