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Home My WebLink About02-1142 1142 7 w~ ELECTRICAL (813) 780-0020. ). /7 ~m !::.,~:::: Cj- 057 Zoning: DescriDtion of Work Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D, /I Water Meter: T.I.F.'s: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. --IO'O~ DATE NO OCCUPANCY BEFORE C.O. Valuation or /7' /J Contract Price / I 25 00 City license Registration # / a ~ State Certified license# DATE (Jy _ pI ")0 / !J. Ii Company Address Telephone# BUILD.JN'([ ../ ELECTRICAL PL~ /' -; &2 - ;)- J c!V ~~ - W' H NICAL ~d~ ~/d:. 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 ($25.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ..,:;.~.,~.,.,~,~",'''',M.C''i~$~ '~'. .:J'...,.'4.1; ~. ll'-'.'~." :"f-*! """""-';"'.' :.~. ,....... ."". 'r.,...,..;.".:.i.":'"".;....rt;;~~:~?!;:r;~..,.;~.::';;...:,~~r~.'fI~.._~"-""',. ~ ~., .~ BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N.. (813) 780-0020 .... .. ~ 1? oot.... ~ 1142 )c: I ::}J/ J Date .'; / r ,. /'7 ./ ~_.._..._. BUIU)ING ELECTRICAL ...ft1iMBING MECHANICAL Sewer Conn Water Conn: / -.". I Property Owner: .;./ / (/1 i Job Address: ,~,3 117 -' f? tli "').::; ..'/i ,'t.' ,. //r// ~--- . f '.fl. . Water Meter: T.I.F.'s: Parcel I. D, # Zoning: Descriotion of Work Energy Co~e: . /' Radon Gas: ." --"'..':;..', e__ FINAL 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 City License Registration # State Certified License# /./'1 ./,., ,,.. .J it~~' .:i ',,~ Permit Fee ',,,.__Sigl"'tur9 Company Address Telephone# Valuation or Contract Price (~- r:> .../ c) d BUILDmG ....// ELECTRICAL --- P~G /' / .~/.:: .......1 ~---'.::-~J /,.." l " .,..... '\ MECH'ANICAL 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. OHMRR'. HAMB (]7-b; 1-;Z~fA;. JOB SITE ADDRBSS . CITY OF ZBPgYRHILLS PERMIT APPLICATION BUILDING DBPARTMBNT 533! 8~ BTRBRT ZBPRTRRILLB, FL 33&40 Phone.813-780-0020 Fax.813-780-0021. DATH ....CB.IVlID, PLAHS RBVIBtf F.. . PHONa CONTACT LEGAL DBSCRIPTION, LOT(S) BLOCK PARCEL ID # SUBDIVISION WORK PROPSED: (JNEW CONSTRUCTION (OBTAIN FROM PROPBRTY TAX NOTICB) DSIGN o ADDITIO~ o MOVE (JALTERATION o REPAIR o INSTALL o DEMOLISH PROPOSED USE: (JSGL FAMiLY DWELLING o MULT I - FAMILY 0# OF UNITS (JSWIMMING ~L o MOBILE HOME o OTHER 'I" o COMMERCIAL o INDUSTRIAL PESCRIPTION OF WORK CJ . RESTAURANT & HEALTH DBPARTMBNT APPROVAL /1 ~ c;(-It~ ---~dr . BUILDING SIza SQUARB FOOTAGE HEIGHT RBSIDENTIAL: COMMERCIAL. ~TTACH (2) PLOT PLANS & (2) .SETS OF BUILDING PLANS & (1) SBT ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SBT BNERGY FORMS. PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PBRKITS RBQU.STBD o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.B.C. o PLUMBING o MBCHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS (J ROOFING (J SPECIALTY. o OTHER TYPB OF CONSTRUCTION: 0 BLQCK o FRAME o STBEL o OTHER FINISHBD FLOOR BLEVATIONS IS PROJECT IN FLOOD ZONB ARBA(J YES 0 NO BUILDS. COMPANY STATB CERT.OR RBGIST # CITY PROCESSING # SIGNATURII **************************************** ~/~~~ ') /.1> COMPANy'7r'Oa.-.i-:._. Eer. ~----.- L4/ ,.. STATE CERT. OR REGIST # "TORR ... . CITY PR~..;:~ * 9'1 ****************************************************************** OTSS. . SIGNATURE COMPANY STATB CBRT OR REGIST # CITY PROCBSSING # ***************************************************************** CUNVITI0NS OF PERMIT AFFIDAVIT A. NOTIC~ OF DEED RESTRICTIONS The undersigned uudorst.nda t'lat this po_t may be .uhject ',to 'deed restriction." 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 owne~ 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, 813-788-661.1. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Secttons" of this application for which they will be responsible. If you, as the owner signs as the contr~ctor, 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 pri~ileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA STATUTE~, ASAMBNDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construotion 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 ap'plicable laws regulating construotion, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indioated. I certify that no work or installation has commenoed prior to issuance of a permit and that all work will be perfoDmed 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 *B.outhwest Florida Water Management District-Wells, cyp~ess Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Depsrtment of Health , Rehabilitative Servioes, Environmental Health Unit~Wells, Wastewater Treatment, Septic Tanks *U.8. Environmental Protection AgenCY-Asbestos abatement I also certify that, if ~ill 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 ~nd not as authority to v~olate, 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 oode. Everypermdt issued shall beoome invalid unless the work authorized by such permit is commenc~d 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 OWHERa YOUR l!'AILURB: TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR l'AYING TWICE FOR IMPROVEMENTS TO YOUR. PROl'ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOJUj RECORDING YOUR NOTICE OF COMMENCIMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENT". SIGNATURE a OWNER OR AGENT SIGNATURE: CONTRAcTOR to',) STATE OJ!' FLORIDA COUNTY or The foregoing instrument was Before me this _ day of! by acknowledged , 1!L- STATE or FLORIDA COUNTY OF , The foregoing !nBtr~ent was Before me this ~ay of by a clf:nowl edged , 19~ (name of person ackno~ledged) .0 who is pE:lrsonally known to me, or o who has produced (type of identification) and whoo did Odid not take an oath. (name of person aOknowledged) CLho is personally known to me, or Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped FROM :CITY-YARD A. ROY BURNSIOF. Mayor CITy COUNCIL eA THI L. COMPro.~ COuncil Pre~idonL JAMES A BAILEY VIC~ President CLYDE C 8RACKNELL MICHAEl M. BUSSELL ElIZABETH A. GEiGER STEVEN F SPINA City Manager lrNDA D. SOAN City Cierk THOMAS P McAlVANAH Cley AttorMy I I I , I I I J , I I I [ FAX NO. :8137800025 Apr. 10 2002 10:38AM Pl City.of Zephyrhills e~ ~ 1'evu U'al'e~ 5335 Eighth Street . Zephyrhil/s, Flo""da 33540-431 2 (81 3) 780-0000 . FAX (81 3) 788-0005 April 10. 2002 I I I I I j Mr, Alonzo W, Kinsey Kinsey Central Heat & Ale, Inc. 39310 Richland Road Zephyrhills, FL 33540 Re: H.V.A.C. Replacement at Public Library, Bid File # 11-02.04 Dear Mr. Kinsey: Please accept this letter as your notice to Proceed with the H.V.A.C. Replacement at the Public Library, as of April 11, 2002. If you have any questions or expect any delays, please feel free to contact me at 813.780.0022, Sincerely. ~Q c' ~. J - 4:. ~ne la c Parks and Facilities Manager SJU Post-It" Fax Note 7671 Tol>/U IJv~&~5S " CO.lDept PtlOne " PhOM /I Fllx If 780. 000 S Fltx 1/