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Home My WebLink About97-7216 BUILDING PERMIT 7216 CITY OF ZEPHYRHILLS (813) 788~6611 Permit 11 Date 1/- /'1- 1'} PLUMBING ~AN0J BUILDING ELECTRICAL Sewer Conn :::::,~:~.~-#;:1 ?I~:J;, Parcell.D. # / I "';)...6 -;)/ - 0 0/0- () ~ '-v 1) - Water Conn: Water Meter: T.I.F.'s: DOL~- Zoning: . k-ergy c~ Descriotion of Work --4 - C (f- f? Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector f) Permit Fee Signature Company Address Telephone# Valuation or Contract Price ,"1, 7 g-" 0-0 / City License Registration # ~/ State Certified License# BUILDING ELECTRICAL PLUMBING _-/f~1/G MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($1-5:'001 shall be made for each trip for each trade: ol..!J'-;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 PBRKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER.' S ADDRESS )'1 yy tI u'" J ff) . I '7 t-If ~rr PHONE ZII , /5'2r) <ffO_ J.7 {_r-( () OWNER. 'S NAME "J L ~VO ,( . II JOB ADDRESS LEGAL DESCRIPTION: WT(S) BLOCK 11 II "26.J- (60/0 oyro (JOO lr SUBDIVISION _Sign _Move _De.olish PROPOSED USE: .J:::Single F8IIily _M/F _, of Units _M/H _ec-ercial Indust. _Swill. Pool _Other _Restaurant & Health Departaent ~.>>~ DESCRIPTION OF WORK: .'J-A.rk?{ ~~_~ UIr,l (C-~~5'l oa1 BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PWT 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELEC'l"RICAL bCIIANICAL AMP Service Florida Power Corp. W.R.E.C. $ J: 7~) ~ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FlRISHED FLOOR ELEVATIONS: F'f . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIJTl.DRR COKPANY State Cert. or Regist. , City License Registration 1 ****************************************** Signature F.l.RCTRICIAB COMPANY State Cert. or Regist. t City License Registration . ****************************************** SiQTlAture PLUKBER. COMPANY State Cert. or Regist. , ~ City License Registration . ****************************************** Signature KECHANICAL Signature V f W( (~/ State Cert. or Regist. , City License Registration , ************************************ COMPANY OTRRR COMPANY State Cert. or Regist. t City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned underatands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned 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 undertale worl, they lay be required to be licensed in accordance with atate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended worl, 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 the .Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratller than the contractor, are responsible for the work. If the contractor wisbes 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 I ~' , D. CONSTRUCTION LIEN L~W (CImPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .florida's Construction Lien Law _ HOIeOWDer'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 have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to couenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all applicable laws regulating construction, laning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perfolled to leet standards of all law. regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways · Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US BnviroDlental 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 tbat a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with tbe worl and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOlB invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ be allowed for the perlit 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 IOnth period, or tbe project will be considered abandoned. WARNING TO ONNER: TOUR FAILURE TO RECORD A NOTICE OF COHHENCEKENT HAT RESULT IN TOUR PATING TWICE FOR IHPROVIMBIIS TO YOUR PROPERTT. If YOU INTEND TO OBTAIN fINANCING, CONSULT WITH YOUR LHNDRR OR AN ATTORNEY BEPO RECORDING YOUR RorICI OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C CEMlMT". SIGNATURE: ONNER OR AGENT SIGNATURE: . I STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATH Of FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC FlA. 1977 l^W. F. 713.13 SEMINOLE FORM 408 NOTICE OF COMMENCEMENT ~~;;:f .~'."d. } ".:'^." ,. ....,..... I IImIlRIIIY~ ~~!~" IIDIIIIIII18 1111 The undersigned hereby informs all concerned that improvements will be made to certein real property, and in accordance with section 713.13 of the Florida S~ the following information Is stated in this NOTICE OF COMMENCEMENT. Description of property.. /~ ~~... :..~ d--:: .?<~ ~/C!?? /??c?Z$t?9 {?(? /~....... Rcpt: 195444 Rec: &.00 DS: 0.00 IT: 0.00 11/14/97 Dpty Cler~ G~n.'.; d~.c;t1.n .;'~P'.~.~~~:: :.;V;~. a;r~;;;;~ ~~;~ Owner .~&:-ZTrC,p~~.~?~..................................................... Address ..~~Y:f:../7.~~..Z:~d!~6:??-?.~..3;!:??Q...... ............................................. ...................................... Owner's interest in site of the improvement. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. JED PITTMAN, PASCO COUNTY CLERK Fee Simple Title holder (if other than owner) 11/14/97 01 : 54p. 1 of 1 OR BK 3836 PG 102:7 Name ........................................................................................................................... Address ........................................................................................................................ R- ~.nl'.ct.'. .5& / /P~5d;f!{//adr.......................................................... Address /C?/~..4!;../d?~~.~~.&y~.~...~~~~<?..... Surety (if any) .................................................................................................................. Address ...................................................................................... Amount of bond $ . . . . . . . . . . . . . . . Any person making a loan for the construction of the improvements: Name .................... ........................................................................... ......0...... '" ....... ..... Address .................,........................................................................................,............. Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ................... ....................................................................................................... Address ........................................................................................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). Name . . . . . . . . . . . . . . . ..--. . . . . . . . . . . . . . . . . ...--.-._-~- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address ..................................................................................................,..................... THIS SPACE FOR RECORDER'S USE ONLY -.. " 'l' .~.. -"'~~:." s'rAtE OF ~ ORJuA ". \':J:~ eOUNTY OF PASCO _ THIS IS TO CERTIFY THAT THE FOREGOING IS A fRUE AND CORRECT COpy OF THE OOCUMENT ON Fllt bR OF FUStlC RECORD iN Tk!S ()rFIC,h' WITNESS MY HAND AND, Q]FFICIAl SfAl THIS ",.fJiiL-OA Y OF tJ._O V. . _ 19 .f2. JED PI1 MAN, CLERK OF CIRCiJIT COURT ~ iY.' .' D.C: ~\,\~t:t~",,,,,. ~\J"-~..:...~~(~~~ ~.~( tf~ )~~ ~.... ..~~.. c_ ~:')...~~.~~;--.;~~~.::: -/,...~,~~;;~~,\.-'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ! . ,'.' : . . a_ ~ . . . . Owner . Sworn to and subscribed before me this .M.~.lJ. /c:~e~.tJ.d .......I.'f.........day of ..~..... ..,;...~:.'~I:"lIi"l.f9:,'11 .~.C~..~.~I.'~::.~~\.>.~ Notary Publii:llJ . : .' ...), .' ~ "OFFICIAL SEAL" ~ :> ~.."., . (, \ 'OllJi,t C W;I'!;ams : .J'. . . 'yJ .:.,":. v...,., "" . II. . ~. .J.. C...;' My C:o;nn:is~ion cxpirFlS 9/24/99 "~,_\,'" J" . :;, .' COiT.mISS:Oil #CC 497619 ", .~ " /" '....a, _, ~ oJ . /'1.1, '"' I...-! - II" I '''lrlpll SCOTT'SINC. PLUMBING. HEATING & AIR GONDrnONING CFC0460001 CAC024394 CORPORATE OFFICE (813) 254-4045 FOR LOCATION NEAR YOU CALL 1-800-679-9902 CITY, STATE& ZIP coo!: ~;E ARCHITECT HEATING' COOLING REFRIGERATION. AIR CLEANING ENERGY SAVINGS PROGRAMS FOR HEALTHIER INDOOR LIVING HQME PHONE: JOB NAME: JOB LOCATION: SCOTTS REPRESENTATIVE: /' p< /' ----;~ '/- JOB PHONE We hereby propose to furnish all labor, material, equipment, license and permits for the complete installation as outline below. All such work shall be completed in a professional manner and in accordance with all applicable state and local codes. We have carefully analyzed your requirements and guarantee the following equipment to be of sufficient size and capacity to produce design conditions according to the Florida energy code. QTY TYPE SIZE ENERGY RATING MODEL ,:}~. -::;> (.~,./l"~ _.,J /CYl/ /j_.'~'1 PIPING o Liquid Line Drier c_ Jefrigerant Line Set _ Sue _ Liq x _ Ft.5r'L.,L'!. loat Switch uxiliary Drain Pan _x_ [J Condensate Pump _ Volts o Other AIR DISTRIBUTION ''t;(Retape Duct Work IrJ Balance Air Flow o New R/Air Grille _x o New StAir Grille Alum o Add Balancing Dampers 'R'Modify Supply Plenum ED Other Alum_Wht _Wht Qty ELECTRICAL AND CONTROLS [] Standard Mercury Thermo~t-....:.. ~ /- ~ectronic Thermostatal..' / ~.::::>/")f , . rovided New Outdoor Disconnect _ Amps ~ 2." . rovided New Indoor Disconnect --'-- Amps - / '-X.-- lJ New 18 Gauge Thermostat Wiring ,] Outdoor Thermostat \ J Zone System Per Design [J Other !'7HrV/lfL ft()/h'-p'?~-t/y /1/2) J;v//~p-5/'- /"71(! /.'V;r~7e , --;:"__1~/;1, ~.-::/) ./ ./ C;-rCrC'/ //'( MAKE 3 t:,.5'T G') '-::;'? {, _5/ /0 ENERGY SAVINGS ....~. o Hot Water Heat Recov~riir o Programmable TPen1'lOstat o Attic PowerJ/lfritilator o InsuJjmc1h Upgrade to R _ o J;Ii~ Efficiency Water Storage Tank _ gal /rf Other 'l!ARRANTIES: (All Warrjlnties Outline On Reverse) . ~arts Warranty L Yr ~Labor Warranty / Yr ~Compressor Mfg Warranty ~ Yr o Extended Parts Warranty Thru o Extended Labor Warranty Thru o Extended Compressor Warranty Thru o Other AIR PURIFICATION ~igh Efficiency "Space Guard" Air Cleaner Blectro - Static Filter x o Clean and Sanitize Grilles LJ Other ~s ElLANEOUS /10 "15": ~ 1.11 ew Concrete Pad ~ x ~ ~'4" o alvanized Line Cover [] Galvanized Duct Cover [J Other EXCLUSIVE SCOTTS GUARANTEES .~OO% Satisfaction Guarantee omfort Guarantee 4 Hour Service Guarantee o Energy Savings Guarantee _ % o Air Balance Guarantee Savings (All Guarantees Outline On Reverse) WlJ'If. ~ hereby to furnish mat~1 ~nd labor ~~ete in acx:ordance with above ~cations! for the sum of: .::...J . - dollars ($ Payment to be made as follows: c47;;.~ ,( 0 7~t'cZ- ~ '--- ) If this instrument is referred to an attorney for collection or enforcement, the maker agrees to pay a reasonable attorney fee, plus court cost A 1 1/2% per month (18% per annum) delinquent fee will be charged, Not Valid unless signed by Company Officer