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HomeMy WebLinkAbout97-7351 BUILDING PERMIT 7351 CITY OF ZEPHYRHILLS (813) 788-6611 Permit f1 PLUMBING "- S-1" tJ7) ~HANI~ Date / ;).. -JtJ - rt-; BUILDING ~-'jTi) ~~ propertYOwne'~JfiJ.~ ~~ Job Address: 0 -'j Parcell.D. # JI-U -~- fj ()/O - 09/00 Sewer Conn Water Conn: Water Meter: T.LF_'s: - &J/70 Zoning: Energy,;g;e: Description of Work '-I1~~AA) "7Z- Radon Gas: ~./r~ ~ "Y~ J-p'-yr~'I..Aj,~I1h1. 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. I J.I 6 DATE DATE Inspector 1>1 p~rmitFe~ ~ Signature _, _ Company Address Telephone# Valuation or a '-? Contract Price ~ I -...s V " trv ~ j-? City License Registration # ~ ~-.:> State Certified License# BUILDING ~~~-r rJ..3( ELECTRICAL J,~d~~@ ,lJ PLUMBING MECHANICAL Driveway Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SV\J:(.~ U~jf~dt 1/1/91 KdJ Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($1-i-r09+ shall be made for each trip for each trade: .l-~--. c:rtJ 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 PERKlT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER t S NAKE VJ~G dz: .s I W/JIV1l>~5> 0'-1- 3 <.J PHONE-8 1. ~ - 7 R'z.. - '2) (X) OWNER'S ADDRESS ,r-rH sr. JOB ADDRESS 0t71"""\.1Z: LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.t-JJ - ~ ~ - 2 ( -. 06/ 6 6<9/ DO 0190 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration -Repair _Install _Sign --,"ove _Deaolish PROPOSED USE: -=it.Single Faaily _KIF _' of Units _K/H _ec:-ercial _lndust. _Swia. Pool _Other _Restaurant 1& Health Departaent Approval DESCRIPnON OF WORK: !tDn H~4-TfU~ X . I J... '13 Square Feet, ...<; V5 I~. " BUILDING SIZE: 9 Height RESIDENTIAL : COKKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKlTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECHARlCAL $ Valuation of Mechanical Installation .-PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO Signature ,un- CONTRACTOR SECTION ruV\- BUILDER F.T .RCTRlCIAR COKPARY--.A 0 ~ ~ (L.s ~ 1- r-<-, State Cert. or Regist. f BP 008 "'2~ <1 City License Registration" 23 I ****************************************** COKPARY State Cert. or Regist. . City License Registration . ****************************************** n..Jt/.\- PLUKBER Signature IlEClWlICAL L ~ COIlPANY SO'" T t-\~ Co "",~bJ~ ~ - - State Cert. or Regist.' R m t)c 1.-> 6z.... "L... Signature ~ City License Registration' II 0 , ****************************************** Ny:r State Cert. or Regist. , City License Registration # ****************************************** COKPANY OTRRR Signature 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 lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILI'l'IES 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiruents lay 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 the .Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sigo as contractor that lay 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'l'ILITY CONNECTION FEES ~ 1 D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STA'rUTES, 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 sOJeone other tban 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 cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOIpliance with all applicable laws regulating construction, loning, and land develop.ent. \ Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no wor1 or installation has cOllenced prior to issuance of a per.it and that all work will be perforled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies JaY apply to the intended wor1, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not 11lited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanaguent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvironJental Protection Agency - Asbestos abate.ent 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 "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. 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 Bet 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 per.it issued shall beCOle invalid unless the work authoriled by such per.it is cOllenced within six IOnths of issuance, or if work authoriled by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, lay 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 lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEllBIfS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHBNCBIIBIfIl. ~L LL__ SIGNATURE: OWNER OR#AGKNT L :2 ~1... - ?,f u-S-s-- - ~ CJ::; ~ 0 ~ U~ 4~/Y7"l~ ~IGNATURE: NTRACTOR . I STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 by who is personally produced as identification take an oath. known to me or who has known to me or who has . and who did/did not who is personally produced as identification take an oath. and who did/did not (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC S'"21- &,Cs,SO PROPOSAL SOUTHERN COMFORT ENTERPRISES, INC. P.O. BOX 486 4109 COUNTY RD. 656 DADE CITY FLA. 33525 WEBSTER, FLA. 33597 352-567-6111 352-793-5501 RM0015022 NAME DATE VIRGIE SIMMONS DECEMBER 4, 1997 STREET JOB NAME 5434 5TH. ST. SAME CITY, STATE ZEPHYRHILLS, FL. 33541 JOB LOCATION SAME . ----------------------------------------------------------- JOB: 813--782-2100 KELLY 716-1$.23-:;3436 CAROL 849-3405 FAX 849-3409 -----.------------------------------------------------------ --------------------~--------------------------------------- We hereby submit specifications and estimates for: INSTALL HEAT PUMP SYSTEM TEMPSTAR: TWO & ONE HALF TON PACKAGE UNIT EQUIPMENT: PA5530 WITH AMMK10.0 COOLING CAPACITY: 28,600 BTU. SEER. 10.0 HEATING 28,000 BTU. HSPF. 6.8 HEATS TRIP KW. 10.0 THERMOSTAT: HEAT AND COOL COMBINATION, MANUAL SET. DUCT WORK: FIBERGLASS AND/OR FLEX, R-6.0, PER LAYOUT RETURN THRU FILTER BACK GRILL. REGISTERS: WHITE ALUM., FIXED LOUVERS, MIS DAMPER. WARRANTY: 1_IMITED ON~ yEAR WORKMAN~HIP AND MATERIALS BY DEALER. FIVE YEARS ON ALL PARTS BY MFG. INCLUDES: EQUIP.SLAB, LOW VOLT. WIRING, TAX & LABOR. DUCT COVER. NOT INCLUDED: ELEC. WIRING TO UNITS, FRAMING, PAINTING OR CO. OR CITY PERMITS. ROGER ELEC. SERVICE CHANGE & ELEC. TO UNITS.-------( $ 1100.00 ) ----------------------------------------------------------------- ----------------------------------------------------------------- WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: TWO THOUSAND NINE HUNDRED FIFTY --------------------------------------dollars ( $ 2950.00 ) Payment to be made as follows: 50 % DOWN, BALANCE ON COMPLETION. 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 ;~~~~~~~~~:~~~~;~~~~::Jl(oG~w~L~~ /~ i. 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. Y.ou are authorized to do the work as specified. Payment will be made as outlined above. SIGNATURE V -0L / f -" ~ DATE ACCEPTED J:t. .t: '1 cr /'j ------------~-~---------------------=----~---t--- t11 tit W 0) . 0 ~ (I) ""'=E C I - 11 0) ::r ~ .....ct~CII ,- .....cr.....~ .t 3 .....!!!.o:;:, (l)<D(') tv 3 .-' C) 0 '^ .". 3 0 (,... Co ,-:c- . 0 0 ~, --1 ~ ""'(0)0);:::' ~wc.nm ~ I ~ 0):;:, ~...., ;- 0 ..... :;:, p -"'~ .n~.- 4P'~ T1'. ;7", ~ '" ~_ ~ .I':.... ~ "'(7 ..(-."'! ,-- ~ ~'( ~ ~ ~ '(;JQ....-; <f1.~ "+ .-z.. '0 ~ o ('#0 (., ^ " " D - - '-'\ ~'" >( ..J 0' ~ r: ~~ ~,., " :;>., ~ ,..Q~~ \~ ~ r-: . ~ ')(. 1'J.. 8' ~.. ",00 01 rl( "\\.c. } -. ....0 Ox 06- (>>x: }" ,,~ fI\~ oil" ~ /\~ 1\ ! ~--- /. //-- ~~ ('X 11" J . o ....'"!- ~ '" v")( (\ (" '\\ 1 " () l7 G) Oc. ~ 4(' ~ ill -..~ .,. / ~ ~ ~ t:> State of Florida } County of I The undersigned hereby informs all concerned that improvements will be made to certain real property. and In accordance with section 713.13 of the Florida Statutes. the following information Is stated in this NOTICE OF COMMENCEMENT, (p"aPA"a IN DUPLICATa. COMMENCEMENT \ \II \1\" \111\ \\1\\ 1\1\1 1\\1\ 1\\\\ 1\11\ \1\\ \11\ . 97146548 SEMINOLE FORM 408 . FLA, 1977 LAW. n 713_13 NOTICE OF Description of property ....... /./. :-:.~. ~ .:. .~ .l. . . ()OJ. o. . . . . . . .Q .q. / ~ 9. . . . .0. J.9. .0. . . . . . . . . . . . . . . . . . . . . . . . . . . Rcpt: 205001 Rec: 6.00 .................................................................................... OS: 0.00 IT: 0.00 12/30/97 Dpty Clerk General description of improvements... .A-~... .H.~... f?.Y..~.. .S.y. $". :t~~....................,..... Owner...... V I. R _~. J.f?::.......S,(.m .~. Q.~.5......................................:............................... Address.. .~lf 3. .4...... .~7.:... .S!,.......... ..~.~P..~l~. /U U$..... ..F~.1. ..3.3.~<f:.1..... Owner's interest in site of the improvement......... r!.r::::.JI!.~................... ~3~}~' ~SCO COUNTY ClERK Fee Simple. Title holder (If other than owner) OR BK aada. 1 p~f l6 S6 Name ......... ~4, . . . . . . . . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . , Address _............ _ _ _ _ _ _ . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . Contractor _...S 9~m. ~..... C~. ~ i .~r..... ~~g..:. .~:t:.~.,.............................. Address.... .'It!?.?:....... .~.~...... .G.<F.':?..,........ .0r~.~ _TI;~..... .f4&........ .J.$.,,?,-..(.7,..... Surety (if any) ......................................................."................... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- Address ................ _ . . . . _ , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . Amount of bond $ . . . . _ . . . . . . . . . . Any person making a loan for the construction of the improvements: /Vo )V ~ Name ......._..._,_.............,........................................_.....__..........................._.................. Address ,., _ _ _ _ _ . . . . . . _ _ _ _ _ , _ . . . _ . . . _ . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . , . . . . . . _ . . . . . Person within the State o( Florida designated by owner upon whom notices or other documents may be served: Name _. _ . . NtP.fI:..!.~. _ _ _ _ _ _ . . _ . . . . _ _ . . . _ _ . . _ . . . . . . . . . _ . . . . . . . . , . . . . . . . . , , _ _ _ . . . . _ _ . . , . _ . . . . . , . _ . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . 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,..... ,NpJt,)~_, _ _ _......... .._._.'....... .U~ ,'~. ~~~. _. _, _.... _. _. _..... _ _ _ _. _, _,. _." Address _.. _ _ . , . _ _ _ , . _ _ _ _ _ _ . _ . . . _ . . _ _ , . . _ . . _ . . . . . . . . . . . . . . . . . . . . . _ . , . . . . . . . . . , _ . _ _ , _ _ . . . . _ , . _ . . . _ . . . _ . _ , _ _ _ . . . _ _ . . , _ _ . . . _ _ . . . . _ . THIS SPACE FOR RECORDER'S USE ONLY *.lf~_.J~~......,..._... Owner ~\\\\\""''''''''I. 1'\.",~~~ J, LAa ~II"" .:~ ,,"'''_~..''... is'.19 ~ so .....v · 55 .. ~"". ,;: ~"-V ..,,"" 'ON~;_.;v;,,~_ s., .. !:l'" '1.:i ....--^~ ~ :,).,<;J ~~ER18 ~..,. ~ ~ .~ ~.~~. - = : ~ g CJ1~ :: :*: Q .... 0 :*: =z. . : ~~~~ ICC597681 Ao':i!~ ,.., _ . ~ '" ~-. is ~ ~ "9;....?- ~,!ded '/n~~~.. tS-- ~ ~ ..o;~.~...,icun6~..;.~v~ ...~ v8. ......~.~, ~ lI'/,,, lie, ST~~ ~"...~ ~"""'tII"'\\\~ - Sworn to and subscribed before me this klttlO.~.~_. _. ,C_~. _ .~f!- h....c2"q........dayof -... t:>.~<;". - -.. -.. -\I) -")J - -, - - - - -, - ,197:.7 _..~.J-.~-,-_.- Notary Public