HomeMy WebLinkAbout98-7704
BUILDING PE,RMIT
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Parcell.D. # /1- ~ c;,. - 011 - t:J 010- 1-'1 f 0 -e)-I) 0 t:? D
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7704/11
?e!-
JI-~1-7
.....
Date
..._~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
FINAL ,if-- d
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Permit Fee
Signature
Company
Address
Telephone#
...~
Valuation or
Contract Price
,v
~,/70' -
,
City License Registration # S.:3
State Certified License#
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($ +5":00) shall be made for each trip for each trade:
.;l~-'(}"t)
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 PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER · S NAKE
f( UTH ,1<-11-1 ;vo
S~ / R /9r~ .5T
/ 9~ ST
PHONE
;?ff"- 3 J.3<"1
OWNER'S ADDRESS
JOB ADDRESSl//, ~~ I X--
-
LEGAL DESCRIPTION: LOT(S)
PARCEL LD.t / I .2. Go L I 60 ) ~
BLOCK
SUBDIVISION
J ~ <f () OOtJ 80 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign _Move _De8lolish
PROP9SED USE: _Single F8IIily _M/F _' of Units _M/H
_<=<-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: ~--~.
fjk +IIFH/
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) PLOT 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.
~U>ING
~GTRICAL
PERMITS REOUESTED
~CllANICAL
$ v 21 7"
ISO
7-/7 D
Valuation of Total Construction
AMP Service ~rida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BIITI.DER
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
ELECTRICIAR
COMPANY ~CJ(; ~ ';:;L fl-c..... .
.dr, t\.LL V' v>..aT State Cert. or Regist. ,
'1'/ u.,- 'u q 4c-'1 City License Registration t
******************************************
2c.~
Sisma ture
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
1IllCIIAIIIC6L ~
Signature .;
~.. "_ COMPANY 5ov\li~tc.. <:a~+~ ~
State Cert. or Regist. ,
r 'T City License Registration' _ 2II'f ..s- '3
******************************************
OTHRR
APPLICATION.APPROVED BY
COMPANY
State Cert. or Regist. ,
City License Registration f
******************************
Signature
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
110 und.rsigned und.r.t.nds tb.t tbi. por.it .., be .ubj..t to 'deed r..tricti.... ,bieb lOy be lOr. r..tricti.. than City
regul.tion.. lb. under.igned ....... r..ponsibility fnr coopliance 'lib any applicabl. deed r..trictl....
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If lbo ....r baa bired · contr.ctor or contr.ctor. to und.rt.l. lOri, !boy lOy be required to be liceosed in accordancs wilb
.t.t. and local regul.ti.... ff th. contr.ctor i. not licen.ed .. required by I." both 1Io ..... and conlIactor lIy be
cited for · .iad.....or ,iol.tion ond.r .t.t. I.,. ff tho ....r or intended contr.ctor are uncerlain .. to wh.t II....ing
r.goir....ts ..y .pply for tb. int.Ddod unrl, thoy .r. .d,i..d to cont.ct th. City of Zephyrilll. BuIlding Doparl8ont, rB13)
788-6611.
FurlborlOr., if tbe ouner ha. hir.d · contr.ctor or contractor., h. i. .d,isod to h.,. tb. contractor(.) .ign porti... 01 1Io
'Cootr.ctor S..ti.... of Ibi. .ppllcation for ,hieb they ,ill he r..ponslbl.. fl you, an tho ...er 8190 an 1Io contractor,
you .r. Indic.ting tbat you. r.thor tboo tb. contr.ctor, .r. r..ponsibl. lor lbo IOrl. fl th. contractor 'iahes you to .igo
an contr.ctor tbat .., be au indication that h. i. not properly lic".ed .nd i. not ..titled to peraitliog pei'ileges in tbs
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
, ~'
,
D. CONSTRUC1'ION LIEN Lftw (ClfAPTER 713, FLORIDA STATUTES, AS AHilNDED)
i certify that I, tbo .ppllcant. b... b... provided with . copy of 'Florld.'. COnstruction Li.. Lao _ HuoeuIuer'. Protection
Guld.' pr.par.d by tbo Florid. Doparbtont 01 Agrlcultur. .nd COo....r AII.ir.. II lb. 'PPli,,"t I. ....... otbsr than tbs
....or., f cortlfy that I har. obt.ined · copy of tbo abo.. dl!llCribed docuoont and Pmol.. in _ f.11b to d8lhor It to tbs
HOHner" prior to Co-.enCBlent.
E. CONTRACTOR' S/OWNER' S AFFIDAVl'l'
I certily that .11 tb. ioforootiou in tbl. .pplicatlou i. .ccur.t. and that .11 >otl will he duo. in coopli.... with .11
applicable laws regulating construction, loning, and land develop.ent.
I
Applic.tion i. h.rehr IOd. to obt.in . perwit to do ..rl and in.t.ll.tiou as indicated. I cerlily tbat no warl nr
install.tlon baa COIIenc!d prior to i.,...c. 01 · per.it .nd tbat .11 warl will he perlO<lOi to ...t .laoiards nl all lawo
regul.ting con'lructiou, City cod... .oning regol.ti..., and land d.,.I.,...t regal.ti... In tIo Inriolietlau. I 'Ian
c.rtlly Ib.t I und.r.tand that the regul.tiou. of other ,",.moent.1 'gencI.. lOy apply to tIo Inteolol lOri, and tIot it i.
or r"ponsibllity to id..tify wh.t actinns I ...t tab to he in coopUauc.. Socb ageoci., inci.... bat are notilolted to: _.
· Deparlaont 01 In.i......t.i B.gui.tfon - Cypr... Baybeola, IOti.nd Ar... and Bn'ir.....taiiy Sanaiti.. Landa,
Water/Wastewater Treatlent
f Southwest Florida Nater HanagBlent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
f ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Do arlJont 01 H..ith · Behabilit.ti,. Ser,ice. 1n,lronoentai H..ilb DOlt - N<ila, Maat...ter 'reotaont. Septic 'au"
f US EnviroDlental Protection Agency - Asbestos abatBlent
j .i.o certlly tb.t, il fill IOt.rl.1 I. to he u.ed in Flnod .... 'A' or 'A..tc.', It i. uodoraloud that. draioaga pi..
'ddreaaing · 'OlIpeD..ting ..I.... 'ill he .ohaitted 'hieb i. prepared by . prol...i...1 engi.... regi.tered in the Slate 01
Florida prior to perlit. issuance. .
- A parait I..ued .b.11 be coo.trued to be . lie.... to proc.ed 'ith !be ..rl and not as IOtIorlty 10 'iol.te. cancel aller. or
..t ..Id. any Provl.i... 01 tb. tecbnlcal cod.., nor BIoII 11!O;WC. of . per.it pr....t !be Building Offlelli I... tbereafter
requiring · carr.etlon 01 .rmr. In plana, conatrueti... or 'iolati... of any cud.. .'''Y IOIOIt 1B8Ued sba11 becosa ln,aIid
unl... the ..rl authori..d bF .ueb per.it I. COBIencod within .i. IOOtha of i........ or il warl lDtborilOl by tie parait I.
suspend.d or abandoned for · period 01 .i. IOOtba .ft.r !be t... th. uorl i. ......ced. Obe 9B day "lenalon nl t.... lOy he
'11- lor th. poralt with I.. cltarge 01 $15.00. lb. ..tenaion shall he regueated In writing to tbs Building Offlci.l. In
approved inspection .ust be logged during each six IQnth period, or the project will be considered abandoned.
-flO 10 1Il1llB: YflllB FAfUlRll TO RICllllIl A larlCB OF ClIlIlBIICBIlII IlAY IlISIJLr fl 1lIII FIYIIIG MCB flIIlIIFIIlRIIIIns TO TOIJIi
PROPIRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIrH YOUR LINDER OR AN AnOONIY BEFORl RlCORDING YOUR NorIC! OF
COHHENCIHBNT. JOBS UNDER $2,500 IN VAWB DO NOT NfiBD TO RECORD AND POST A "NOTICE OF COHHINCllllHI".
SIGNArURB: ONKIR OR AGINT
-SIGNATURE: CONTRACTOR
STArl OF FWRIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 19__ by
STATE OF FLORIDA
COUNTY OF
The foregOing instrument was acknowledged
before me this , 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 bas
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
ROGERS ELECTRIC
26484 CROFT LANE
BROOKSVILLE.FL 34602
(352) 797-0771
FAX 796-1165
TO WHOM IT MAY CONCERN
I, D"t&, Y6'ikl
DBA .\2 J ~:>c ' '13:Y<'.
C ER0012229 ) WILL BE DOING ELECTRICAL WORK FOR
AL'--rtl.. f(AYllJo SLfI ~ 19 H SI
,A.T THIS /\DDRESS
Lor;
BLOCK
. UI\!lT
SU8DI\/ISIU~~
2 G.P'1Yi{ HI ! I f
FL-/l9 33 5'} <J
J
FlOGEI'~S ELECTI<IC
DA T E 1/2: 7/<f~
SIGNATUR~ OF LIC HOLDEFI
NOTARY AS TO CONTRACTOR
STATE OF FL.OFlIDt-\
COUNTY OFPrJ.?'C 0
THE F.. O. R.) E GC.). I NG I NST.Xi'. l.J.M...E... ~'.J.....T...lo/1} AS. A.. C i< NOI,~.V L...t..:.. .[..le.i.E.- [.).. B E F O. R E...M E
T HI,::;; .jl7-rJ.DP,Y OF /IP!<jL...l 9 9 r. BY TfiCJ/1/t S' (.d~h'~.wHO
IS CNPE FlSONAL L Y KNOWN TO ME 01\ vJHO ( ) HAS
PRODUCED AS IDENTIFICATION AND WHO C )DID
C ~I[) [\JOT TAKE, AN ,OATH,
it1~]~6W~lC
F) R: I ~~ r / T \' f) E/'; i 1\ 1\'1 :"'11 0 f
IVI'r' (. (I 1'/1 lVii', (I ~~ E >< P I f~ f: S
[\)UT,A.F<Y
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PROPOSAL
SOUTHERN COMFORT ENTERPRISES. INC.
P.O. BOX 486 4109 COUNTY RD. 656
DADE CITY FLA. 33525 WEBSTER, Fl A. 33Sg7
352-567-6111 352-793-5501
------------------------------------~----------
RM001502;~
------------------------------------------------------_._---
NAME
DATE
R(lTH RAYNO
APRIL :?1,199f~
---------------------------------------------------------_.-
STREET
J(lB NAME
5418 19TH ST.
~:)AME
-----------------------------------------------------------
CJTY, STATE
ZEPHRIU, FL.. 33540
JOB I. OC,'1TTnN
~;()I'''1F'
-~_._------_._--_._--------------------------------------~._--,._-
1()R PHONE:
78R-::n"34
!"JORK PHnr'lF:
~~~~ =~:=~===========~~===========~=~~=~==~~~~~~
.~. .,,~ ,.w ~... ,M _.' _~ "."_' __, __.
. .,..." -,,_........- ... ... ...
Wp hpreby submit specifications and estimates for:
INSTALL AIC & HEAT SYSTEM
TEMPSTAR: TWO
EQUIPMENT:
TON PACKAGE
PA5524 WITH AMMK10
COOl. ING CAPAC I TY: 22,800 BTU.
HEATSTRIP : KW. 10.0
~:,EER. 10,.05
REClIC,TERS:
WAF<RANTY:
HEAT AND COOL COMBINATION. MANUAl SET.
FIBERGLASS AND/OR FLEX, R-6.0, PER LAYOUT
RETURN THRU FLOOR WITH FILTER.
BROWN STEAL, FIXED LOUVERS, MIS DAMPER.
LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY
DEALER. FIVE YEARS ON ALL PARTS BY MFG.
EQUIP. SLAB, LOW VOLT. WIRING, TAX & LABOR.
ELEC. WIRING TO UNITS, FRAM~NG OR PAINTING.
THERMOSTAT:
Dlle T l~()RK:
INCUJDES:
NOT INCLUDED:
ROGERS ELEC. SERVICE CHANGE & ELEC. TO UNIT--------( $ 850.00 )
-------------.----------------------.---------------..-----------..---------
----------------------------------------------------------------
WE PROPOSE hereby to furnish material and labor-complete
in accordance with above specifications, for the SUfn ot:
TWO THOUSAND ONE HUNDRED SEVENTY
--------------------------------------dollars ( $ 2170.00 )
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 trom above specitications
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
de lays beyond our cont r 01. Owne'( to car r>, t i i'e , tonlado and oLher
necessary insurance. Our workers are tully covered by' wo\'klllen':::;
compensation insurance. 'p/J' J / -// /' /
~~~~~~~:~~-~~~~~~~~~--~~-~-~~
Note this proposal may be withdrawn by us if not accepted
within 30 days.
ACCEPTANCE OF THIS PROPOSAL- The above prIces, specificaLions
and conditions are satisfactory and are hereby
accepted. You are authorized to do Lhe work as specitied.
Payment will be made as outlined above.
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