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Home My WebLink About00-9398 BUILDING PERMIT BUI~NG CITY OF ZEPHYRHILLS (813) 788~6611 ELEC~ICAL PL~BING Property Owner: ~ Cf.-Yl f? S \fJ ~ \ Sot") Job Address: 1J'2'1 Afple5a..~ ~".. Parcell.D, # Zoning: Energy Code: Description of work----'3! ( {kil\~t? O~ sS.2::l MECHANICAL 09398 Date '-II rJ / 00 Permit Sewer Conn Water Conn: Water Meter: T,I.F:s: Radon Gas: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~~(o, ~ 5""5 City License Registration # State Certified License# FINAL S"-- 2.5:-<0 OJ DATE c,o. DATE Inspector Permit Fee 5 S' _ ~ jSigna,",~~ rY' ;/d~ Company Address J4 Telephone# .sit) 7 - 6 / II Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ELEC SLB Tub Set Water Sewer Final S'o~(>,.^ (o.~!~.j- MECHANICAL Breakers Ducts Insl. Compressor Final 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: Tp, Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final 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 CXTY OF ZEPHYRHXLLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVID'I'D: JOB ADDRESS ~ f}m E S W j hoSO J"-I 7 ~~ ,2 9 t9PPt..E G4 TE. PHONE 78'8'- ~2 o~ ?' FL. ?? r<11,j OWNER'S NAME Of{, ..2 E P..JYIl..H I IJr LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: DNEW CONSTRUCTION o SIGN USE:~GL FAMILY DWELLING o COMMERCIAL (OBTAIN FROM PROPERTY TAX NOTICEl o ADDITION o MOVE DALTERATION J'REPAIR o INSTALL o DEMOLI SH PROPOSED DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL ~l.. Ac ar H CE 04- .. y') i J-r SQUARE FOOTAGE s YS i€..... , BUILDING SIZE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ '"',JCC S-6"~ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER SIGNATURE IV tit COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN /U tit COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER SIGNATURE IVfI COMPANY STATE CERT OR REGIST # CITY PROCESSING # * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * h * * * r COMPANY . S' 0 I) 'lk ti.JL~ CD ,..,. tc- T ex jA.o' ~ 1. L L STATE CERT OR REGIST # ~ 111 ~O/.s () '2 2- , CITY PROCESSING # . ~ 3 ******~**:*********************************************:******* IdECHANICAL SIGNATURE \ OTHER J1jJ4 COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *****************************~*********************************** CONDITIONS JF PERM~r 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 l~cens~d as required by law, both the owner and contractor may be cited for a mis~meanor vLolatLon 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 certity that I, the applicant, have been provided with a copy of ~Florida's Construction lien Law - Homeowner'. 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 1 also certify that, if fill material is to be used in Flood Zone ~A" or ~Afetc'"f 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 VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". , ~~~!cl~ STATE OF FLORIDA COUNTY OF f,+!> c:c:.:> The foregoing instrument was acknowledged Before me this ~ day of IHAt\(..H , .-..3..C()\ ~ by ~AIt\~S (PIl..Sa,v! (name of person acknowledged) Dwho is personally known to me, or )l who SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) C1ho is personally known to me, or Name typed, printed or o who has produced (type of identification) and who Ddid D:lid not take an oath Signature of person taking acknowledgment Name typed, printed or stamped PROPOSAL SOUTHERN COMFORT ENTERPRISES, INC. P.O. BOX 486 4109 COUNTY RD. 656 DADE CITY FLA. 33525 WEBSTER, FLA. 33597 352-567-6111 352-793-5501 ----------------------------------------------- RM0015022 ----------------------------------------------------------- NAME DATE JAMES WILSON MARCH 28, 2000 ----------------------------------------------------------- STREET JOB NAME 7329 APPLEGATE DR. SAME ----------------------------------------------------------- CITY, STATE ZEPHYRHILLS, FL. 33540 JOB LOCATION SAME ----------------------------------------------------------- JOB PHONE: 788-6208 WORK PHONE: =========================================================== We hereby submit specifications and estimates for: REPLACE HEAT PUMP SYSTEM TEMPSTAR: 9000 EQUIPMENT: TWO & ONE HALF TON CH9530 WITH FCX3600 AND AMFK5 COOLING CAPACITY: 28,600 BTU. HEATING " : 28,600 BTU. HEATSTRIP" : KW. 5.0 SEER. 12.0 HSPF. 8.0 THERMOSTAT: HEAT AND COOL COMBINATION, MANUAL SET. DUCT WORK: FIBERGLASS TO EXISTING. RETURN THRU EXISTING FILTER BACK GRILL. WARRANTY: LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY DEALER. FIVE YEARS ON ALL PATS, TEN YEARS ON COMPRESSOR BY MFG. INCLUDES: LINES, LOW VOLT. WIRING, TAX & LABOR. TO EXISTING ELEC. WIRING. NOT INCLUDED: CITY OR CO. PERMITS. FL. POWER REBATE------------------------_________( $ 100.00 ) ================================================================ WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: TWO THOUSAND SIX HUNDRED FIFTY --------------------------------------dollars ( $ 2650.00 Payment to be made as follows: ON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by workmen's compensation insurance. J() . /J 'l//!.R' ( ~~~~~:~ - ~~~~~:rn:~ - - - _ - ~~ 1. dJ~ _ ~~ _ _ ~_~ Note this proposal may be withdra~.by us if not accepted within 30 days. ACCEPTANCE OF THIS PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. - - - - - - - _.4_ Wk-~~=~ _ ~~~~~=~~?f_ _ ~ ~ 1_ ~:_ ~C2 __