HomeMy WebLinkAbout97-7219
BUILDING PERMIT 7219
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
J1
Date _
/ J- Ii" - <77
BUILDING
ELECTRICAL
PLUMBING
GCHAN~ Sewer Conn
Water Conn:
Pmperty Owne' '1? ~~
Job Address: 5- 6 6l....' t.:7
Parcel I. D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
~Ener2fle:
C ~(f>2-
Radon Gas:
FINAL
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
Inspector
[5
P~rm;tFee ~~/~
Signature
Company
Address
Telephone#
Valuation or ,.., ~
Contract Price ~ 4f / /, t7t)
City License Registration # .;2.';>".;L /
State Certified License#
_ .L~~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. 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 ($~) shall be made for each trip for each trade:
c2S: lTV
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OIiIlER'S HAIlE &~ 6 /17e/l$~ PHONE
OWNER'S ADDRESS 5~~7 h20,- ~/g2 c-/f
~~E
;?;3~ - 7;// S
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I. D.' ~.2 ;;Z h ~ / (/ ~ / 00 C('Jt)O 0/:/0 (OBTAIN FROM PROPERTY TAX NOTICE)
.
WORK PROPOSED:_New Construction _Addition ~teration ~epair ~1
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _M/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: /?g./~/l1 ~~ /17~ ~/V Ll/ f:7 bA/~
",
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMKERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
~UILDING
$
Valuation of Total Construction
ELECTRICAL
~CAL
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA 'I
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
RT.RCTRICIAN
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
SillmAture
PLUMBER COKPANY
State Cert. or Regist. .
Signature City License Registration .
/.~~' ***#-************************ij**~*/*****;;* ~
KEGHANICAL~ ~// ~/ . COKP~~ 4<'/"'vlrtA. A/1
Sigoatur~~~~ /tf! ~~~\~~eO~e::~~~~i:n' .2~~ I
******************************************
OTRRR COKPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which .ay 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 undertake work, they .ay 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-66JJ .
FurtberlOre, if the owner has flired 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, raUler than the contractor, are responsible for the work. If the contractor wi8bes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'!'ILI'fY CONNECTION FEES ~"
D. CONSTRUC'!'ION LIEN L'AW (CHAPTER 7l3, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ ROIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber 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 AFFIDAVI'f
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
I
Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that DO Ifort or
installation bas cOllenced prior to issuance of a per.it and that all work will be perfofled to leet standards of all laws
regulating construction, City codes, Boning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended wort, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
Nater/Nastewater Treallent
t Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Naterways
t De arllent of Healtb & Rehabilitative Services EnviroDlental Healtb Unit - NeIls, Nastewater rreattent, Septic lants
t US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "co.pensating vol DIe " will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
. A per.it 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 is~u~nce of a per.it prevent the Building Official frOt thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued sball beCOlB invalid
unless the work authorized by such per.it is cOllenced within Sil IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of Sil IOntha after the ti.e the work is cOllenced. One 90 day 81tension of tile, III be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each Sil IOntb period, or the project will be considered abandoned.
NARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHHNT HAY RESULT IN YOUR PAYING DICE FOR IHPROVIIIBIfIS TO YOUR
PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AM nrTORRIY BEFORB RECORDllfG YOUR IIJrICI OF
_. JOIIS IlllIIER 12,500 IN VALUIlIJO 110I NEIl/) TO IIICllRD AlIO ~~. ,~~"
~/~/2 .1
SIGNATURE: OWHER OR AGENT SIGNATURE: CON RACTOR
STATE OF FLORIDA
COUI'lY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE 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
..."._~-.-...,..,~~ . .",.-.,*'-.:~ _'~ _ ......."WI'IVI
JfJ.1U"fr~...IJ ...Lc~~I!I~_~"~""8' -"'''1'11' .""..... __...... ..,.-,~ .,~,~:~-rV'l.~~"'."='::1~
/ -,..--.-' /1' ...I}..."
~ ..J~.: ;" 11/ c-...,
, .' ,/ t_' '\....._""'1 j
\
SCOTT'SINe.
PLUMBING, HEATING & AIR CONDITIONING
CFC0460001 CAC024394
CORPORATE OFFICE (813) 254-4045
FOR LOCATION NEAR YOU CALL
1-800-679-9902
HEATING. COOLING
REFRIGERATION. AIR CLEANING
ENERGY SAVINGS PROGRAMS
FOR HEALTHIER
INDOOR LIVING
PROPOSAL SUBM11TED
HOME PHONE:
"'7 <;7 "7 _ ....;;..,..-' ";7./ c-
'J' ,J
CITY, STATE & ZIP COOE.....-"
<-:. tI4,:{-' \ "
JOB NAME:
.;...~;?;:;.,~'-:~
-./ 7':::" / -.IOJi]ps&)ON
,4'./ :) .' Y' ./
ARCHITECT:
/
SCOTTS REPRESENTATIVE://' ~ ,.--'
~..-..I.:-,',. ~
JOB PHONE
We hereby propose to furnish all,labor, material, equipment, license and permits for the complete installation as
outline below. All such work shalfbe c!)mpleted 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
MAKE
MODEL
,
,/.<-r'
.~
/,-)
1/"
~'~~,'-::'::~ .:</
--.-..-:-,.t, _., .'1' 1_- ,./}
_ ,/.i.~::/'v;'~/
//
~?'/l,../
.-< /;.~)
1 t, ,
. ;::'1',.,<. 1/:('''-
I '
. </;/;,.//1'
//~~ 4:.'~."" '//1
/ {/_J.:'" /'/1/ '
"1(/<./
J;\IRpISTRIBUTION
~Betape Duct Work
~alance Air Flow
. 0 New RIAir Grille _x Alum_Wht
o New StAir Grille Alum _Wht
o Add Balancing Dampers Qty
lS~odify Supply Plenum ," 1- ..
,('Other /"11:;>,/,,:7 V? ,':;/c1/t-L: t-v: /LZ/~ X
ELECTRICAL AND CONTROL ~'l/" y'/~'.t/' .
o Standard Mercury Thermostat _
_~~~~~~~oen~cN:::~u~~~~;'6~~~n~:t-~"~~Ps
'~rovided New Indoor Disconnect Amps
10 New 18 Gauge Thermostat Wiring-
o Outdoor Thermostat
o Zone System Per Design
o Other
ENERGY SAVINGS
o Hot Water Heat Recovef}0Jnrt
o Programmable T 65tat
o Attic Powe Hator
o Insu . n Upgrade to R_
~L h Efficiency Water Storage Tank _ gal
,/"0 Other
/'
WARRANTIES: (All Warr<y1ties Outline On Reverse)
""t3",parts Warranty ./ Yr
-Q:Labor Warranty l / Yr ~/
--$!:t;ompressor Mfg Warranty ~/ Yr
o Extended Parts Warranty Thru
o Extended Labor Warranty Thru
o Extended Compressor Warranty Thru
o Other
PIPING
o Liquid Line Drier
o Refrigerant Line Set _ Suc _ Liq x _ Ft.
, ~Ioat Switch
/0 Auxiliary Drain Pan _x_
o Condensate Pump _ Volts
o Other
AIR PURIFICATION
~Hi h Efficiency "Spac~Guard" Air Cleaner
ectro - Static Filter~" r:' x...;.~ / /1
.. ~an and Sanitize Grilles
o Other
MISCELLANEOUS
'l"xNew 6eAer8t8 li?ad x
/0 Galvanized Line Cover
o Galvanized Duct Cover
o Other
"-,"~,;~/.-,"'~;:'.2I--L ' ":";~ L/' //' 7' - ,
....,:::.7/' I i
----:,-,-$~--.. .~~ . ..::.~#-
- ,,~. /,;#.,'" .,-.;.... <':'l"~"--':"/./
EXCLUSIVE SCOTTS GUARANTEES
ii" 0% Satisfaction Guarantee
, , :omfort Guarantee
," Hour Service Guarantee
"-
Energy Savings Guarantee __ %
Air Balance Guarantee Savings
(All Guarantees Outline On Reverse)
"'t.~, '~..~~~f;::==1:"":j::':'::::o/;-~:.-.... ,-~"-.:f:;>
Wl]lf. ~ ~Tt=fumrW~erial and labor, oomPIete in accordance with above specifications,
for the sum of: -~ --., dollars ($ '...;; Y'7";7
. ., t:
Payment to be made as foriows;.... >';;,tte,e:1', ~~e' /:c; '/8,'1" $' /'"
-/'
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,
(,.
\
,
,,,
r-., ~ ~ ..,
/ ' . .. ',_ { A..,..."r::
--"_ ..'A-......"~ -
J
._'" Property ONner or Owners'Agent-,
./"
Not Valid unless signed by Company Officer
WARRANTIES I GUARANTEES
IN SOME CASES SPECIFIC WARRANTEE INFORMATION IS PROVIDED UNDER SEPARATE COVER AND
WILL BE MADE A PART OF YOUR CONTRACT. THE DESCRIPTIONS WHICH FOLLOW ARE NOT MEANT
ill REPLACE OR SUPERSEDE ANY SUCH DOCUMENT. IF YOU HAVE ANY QUESTIONS CONCERNING
WARRANTIES OR GUARANTEES PLEASE ASK THE SALES REPRESENTATIVE TO CLARIFY THEM. WE'RE
HERE TO HELP YOU.
PARTS AND LABOR WARRANTY
ALL INSTALLED PARTS TOGETHER WITH LABOR TO REPLACE SUCH PARTS SHALL BE COVERED UNDER
AN INDUSTRY STANDARD ONE YEAR DEFECTIVE PARTS REPLACEMENT WARRANTY, AS OUTLINED IN
YOUR WARRANTY PAPERS THAT COME WITH YOUR NEW UNIT. IN ADDITION, IF SO PROVIDED FOR ON
THE FRONT OF THE CONTRACT, AN EXTENDED PARTS AND LABOR WARRANTY PERIOD WILL APPLY.
ASK THE SALES REPRESENTATIVE FOR A COPY OF THE FACTORY BACKED, EXTENDED PARTS AND
. LABOR WARRANTY POLICY AND KEEP IT WITH YOUR CONTRACT.
COMPRESSOR WARRANTY
YOUR COMPRESSOR WILL BE COVERED UNDER AN INDUSTRY STANDARD FIVE YEAR MANUFACTURES
DEFECTIVE PARTS WARRANTY, AS OUTLINED IN YOUR WARRANTY PAPERS THAT COME WITH YOUR
NEW UNIT. IN ADDITION, IF SO PROVIDED FOR ON THE FRONT OF THIS CONTRACT, AN EXTENDED
WARRANTY ON THE REPLACEMENT OF THE COMPRESSOR WILL APPLY. THIS EXTENDED COMPRESSOR
WARRANTY DOES NOT ALWAYS COVER THE ASSOCIATED MATERIALS AND LABOR COST FOR THE
REPLACEMENT OF THE DEFECTIVE COMPRESSOR. ASK THE SALES REPRESENTATIVE FOR A COPY OF
THE FACTORY BACKED, EXTENDED COMPRESSOR WARRANTY WHICH COMES WITH YOUR SYSTEM
AND KEEP IT WITH YOUR CONTRACT.
100% SATISFACTION GUARANTEE
SCOTT SAIR CONDITIONING IS COMMIITED TO CUSTOMER SATISFACTION AND WARRANTS TO YOU
THE HOME OWNER FOR THE FIRST NINETY DAYS, THAT YOU WILL BE 100% SATISFIED WITH THE
INSTALLATION AND SELECTED EQUIPMENT. SHOULD$COIT'S AIR CONDITIONING NOT BE ABLE TO
SATISFACTORILY RESOLVE A PROBLEM, WE WILL REMOVE THE EQUIPMENT AND REFUND THE PR I( 'E
OF THE EQUIPMENT.
AIR BALANCE GUARANTEE
SCOTI'S AIR CONDITIONING WARRANTS TO THE CUSillMER THAT THERE WILL BE NO MORE TH AN A
THREE DEGREE (1 II2 FOR COMFORT ZONE SYSTEMS) DIFFERENCE IN ROOM AIR TEMPERATURE IN
YOUR HOME UNDER NORMAL CONDITIONS, OR WE WILL REBALANCE THE AIR SYSTEM.
24 HOUR SERVICE GUARANTEE
SCOTI'S AIR CONDITIONING WARRANTS TO THE CUSTOMER THAT IT SHALL PROVIDE AN ON CALL 24
HOUR EMERGENCY SERVICE AT ALL TIMES. AT ANY TIME DURING THE FIRST YEAR WARRANTY
SHOULD WE FAIL TO PROVIDE YOU OUR CUSTOMER WITH COOLING OR HEATING WITHIN 24 HOURS,
WE WILL PAY FOR YOU TO SPEND THE NIGHT IN A MOTEL. AFTER HOURS SERVICE CALLS MUST BE
DOCUMENTED WITH THE ANSWERING SERVICE.
ENERGY SAVINGS GUARANTEE
SCOTT'S AIR CONDITIONING WARRANTS TO THE CUSTOMER THAT THE NEW SYSTEM WILL
SAVE_ % ON COOLING OPERATIONAL COST FOR THE FIRST YEAR AS COMPARED TO THE SYSTEM
BEING REPLACED ORSCOIT'S AIC WILL PAY THE DIFFERENCE IN COOLING OPERATIONAL COST FOR
THE FIRST YEAR.
COMFORT GUARANTEE
SCOTT S AIR CONDITIONING WARRANTS TO THE CUSTOMER THAT THE SYSTEM SELECTED AND
INSTALLED WILL PRODUCE DESIGN COMFORT CONDITIONS AS ESTABLISHED BY INDUSTRY
STANDARDS.
; ~ '-._' ,.:.~'::~, ',,:'~)_.':!~..:~:tlL)):.~"_~..,,~,-,~':~~".,{"~;:.~ t:.>~j, ':~ :"-~~' ~J.. :'r'''; . ~
"', '.
. . ~ , . :
., \""~.",,:':;':,'~'
flA. 1177 l^WI
fl 713.13
SEMINOLE FOAM 408
NOTICE OF COMMENCEMENT
~~:~t:f o~lorida } IPR~PARE IN DUPLICATE' 1II1111111111!~~~!~~1II111111111111111111
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the~rlda Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Description of property ./-:'/144:?. ~./ 2-:.~. -::gr ~.(2.~/ Q.~ {!@(!().........
.~. .6?77o.....................................................:............
Rcpt: 196178
05: 0.00
11/18/97
Rec:
IT:
6.00
0.00
Dpty Clerk
Gen~:~: ~e~~:'~~'~~ ~~.;~~,~~~~~~~~ :;4/i< A?~~...:::.:.:::::::::..:....:::.::::::..::::::.
owner..&f y..4.. (...6. ~!k!?2...................................................................
Address5~.dZ..9../4.cP/~C;Z;...?:~#.4;y44;:?~../iG.3-.?~YC
Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner) JED PITTMAN, PASCO COUNTY CLERK
11/18/97 01:23p. 1 of 1
OR BK 3838 PG 471
Name ..................................................................................................;.:.......... .';-.'. ., . . . . .
Address ..................................................................................... - . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . .
R contoe...,...:> z;6>;rr. ..::::C~!.~...............................................................
Address .../Q/,;Z...A//.~~~~(..7At~&.3:Y~.7.
Surety (if any) ..................................................................................................................
Address ..................................................................................... .Amount of bond $ .... . .. ... ... ..
Any person making a loan for the construction of the improvements:
Name ............................................................................................... ............................
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 .................................................. z.. ..... ..............~........ . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . .
THIS SPACE FOR RECORDER'S USE ONLY
< . /.....4.......... ..~...................
STATE OF FLORtDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND AND OFFICiAl SEAL TH!SJ_~ DAY OF
NOV. 19'LL
JED PI AN, CLERK OF CIRCUIT COUR'! ~
~ n~