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98-7440
BUILDING PERMIT . ~&" Permit Fee ..:..J. t. ~ Signature J,/n .~~'- Company Address Telephone# f)5i- 1?fG ~/,~ 5~5 BUILDING CITY OF ZEPHYRHILLS (813) 788-6611 '70 PLUMBING Ci D, '7Z- ELECTRICAL .- c3!J MECHANICAL Property Owner: Job Address: '7' ParceII.D.# {J.3-.:t~ ',tl/- O!JOO-DoovD- rJ03.ZJ Zoning: Description of Work '(I?n-J 0- NO OCCUPANCY BEFORE C,O, I/;f) 0 nfJ1. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C,Q, Inspector Valuation or Contract Price ,zi) yJ d S ODD-- a ) ..r ....1 Permit 7440 6. /- .;;'1- 9~ Date Sewer Conn l~~: _ /(Jo' - '/tro Water Conn: City License Registration # d7 0 9' 2 State Certified License# Qk (qdt~A /g r(A<5 , ELECTRICAL /1/ (p U/4.LL.O ~/<i) PlUMBING~ BUILDING Ftr. ~ 2h/c; 9 l'~"/f Pre SlB :21\~ /qi IrDK Lintel ~ FRM, Insul. CL-m WL cri l?o& SLB ./S-. J ff- 9~ I.fJ l.,L Tub Set ~ ~ l 81 (t Water Sewer Final Driveway We.,~\-?J~~'IO\') 1/3/'1~ f,'1l ~oq:: Y-'l-~Tg,L.L Tp, Serv. . Rough In 'f( J.3111 fui] Meter Can Const. Pole d)...!(j ~ 9f? /2.J..~ Pool Pre-Meter 'J'2X;J...99 t:2l~ Final ~ ~o~ J~h~ loJ w~.R~ 7(f ~I?/~ ()' MECHANICAL /.~9 Breakers Ducts Insl. Y I H /q p ilQ& 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 ($~) shall be made for each trip for each trade: ;2S: iTV a, b, c, d, e. f. g. 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, JJ~ ~nuJ~4.<LU--;J j-.;l7-?<P '-1/([ / (K) ~:J The payment of inspection fees shall be made before any further permits will be issued to the person owning same, RUUDGLAS PowerVent@ High Performance, Induced Draft Gas Water Heater 5 9 8 3 THESE UNITS ARE DESIGNED TO MEET OR EXCEED A.N.S.1. (AMERICAN NATIONAL STANDARDS INSTITUTE) AND HAVE BEEN TESTED ACCORDING TO D.O.E. TEST PROCEDURES AND MEET OR EXCEED THE ENERGY EFFICIENCY REQUIREMENTS OF NAECA, ASH RAE STANDARD 90, BOCA CODE AND ALL STATE ENERGY EFFICIENCY PERFORMANCE CRITERIA FOR ENERGY CONSUMING APPLIANCES. Before purchasing this appliance, read important energy cost and efficiency information available from your retailer. Over one hundred years of experience in every water heater. CONSTRUCTION FEATURES 1, Modular Blower Assembly-Designed for easy maintenance, service and fast installation. Uses eCDnomical 3-inch schedule 40 PVC pipe for venting. Can be installed up to 40 feet from the outside wall * . 2, PowerGlo Automatic Intermittent Pilot System-Eliminates the thermocouple and provides positive burner ignitiDn without a pilot. 3, Exclusive Power Switch-For vacation shut-down or servicing. Standard 110 volt electrical cDnnection eliminates the need for remote electric connections. 4, Installation-Ail you need is universally available 3-inch schedule 40 PVC pipe and 90. elbows for venting, . . no special outside hardware required. (Outside terminal fitting with screen included.) 5, Ruudglas Tank-Ruud" water heater tanks are made of special materials with exacting care. The tank surface is coated with an exclusive porcelain formula called Ruudglas and fused to the solid steel at 1600.. The result is a smDoth, tough, glass-like lining that effectively resists the cDrrosive attacks of hot water chemicals, thereby assuring long water heater life. Tank is designed and tested to withstand 300 PSI hydrostatic test pressure for working pressure of 150 PSI, A,N.S.1. Standard, 6. R-Foam Insulation-Rigid polyurethane foam for improved econDmy and fuel savings. The use of our insulator foam stops allows R-Foam to be injected directly between the tank and outer jacket. The uniform R-Foam application minimizes the possibility of costly heat loss caused by uninsulated areas (voids) common tD some other foam processes. 7. GasmasterlM Burner-Durable aluminized steel construction. Designed for efficient, quiet operation; precision port alignment; even heat transfer. LP models feature a durable stainless steel burner designed specifically for LP gas. 8. Honeywell Electronic Control-S8600M control mDnitors pilot operation for positive burner control. 9, Anode Rod-Anode Rod equalizes aggressive water action; different types factory installed and designed tD match local water chemical characteristics throughout the U.S. 10, Dip Tube-A durable plastic formula, tougher, more heat resistant than ever before. 11. Relief Valve Opening-(~" N.P.T.) top location for fast, economical installation. 12, Drain Valve- Non-metallic corrosion proof, designed for quick draining. 'ABS schedule 40 pipe can also be used in venting (compatible cleaners and cament required). RUUD POWERVENT, THE HIGH PERFORMANCE INDUCED DRAFT GAS WATER HEATER DESIGNED WITH THE INSTALLER IN MIND! Whether you're involved in new construction or retrofit, the PowerVent offers you the ultimate in flexibility and ease of installation. With its modular blower assembly, electronic ignition system and 40 foot venting range, Ruud PowerVent models offer the latest in residential induced draft technology and design! RUUD WATER HEATER DIVISION 101 Bell Road, P.O. Box 244020. Montgomery. Alabama 36124-4020 - ~ RUUD ~ - "In keeping with its policy of continuous progress and product improvement, Ruud reserves the right to make changes without notice." PRINTED IN U.S.A 4-96 BP FORM NO.1 01 R-35 REV. 4 PETE RICHTER LOT #3 SILVER OAKS VILLAGE SQ. FEET PRICE MAIN OR LIVING AREA 1,702 $ 40.00 OTHER AREA UNDER ROOF 433 $ 15,00 OTHER - $ 0.85 VALUATION $ 74,575.00 FEE SHEET $ 370.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 535.00 ELECTRICAL: $ 90.72 PLUMBING: $ 70.00 MECHANICAL: $ 35.00 RADON: $ 21.35 CREDIT: $ 60.00 TOTAL $ 752.07 SEWER: $ 1,278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 3/4" WATER METER:J $ -11 I 'rlt~Rr; /lptj} T1F ~:B 180.00 I /<;]Ll : I I TOTAL: $ cf 2,560.01 C' ;r~ ()'- ( '-----. - ..... ...... _.._.._._-~ _....H=f.-;;.74l!J~ p ~ --- ,~I PETE RICHTER LOT #3 SILVER OAKS VILLAGE SQ. FEET PRICE MAIN OR LIVING AREA 1,702 $ 40.00 OTHER AREA UNDER ROOF 433 $ 15.00 OTHER - $ 0.85 VALUATION $ 74,575,00 FEE SHEET $ 370.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 535.00 ELECTRICAL: $ 90,72 PLUMBING: $ 70.00 MECHANICAL: $ 35.00 RADON: $ 21.35 CREDIT: $ 60.00 TOTAL $ 752.07 SEWER: $ 1 278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 I 3/4" WATER METER:~ $ Jrt TJrRJ:; /11F1l!2 T I ~:1: 180.00 J) IW~ : I TOTAL: $ -Ef 2,560.010 /q~. '- c - 7 4()~ () '.:L ----.. '-tU:i. ;' ~ 0 ~~~_. -? ~ 0 <ftJ ,,' (J'l - v It./, ~ 0 ~v .1 c ,r;. ~bb' K"qry /'1')' "J \} PHONE ~d2 -5".:2/-- 39& g OWNER t S ADDRESS f? 0/3 cr:;( /2 (/1 .5a-n An -fo n w pc r ,/ S//ver- O/f-K'f (JIll:; q e- V' LEGAL DESClUPTION: LOT(S) -:#- 3 BLOCK SUBDIVISION .s;/v~ rr Otf~ Vt II~<"L-- PARCEL LD.' 03-,2 6 -2-1 -02tJ6 -00 OOT) -003'0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~w Construction _Addition ----Alteration _Repair _Install APPLICATION FOR PERHIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER t S NAKE 'PeTe- ,e~, J..err JOB ADDRESS L b f:# 3 PROPOSED USE: _Sign ~le ---"ove _Deaolish F8Ilily _KIF _' of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: l1"e fA) :2 ~ for V Re S I ;/ ~ C -e" , / BUILDING SIZE: 2- 2 X 5:"5: ~ I 3S- Square Feet, .2 8 Height RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED /BUILDING ~ELECTRICAL $ '8 ~ ()OO I Valuation of Total Construction :2. 0 0 AMP Service X Florida Power Corp. , W.R.E.C. ~CllARICAL $ ~UMB~NG 3 800 - Va1.uation of Mechanical Installation GAS ~ROOFING --iFraae _Steel SPECIALTY TYPE OF CONSTRUCTION: _Block Other FDITSHED FLOOR ELEVATIONS: ::< " F1'. IS PROJECT IN FLOOD ZONE AREA? L YES NO ****************************************** CONTRACTOR SECTION COIIPAIIY~~!h-ML ~~ V-;/- /). b? /...... / State Cert. r Regist. , 00 I.f If ~ /j ,~A;.... , City License Registration' 2 0'12- t7 ****************************************** COMPANY Fir s-l C4 Sf E /e G fr-/~ State Cert. or Regist. , 67:; ~7 City License Registration' } ****************************************** BUILDER Signature PLUMBER ciu ,,' COMPANY ( f 7:? .IJ /I; ,d----. d eJ /;/ ;J State Cert. or Regist. t '/?~Ur ...-D'M City License Registration' ****************************************** Signature tlECBANICALa6 ~ COMPANY J4: c S f-I<=q! ~/fC , A ,-~ State Cert. or Regist. . Signature i/ r::::fA' ( ~ City License Registration' ~ ****************************************** ~ OTIIRR IZ COIIPANY ~ -4~ . tLe.- -W~ /.d /1 /J fl.:...d State Cert. or R st.' . (70 l{t{ 8/8' Signature ~~ C~~ City License Registration # 2- 0 'i 2- r ~ ****************************************** 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 assaes 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 requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. 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, rather tllan 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 U'l'ILI'l'Y CONNECTION FEES ~ ,! D. CONSTRUC'l'ION LIEN L'l\.W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consaer Affairs. If the applicant is sOleOne other than the "owner", I certify that I have obtained a copy of the above described docaent and prolise in good faith to deliver it to the "owner" prior to coaencelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. . I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to leet standards of all laws regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveIDIental agencies lay apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take 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 t Southwest Florida Water Hanagetent 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 !reatlent, Septic lants t US EnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "An or nA,etc.", it is understood that a drainage plan addressing a "colpensating volute" 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 work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Ivery perlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day IItension of tile, lay 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 tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING fIIlCI FOR IHPROVEIIIXIS TO YOUR PROPIRTY. IF YOU IJfJEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIIY BEFORB RICORDING YOUR IO'I'ICB OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHHNCHMiNI". ~Itft ~j~ SI NATURI: Olf AGENT SIGNATURE: COpItACTOR . I STATE OF FLORIDA COUJfJY 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 F' CJ F;~ !"/l {:') () () (:'; ... . ... """"",t 'c ",{~~ta~,~t~ f..... , '1 .. '!,:.::.'i,:::' i,.:::'. ',1.. J.........:. 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