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HomeMy WebLinkAbout98-8025 BUILDING PE,RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8025 11 Date 1& -}J..-9J- BUILDING ELECTRICAL PLUMBING ~A~ Sewer Conn :::,~.:~etl t;L--JJ:;:l~~ f)A- Parcell.D, # Water Conn: Water Meter: T,I.F.'s: Zoning: ,Energy ~~ DescriPtion of Work ~ / C- J C? Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector p~'mit Fee 2 ~.z ~ Signature a. ~ ~ Company Address Telephone# Valuation or '/ to, Contract Price d;/ I. 0-0 City License Registration # ~~ State Certified License# 11,1' VS1~t /.J- Cd!' I' 0 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. 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. Ofd-o CJ:JcJOCJ e8SV N~ 102282 PINELLAS: 397 -0500 PASCO: 845-3767 HILLS.: 877-1965 MANATEE: 750-6626 '. ALL OTHERS: 1-800-570-5665 DATE ~ ~ '? ~ f ST CALL HEATING & COOLING, we. 1174787TH STREET NORTH LARGO, FLORIDA 33n3 C3 d-6 d / Carrier fiVE STAR DEALER ~ , NAME ADORESS CITY ~/ JOB LOCATION EQUlPMFG(2) OlliER WORK PERFORMED COMPSIN 22 JOB COMPLETE? COST SOURCE QUAN. DESCRIPTION PRICE ITEM COST HOURS r CHARGE / 1Ri,( .3{ T /#' ~.o. REG. HRS ?T 2/'77: co , - . 7 OT HRS / MATEAlALS lISe. SlJ'PI.V CHG. VO_" .-CI dl. (ll +Lt:1) 4~ \I ~ ~ I ~ 0.- ,.-.f) CODE -" -:::: ~ ~7":r"" f /. ///:2 -1)! SUB TOTAL V~"/ df) . FLTAX - TOTAL BIWNG 2/71,tffJ AMOUNT COUECTED ~ 77!-U t?AI.tJ ~( ,/ ~uJBALANCE DUE rf .2 /'77. 0"0 , / $20.00 CHARGE FOR RETURNED CHECK. BUYER'S RIGHT TO CANCEL Thie Ie atona 1ClIIcilIIIIon..... and If you dllllClt wanlllla gooda or ..w:aa. you may cancal thIa agranent by provkIng wriIlan nolk:e 10 lIla lIlIller In pnon. by talagram. or by mall. ma nolIca muallncll<<:* thai you dllllClt went lIla gooda or ..w:aa and mual be deIlvwed or posImarked before midnight ollila lNrd bualnesa tat aIIar you aIgn thIa ~ If you cancal thIa agranent. lIla....., may llClt kllllp .. or pert 01 81ft caah down peyment. RacaIpt ollila IaragoIng Iluyat'a AIs;IW .n Cencella hereby ackllowledged on . 18 -. TIME ON JOB ON OFF TRAVEL llME TO FROM SHOP llME ON OFF I have authority to order 1he work. which has been satisfactorily perfonned, as outlined above. It Is agreed "Thank you 1hat 1he seller will retain thle to any equipment or material 1hat may be fumlshed until final payment is made, for thl. opportunity and If settlement Is not made as agreed, 1he seller shall have 1he right to remove same and 1he seller will be held to .erve you. .. harmless for any d~S resul1lng from 1he remo ereof. You are ~ot obll eel t Y any mone~ unl you sign this contract and return It to the seller. ~ Customer's Slgnatu ~ Technician's Slgnatur~/ ~ r,,<:tnmAr'<:P()/I - ~ '1I30IddO J.INlI3d 18 cmAOlLIclV ROIJ.VOI1dclV .......................................... f U01~v~~slSa~ asuaal~ A~l~ , '~slSa~ .;JO '~.;Ja~ a~v:as XRVclHO~ a:m~voS1S ll:DLLU .......................................... iI uonv'>Slll;>Jl-"l'I "no ~ 'I f '~slSa~ ~o '~.;Ja~ a~v~s -+ tI YJ{/ /" I XRVclHOO .' 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NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to Ideed restrictions I whicb lay be lOre restrictive than City regulations. the undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 wbat licensing reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for whicb they will be responsible. If you, as the owner sign as the contractor you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to si~n as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - HOIeowner's Protection Guideu prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sO.leone other than the lownerU, I certify that I have obtained a COpy of the above described docuaent and prOlise in good faith to deliver it to the lownerl prior to COIIeDCetellt. E. CONTRACTOR'S/OWER'S AFFIDAVIT 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, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOMenced prior to issuance of a perait and that all work will be perforaed to leet 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 governaental agencies laY apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnvironleDtal Regulation - Cypress Baybeads, Netland Areas and Environaentally Sensitive Lands, Nater/Nastewater Treatlent t Soutbwest Florida Nater ManageJent District - NeIls, Cypress Baybeads, Wetland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Ravigable Naterways t Departlent of Health' Rehabilitative Services, EnvirODJeDtal Health Unit - ~el!s, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone IAI or II,etc.l, it is understood that a drainage plan addressing a vCOIpeDSating volDleI will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit issued sball 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such perlit is couenced within six 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 COIIeIlced. One 90 day stension of tile, lilY be allowed for the perlit with fee charge of $15.00. Tbe stension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned~ NAIUUNG TO OWNER: YOUR FAILURE TO RECORD I ROTICE OF COHMI!ICIDIENT MAY RESULT IN YOUR PAYIRG !NICE FOR IMPROVBHEHTS TO YOUR PROPERTY. IF YOU IIl'I'BIID TO OMAIR FlRARCIRG, CONSULT NITH YOUR LlRDER OR Alf In'ORIIEY BEFORE RECORDING YOUR HOtICK OF COMMERCBHEHT. JOBS UNDBR $2,500 IR VILUE DO ROT REED TO RECORD AND POST I IROTICE OF COMMBRCBMmI. SliJ*1mJ2/- (/U ;/ kZh IGNATURE: ~Il'I'RACTOR STATE OF FLO~I . ~L- /:? coum OF ~5CO The foregoing inst~jPt was acknowledged before me this //1 I. , 19 ;;.P' by -:Tif~ 1h4!6~ , who is personally known to me or who nas produced f)A!.(Vas- J.(t1'Nrr as iden 'fica ion and who did/did not take th. STATE OF FLORIDA coum OF 'fit ,.: I~'~ ~ s-c d The foregoing inst~ent was acknowledged before me this It) I.).... , 19.2cL. by (Si '" ~ , (Name, Typed, "~~~t~4.,,Q.~,,~~9..~ '~\\\\\\\\\\"I' NOTARY PUBLIC: ,,~l\V "U4. John J. Aaron ~ , : ~~r Notary Public, State of Florida ~ : . ~W1_~ Commission No. CC 578428 ( :: ~ OF f\.\\~ My Commission Exp. 09/3012000 ~ .: I-SOO-3,NOTAIlY - Fla. Nolaly Servi"" ole BonoIina Co. ( , ((((((((((((((((((((((((~((((((/(((<.':', '((1((1((((( ~ ,.) (Name Typed, Plbt't~P"~"-&taIOpe , ,",\\\\\\\\\\\ ~ NOTARY PUBLIC': ~Iol\ u#<.... Jo~ J. Aaron . ( '. .. ~.. Notary Pubhc, State ofFlonda ~ : . ~.,~ Commission No. CC 578428 ( :: ~ OF f\.\\~ My Commission Exp. 09/3012000 ~ ': 1-800-3-NOTAIlY - FIa, Notary Service ao BODdilIa Co, ~ ',((((((((((((((((((((((((((I'((a,~<'/(a.~(((It(((((((. ( ~:; ;:i~'