HomeMy WebLinkAbout98-7884
BUILDING PE.RMIT 7884/V1
Permit
BUilDING
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
AFTER HOURS PHONE NUMBER
(813) 788-5262
PLUMBING
Date
gr - t.j - '1 R--
PmpertyOwne, 1l"'^-1~"'~/J
Job Address: -3~~ ~
Parcell.D. #
~H~NICA~ewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: ,Energy Code:
Description of Work.-A- / c-- C~J' Q
Radon Gas:
FINAL g
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
fob
623 ,
~-~
Permit Fee ~
5;9no,",e ~. 2lJ~ ~
Company
Address
Telephone#
Valuation or
Contract Price
~ '/ rJc; . trV
City License Registration #
State Certified License#
jJ j)(1Yt ~
BUILDING
ELECTRICAL
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 ($1-5-:'ee1 shall be made for each trip for each trade:
~tn
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S _ /Ie 2/ l {o! (Yo! d PHONE
OWNER'S ADDRESS '3 9 '3) /J .1, /} /} Lv /14 j, 2 e,/Y h 7 ' h, l ( 5-
JOB ADDRMS lrf-lr 1.~ ),.., LA> d/J (} Ve...
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
; /Cj~-J//;}-
.
r [, ~r/II 'vt.>o ,,(j
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
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.
PERMITS REOUESTED
_BUILDING
$ J., '100
I
Valuation of Total Construction
_ELECTRICAL
v'MECIIARlCAL
AMP Service
Florida Power Corp.
W.R.E.C.
$ 7-,'100
,
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FrUle _Steel
Other
FDlISHED FLOOR ELEVATIONS:
F1' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
COKPANY
State Cert. or Regist. .
City License Registration f
..........................................
RIITI.DER
Signature
Signature
COMPANY
State Cert. or Regist. t
City License Registration .
..........................................
ELECTlUCIAR
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
PLUMBER
Signature
MECHANICAL
Signature .;::;
COMPANY ''cO
State Cert. or Regist. f
City License Registration .
......................................****
)/)"'}
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
.*..*..*....***.*.*.....*.**.***********..
APPLICATION APPROVED BY PERM.IT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. N9TICE OF DEED RESTRICTIONS
f6. """..igned und.r.l.nd. 16.1 1IO. p.OIil an, 6e .ubJ,cI In 'deed re'lriclinne' 06i<6 an, be "re rentricti.. !loa Cil,
regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
if the ..... 6.. hired · conlr'clor nr enolr.cl.r. 10 und.rtale NOrl, 16., an, 6e roguired 10 be li....ed in accordao.. oi16
.1.1. .nd loc.1 regul.li.... If the contr.cl.r io n.1 licen.ed .. reguired IT I.., 1016 1Io ..... and conlr3etor IOf be
clled f.r · .ied....oor ,i.l.li.. und.r .l.l. 1.0. if th. ....r .r Inlended conlraclor are uncerlai. .. 10 .101 licenoiog
reguir....I. an, .ppl, f.r th. Inl.nded NOrl, th., .r. .d'ised Ie c.ntacI the Cil, .f Zephyrlill. Boildlog Departo,nl, (813)
788-66Il.
FUrI6.r..r., if 16. owner has 6ired · c.nlr,clor .r conlr.clor., 6. i. ad'i.ed 10 ha,. 16. conlr.clor(., .i9O portl... of lhe
'Coolracl.r S.cli...' .f thi. .ppiication f.r ohic6 lb., oiii be r"pon.i61.. If you, .. 16. ..... .ign .. 1Io contractor,
yuu Ire indicaling thaI you, ratloer than 16. contraclor, .re renflO/lli61. f.r llIe worl. If 16. contraclor oi""'" you 10 .igo
.. contracl.r 16.1 any lie .n indic'li.. 16.l be i. n.1 pr.perly li....ed .nd i. n.l enlilled 10 Peroiltiog pri'll"," I. lio
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ""
D. CONSTRUCTION LIEN LAW COrnPTER 713, FLORIDA STATUTES, AS AH~EDJ
f c.rtlfy thaI f, the .pplicanl, ha,. Ioeo provided oith . copy .f 'Florid.,. eoo.truclion Lien Lao _ Booeoooer'. Protecti..
Guid.' prepared 6, 16. FI.rlda Oep.rloe.l .f "ricullur. .nd C......r Aff.ir.. If 16. 'ppiicanl i. ....... .tIer 16an lhe
.....r., i c.rlify thaI i 10,. .61.in.d . copy .f the abo,. d..crilod docuoenl and Proof.. i. good f.i16 10 deliver il 10 lhe
"owner" prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I c.rlif, thaI .11 lIo Inf.ranti.. in 16i. .pplic'linn i. 'ccur.l. and thol .ii oorl olii be done i. ODIpllance 0116 all
applicable laws regUlating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certify that no worl or
i..I.II.llnn 10. COIOOnCed pri.r l. i...ance .f . per.il .nd thol .11 NOrl oill be perforood to ...1 .!Iodards of all laos
regUlating construction, City codes, loning regUlations, and land developlent regulations in the jurisdiction. I also
c.rlify 16'1 I und.r.l.nd thaI the regol.li... .f ellor go"""nL.1 .gencl.. ..y .ppl, I. 110 inlended "'.. ROd that il i.
IY responSibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
· Oelorlleol .f En'iroooental Regul.li.n - Cypr... Bsybeads, NOlland Area. and Bo'ironoe.tall, Sensill.. Laads,
. Water/Wastewater Treatlent
I Southwest Florida Water Hanage.ent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Engineers - Seawalls, Docls, Navigable waterways
· De artlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic ranks
· US EnviroDlental Protection Agency - Asbestos abate.ent
I .110 certlf, that, if fiii ..teri.1 i. 10 6. ueed i. Fieed .... 'A' .r 'A..Lc.'. il ie understood tIot . dr.ioago pian
addreooi.g · ',"""",,ti.g vol.... oill 6e ..lIitled 06icb i. pr,p'red 6, . pr.f...i...i engineer r.gi.tered in tIo Stale .f
Florida prior to perlit. issuance.
. A per.il i".ed 8IoIi 10 construed 10 10 · lic.... to proceed 'ilb tIo worl nod nnl .. autborlty to ,101.1.. cancel .Iter. or
"I ..Ide 'or prOfi.i... .f tIo l.cIolt.1 cod", onr 8Ioil il!"!Oc. .f . porolt pr....1 tIo Iollding Official fr.. tIorsafler
r.quirlng · correcti.. of .rrur. in pi.... construclion. or ,ioi'li... of .ny cod.. 8Yery PItIlt llODed 81011 ...... Iata1ld
.01... t6. worl autbori,~ IT 'uc6 por.il I. COIIeOced oilbin .i, 100111 of i......., .r if IOrl aotlorl'ed by tIo PItIlt I.
.uopended .r abandoned for · period nf .i, 100110 .fler tIo tl.. tIo worl i. COIIOnCod. One gO day ..leo8l.. of tIoo, '"' 10
.ii...d fnr tIo pocoil oilb foe c6.rg. .f $15.00. r6. ..1...lon Bioil 10 reqo..led in 'riling to tIo Bol1d1og Official. 10
approved inspection lUst 'be logged during each six I9nth period, or the project will be considered abandoned.
IIAIRIIG ro OIiIIER: YOOR FAILURE ro RIlCOIlD A IIOrICll OF ~ IlAY IlISULT II TOOl PI'fJJG MCI IllR iIIP8llVRIIUrs ro 100II
PROPERTY. IF YOII IH1'END ro OBrAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrORItEY BEFORE RECORDING YOIIR NOTICI OF
COHHINCIHINT. JOBS UNDER $2,500 IN VALUI 00 NOT NEID TO RECORD AND POST A -NOTICE OF COMMHNCRIIRH1'-.
SIGNATURE: OIfHBR OR AGIHT
. I
SIGNArURE: CONTRACTOR
srATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STArl OF FLORIDA
COUNTY OF
The foregOing in~trument
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
Proposal.
O'Donovan's Air-conditioning and Heating
6610 16th St.
Zephyrhills Fl.33540
Phone: 782-4075
LIC # CACO 54731
July 10, 1998
To: Henry Coppola
38350 Ironwood..
Zephyrhills (Driftwood)
Ph:788-2712
Estimate to replace Heat pump system with 2 Ton Bryant
Heat pump system with 5 K.W. heat. Includes airhandler,
condenser, thermostat, TXV valve, and taxes.
Total Price:
11 SEER
12 SEER
$2,300.
$2,400. /
One year warranty on parts and labor.
compressor.
Five year warranty on
The above prices, conditions and specifications are hereby
accepted. You are authorized to do the work as specified.
Payment will be made as outlined above.
Accepted: Date:
F f1cjfi
Signature
14"7 G,f}4
"