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Home My WebLink About99-8855 BUILDING PERMIT, CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8855 y --- Date >< - ;; t, .- 9 <J / ~. EL~"~' ---- --_.~ ~ ~HANIC~ Sewer Conn Property Owner: Job Address: Parcell.D, # -~;;'s ~Ji94f;~ Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work 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 DATE ---~,.-~ ELECTRI Valuation or .., //9 Contract Price .,.~ '7 <; City License Registration # ~ f( ~ State Certified License# p Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE "-:.- . \J C\ \' (' \.j ~ JOB ADDRESS S Y :\cs- Gn I f ~I II oJ LEGAL DESCRIPTION: LOT(S) 0010 BLOCK mq 6()SUBDIVISION nn I () PARCEL ID # -.J I - ci0 - ~ \ - on I (::) - (I qq CD - r10{()OBTAIN FROM P::;E~:Y TAX OWNER'S NAME PHONE NOTICE) WORK PROPSED: DNEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL D SIGN DMOVE D DEMOLI SH PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME DOTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK (\('~ C()~ Ii? {\ ~ \' C-"'(\,\C~:f BUILDING SIZE SQUARE FOOTAGE 00+ 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. D BUILDING PERMITS REQUESTED $ \(~ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING \../ $ "\UC\C\ G,g ~ MECHANICAL Cd!... -, VALUATION OF. MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ****************************************************************** . COMPANY 'Y-"'IfY\\4J,- "'"t'\f\.C STATE CERT OR REGI ST # R.~c>O\ -, ~L\ 3- CITY PROCESSING # ********************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** 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 with state 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 meet 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 commenced. 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2.500 IN VAL'W 00 NOT NEED TO RECORD AND POST A "IGO~7CEMr. OWNER SIGNATURE: CONTRA~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by (j acknowledged , 19~ (name of person acknowledged) [1ho is personally known to me, or (name of person acknowledged) Owho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid D:l.id not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ~ PROPOSAL OF CONTRACT gclundt, Jnc. Pasco: (727) 868-9531 Hernando: (352) 683-7606 Pinellas: (727) 938-1212 Citrus: (352) 563-0065 Fax: (727) 862-9999 Air Conditioning . Heating. Elec:trical Contractors 17935 U.S. 19 NORTH HUDSON, FLORIDA 34667 FL. UC. # ELECTRIC - ER0000579 . AlC _ RM0017343 PROPOSAL SUM BITTED TO Date: Name SUN TRUST NA11JRE COAST 345 BROAD STREET BROOKSVILLE A.ORIDA 34601 Telephone Number 352-754-5701 Street WORK TO BE PERFORMED AT Street 5435 GALL BLVD. City, State ZEPHYR HILLS, A. City State Job No,: 8118 WE WILL AJRNISH ALL TIiE SPECIFIED MAlERIALS AND PERFORM ALL TIiE LABOR REQUIRED FOR ll-fE COMPLETION OF: INSTALLATION OF (1) LENNOX 6 TON STRAIGHT COOl CONDENSING UNIT, PRICE INCLUDES: (A) REMOVAL AND DISPOSAL OF EXISTING EQUIPMENT / RERUGERANT RECOVERY, (B) ELECTRICAL CONNECTION TO EXISTING SERVICE. (C) WARRANTY: 1 YEAR ON PARTS AND LABOR 5 YEARS ON COMPRESSOR (D) CRANE SERVICES. (E) NEW EQUIPMENT MODEL: LSA-072 FH13 THE AB~CftJlArrt6~UFfrt~HfN~tr'HiNt'l:)C:lU(~ER FOR THE SUM OF: . 2,499.00 UPON COMPLETION Dollars: WITH PAYMENTS TO BE MADE AS FOLLOWS: Changes in the above specifications may be made only upon written agreement, and extra charges will be made. All agreements are contingent upon strikes, accidents or delays beyond our control. You are to carry fire, tornado and other necessary insurance upon above work. Our workers are fully covered by Workmen's Compensation and Public Liability Insurance. This prop'osal may be withdrawn by us at any time before acceptance. ~ Proposal void If not accepted. within 30 days. Signature The above prices, specifications and conditions are accepted. Payment will be made as set forth above. We acknowledge that acceptance of this proposal constitutes a contract. h Is agreed and understood by the parties that all equipment and parts which are sold pursuant hereto shall NOT become fixtures or part of the real estate where they are placed. Sold parts and equipment shall at times remain persona' property and the title thereto shall remain In the seller until payment In full Is received. Buyer hereby agrees that all parts and equipment may be repossessed In the event of non-payment. I have authority to order the work as outlined above.' agree to pay all costs and reasonable attorney's fees If this Proposal Is placed In the hands of an attomey fo'~I"tIon. ~ h / _ Dale Signature ~ ACCEPTANCE