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Home My WebLink About00-9484 BUILDING PERMIT BUI~NG ELE~CAL PLU~ING Property Owner: ,e"",tl.C ~,,-'" ey Job Address: 365'l./D Lu..r-'\.de.", Ave ~6. ~ MECHANICAL 09484 Date ~ / 'l. (100 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: DescriPtion of Work Energy Code: A ({ {hew.,p - VltA- Radon Gas: FINAL ~ ..-- :::C-O DATE C.O. DATE Inspector ~ 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. City License Registration # State Certified License# ~ :~;~~:~:e ~_ #~~~ y Company Address Telephone# ..~ 7 - C- {I ,,. Valuation or '"" I 6f'" Contract PriceJ 7 b S'. - ~(f)uJ1 (/</'\ (~ '-v.J BUILDING ELECn~ICAL PLUMB NG MECHANICAL ~~ Ftr. Tp. Servo SlB Breakers Pre SlB Rough In Tub Set Ducts Insl. Lintel Meter Can Water Compressor FRM. Const. Pole Sewer Final Insul. CL Pool Final \ WL \ Pre-Meter I, \ Final I \ " 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. APPLICATION FOR PERMIT CITY OF ZEPRYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME R VII; JOB ADDRESS . 3 ?S LJ 0 ~rh4rV~y G 17 m t:) ~ "'-' It u ,;:: PHONE g'1) - 7%2 - 97~ -L "1-CPI1YAHII/~ FL, .>? r ~ <.) , ( LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION ~TERATION [J DEMOLISH [JREPAIR [J INSTALL [J SIGN PROPOSED USE: ~SGL FAMILY DWELLING [J COMMERCIAL [J MOVE [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL R. (Z rJ- 4c:..C N CCt:f-r fJ u y&.-,p :; y S TIC 11-.. AJ-" SQUARE FOOTAGE / 2 ~o HEIGHT BUILDING SIZE 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. [J BUILDING $ VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE [J FLORIDA POWER D W.R.E.C. D PLUMBING ~ECHANICAL $ CO ;; 7 tJS" VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING [J SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SIGNATURE /lit+- COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN SIGNATURE j}/f+ COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE /VA COMPANY STATE CERT OR REGIST # CITY PROCESSING # * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~* * * * * * * * * * * * * * * r ~" COMPANY: .-50uTH/E.(l-1'V C~J"l.+o,'\.. 1C..:r ./ ,/' ~) /1 STATE CERT OR REGIST # R.mool.~ ()? 2- ~ ~ CITY PROCESSING # , ~~ /' . - MECHANICAL SIGNATURE ***************************************************************** OTHER /1/ t4- COMPANY ,STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". /;({l~ LL___ ~GNATURE: CONTRACTOR ~~~. SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing inst~ent was acknowledged Befor~ me this ~ day of frI'tJ ' _ 2.:K)D by d...",H oS, C /fA P.?'T (name of person acknowledged) Dwho is personally known to me, or , FL.1- Db- /,..1 ~ . ~WhO has produced C5"OO 77 7 2-.D C,07-o (type of identification) and whoD did iXdid not take a~\\Rmn)}. /) ~,,\~ c:. J I A "'II. -r ~\l~~o;:::PIt. ~~ takingf . ff "AA:'~ ~ :$-~ ~~... ~ =*: tJJ ~ (I): -: - . Qi .... - .*- Name typed, printed or st~~1il #GC5!7681 .6oi~i ... o~ #. ".oif::!E ,\~;oo"'J?l/ded ~,~~.o~ ~ ~Io .../;:~ "illc Ul\~ o~ \".$' ~~ ":'lJ ........ \)' )I.~ ~"",'I.VC. ST~1\",,''l "'HU""'" STATE OF FLORIDA COUNTY OF The foregoing instJ.~ent was acknowledged. Before Jl:l..e this ~ay of /J.1.1"-7 ' 11I.2 ~ by IHt) I"h ~ .J)....14 cH.tI-- (name of person acknowledged) [1ho is personally known to me, or ti..WhO has produced L 2 :>2- -1'3 0 -s5'-J1.r 0 (type of identification) ~id not take an oath f19-5CO and who 0 did Signature of person taking acknowledgment Name typed, printed or stamped ~ 1/ l' "~ PROPOSAL SOUTHERN COMFORT P.O. BOX 486 DADE CITY FLA. 33525 352-567-6111 ENTERPRISES, INC. 3425 COUNTY RD. 656 WEBSTER, FLA. 33597 352-793-5501 ---.------------------------------------------- RM0015022 ----------------------------------------------------------- NAME OATH RUTH CHANEY OCTOBER 1, 1999 ---------------------------------------'-------------------. STREET JOB NAME 38540 CAMDEN AVE. SAME ----------------------------------------------------------- CITY, STATE ZEPHYRHILLS, FL. 33540 JOB LOCATION SAME ----------------------------------------------~-----------. JOB PHONE: 782-4762 WORK PHONE: ========================~================================== We hereby submit specifications and ~stimates for: INSTALL HEAT PUMP' SYSTEM OPTION # 1: TEMPS TAR TWO & ONE HALF TON EQUIPMENT: CH9530 WITH FCX3600 AND AMFK5 COOLING CAPACITY: 28,600 BTU. SEER. 12.0 HEATING " : 28,600 BTU. HSPF. 8.0 HEATSTRIP" : KW. 5~0 PRICE--------------------------------------__{ $ 25;5:~0 ) ~ OPTION # 2: TEMPSTAR TWO TON *1&5 ~~T.JY EQUIPMENT: CH9524 WITH FCX2400 AND AMFK5 COOLING CAPACITY: 22,800 BTU. SEER. 12.0 HEATING " : 23,800 BTU. HSPF. 8.0 HEATSTRIP" : KW. 5.0 PRICE------------------------------__________{ THBRMOS'fAT:,"'...,~ DUCT WORK: HEAT AND COOL CONBIN~..TION, FIBERGLASS TO EXISTING. RETURN THRU EXISTING FILTER BACK GRILL. LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY DEALER. FIVE YEARS ON ALL PARTS & TEN YEARS ON COMPRESSOR BY MFG. LINES, LOW VOLT. WIRING, TAX & LABOR. TO EXISTING ELEC. WIRING. CITY OR CO. PERMITS. $ 2400.00 ) I l::-------~ /., 00 l-1ANUAL SET .2~ ~ O. WARRANTY: INCLUDES: NOT INCLUDED: FL. POWER REBATE-----------------------_____{ $ 100.00 ) ~ ================================================================ WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: SEE BODY OF PROPOSAL ---------------------------------------------------------------- Payment to be made as follo~s: 50 , DOWN, BALANCE: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. -P~' LJ -fJ/J /J --I! ( ~~~~~::~~-~:~~~~--Ll~ -- _/~__~~_.__ Note this proposal may be with rawn 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 wi11 be made as outlined above. SIGNATURE ~ ~ ()J L9~~ "h DATE ACCEPTED .d'- ~ -00 -------------------~~~-~-------------~------------------------