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Home My WebLink About97-6464 BUILDING PERMIT NO -6464# CITY OF ZEPHYRHILLS Permit. (813) 788-6611 Date ,J - Is ~- 5' 7 BUILDING ELECTRICAL PLUMBING ~~IC~sewer Conn Water Conn: :::::,~,:~e:s-m- ;/!;Z~ Parcell.D. # Water Meter: T,I.F.'s: Zoning: Energy C~ DescriPtionofworkA-/;- C ~3~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector City License Registration # State Certified License# ~'? I Permit Fee ~D. vV Signature ~ ~ fii~ Company Address Telephone# Valuation or Contract Price ~ / tJ?J - ~ &~OdYLp'~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ... '.. OWNER'S NAKE 'TA /}/Y) /Y , C-- , ~ -I ~ ~ PHONE ;> fi'}- '} jl ,F 6 OWNER'S ADDRESS ~ 5' q I? Il.Jr{ 5 T Zj~h (/-1'/ /t; p-t,. JOB ADDRESS (.,/1-, ( /TS 11'6C?v^t..- , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION - 0 3> 51} () - tl'jlt(OBTAIN FROM PROPERTY TAX NOTICE) /' --0iepair _Install PARCEL 1. D.' //-I-b- 'J-I-OO/{) WORK PROPOSED:_New Construction _Addition _Alteration _Sign ---1Iove _DeJIOlish PROPOSED USE: _Single Faaily _M/F _, of Units _M/H _eo..ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: tf .e /JJ'rc G (i ~ ",. t- ~ C/ ~ j? AI/- C /.7,.,/ .s Y 51t!..., {6.y? l/-Jo'} / ) , , I 1../ 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 _BUILDING $ Valuation of Total Construction ---,.ELECl'RICAL ~KECHAlUCAI. AKP Service $ :;'(1 OO~ ~ Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUTI.DER COMPANY State Cert. or Regist. . City License Registration . .....................**.***.**..*.***...*. Signature RT .RCl'RICIAN COMPANY State Cert. or Regist. # City License Registration . ..............*...*.*.....*...*....*....*. SiQOAture PLUMBER COMPANY State Cert. or Regist. f City License Registration . ........**...*.****.******....*****.*.*... Signature , \ { KECHANICAL /: / COMPANY IJ/}/.JV'~ /I "t? "hi'1, } /;" ~ i(T~ State Cert. or Regist. t c: Signature /V'--"'~ ~. 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 perlit lay be subject to Ideed restrictions" whieb Jay be lOre restrictive than City regulations. 'he 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, both the owner and contractor JaY 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 DepartJent, (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 UContractor Sections I of this application for whieb 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 pmitting 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 - HOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is 8OJIeOI1e other than the uowner", I certify that I have obtained a copy of the above described docuaent and prOllise in good faith to deliver it to the "owner I prior to cOlleDcelent. E. CONTRACTOR'SjOWNER'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 or installation has cOllenced prior to issuance of a perlit and that all work will be perfolled 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 govemaental agencies JaY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to: * DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'reatJent, Septic 'anks t US EnvirODleDtal Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone IAI or "A, etc. ", it is understood that a drainage plan addressing a 'cOllpensating volute I will be subJitted whieb is prepared by a professional engineer registered in the State of Florida prior to per.it 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 set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOll 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 cOllBnced 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 cOlleDced. One 90 day extension of tite, Jay be allowed for the pe~it with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned. WARNING TO OIfNER: YOUR FAILURE '0 RECORD A NOUCE OF COHHBNCEMENT MAY RESUL'f IN YOUR PAYING 'rIflCE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEHD TO OBTAIN FINAlCING, CONSULT WITH YOUR LENDER OR AI ATTORBEY BEFORE RECORDING YOUR NOUCE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 HOT NEED TO RECORD AND POST A INOTICE OF COHHEHCEHENI". SIGNATURE: OIfNER OR AGENT SIGHA'fURE: CONTRACTOR STATE OF FLORIDA COUNfY OF The foregoing instrument was acknowledged before me this , 19____ by S'fATE OF FLORIDA coum 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 Proposal /!,./ C e J #=- fl-"lG -), / -,0/.7/0 - 035"a 0- 00/0 O'Donovan's Air-conditioning and Heating 6610 16th St. Zephyrhills Fl.33540 Phone: 782-4075 January 20, 1997 To: Thomas Grodem 5817 10th St. Zephyrhills Ph:783-3956 Estimate to replace present Heat pump with Two Ton Bryant Heat pump system. 10 S -.!:La c l<JJ Heatpump with 5 K.W. backup ~ ~~"~~ on parts and labor. Five year warranty on --- -- xe ea - One year warranty compressor. Price includes thermostat, copper, taxes and airhandler. The above prices, conditions and specificat~ons are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted: Date: Signature