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Property Owner:
Job Address;
Parcel I. D. #
BUILDING PERMIT .0 .
CITY OF ZEPHYRHILLS Permit N. 6620 If(
(813) 788-6611 3- D~. Date '$'- 7 -1 7
~AL .~G ~~.:;> Sewer Conn
~2d p(<~UJ;N~ a
~.
Water Conn:
Water Meter:
T.I.F.'s:
Zoning;
Description of Work
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
Valuation or ~ ~
Contract Price ' I -3 .~
o .a...
Permit Fee
Signature
Company
Address
Telephone#
. p,'
v:;;;::~~<~
City license Registration # c::2. 3/
State Certified license# el7 eo ") y 731
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~0?73~H)~&~ /?~.
, MECHANICAL ~}
~.-..-.
ELECTRICAL
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
Pro.posaJ,
O'Donovan's Air-conditioning and Heating
6610 16th St.
Zephyrhills Fl.33540
Phone: 782-4075
March 31, 1997
To: Ken Owen
38223 Boxwood Dr.
Zephyrhills Ph:788-6068
Estimate to replace Heat pump system with 2 1/2 Ton
Bryant or Heil Heat pump system with 5 K.W. heat. Includes
a1thandler, condenser, thermostat, pan, new copper lines,
and taxes.
Total Price: 10 SEER
~s~C
e~duct_in~~:-~~~_~~ 0
$2,100.
$2,250.
$72.
One year warranty on parts and labor. Five year warranty on
compressor.
The above prices, conditions and specifications are hereby
accepted. You are authorized to do the work as specified.
Payment will be made as outlined above.
~
Accepted: Date:
A "/' I. 1?4-?
- 't'l '- r
s;;;r!;{~
.
APPLICATION FOR PERKIT
CITY OF ZEPllYRBILLS
BUILDING DEPARTMENT
,. .
OWNER'S NAH8
OWNER'S ADDRESS ')
JOB ADDRESS 5...,. /1'7 e
Ie e /l O'v
~ )-)- 7
e/l
130(<..
/7'./ fft!I'?V-€...
WOc?-7/ 1/ ,r,
PRONE 'J?j~ - ~c b :Y
2e /?/; 'I~-<'//5 ~_
/
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LEGAL DESGRlPTION: LOT(S)
B~SUBDIVISION
PARCEL I. D.' (\lITAlB fROM l'8OPRRTV TAlI lIOIICU
WORK PROPosJm:_New CoustrucUon _AddiUon ~t.rauon --..B....ir _Install
_Sign
-Hove
_DeJIOlish
PROPOSED USE: ~ingle Fallily
_H/F
-' of Units _HIH
_eo..ercial
_Indust.
_Swu.. Pool _Other
DESGlUPTION OF WORK:
_Restaurant & Health Departaent Approval
f( e ~/7C e
I
II e 4 -f ,C (/~ ,LJ.
, I
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.
_BUILDING
PERMTTS REOUE..<;TEQ
$
Valuation of Total Construction
-~G'l'RICAL
~CllAlUCAL
AMP Service Florida Power Corp.
)- ,:7 J--)-- Valuation of Hechanical Installation
/
H.R.E.C.
$
_PL~ING GAS ROOFING
SPECIALTY
FDIsBED FLOoR ELEVATIONS:
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FT.
IS PROJECT IN FLOOD ZONE AREA?
/.
..........................................
YES NO
BUJ:I.D~
CONTRACTOR SECTIOli
Signature
GOKPANY
State Cert. or Regist. ,
City License Registration ,
.......................................*..
EI.RGTRTCIQ
SiQqAture
COMPANY
State Cert. or Regist. #
City License Registration .
........*....*.*..*.***..........**.*.*.*.
PLUHBQ
Signature
COMPANY
State Cert. or Regist. ,
City License Registration I
*...........*..*..*..*..........*...*****.
..
tlECRANlGA~ .
/.
Signature ~
COIIPANYr>' '" <7 v · ~' , '(",,.,d',!; ,'" ' lie, I)" f
State Cert. or Regist. # L 0 ,-> ? J /
City License Registration I ~ / - c ~ cO S"'i ? '3
.*.......*..**.......*.*......*****.***.**
mmB
Hgnature
COMPANY
State Cert. or Regist. ,
City License Registration ,
.*.....................*.........****..*..
lPPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to ndeed restrictionsn which lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for cOJpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lilY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to vbat licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
188-6611.
FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for wbicb 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 tbe contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
City of Zepbyrhills.
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 - HOIIeOWIler's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOJleOne other than the
'owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to co_ncelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all
applicable laws regulating construction, loning, 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 bas cOlleDced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJeDtal agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lUst take to be in cOJpliance. Such agencies include but are not lilited to:
* Departlent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater !reableDt, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abateJel1t
I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. " it is understood that a drainage plan
addressing a .coapensating volUJe" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida p'rior to perlit. issuance.
A perlit issued shall 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 shall issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
unless tbe work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOnths after the tile the work is CQIIeBced. One 90 day eltension of tile, lilY be
allowed for the peIli~ with fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NO'UCE OF COMMEIICEHBMf MAY RESULT IN YOUR PAYING filCE FOR IMPROVEMmS to YOUR
PROPERlY. IF YOU IMfEMD TO OBTAIN FINANCING, CONSUL! WITH YOUR LEIIDER OR All ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UHDER $2,500 IN VALUE DO NO'l HEED TO RECORD AIID POSt A "NO'rICE OF CQMMENCEMEMf".
SIGNAtURE: COMfRACTOR
SIGllAtURE: OVtlER OR AGEMf
STATE OF FLORIDA
COUHTY OF
The foregoing instrument was acknowledged
before me this , 19~ by
STATE 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)
(Name Typed, Printed or stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC