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HomeMy WebLinkAbout98-8118 BUILDING PE,RMIT, CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8118 , / ( I +(1 ( Date I sS~~ BUILDI G ELECTRICAL PLU~G MECHANICAL t"Lcqv( ~.,~ ~bJ-- -r.) P,"perty Own." 1 6~ ~ Job Address: ' 4- ~ . ~/.s + Parcell.D, # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: DescriPtion of Work Energy Code: /1t.tf(f)- QR , AI (" ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. ~1 DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector [I' City License Registration # State Certified License# ~rmit Fee.#~~~ vSignatur~ 7' ~ /' Company Address ~Phone# C8/~ J 7P;2- 1({) 7 5 Valuation or Contract Price ~ Issa,oO ~"3f BUILDING feLl tt ,S ELECTRICAL orJo.,i1O daft 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 ($ 25,001 shall be made for each trip for each trade: 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. Proposal O'Donovan's A~r-conditioning and Heating 6610 16th St. Zephyrhills Fl.33540 Phone: 782-4075 I, I C It Cl\CO- ') tl '7 ", 1 Nov 17, 1998 To: Richard Boettcher: 39320 North Av. Zephyrhills Fl. Ph:'182-'7594 Job: 5542 21 St. Zephyrhills Fl. Estimate to replace present Window unit with 2 Ton Bryant central system for front apartment. 10 SEER Straight co~l with 10 K.W. heat $2,550. One year warranty on parts and labor. Five year warranty on compressor. Price includes ductwork, thermostat, electrical, copper, drain pan, taxes, and airhandler upstairs in attic. Price does not include upgrad~ on main panel electrical. The above prices, conditions and specifications are hereby accepted. You are authorized to do the work as specified. Accepted: Date: Signature APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECE:IVED PLANS REVIEW FEE I~; ('Ad,) BOpifr/;~/ JOB ADDRESS 7' S if '1- ;4fl/f J ( .>f< (/II 7 LEGAL DESCRIPTION: LOT(S) 'tJ-I1) BLOCK PARCEL ID # I J- - pC;, -)-1 - 00 Jf} 1}()~tJp-O 1.(,7 0 OWNER'S NAME PHONE 7ttJ -7s9 if V' SUBDIVISION ~8f095',.oCS-6?' "' IOBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR I!YINSTALL OSIGN 0 MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS o COMMERCIAL o INDUSTRIAL OSWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH 7 /l ~-;", /1 DEPARTMENT APPROVAL {' ~ /7'-//-1" / /1 /r rOr?//'1;/.? '1e.--- SQUARE FOOTAGE 6 g ., HEIGHT BUILDING SIZE 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. PERMITS REQUESTED o BUILDING $ ~f S50 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o ij-UMBING %ECHANI CAL $ 1- J-S 0 I / VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAO YES o NO FINISHED FLOOR ELEVATIONS BUJ:LDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRJ:CJ:AN SIGNATURE rt\)cliQ("L "kf_~ COMPANY FeE ELE-LfR\ C STATE CERT OR REGIST #~~4bl.f.c'\ CITY PROCESSING # 1CY4- ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *****k******************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** L CL '\ ~'Y--.. -S ~ CA. ~ Name typed, printed or stamped CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance wilh slale and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to rneet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is cornmenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TTORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 ALUE D 0'1' JNE~ 0 BECORD AND POST A "NOTICE OF COMMENCEMENT". ~-/ ~~~Z{2~/~ ~.:: SIGNATU : CONTRACTOR ~ STATE OF FLORIDA STATE OF FLORIDA\) COUNTY OF I\>~~ COUNTY OF \L~W The foregoing instrument was acknowledged The foregoing instrument wa~~~n~edged Before {tie this~ day ~f f){N~\a.r-, 19.s1 Before me this ~d,:y"of ~ W ,199J' by ~ -~ ~.y ~C~r>~ r.\ .\l:.-()e~41Jy ~\''Y'C'~"" .~D(\UJo-,Y'" (name of person acknowledged) (name of person acknowledged) Dwho is personally known to me, or C1ho is personally known to me, or ~ ~ho has produc~~t~\O"'tc\.A ~~\:> ~ '2Lwho has produced ~c.~ ~~~Cl.. ();\u.~'S.. (type of identification) (type of identification) and whoD did adid not take an oath. and who Ddid ~id not take an oath \~~~ ~~ ~d Signature of person taking acknowledgement Signature of pers~n takin9 ~cknowledgment \-"'-~,:-" ~~'.i~,.S;Cv..}r- I:l~me typed, pr.tnt;~,d o.J;.~tamped ';' 11111111111111111 11111 111111111I1111111111 "" 1111 9a140093 DRScPt: 283581 Rec: 6. 00 : 0.00 IT. 0 00 11/17/9a . . NOTICE OF COMMENCEMENT ' Dpty Clerk County of ~ fL' // ( THB tmDERSIGNBD hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel NO(<- I:;" - U - ;1- fJ/.?.7-0 0 6 &"'t?-::? - to Y ;2.0 Y /I J - A o~~ I}- } fJ c-/6 uf4 ,..-If? f}/o~ 5- - r1.1> IOJJfr/;:- en c; (Legal description of the property and General Description of Improvement 7/7 51 ~ / V/l~1 State of [:/O/'; j/lf' 2. street address if available) (" V'/I'-! /", / /I // {!:J /7/t 7'/'7/1 /'-7.., I / JED PITTMAN, PASCO COUNTY CLERK 11/17/9a 02:17p. 1 of 1 OR BK 4043 P6 490 3. O\~ner Information: Name 1<1'( 17--?'r-l13 CJ er'it!c (? ~ Address CJ)t1'J-.f;'i;4 ?-/~;t5tCity 2;/f/lrr/z///':? Interest in Property: (}y/?(J /. State E L Name of Fee Simple Titleholder: (If other th~n owner) City State Address 4 ~<'~1) Contractor: Name rlJ ~ ~ Address bb ((J, ((;II) Sr City) "I'~ 7'~ ,t)jt; 5. Surety: Name I.v f 77 U CJ J (/ ~"i '( Address p.O. fJO'f..~6S59o?f City /J-r//4/7 Amount of Bond: $ ~,?It' 0 State State /';< 7 S J- r;; 5 -- .J90 6. Lender: Name 11/ II- Address ~'.It,.: ' City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: .t Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date ot Notice or Commencement (the expiration date is 1 year fr0m the date of recording unless 'erent date is specified.) day 0 f \'fJ.J 0 y'V\. 'w r- , Y-- Signature of Owner: / Sworn to and subscr ed before me this 'f 1 9 Oft . Notary Public :(K.. ~~~ My Commission EXPiresr ,'I " .... '-'. ,\.' rdl....,j.j;l(; ~".I;l......1 ;~~ 1._'0" ri...,~ ro..........,...,"r...,'" ~o