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