HomeMy WebLinkAbout97-6896
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611 /'
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PL~~ Sewe' Conn
/ Water Conn:
{; ~A. ~~ter Meter:
T,I.F.'s:
Permit
N!
Date
Parcel I. D. #
Zoning:
Description of Work
FINAL 8 - /
DATE
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
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
~ a.SO' -
City License Registration # r4 ~ /
State Certified License#
o '(2)/Y}?n-,J~
R(1--Y~ ·
, ANICAL
BUILDJNG
/'
ELEC~
-
P~'
-
Ftr.
Pre SLB
Lintel
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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.
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CARBON LESS
FdRM 3850
PROPOSAL.
TRIPLICATE
.il.
.
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~A(07~?}1
Pro osal Submitted To:
PROPOSAL
O'DONOVAN'S AIR CONDITIONING
AND HEATING
6610 16th 5t.
Zephyrhills, Fl 33540 Sheet No.
(113 782-4075 Work To Be Performed At:
.
No.
Date~ AUGUST 6, 1997
Name ST ELIZABETH EPISCOPAL CHURCH
CLYDE ALLEN (REPRESENTATIVE)
Street 5855 16th ST.
Street
City
ZEPHYRHILLS
State FLORIDA
City
State
Phone
782-1202
Date of Plans
Architect
We hereby propose to furnish the materials and ofJedorm the labor necessary for the completion of
ESTIMATE TO REPLACE PRESENT HEAT PUMP WITH A 3-TON BRYANT
HEAT PUMP SYSTEM.
AIRHANDLER.
11 SEER HEATPUMP WITH 5 K.W. BACKUP HEAT WITH TXV VALVE IN
$2,250.
"
ONE YEAR WARRANTY ON PARTS. Two years on labor.
Five year
warranty on compressor.
.,
PRICE INCLUDES THERMOSTAT, NEW COPPER LINES, TAXES, AIRHANDLER,
AND MOVING NEW DIGITAL TSTWT CLOSER TO RETURN.
All material is guaranteed to be as specified, and the above work to be performed In accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
TWO THOUSAND TWO HUNDRED FIFTY AND 00/100 Dollars[$2,250.00 )
with payments to be made as follows HALF BEFORE STARTING: IN FULL UPON COMPLETION.
Any alteration or deViation from above speCification" Involving extr'a
costs. will be executed only upon wrltter, orders. anaNdl Decome iln
extra charge over and above the estimate All agreements CGfltlng12i-,t
upon striKes, accidents or deiays beyond our cuntruL Owner to CalTY
fire, tornado and other necessary Insurance upon above WOI" W[;I'k
men's Compensation and Public Liability In5urar,c~ on aOQve work to be
taken out by ...
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Respectfully submitted ~~.' /V ~~z:-'
jl vt- 6 I';(;p? I ~ y
Note-This proposal may be withdrawn by us if not accepted
within 30 days.
ACCEPTANCE OF PROPOSAL
The above prices, speCifications and condltlOlIS are sat.isfactory and are herehy accepted~':'()lJdr'::...~uthorized ~9-J.o 0 t the work as specified.
Payment WIll be made as outlined above... .--' ~ ~ d '
. . Signature 'l-<( ....
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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE 5T E JI Z.A/ bf'l~ Efl',?/llfAL- /h I//rh
'~S"S-) ((Yfl'JT
JOB ADDRESS > .# /VI f ff 5> (7 /; oJ V Q
PHONE ($jliJ ? frJ- - /)0 ~
OWNER'S ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I,D.' (OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE: _Single Faaily
_H/F
_' of Units _H/H
_<=<-ercial
_Indust,
_Swia. Pool _Other
DESCRIPTION OF WORK:
/(e LJ/Q'ce-
I
& Health Department Approval
(; r~ f /J V/h/J-,
{ I
_Restaurant
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,
rf. -t /1(/'-'//"1
~ (. T,,- ~ ' ~ PERMITS REOUESTED
'Jf'/->C
/
$
Valuation of Total Construction
_BUILDING
Florida Power Corp,
W.R.E,C,
_ELEC'l'RICAL
~GlWiICAL
AKP Service
$
Valuation of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FI.RISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
Signature
COMPANY
State Cert, or Regist. .
City License Registration .
******************************************
ELECTRICIAN
COMPANY
State Cert, or Regist, f
City License Registration f
******************************************
SignAture
PLUKBER
Signature
COMPANY
State Cert, or Regist, ,
City License Registration f
******************************************
MECHANICAL
Signature' /
COMPANY (f) /!
State Cert, or Regist, f
City License Registration .
***********~******************************
OTRRR
Signature
COMPANY
State Cert, or Regist. ,
City License Registration f
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
'l'he undersigned understands that tIlis peI1lit Jay be subject to Rdeed restrictionsR which lay be lOre restrictive than City
regulations. fhe undersigned assUles responsibility for COIpliance 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 witll
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 tile owner or intended contractor are uncertain as to what licenSing
requireleDts .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611,
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tile
nContractor Sections. of this application for which 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 perlitting 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 - BOIIeOWDer's Protection
Guiden prepared by the Florida Departient of Agriculture and Consuaer Affairs. If the applicant is sOleODe other than the
Rowner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to cOllencl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tile 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 cOlleDced prior to issuance of a peI1lit and that all work will be perfoIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in tile jurisdiction. I also
certify that I understand that the regulations of other goverJllelltal agencies JaY apply to the intended work, and that it is
Iy responsib-ility to identify what actions I lUst take to be in cOlpliance, Such agencies include but are not lillited to:
t Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Vastewater freatlent
t Southwest Florida Water ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departient of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater freataent, Septic fanks
t US EnvirODlental Protection Agency - Asbestos abateleDt
I also certify that, if fill laterial is to be used in Flood ZOne "An or "A,etc.", it is understood tIlat a drainage plan
addressing a ncDlpeDsating volDle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A peI1lit 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 frOl 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 COlleDced within six IOnths of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of six IOnths after the till! the work is co.enced, One 90 day l!Itension of tile, laY be
allowed for the peIllit with fee charge of $15.00, The l!Itension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned,
WARlfIlfG TO 0VlfER: YOUR FAILURE fO RECORD A NO'I'ICE OF COMMERCEMElfI' HAY RESULf IN YOUR PAYING !VICE FOR IMPROVEIIEIft'S '1'0 YOUR
PROPER'l'Y, IF YOU IIft'EMD '1'0 OBfAIN FINANCING, CONSULT WUB YOUR LlNDIR OR AM AnOIlm' BIFORE RECORDIXG YOUR XO'I'ICI OF
COMMIXClMENf. JOBS UNDER $2,500 IX VALUE 00 NO'I' lfIED TO RECORD AND POSf A "NO'I'ICE OF COOlIXCEMEIft'".
SIGlfA'1'URE: OVIIER OR AGElff
SIGNA'I'URI: COlffRACfOR
STATE OF FLORIDA
COUNfY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUlf'l'Y 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