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Home My WebLink About01-0253 BUILDING PERMIT t42 0253 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date /f-/~-[) / B~G EL~L P~G <Mi~~~N'C.~ Sewer Conn Water Conn: o:rtl!;o-1F~/Y (!i . /d ~~ ~~/laAJ Property Owner: Job Address: Parcel 1.0. # Zoning: oescriotion of Work Water Meter: T.I.F.'s: Energy Code: 31 ~JJU/~~~( FINAL ~-19,-,al DATE 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. c.o. DATE Inspector s'l - Valuation or Contract Price City License Registration # State Certified License# BUIL~'- .,/ ELEc.!.meA[. .-...- Breakers Ducts Ins!. Compressor Final Tp. Servo Rough In Meter Can Const. 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 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. 04/15/2001 22:29 17278199343 JACKS AIR CONDITION U1JLJ:CA'UOIt I'Oa I'IDIIMI!' CITY O~ IaPlYRRtLLS BUIID11fG DKPAll!Mml'1' PAGE 03 DAB UCKrv&D PLAVa DVID I'D OWNER'S NAME '5 rf\ \11--\ l &\t{\"t;;O ~ ~~ )0. JOB ADDRESS b<oLfS .:s: ~A\P"" C* PHONE (~'~\\lq- O~:L I , SUBDGrSION D~~ 5.Jb- LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # (OBTAIN FROM PROPERTl I~ ~OTICE) WORK PROPSEo: DNEW CONSTRUCTION DSIGN PROPOSED USE:~ FAMILY DWELLING o COMMERCIAL o ADDITION OALTERATION o DEMOL! SH o REPAIR IiJINSTALL et.pa..-c~ D MOVE OMULTI-FAMILY o INDUSTRIAL Oft OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER CJ RESTAURANT " HEALTH DEPARTMENT APPROVAL DESCRI PTION OF WORK J<.t If'\N ~t... ~ ~ f \r...( r ~ ~ ~~ ~,',(" BUILDING SIZE SQUARE FOOTAGE 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. PE~TS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRI CAt o PJPMBING Ql"'"MECHANI CAL AMP SERVICE o FLORIDA POWER o W.R.E.C. ./ iJO. $ \ SOD - 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 D NO BUILOD SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ........***..**...............*.................**..*.************ .LaC'.l"RICIM COMPANY STATE CERT OR REGIST * CITY PROCESSING # SIGNATURE ***************************************************************... PWMBD SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ...........~.....................................t..~......~ COMPANY ~,..k~" -~ ~. '.~<. ~ ~ STATE CERT OR REGIST ft . CO , CITY PROCESSING # \ ~~ MaC'JIAJIIClU. *********************************************************..****** O'I'IID. COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ******************.**.**..*..*................................... 04': J, 5/ 2001 22: ~~__. _.J.J278199343 JACKS AIR CONDITION OF PERMIT AFFIDAVIT PAGE 04 CONDITIONS A.. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perndt 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 RES~ONSIBILITIES 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 b~ .law, both the owner and contractor may be cited for a misdemeanor violation under state 1aw. 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 gephyrhl1ls Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he 1s 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 penmittinq privileges in the City of Zephyrhl11s. C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER '713, FLORIDA STATUTES, AS }\MENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construct~on 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 cer~fy that I have obtained a copy of the above described document and proroise in good faith to deliver it to the "owner" prior to commencement. E. CONT~CTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application 1s 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 insta11atlon as indicated. 1 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 1 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, ~tering Watercourses *Army Corps of Engineers~s~awalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-WellS, Wastewater Treatment, septic Tanks *U.S. Environmental Proteetion 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 d~ainage plan addressing a ~compensa~ing volume" wil1 be subroitted which is prepa~ed by a professional engineer registered in the State of Florida prior to pe~t issuance. A per.mit 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 per.mit 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 t~e may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the aui1dinq 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 or COMMENCEMENT MAY RESULT IN YOUR FAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTJUN 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 COMMENCEMENTH. &W~ SIGNATURE: OWNER OR AGENT ~~~ SIGNATURE: CONTRACTOR of identification) take an oath. STATE OF FLORIDA D COUNTY OF \' (J.....~L-o The foregoing instrument was~~knqwledged Before me this ~a of ~C'--L-, ~ ")...0. by ~ (name of person acknowledged) is personally known to me, or o who has produced ( STATE OF FLORIDA ~ COUNTY OF 0... ';:, L.6 The foregoing instrument was acknowledged Before ltI8 this ~ day of ~ . ~\ by , o who of identification) take an oath Name typed, 04/15/2001 22:29 17278199343 1'0: Q.L. ," ~~~~.I L\'N of L~ }'/,olle Fax PlIolle I cc: REMARKS: o Urgent ~ ,.evi.w ~ dJ ~ (y0L ~ ~~ JACKS AIR CONDITION PAGE 01 I Date . 4lt\a \0\ Number of pages including cover sheet FROM: Jack's Heating & Air Conditioning, Inc. 97 J 5 Sunbeam Drive New Rqr:t Richey, Florida 34654 Plto"e 727-819-9523 Fax Pholle 727-819-9343 o Reply ASAP o Please Commellt ~ ~ w-L l ~~ ~-~ ~ ~ (~S6) 52..\- D~<.D