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Home My WebLink About96-6071 B~ Water Conn: Property Owner: Job Address: Parcell.D. # Water Meter: T.I.F.'s: Description of Work Energy Code: /1~ flJd~~;( Zoning: - FINAL 9... NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector' DATE ~&i3 Permit Fee Signature Company Address Telephone# Valuation or Contract Price c2 ,OV /00' "I City License Registration # ~;3 / State Certified License# V I t)..ffJ1 n LJ dA-t.5 nit.. +~ 6CH: ~~A~:_) Breakers Ducts Insl. Compressor f:inal BUILDING--- ELECTRIC~ ---- --- PLU~' SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ftMINOL. ~O"M ... PROPOSAL Pete No. of ,. PROPOSAL SUBMITTB> TO: O'DONOVAN'S AIR CONDITIONING . AND HEATING 6610 16th St. Zephyrhills, FL 33540 2!.r1L /~]:;2?$)IDA~y -:7J: $6 JOI .j .>:r rl--, ~ ?' .7 / ~7- STREET I '81ft ~J- -U-:L(/ o 1;IJJ -- 0 fJ./J f}J} - 090 f t .. . . CITY, I STATE. STATE, w. hereIty IUlnlt speclflutlona and e.filMt.. for: R. (f //It e (~/1'f/*, / 11), c; /} III ),0-1 t! --- \A/ If-?, 7 {o ~ 10 5eF I\. He,,{ IW""'I' , . >" 'I.e -7 /' w" r /'#'/1/7 /? /1 C /?"""'r' /" / ~ f e.. ----; o /I ~ 'I il,/ ","",d"'''''/I11 4.<'} /,<7'/7) I 7 W'O . Yh/ W'A',rr"../lj'1 {J;J ~",.bor; f".,'c: ~ l' n d V h 7 J:,T'f, (' 7 I- fit,> / A1j 'f, 2 hereby propo.. 10 furnish 1Ii7nd ....iel. - complet. in KCorct.nce wllh the _'lie specificatlont, for the IUIIl 01. ./: L /I II / /).. j'/J/'l ~ ~ . f \v OTrl <:J L.. ~ ~ 'I u 17 l. f7 v -1 A / '- A . ~I"" IS -.J !/ {.../, I with paylMrtl 10 be .... .. follow.. -;: ~ -0-,,11 I/~ J'!3 /} t'~4-} .e?/c? /",.0 rt /J ~ \IV ,0.;' ^ . I I All 1llI..iel is gulrentMd '0 be .. specified. All work '0 be completed in . _Itllllnlib IllInner KCordln, 10 ...nd...d prKtices. Any ........ion or cIevletlOll frOIIl .... speciflQ'ion. involvin, .xlr. co.", will be .xecuted only upon wrilNn order.. .nd will become lIIl .1JIr. ch..... ov... .nd .bow .he ...Imate. All ........... conti....... upon ~.~ilt... Kci:ien" or deI.y. beyond ow conlrol. Thl. propo..lsubject '0 KCeptence wilhin - 1CJ - .y. Mcf i. void _~"","''''ho__ ~ ~ ~~~ ~ Authorized Si,,,..,.. ~ ACCEPTANCE OF PRO OSAL Dat. .\ The abov. price., .pecificallon. and condition. a,e hereby accepted. You are authorized a. outlined abov.. ACCEPTED: .. APPLICATION FOR PERMIT CITY OF ZEPIIYRlULLS BUILDING DEPARTMENT OWNER'S NArtE 7-/J J, /) ;t1 LJ /' / e f. OWNER'S AUDRESS 7 9 J- 5 0 ?1' 'f h It 1./ I JOB ADDRESS 5/f Nt ~ C7 7 rt h /J V' ~ . PHONE 78?-- Jll(5 LEGAL DESCRIPTION: LOT(S} , BLOCK SUBDIVISION PARCEL 1.0.# J].. - J- 6 - :;/ - OJ/ 0- OOOo,/} - O'J 6 0 (OBTAIN FROM !ROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ----Addition ____Alteration ~Repair ____Install PROPOSED USE: ____Sign J'Single ____Move ____Demolish Family ____M/F ____# of Units _MIll _Connercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: I< e. /J ).4 C.f. A; /' U-1 j (if j' tJ /) / /J 4} 5" 11 s1 e ~ I I / I BUILDING SIZE: X Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTAL11 (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction \ ZCTRlCAL ECBANICAL _PLUMBING TYPE OF CONSTRUCTION: _Block _FraJlle _Steel Other FINISIlED FLOOR ELEVATIONS: PI. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION Signature COMPANY State Cert. or Regist. t City License Registration' ****************************************** BUILDER ELECTRICIAN Siana.ture COMPANY State Cerl. or Regist. # City License Registration # ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. f City License Registration f ****************************************** <<r // Signature COMPANY /" State Cert. or Regist. t City License Registration ****************************************** MECHANICAL .Ul'.ImR Signature COMPANY State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 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, botb the owner and contractor tay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of tbis application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratller 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 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 - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agricultur~ and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the . "owner" prior to couencl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVI'r I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to tbe intended work, and tbat it is ,y responsi~ility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater Treattent, Septic Tanks t US EnviroDlental Protect!on Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by tbe perlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOIIenced. One 90 day extension of tite, tay be allowed for tbe 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 eacb six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHEHT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHKNTS TO YOUR PROPERTY. IF YOU IKTEND TO OBTAIN FINANCIKG, CONSULT WITH YOUR LEKDER OR AI AnORKEY BEFORE RECORDIKG YOUR KO'I'ICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHEKT". ~~ rr/- SIGNA~ CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by 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 iden~lfication 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