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Home My WebLink About97-6718 BUILDING PERMIT N! 6718/1 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date ~ - /...3 - 7 7 BUILDING ELECTRICAL PLUMBING ~ ~HANIC~ Sewer Conn Water Conn: ::::~,::~jl~G;3:~ Parcell.D, # Water Meter: T.I.F.'s: Zoning: Energy C~ Description of work.-A- / ~ (? /2./X- r~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C,O. s:- _2:-1- DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Pe'mit Fee~ "?: Z SignaMe__ -_ -. ~ Z; ~ Company Address Telephone# Valuation or !-. Contract Price 02.,0 '/-..5........ - c-i) City License Registration # :23/ State Certified License# &iJ/~ 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 ($15.00) 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. Street 3B649 CAMDEN AV. Street 38649 CAMDEN AV. State .FLe:..___ C A c..o 5" l..( ') J I Pro osal Submitted To: O'DONOVAN'S AIR CONDITIONING -~ AND HEATING .... 6610 16th St. Zephyrhills, FL 33540 75 Work To Be Performed At: Name KATHRYN RYER KATHRYN RYER City ZEPHYRHILLS ] State (pJ 788-1576; WK. 752-2113 FL City ZEPHYRHILLS Phone. Date of Plans Architect .. We hereby propose to furnish the materials and perform the labor necessary for the completion of AIRHANDLER, $2,075. L' ..-.-~>-.."._..,--_.-.......-...-- ONE YEAR WARRANTY ON PARTS AND LABOR. FIVE YEAR WARRANTY ON PRICE INCLUDES THERMOSTAT, COPPER, TAXES AND..A_J:..RJ;lAN.P.~~~.!_ COMPRESSOR. All material is guaranteed to be as specified. and the above work to be performed in accordance withthe'ldrawings ~nd. specifications submitted for above work and completed in a substantial workmanlike manner for the sum;' of. . TWO THOUSAND SEVENTY-FIVE AND 00/100--------------,---- Dollars [$ 2,07S:00').{ , with payments to be made as follows: AFTER COMPLET I ON OF WORK. .. . - d__ ".--d__r___~~~~~;; -.~~_.,-_.~,_.~~'.........~~~~: Any alteration or deviation from above specifications involving extra costs. will be executed only upon written orders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully subm;tted b '1 n'"", ~d Q '7", <>-~ (~ Per ~ ._, +-!~~'.; , ,"t Note-This proposal may be withdrawn by us if not accepted . ~ " within days. r.c .','i"' 0(:.' . ..' . . ACCEPTANCE OF. PROPOSAl.},);i,,_ ;1'hri,a.b\lVe.pri~~s IspecificCitions~nd conditions are satisfactory and ar~ hQrebY,(;I~p~eiit :;~a~m~~t'I;JiILb~(l'1ade aso\Jtlinfl~}lbove,> . '{~: ,; J:l.;,' .. . . .>... . '"..+~~.7igr~tury:,~~: · 8a~ej,!; . .~q"":/~---cl7'~~".*~ Signatu. I __ ~. FORM 3850 ORIGINAL MADE IN U.S.A APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Ol/NER'S - f\ '~17 '"# /1 '!:1 e r PHONE ; &"1< - / 5'? 0 OIllIER'S ADDREss l 6 '1 '. C" , R /) A V:' Z</,4 7---61 yr, F ~ 3 '} 5' '-( LJ /7 ./;.0 V e. 5",. A--,.-~ ,r 5 JOB ADDRESS LEGAL DESCRIPTIOR: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install _Sign --'love _Deaolish PROPOSED USE: ~ngle FUlily _KIF _, of Units _M/H _~ercial _lndust. _Swia. Pool _Other ____Resta~~t & Health Departaent Approval ~'- DESCRIPTIOR OF WORK: If f' /?./-7 C P If t2 /T 1- ,,() V A-J ;CJ ( I ( BUILDING SIZE: X Square Feet, Height -> ~ 5h .~ / RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDIRG PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDIRG $ Valuation of Total Construction ____ELEC'l"RICAL V KECHAlUCAI. AMP Service Florida Power Corp. W.R.E,C. $ ?-- ./ o7e; - Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUCTIOR: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIITI.DER COKPANY State Cert. or Regist. , City License Registration t ****************************************** Signature ELEC'l"RIClAN COMPANY State Cert. or Regist. I City License Registration I ****************************************** SiQIIAture PLUMBER COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature KECHANICAL COMPANY ,O/J t7 State Cert. or Regist. f City License Registration , ***********~****************************** //?) Signature OTHRR COMPANY State Cert. or Regist. t Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKlT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City regulations. the unaersigned 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 tbe contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to pmitting privileges in the City of Zepbyrbills. 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 - HOJeOWner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceJent. E. CONTRACTOR'S/OWNER'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 bas cOllenced prior to issuance of a peIlit and that all work will be perforJed 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 goverDJeDtal agencies laY apply to the intended work, and that it is IY responsi~ility to identify what actions I lUst take to be in cOlpliance, Sucb agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treablent t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health , Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US EnvirODlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan addressing a .cOlpensating vollllel will be subJitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A peIlit 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 shall issuance of a peIlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid unless tbe work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of Sil IOntbs after the tile the work is cOlleDced. One 90 day eatension of tile, laY be allowed for the peIllit with fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An approved inspection lUst be logged during eacb sil IOnth period, or the project will be considered abandoned. WARJfING '1'0 ONlfBR: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMBIfCBMBNt' MAY RESULT IN YOUR PAYING nlICE FOR IMPROVBIIBNt'S TO YOUR PROPERTY. IF YOU INt'EKD TO OBTAIN FINAMCING, CONSULT WITH YOUR LBHDBR OR AM AnOJIREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UHDER $2,500 IN VALUB DO NO'I' NEED TO RBCORD AND POST A "NO'I'ICB OF COMMBlfCEMENt'". SIGNA'I'URE: OWMER OR AGEM'I' SIGNATURE: COKTRACTOR STATE OF FLORIDA COUNt'Y 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