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HomeMy WebLinkAbout01-0162 BUILDING PERMITN2 0162m CITY OF ZEPHYRHILLS (813) 788~6611 Permit - Date 4 -fp - D I ~- E~L PL..UMetf't(] . 'IS- ~-I;Y Sewer Conn Property Owner: Job Address: Parcel I. D. # Zoning: _}nergy Code: Description of WorkC-',J.....Af ffJ1/ V~~t;~~~k_. Water Conn: Water Meter: T.I.F.'s: ~s: ~ $1 ~ ( ~) FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or ~ L/ Contract Price 1f ' T; _"'J..:35 . - . City License Registration # c2??' 6- State Certified License# 19....fw.t.~~~. (l.h:i. ~.;a P~ MECHANICAL' , BU U..Dlf'lG---'" EL~"-. Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. SUNCOAST SERVICE CENTER. INC. 5406 N. ROSEMONT, AT W. HILLSBOROUGH TAMPA, FL 33614 (813) 879-0281 - Lie # RM0030862 _____ . AIR COND~POSAL . SALlES CONTRACT NAHB: (.ct .~ DATE: /' 0 r 0 ",,""'NO AD:,," 7 ~ i 03 '1 t:- ((;d JUS ADORBSS CITY/ST/ZIP: / -- /~ /~".,f ~~~~~;;~-~~~::~:;;~~----------------~~~--;:----------------- PACKAGE tmI~ ~ W f~. ~ .. ~,e~ ?-.. 'cb~ ~. :?i\:t' ~ R-?-.? . ..'~ ~ CITY/ST/ZIP; --------------------------------------------------~------~-d-------------------------------------------____ WARRAN".l'Y BY NANUFACTURBR: / If ~U~ /U:'~ V ~ LABOR nRRANTY BY SUNCOAST SERVI CENT~' Wifc.: OPTIONAL EXTENDED WARRAN".l'IES: 10 YEAR PAIU'S " LABOR* *BXTBNDED WARRAN"l'IES ARE COVERED BY A-S Y 5 YEAR PAIU'S " LABOR* ---------------------------------------------------------------------------------------------------------------- THIS PROPOSAL MAY BE WITBD~ IF NOT CONVERTED INTO A CONTRACT WITHIN 30 DAYS. Te~: After installation is completed, a qualified representative of this company will start, test and certify to our office the correct operation of the equipment covered by this contract. That action will establish the date of completion of our contract, except the warranty, and any further adjustments, replacements or repairs will be performed by us under the terms of the warranty as stated above and on the back of this contract. Payment is due immediately upon completion of installation. However, if payment in full is not received by this office within 5 days from the date of our invoice, the warranty will be suspended and interest at the rate of .00049315 will oe charged on any unpaid balance. The warranty will not then be reinstated until the unpaid balance and the interest have been paid in full. The interest stated above will be charged each day and is based on 18% A. P. R. A late feel m~ituted instead of interest at the~i~~: t;e~~3 ~ Options: 1.~ ~~ .~ 2. The installation and equipment above mentioned are subject to conditions and warranties on the reverse side of this Agreement the same as if they were printed above and those conditions and warranties constitute a part of this Agreement. CONSTRUCTION INDUSTRIES RECOVERY FtJNII) Payment may be available ~rom the construction industries recovery ~und i~ you lose money on a project per~ormed under contract, where the loss results ~rom speci~ied violations o~ Florida law by a state licensed contractor. For information about the recovery ~und and ~iling a claim, contact the Florida Constructioh Industry Licensing BOARD AT: eILB, 7960 Arlington Bxwy., Suite 300, JacksonVille, PL 32211-7467 or Phone (904)727-6530. -- It ".- ~ 5595 :z::-.7 /~ 7/~ a {lrflcl? - $-TdPY 6dR r5J;t. j;.t--r;;L.. loxb )1 v IN G 1 (J /~)(~ S' cJ A) ~~;ec (f "F(2D IJ r I- ~ ~ r1tJ Fu--p . ~ s;JJ 4- ~ . /3.0 ~ 7.-.8-.5- /TS~/- ~- ~ Pk~1C~ ~ 3<~~~~~ APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS OWNER ~~ ~~ JOB LOCATION_. ~ ~ S J.:3 - h~ ~ PHONE 7?7'- cf'tJ 7S LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.;F WORK PROPOSED: _New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign - Move _Demolish PROPOSED USE: --/,.L.S ingl e Family _M/F _IF of Units ._M/H _Commercial _Indust. _Swim. Pool Other ~ ,. _Restaurant & Health Department Approval BU1LDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL V '11 4-MECHANICAL AMP Service Florida Power Corp. _\\i.R.E.C. $ t..IPJ;tr: & [) Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block v-/ _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ******************************~*********** BUILDER ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert. or Regist. # City License Registration # **********************ft******************* Signature ~ f2.i ~ MECHANI . '.. R kA: Compan . .. . State Cert. or Regist. t Signature. r ~ City License Registration ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for coapliance 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 lay be cited for a aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intend@d work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3! 788-6611. Furtherlore, 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 sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture aod Consuaer Affairs. If the applicant is sOleone other than th~ "owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" the "owner" prior to coaaenceaent. J E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. J Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all la_s regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited tc,: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De art.ent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environ.ental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan addressing a "colpensating volu.e" will be sub~tted which is prepared by a professional engineer registered in the State Df Florida prior to per.it issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte,. or set aside any provisions of the technital codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is co.tenced within six .onths of issuance, or if work authorized by the per3Jt is suspended or abandoned for a period of six aonths after the ti.e the work is cOI.enced. One 90 day extension of tile, ~df be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. \IARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMtlENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR ItlPROVEl'IENTS TO 'lOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT III1H 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 COMl'IENCEtlENT". --2 ~~ n~&-L '---S~GENT SIGNATURE: CONTRACTOR STATE OF FLORIDA ,,~ /.1A1 ~. ;f __ ~ _ /1' COUNTY OF l&:!::::~"~/ f,., . The forego i ng i ns ~ru~nt vJas ac knovJl edged befol-e me this 11~ S- , ;)(j')...&...L by wzti ~on~ ~ kn~"'"' ho. pn;! at!....",.:]- ntification and who ~/did not7. a oath ..11 ~ STATE OF FLORID~ ~ ~ COUNTY OF Y ~ The foregoing ins~5um~nt ,s acknowledged before me this ?)'~ by T ~- whc, iS~nallY known to me or who. has produced as identification t {e n oat't A a tLll-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC Typed, Printed or Stamped) NOTARY PUBLIC Q)JOSEPH WHITE HOPE, SR. MY COMMISSION (# CC 984805 EXPIRES: Dee 13,2004 l<<X1-3-NOTARY FL NolaIy Service" Bonding, lnc. O)JOSEPH WHITE HOPE, SR. , MY COMMISSION (# CC 984805 . ./ EXPIRES: Dee 13, 2004 l.flOl>>.N()TARY fL Nol.-y SeMce " Boncling, tnc.