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Home My WebLink About01-0141 BUILDING PERMITt42 Property Owner: G l; ( +~ r J Job Address: 'Ie; '1' '1 ~ ~ Parcel I. 0, , BUILD~ 0141 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date '1/22/0f ELE~ICAL 3S. & MECHANICAL PLUM~ING V~"~"j AJ.e ' Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: A / c. c...L.&..... fjP 0 \.t " Radon Gas: FINAL 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. Valuation or Contract Price DATE Inspector S' JQS-o.tzS! Permit Fee ~ Signatur Company Address 'f /69 ~ Telephone#. ~7 --- ft:; /, Y City License Registration # State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~(;)4.,f( €/"'" {o"....(;,r of MECHANICAL 5 PLU BING Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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 PElUaT CITY OF ZEPHYRHILLS BUILDING DEPARTNi:NT DATE RECIi:J:VED PLANS REVIEW'I'EE JOB ADDRESS eLl F ~o (\. ~ 3 '7 ~I C/ y--rJ-f V, rv llV j PHONE ~l3"" 7 Fz.. [1 "11 '1 flulC.- ZE-fl1YIZHuls fLI / OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # (OBTAIN FROM PROPERTY TAX NOTICE! WORK PROPSED: DNEW CONSTRUCTION OSIGN PROPOSED USE:~SGL FAMILY DWELLING o COMMERCIAL D ADDITION !ALTERATION D REPAIR D INSTALL o MOVE o DEMOLI SH OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMMING POOL D OTHER DESCRIPTION OF WORK o RESTAURANT 1& HEALTH DEPARTMENT APPROVAL R ~f L~e..~ Hh:J4-T t)v~ I .:5 vST~ I' BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS 1& (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. $ )qS-o 00 PERMITS REQUESTED o BUILDING VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. o PLUMBING o MECHANICAL $ ;2. CJ S- 00.::J VALUATION OF MECHANCIAL INSTALLATION OGAS 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 D NO COMPANY STATE CERT OR REGIST # CITY PROCESSING # BUILDER SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # PLmmER SIGNATURE ****************************************************************** , COMPANY ..5cH.iT"H~.-v (1D..-..v;fa,....,... ~'k/\ r~c:-. ...I /J ().# #' STATE CERT OR REGIST # f{ m Dol 5""0<.... ~ ~ ~ CITY PROCESSING # 53 ********~****************************************************** hlECHANICAL OTHIi:R COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** A. NOTICE OF DEED RESTRICTIONS .- ---.-- --------.-- The u~dersigned understands that this permit may be subject to ~deed restrictions" which may b~ more restrictive than City regulations. The undersigned assumes responsibility for. compl~ance 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 t~ 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 v~olat~on under state law. If the owner or intended contractor are uncertain as to what l~cens~ng requirements may apply for the intended work, they are advised to contact the C~ty of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) s~gn portions of the ~Contractor Sections" of this application for which they w~ll be respons~ble. 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 perfor.med 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 *AImy Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, 'Wast-ewater 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR 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 acknowledged , 19~ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [],ho is personally known to me, or Owho has produced (type and whoO did Odid not of identification) take an oath. o who has produced (type of identification) and who Odid Diid not take ~n oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped permit No. ~ state of -F-l- ,t\- NOTICE OF COMMENCEMENT County of ~tp )4...s ~ 0 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. (Legal description of the property and street address if available) 2. Gel:a.el.al DescI:iption of ITLlprov~:mcnt ~ E: P L A-,-~ h,f:t4-r pu~ t5 V.sT1!-- / 3. Owner Information: Name {\,LI off Of/<.. 0 VI NP'\./j Address 3 ~ 4 J ~ <('1-4 J4-ve City 'GJ:'f)'" YIl J../l/ I ~ . State J'LI'1- Interest in Property: () WW €.y(- Name of Fee Simple Titleholder: (If other th~n owner) Address /VIA- City State 4. Contractor: Name ") (') l.J TH (l:lL- <:"'0 --+~ ~/~ Address '110'1 C(Z Go 5(., City Wfl.6 5~ State FJ-. 5. Surety: Name 1l/;4- City State Address 6. Lender: Name yv~ fl/J4- Amount of Bond: $ City State Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name /VJIk Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Lr.xplll1L LOll unLe or NoLil.:e of COllulIcuccmcuL (Lhe expiration date is 1 year fr0m the date of recording unless a different date is specified.) Signature of Owner: , 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 FAX: PHONE: We hereby submit specifications and estimates for: DATE FEBRUARY 21. 2001 JOB NAME SAME JOB LOCATION SAME 782-8914 NAME CLIFFORD VINING STREET 39414 8TH AVE. CITY, STATE ZEPHY1tHrnLLS.FL.33541 REPLACE HEAT PUMP SYSTEM EQUIPMENT: GRAND AIRE THREE TON 12.0 SEER WITH 5 KW. INCLUDES: HEAT AND COOL COMBINATION, MANUAL SET. FIBERGLASS AND/OR FLEX, R-6.0 TO EXISTING. RETURN THRU EXINTING FILTER BACK GRILL. LIMITED ONE YEAR WORKMANSIllP AND MATERIALS BY DEALER. FIVE YEARS ON ALL PARTS, TEN YEARS ON COMPRESSOR BY MFG. LINES, LOW VOLT. WIRING, TAX & LABOR. TO EXISTING ELEC. FRAMING, PAINTING, CITY OR CO. PERM IT. THERMOSTAT: DUCT WORK: WARRANTY: NOT INCLUDED: WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: TWO THOUSAND NINE HUNDRED FIFTY dollars ( $ 2950.00 ) Payment to be made as follows: ON COMPLETION. All materials is guaranteed to be as specified. All work to be completed in 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 full covered by workmen's compensation Insurance. AUTHORIZED SIGNATURE Note this proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF TIllS PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment win be made as outlined above. SIGNATURE DATE ACCEPTED