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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 "