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Home My WebLink About96-6206 BUILDING PERMIT Permit N! -- ~. 6206;1 CITY OF ZEPHYRHILLS (813) 788-6611 Date / tJ -~r-- f 6 . BUILDING ELECTRICAL PLUMBING P,"perty Owne' ~ "b Job Address: (5 - --5.~ . ...~ Parcel 1.0. # ~~IC~ Sewer Conn Water Conn: Water Meter: T.I.F,,'s: Zoning: Description of Work J Energy Code: A r1;LL- ~~(f 0 Radon Gas: FINAL 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 City License Registration # State Certified License# 3~s p~rmit Fee ..3 ~~ Signature _~ . _-~ Company Address Telephone# Valuation or Contract Price ;;( g-- O?J. v-o _ 4;..J( ~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, 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 ($15,001 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, [lCT -2::::- "36 t'n~ 15: 37 I D: . TEL tj(]: 1=1087 POl , ,... . __.. I ...,w.... ""'11I" This Instrument PrcpAr~ ay: Name Angela Turner AddrOIlP,O, Box l070-'Valrico, ~L 33595 P~t No, NOTICF. OF COMMENCEMttNT TQX Folio No" 8T A TE OF Florida COUNTY OF P:='Qr0 THE UNDER.SIGNED h~rchy sive~ notice lhQtlmprovcmclll will be made 10 certain renl pl'aport)', And in Ilccordnnco with Chnplc:r 713, Ploridn Statutes, the followina infonUlJlion Is ~)rovide.d illlhis Notice or ConuncncC'rnent, . 1. Description or property: (logal descriplion or property, Wid street Ilddr~ss if [Ivoiloble) Pg, 50 Lot 3 Block 6 2, Omerol description ofimproycmem: new HVAC System 3. Owner infonnGlioll D, Name and adctrau: Dorothy Drouin 39136 5th Ave Zephyrhills, FL 33540 b. Intcrest in property: c, Name nnd t1ddte!il!i of feo simplo titleholder (if olher thnn O\\11er): 4. Contrftc~or: Robert D, C98hell O/B/A Gulf CQast Air Systems, Inc, lI, NamcAndoQdro8ll:P,O, Box 10 Valnco, FL 3359~ b, Phone number: (813) 689-2082 c, Fax munbcr (optional, if service by fllx is acccPlllble); (813) 627-9071 5, S~'rety , a. NMlO lUld IK1drcllll: b. Amountotband $ c, Phone n"mbcr; d, Fa" number (optional, if lervi~o by ra" is acceptable): 6. Lender II, N.mc 4nd address; 12, Phone numbor: c. Fax number (option,.l, ir$~ryic~ by fax is Dcceptabl~): 7. Persona within the Stille of Florida desisnated by Owner upon whom I\olicea or other dool,llnetlls m4y bo sCf\rcd as provided by Scotion 713.13( 1)(1l)7" Florida SIEllUICS: ' o. NAme 4fl4 address: b. PhoQe num~r; c, Fax number (oplional, if service by fox is Qcc~tllble): 8. In Addition &o.hlmscIC. O\lfller dC!lignntes the following perQon(s) to receive a cop)' of the Lienor', NotiC<lAI provided in Section 713,lJ(J)(b). Florida Statutes: ft, Namo IlJld address: b, Phone num~: c, Fa)( n~mbef (option.l, if service by fllx ;8 .~eoptablc): , 9, Expiration diu ofnot{~ of commtntcemOJll (Lhe expiralion dQto is 1 )'elU' from Ute date or rocordins un!os" A difToront dal.o i. .pecified) .' Sworn to Md I",beeribed befi _. Cochell ... who I CrllOnlll/)' kn wn .... All ~ oaUlt Ibl. .2ath ' O$y or October I 19~, SianAhUo or NO~llry ~ fi., lLJ,t.~';'o&:-/ Printed Namo ofNol~ B tx L, Wicinski , ~~".ion NoJExpiralion -Bfrrr L. WlClNSkt ,,'/~"OI.4,IIY . My COOlm [Kp, 9/03/96 ;;;<'/11'< H',I,~ Bonded By Service ins , 'l tk-CC221J77 ALI.INFORMA TlON Ml JRT un TYPED ()~[~~n l.F.H{frf.'fTO COMPLY WITH RECORDING MQUIREM'ENTS. Signalor.oCOMlor ~~ &~ Owner's Name Rnoort..J:2 ~~U Vlf" ~-----. Owner'.Addrcssp,O. Box 1070 Valricoc.FL_33595 APPLICATION FOR PERKIT CITY OF ZEPHYRIIILLS BUILDING DEPARTMENT OWNER'S NAHB \:)1:::> R. -rHi' OWNER'S ADDRESS ~9 (~c.. ?>Cj l~b DlL~1 ,/-I s:: AD, If/" <.- ~~ ,LJ i/. r0 PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I.D,' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair V--Install ____Sign . ---1Iove _Demolish PROPOSED USE: ~ingle F_ily ---111 F ____, of Units ----111 H ____ec-ercial ____Indus t, ____Swim, Pool _Other ____Restaurant Ii: Health Department Approval DESCRIPTION OF WORK: {'o 1-/ r:),#\.:::J G" c 0 '--'- I ;C) / C I c;:- 6. L.-C- P P'? t= e?0 T BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PWT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, PERMITS REOUESTED _BUILDING ~ $ r:';2 e c> e;, - Valuation of Total Construction ____ELECTRICAL AKP Service Florida Power Corp. W.R.E.C, - ~ t../1tECHANIcAI. $ ~2?D0 Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF COIISTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: FT, IS PROJECT IN FLOOD ZONE AREA? YES NO **........................................ CONTRACTOR SECTION. BUILDER COMPANY State Cert. or Regist. , Signature City License Registration . ......**.........***.***.*.**.....*.*..*.. ELECTRICIAN COMPANY State Cert, or Regist, , Sian~ture City License Registration . *....*......*.***.*****...***.*.****..*..* PLUMBER COMPANY State Cert, or Regist. . Signature City License Registration , *.*.....**..**..*.*.**.****.********.***** ~ COMPANY C L.l>- L Fe.:::> A :5 T .II J K:-. Sl..f ~ T--t:7.A:-5 /;0 (!.- State Cert. or Regist. f C A C. 0 3~ R "2..<:'::' Signature City License Registration' I.. :s 8':~-- ..********.*************.****.**.**.*** OTHER COMPANY State Cert, or Regist. f Signature City License Registration . ***...****..**.....*.**..*..*..*...*.*..*. APPLICATION APPROVED BY PERKIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City regulations, tbe undersigned assUles responsibility for cOlpliance witb 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 witb state and local regulations, If the contractor is not licensed as required by law, both the owner and contractor lilY be cited for a lisdeteanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, tbey are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611, FurtberlOre, if the owner bas bired 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 tbe 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 tbat be is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrbills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D, CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs, If the applicant is sOleDne other tban the "owner", I certify tbat I bave obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforliltion in this application is accurate and that all work will be done in cOlpliance witb 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 cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govefDlental agencies lilY apply to tbe intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance, Sucb agencies include but are not lilited to: · Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands, Vater/Wastewater Treallent · Southwest Florida Vater Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, BnvirORlental Health Unit - VeIls, Wastewater Treatlent, Septic tanks I US RnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc,", it is understood tbat 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 sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl,thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball beCOle invalid unless the work authorized by such perlit is cOll8nced witbin six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after tbe tie the work is cOMenced. One 90 day utension of tile, lilY be allowed for the perlit with fee charge of $15,00, The extension shall be requested in writing to tbe Building Official, An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OVNRR: YOUR FAILURK TO RKCORD A NOTICK OF COMHKNCHMBNT HAY RESULT IN YOUR PAYING nllCK FOR IMPROVBItBB!S TO YOUR PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT VITH YOUR LKNDBR OR AN AUORlBY BKFORE RECORDING YOUR NOTICK OF COMMKNCEKKNT, JOBS UNDER $2,500 IN VALUE DO NOT NKED TO RKCORD AND POST A "NOTICE OF COHMBNCBHBNT", ~ / ~ SIGlA~ · ei _-9:-:jJ SIG/" OIINER OR NT " ~ STATE OF FLOR~ COUNTY OF . ~ The foregoing instrument was acknowledged before me this 10 -:1 r , 19 96 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 l)L IfS(JD- 'iS7J-0>-:S-~ Vb> - 0 as identification and who did/did not take an oath.~ A ~L <717-~ . (Signature) /!I~ A fijA _&.h LV~ElodT (Name Typed, Printed oP/Stamped) NOTARY PUBLIC ';N~~'~" NInoY A, Moody .~' "-~,.% ~ COMMISSION' CC534806 EXPIRES . \.:. ?Jj FebruarY 21. 2000 ''(9f.:f.i s~ 8ONDEDntIll"AOH~ItlIllSllRANCE.INC who is personally known to me or who has produced as identification and who did/did not take an oath, (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC INC. CENTRAL AIR CONDITIONING AND HEATING 10-28-96 - City of Zephyrhills Zephryhills, FL 3 f::" RE: Qualifier - Robert D, Cochell #CAC036826 Dear Sirs: This letter is authorizing for Scott Hassler to pull the Mechanical Permit for 39136 5th Ave NE Zephyrhills, FL 33540 Very Truly Yours, Robert D, Cochell President ROC/at~ ~~ State of Florida County of Hillsborough Subscribed before me this October 28, 1996, by Robert D, Cochell, President of Gulf Coast Air Systems, Inc" a Florida Corporation, He is personally known by me and did not take the oath, ~ ., IX. 'iJ jflJd~ Bett~~, Wicinski, Notary Public /~ .8. ETTY l. Wle. INSKJ.' /'-~ ! i,.v""~l'f\ My Comm Exp.. 9/83/96 . -:,,~ ' . . ",' . ' -C:'. . .. . I, :'.' . , ,.', ,.,;' .1,.:)./ Bonded By SeFVlCt ms \~::?/. ~ t.. '. C. C221377 . ~~."~ ~ ! ! 0I!>er l. D, I; TRANE P.O. BOX 1070 .VALRICO, FLORIDA 33594 .(813) 689-2082 ST. L1C. NCAC036826