HomeMy WebLinkAbout97-6752
BUILDING PERMIT N!
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
. .
6752~
BUILDING
ELECTRICAL
PLUMBING
~~
Date '-~- :2/'- ? 7
Pmp.rty Own." ~~
Job Address: 71~~..... ~ ~
Parcel I. D. #
Zoning: Energy ~od,:
De,cript;on of wo"'-ij L (~, --- r Q.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL " - I "?- - q
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
/1 ()
Permit Fee
Signature
Company
Address
Telephone#
-EnJ
~ ~--.--.
Valuation or
Contract Price
II ~O - c-/L)
,
City license Registration #
State Certified license#
BUILDING
ELECTRICAL
__~d~~
PLUMBING
MECHANICAL
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.001 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.
.\ttf'I.'ICA'tIOR FOR PE'IMIT
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DOILl>UG DIWAlmIENT
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OWN~' s~ MDWS 9-~ 2 Lf
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FJ.A-;t; ~\~,:
LEGAL DESC'JUPrION: toTes)
n~SODDIVISIONL
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r,
PARCEL X.D.'
~RK PROPOSEDI~ew Construction ~ditioQ ~ter3tion ~ep3ir ~Instsll
_Sien
_Hove
--->>c.-olisb
I ,~
PROPOSJID U~R: piDele Fa.ily
_eo..ercbl
---Jf/r _' of Units,
hdust. -5wi.. Pool " ,
s. ...,.
~/H
,,' I (_ '~
'.~ Other
Restaurant & nea1th Dep:l~~t Approval
BUILDING SXZ.s:
x
Square Feet,
Height
RESIDENTIAL"^TrACII (2) PLOT PLANS & (2) SIl:l'S OF nUll.DINC PlJ\HS & (1) SET ENERGY FOMS.-.
COHKmC'I.AL: ATrACU (3) SE.TS Of' nUILDU1G PUNS & (1) SET Y..NeRGY FORtIS.*"
..con Of' COHI'kAC't RllQUlIWD.
)Jf.mfITS RP,OUP...C)TP.O
-lSUILDIHG
ELECTRICAL
.pmClWrtCAt.
__.l'LUl1BINO
s
Valuation of Total Constr'\lction
$
Nil' Service
<9D
/I~O
Flor;ida Power Corp.
'II 1
.11 .1.. E. C.
V31u:.tion of Hech.onic~.l Insta1l3tioQ
C.\S
ROOP'IHO
SP~CTM.Tr
'~i
--~ - ..:..;.;.;.';' '"N..~.~
TYPE OP CONSTRUCTION: _Block ---.F'r3'llie _Steel
Othet"
,t
FIHISlIED nooK EU;V^TIO~S:
FT.
1:5 P.ROJ'ECT IN FLOOD ZONE AREA? '
, YES
. -
.....t.......ee..................t..tt...t
NO
Q)m'RACTQ~ ~JSctl.2t!
, BUILDER
. Sienature ~
;VY+
: <X>>lPAHY
State Cert. or Recist. .
Ci~ License Recistration .
..........................................
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" ~
EI.ECTR'ICTAl(
1/\ COH.I'4\NY
" /lI y 't- Stat.e Cart. or Regist. ,
,... '. City License Recistr<J'tion ,
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SiP.n3 t~lre
....
PLUKnER
/LJJ4
CQ'W:JANY'
St."ltc Cert. oX' Rcaist~ ,
Ci~y License Rceistr~tion ,
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Sic.natuX'e
".
~ar^tlICAJ.
~ ~L CO'Il'ANY Sl)U~~ ~+~ n:/--
--g.. State Cert. 01" Rceist., , "A.. t'\1 00 IS" 0 '2.. ~
~~ ~ -- Ci.t:y License Rec.istr3tion , . / I D
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SitnaturC!
0TIJF.l1
. . ~)I/\ ./ C01fP~
Y 1r St3te Ccrt. or Rceise. .
Ci~ License Rcei$tration .
..................................*.t...**
SiCC3turc
APPLICI\nOK ~l).ROVEO Bt
P.ERI{IT OFFICER.
AP~-:-2,1 -94 THU 9; ~;)~ GEt-lERAL H':;Jt"E DEVE'-9,PMENT P - (.'12
CO. i!JITI0NS OF PERI'1.I"r AFFID(WIT I
A. ~9T ~ CE OF DEED Re;5T~i:~CI I ONij" ., ,
Thl under.lgnrd understands that this p~r.ll "~y bt sub).,t to "dead rr$trlction." which liY bl lor. rastrictlv. than Caty
ru~ulatlons. Theundrrslgned 'S5U.C~ rosponsibility for cD.pliant. ~ith ~ny Ippliclhlt deed restrictions,
B. UNL I CE'NSED CONTRAcrC1nS AND CpNTRACrOR REs.e.QN~tLlii.I l: I T I E~
If thl OMnor has hired a contractor or tuntractor, to undertako .ork, they .ay b~ required to bl llt~n~~d In accordanc. MI\h
st~tl ind local re9ul~tlons. If the ,tontr~ctor I~ not licQns~d as required by Jaw, both the owner Ind contractor lay be
cit~d for I Ilsdeaeanor vlolation u~drr ~tate law, If t~u owner or intend~d contractor are uncertain as to what lictnslnq
requirelents lay apply for the intended uork, they ar. advis~d to contact the Ci~y of Zephyrhills Building Depart,ent, (8131
78B-6611. .
Further.ori, 11 thl owntr hiS hirvd I co~tractor or c~ntractorsl hv is jdvised to h~ve th! contractor(s) sign portlons of the
'Contrjctor Sections" of this application for which they Mill be respo~5iblv. If you, is the owner siVn as the contractor,
you er. indiCilting that you, r.ther th~n the contractor, irt responsible for the Mork. 1f th, contrattor II1shn you to sign
, as contrlctor thilt liY be an indication that he is not pr~perly licensed and 15 not entitled to perlitting privll'OtS In. the
City of Zephyrhills.
c. TRANSPORTATION IMPACT FE~S AN
s
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
J certify that It the applicant, hive b~cn provided Mith a copy of 'Florida's Construction Lien La~ - H~leoMner'l Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the,applicant is SOleone other than the
'ollner", I certify that 1 have obtained a copy of the above described doculvnt ind prolise in vood fiith to deliver it to the
'oMner' prlolN!o COllrncelent.
IE. CONTRACTOR · 51 p~JNEa:.F._AF'F I OAV J T
J certify that all the inforlation in this ipptication is accurate Ind thjt all work "ill be don~ in cOlplianc' ~it~ all
applicable laws re9ulating cDnstruction, ~oning, Ind land deveJop.ent.
Application is hereby .~de to obtain a perlit to do work and installation as indicated. t certify that no Mork or
ln~t~llatlon has co..~nced prior to issuante of I p~rli\ and that ill Mork Mill bt perfor.ed to levt standards of all JawS
regulitin9 cDnstructlon, City cod~s, lonln9 rvgula\ions, and land develop.ent re9ul~tions In the jurisdiction. 1 1150
certify that 1 understand that the r~gulations of other govern,ental agencies lay apply to the intended work, and that It Is
IY responsibility to identify ~ha\ adi~111 1 lust hke to be in cOlpliante. Such ~gencies include but are not ti.lted to:
. OPDartlent of Environ,ental R~Qul~ti~n R Cypr~ss Bayheads, WetJand Areas and Environ.entally S~nsitlve Lands,
. "ater/Wastewater Treat.tnt
t Southwest Florid. w~ter "anaQ~.cnt Dls~ . Wells, Cypress B~yhcads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQinnrs ... SUHalh, Dt".\I, Hilvi9abh Watm.ays .
. Depart,ent of Health , R~habilitatlYe ~~rvite~, Environlental Health Unj~. Wells, Ma5t!~ater Trcat.~nt, Scplic T.nks
t VS Environ.ental Protec\ion Aacncy - A~bestos ab.telrnt
1 1110 certify t~at, if fill latQrial is to be used in Flood Zone 'A" or 'A,vtc.', it is understood that a drainage plan
addressing I 'colpensatinq volulc' ~ill be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to perait issuin~'.
A perlit issued shall be construed to be a license to proteed Mith the Hork and not as authority to violate, cln~el .lter, or
set i5ide any provisions of the technical cod~s, nor shall issuante of a perlit prevent the B~llding Official frol there.fter
requiring ....correc:tion of errors in plan.., construction, or viohtions of Iny codt. Every perlH issued shalt beeo.. invalid
unltss the work luthori~ed by such permit is co.tenced Hithi.n six lonths of issuance,' Dr if Hork authorized by thl per.it i5
suspended or abandoned for a period of Sl~ eonths after the tile the work is COIQcnced. ' One 90 day extension of ti.e, liY be
allowed for thl perllt Kith fee charqc or 115.00. The extension shall be requested in Hritioq to the Building Official. An
approv~d inspection lust be logged dud',,) each si~ lonth period, or thl! projvtt Mill be considered ..b~ndoned,
WARNING TO OYNER: YOUR FAILURE TO RECORll A NOTICE OF COHKENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR lKPROVErtEHTS TO YOUR
PROPERTY. IF YOU INTEND TO 08TAIN F IHAHI:lllGt COllSUL T W lTH YOUR LENDER OR AN ATTORNEY BEfORE RECORDING YOUR IlOnCE OF
COKKEHCE~EHT, JOBS UNDER $2,500 IN V~lU,: 00 tlOT HEED TO RECORD flUD POST A 'WOT ICE OF COI1t1ENCEIIEHT" ,
I
.
SIGNATURE, OWNER OR AGENT
~ :}S-2- 3"30 - S-,y. 2 C;,s--O
STATE OF FLORIDA
COUNTY OF
The fQregoin; instrument
before me th~5
- . -'
SiGNATURE, COHT~ACTOR- ~
L ,-~2- - lr3 4 oS &- L cr .$- - ~
I
was acknowledged
, 11'_ by
STATE OF FLORIDA
COUNTY OF ,
The fDre9~in9 instrument
befe.nt me this
was acknowledQed
, 19_ by
who is personally ~nown to me or who h~&
produced
as identification and who did/did not
tal,. an ooath.
~ho is porsonally known to me or who has
produced
aa identification and who did/did not
ta"e an oath.
(Signature)
(Signatul-e)
. (Name Typed, Pr inted 0\- StClmped)
NOTARY PUBLIC
(Name Typed, Pri~ted or Stamped)
NOTARY PUBLIC'
PROPOSAL
SOUTHERN COMFORT ENTERPRISES, INC.
P.O. BOX 486 4109 COUNTY RD. 656
DADE CITY FLA. 33525 WEBSTER, FLA. 33597
352-567-6111 352-793-5501
-----------------------------------------------
RM0015022
I'JAME
------------------------------------------------------------
MRS" SOVrl
DATE
-----------------------------------------------------------
MAY 21, 1997
STREET
4824 8TH. ST.
J08 NAr1E
CITY, STATE
ZEPHYRHILLS, FL. 33540
-----------------------------------------------------------
SAME
JOB LOCATION
-----------------------------------------------------------
SAME
JOB PHONE:
788-0291
WORK PHONE:
------------------------------------------------------------
--------------------------------------------------------------
We hereby submit specifications and estimates for:
REPLACE AIR HANDLER
TEMPSTAR:
EQUIPMENT:
FCP024 WITH AMFK10
HEATSTRIP : KW. 10_0
DUCT WORK:
FIBERGLASS TO EXISTING.
RETURN THRU EXISTING FILTER BACK GRILL.
LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY
DEALER. FIVE YEARS ON ALL PARTS BY MFG.
LOW VOLT. WIRING, TAX & LABOR_
ELEC. WIRING TO UNIT.
WARRANTY:
INCLUDES:
-------------------------------------------------------___R_______
-----------------------------------------------------------------
WE PROPOSE hereby to furnish material and labor-complete
in accordance with above specifications, for the sum of:
ONE THOUSAND ONE HUNDRED FIFTY
--------------------------------------dollars ( $ 1150.00)
Payment to be made as follows:
50 % ROUGH-IN, BALANCE 30 DAYS.
All material is guaranteed to be as specified. All work to be
completed in a workmanlike manner according to standard
practices. 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. Our workers are fully covered by workmen's
compensation insurance.~ ~
AUTHORIZED SIGNATURE .
-----------------------. --- -------- ------------------------
Note this proposal may be withdrawn by us if not accepted
within 30 days.
ACCEPTANCE OF THIS PROPOSAL- The above prices, specifications
and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified.
Payment wil~, be made~) outlined above.
SIGNATUR~,- ~ DATE ACCEPTED ';;-(;'1- 'Iv
- - - - -.- - - - - - -- - - -'- -- - - - - - - - - -- --- - -- - -- - -- - - -- - - - ---- -_ '2.. _ _ _ _ _ _ ___