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HomeMy WebLinkAbout97-6993 BUILDING PERMIT Property Owner: Job Address: Parcell.D. # ./ -oy... /~-" VLECTRIC.I-\L) - . ~ter Conn: ~ ") ,.~ . ;) - tJi. b~'j>,J1fJ2s 8~,-<<,~(:gL . "e,Mete' $2 - ~y S- ' s ~-. -!J ;. ~ T.I.F.'s: CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! BUILDING PLUMBING ./"E--- ~.... ~ANI~.~1 Date Sewer Conn Zoning: DescriPtion of Work Cr-t7rgy Code: . "'_ )1<1<47""-- - 0,< I) . R ad}~~ . ~ :p./t'~ FINAL C.O. /0-6-97 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signature' Company Address Telephone# Inspector Valuation or ~ () 0 Contract Price T ,2; 1/ j~ ., - City License Registration # ctl3 / State Certified License# e A C!. DS ~ 7"5 I BU I LQJ.Wa-. ...- C~:~C~~ g) 0(1)~~ _ ~/ . ME~HA~I~A'_'. SLB Breakers Tub Set Ducts Insl. Wa~r Compreswr Sewer Final Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of -- . _.,J.. T - . - tift !I_liars ($leIII()) shall be made for each trip for each trade: .;l.~';pt) Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. C. d. e. f, g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTKEHT OWHER'S NAME ~/ ~ L1zA(JETJ1EPfC-Of/AI {'I!V!?rf! OWNER'S ADDRESS 5' f5.r:;~5 /610 5/ JOB ADDRESS 51'./VJ f d.~ /Y hI} v~ , PHONE ,?y)- /;LO 7- LEGAL DESCRIPTIOH: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' , (OBTAIH FROK PROPERTY TAX NOTICE) WORK PROPOSED:_Hew Construction _Addition V Alteration ~epair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTIOH OF WORK: e /;.-y /}! -e 0 vt- A e 4' r /J t/ A-J /:J r I ! BUlLDIHG SIZE: X Square Feet, Height RESIDEHTIAL: COMMERCIAL ATTACH (2) PLOT PLAHS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL HEW COHSTRUCTION. PERKITS REOUESTED _BUlLDIHG $ Valuation of Total Construction $ AMP Service Florida Power Corp. 1 Lla.cl/~ r ~{ 7 .;, Valuation of Mechanical Installation W.R.E.C. _ELECTRICAL ~GlWUCAL _PL~IHG GAS ROOFIHG SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIliISHED FLOOR ELEVATIOHS: FT. IS PROJECT IN FLOOD ZOHE AREA? YES NO ****************************************** COHTRACTOR SECTION BlrrI.DER GOKPANY State Cert. or Regist. . Signature City License Registration . ****************************************** RI.RGTRICIAR ~COMPANY (!'~)l1-l-.e 1.?l~u"!r"'~L s,~.:..~~ ~r.~\~~:';eO~:~:~~:~i:" . ({z7... **** -********************************** PLUKBER COMPANY State Cert. or Regist. . City License Registration t ****************************************** Signature ~ MECHANICAL COHPANY (J'tJ a//4I/4/) ~,4 ( !!It e- State Cert. or Regis t.' ;;; t~' 0 5" L( ? ? / ~L City License Registration' ~ '3 I ************~***************************** ~!' Signature OTIIRR COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature '''ION APPROVED BY PERM.1T OFFICER. -- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to Pdeed restrictionsP which JaY be lOre restrictive than City regulations. the undersigned assOles 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 lilY be cited for a lisdeeanor 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 Zepbyrbills 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 PContractor 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 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, bave been provided with a copy of PFlorida's Construction Lien Law - HOIeOWJler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is semeone other than the Rovner", I certify that I have obtained a copy of the above described docUJent and premise in good faith to deliver it to the "ownerP prior to CODencl!leIlt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in tbis 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 Jade 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 perfoIJed to aeet 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 goveruental agencies laY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Soutbwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Vastewater !reatlent, Septic Yanks * US EnviroDlental Protection Agency - Asbestos abatelent 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 .cOIpensating volOle" will be sublitted wbich 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 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 froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such perlit. is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tiae the work is cOBenced. One 90 day eJtension of tiM, lilY be allowed for the perlit with fee charge of $15.00. the extension 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. WAIUllffG TO OWlfBR: YOUR FAILURB TO RBCORD A NOTICE OF COHMDCBIIEII! MAY RESUL! Iff YOUR PAYING filCE FOR IMPROVEMBIl'S TO YOUR PROPBRTY. IF YQU III!BIfD TO OBTAIN FIUNCING, CONSULT WITH YOUR LBlfDER OR All Anomy BEFORE RECORDIHG YOUR HOTICE OF COMMENCBMBII! . JOBS UNDBR $2,500 IN VALUB DO NOT KEBD TO RECORD AHD POST A "NOTICB OF COMMEHCEMEII!". SIGffA!URB: OWIIIlR OR AGEII! SIGHATURE: COII!RACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Hame Typed, Printed or Stamped) NOTARY PUBLIC (Hame Typed, Printed or Stamped) NOTARY PUBLIC iJI. . Pro osal Submitted To: PROPOSAL O'DONOVAN'S AIR CONDITIONING . . AND HEATING 6610 16th St. Zephyrhills. FL 33540 Sheet No. .~( 1 7 -407Suvork To Be Performed At: No. Date Sept 18, 1997 CAro )~?3/ Name Saint Elizabeth Episcopal Church Same as left Street 5855 16 th St. Street City 'Zephyrhills I. Stat~_ Fl. .., City State Phone 782-1202 Date of Plans Architect ~ \ We hereby propose to furnish the materials and perform the labor necessary for the completion of Estimate to replace present package heat P*-P with 3 ton Bryant split heat pump system, ~neyear warranty on parts. Two year warranty on on labor. Five year warranty on compresser. Price includes split system unit, lb~mastat (digital), new copper lines, Will close hole on of church with plywood and paint ~J and taxes. with whi~e paint. er will need to consult carpenter or block mason to permi..ntlY coveJ:" the hole where the pacl<aged a i rcon d i t i one~ wi 11 be rerooved {i'" fI; 'f '} ) 11 SEER Heatpump with 5 K.W. backup\heat with TXV valve. ------4-2,495. All material is guaranteed to be as specified. and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Two thousand four hundred nt~yy fi ve---------------------- Dollars [$ 2,495. ]. with payments to be made as follows: Halt before starting. Inffull upon . pomplet~on of work. ! r Any alteration or deviation from above specificatlons'lnvolvlng extra costs. will be executed only upon written orders. and will become an Respectfully submitted extra charge over and above the estimate. All agreements contingent upon strIkes. accidents or delays tleyond our control. Owner to cilrry fire. tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work '0 be taken out by .' Per Note-This pro os within may be withdrawn by us if not accepted days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date (1- c3.3 - C; I ~.. ..... FD DUPLICATE MADE IN..lJ. S A. '.''''LJL.. II. U.<..J.I""'I.