HomeMy WebLinkAbout02-1465
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1465
(813) 780-0020
Date
9 -19-D~
~..~. ~)Plh ~;=~:::
:==~.:~e'~f;::/D ~~~,U;~ ~~~e~.Mete'
Parcel I. D. /I
Zoning:
DescriPtion of Wor
Ener~
Radon Gas:
FINAL
C.O.
/ t)2
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.
DATE
o
ElECTRICA
Breakers
Ducts Insl.
Compressor
/a 2'7 .., LJ-7()
Final . I - "/ - 0 ~ /1'<../ c..
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
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) shaH 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.
6717 Benjamin Road
Tampa, Florida 33634
AL'S
Brandon: 657-3596
Tampa: 882-4424
Fax: 882-4483
AIR CONDITIONING - HEATING
REFRIGERATION & MAJOR APPLIANCE REPAIR
DATE '.:J ! ' ~.~ / I TECHNICIAN
- / J"" ," z..
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NAME ~I G IE'S p..\ bE.. ~1~S
ADDRESS ~1' i../ i/ ( II J,) C.. J i ", f.\."-J~ I CITY Z:::: Ph yr}f; /15 I ZIP 3' 3S-VD
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HOME PHONE 3S'Z) 3'10 3"j YC I WORK PHONE I MAKE OF
APPLIANCE
State Lie.# CAC049268
,/
P STRAIGHT COOL
HEAT PUMP
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SEER I L
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COMPLAINT/Z-
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I Authorize Service Repair
PRICE:
DEPOSIT:
S.S. DISC.:
SUBTOTAL:
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I have been given an estimate of repair and with my signature below I authorize service repair to be
preformed at price quoted. No refunds, I hereby accept above'preformed service as being satisfactory
aod ''',"owledge ~.. e"'pmeot h~ l'e' '" good oood,"oo.
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Customer's Signature .' .... j ........ '." .)(
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TOTAL:
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GUARANTEE
with this invoice
We guarantee all parts installed by us against service failure for a period of one (1) year from above date
unless otherwise stated. No guarantee on any rubber, glass and plastic parts. Labor shall be charged after
thirty (30) days from date of repair. Guarantee Void if merchandise is moved from premises of repair.
PIA::lC::l'> nnto' Th~ ~....-. ,- -~ -
11~;J'oSVE
I O\1NF.!IR / S [,iAt1Bl ---I6J~_S-LfJ__t?_f-:_____\:) \~_~_________ ____________ PHONF.J C'()N'I'1\Cf~2?,L'J 'f~?<!'(!2
,TOE S I'l'F) AnnRBlss_~j_'ilfJ} ___J-:J~_c!:)lf)____':-_\;J e______u"'?_~ pJ}'pYI!!l~,_ ----eI--_22~_'tl?_ _ ______
CI'J'Y OF ZHlPHYRHIIJIJ8 PERMT'll APPIJICA'l'ION
BUlI,llum lJEPAR'l'Ml!lUor 5335 8th 8'rRHlHl'r Zl!lli'lIYRHtI,I,S. Fr,3HI4lJ
PhOlieI81.3-'180-0020 l"8'tI8.l3-7BO, ()()21 ol/'1 '"07..
!JA'rII RRmuvmD 7 I J II
PLANS RIVIIW FII
L III GAl, DElS(!RI P'l' 10111 1,01' (8)
BI,OCK
SlJBIllVISJOI1
P1\RCHlf, ItJ #
---.----...--..- --- - .-.. .-- -.. .-._-""'~'.'-"-
IWRK PRUPSElD I []NEJW CONSTRUC!T!ON
-----_.--~------,---, ----- --.-_- ------------------------- '--------------.. ------_____ h__ ____ ______________________
(OBTAIN F'Rot1 PROPERTY TAX NO'['Ir!El)
[J l\.!lIH'I'Ioll
[J AI /I'E:Rl\.T ION
[J REPAIR
11 HlS'I'AT,I.
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IJ DElI1OJJ.! SII
PROposrnn USE I [Ism, FAI'1ILY rMEI,I,JlI(~
[!r'1UI/[' T - F'J\r1I L Y
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LI f.!OB I LE 11011111
I] O'I'IIEJR
[1 ('(JI'1~1ElRC 11\1 I
[] INDUSTRIAl,
[IS~HI-1MJNG Pnf1l,
IJl1J8C!R I PT 1011' (F NOHt<
Bl1IL,fJINI1 S H~J1l
L~l ~l1JST1\URAHT & HEAI/l'It DE:PAR'ft,Unn APPROV/\I,
J n!-l/!-L~A.-tt.~~--~___,L_~~__?_r~J.~":f--~-~~-~~~__, -,-Jj-~-~PE1~~---_!!-=h.~~
-------------._--~-
BUt/AREJ P'OUTArm
RES I IlJllN'l'I A T.I
COMI,1E1R(!I J\l, I
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II FlI !GIl'!'
A'l'TJ\CII (2) PLOT PI,J\HS & (2) SETS OF BUIr,Dnrr~ PLANS & (l) SHlT ElNIllRGY FORI-IS,
1\TT1\011 (3) SETS OF BUILDING PL~lS & (1) SET EIlERGY FORMS,
PROI;iJllR'l'Y 8tJkVEY RBlQt1IRElfJ F'UR AI,I, HE!M CONSTRt]('TION,
i' ERMI11~L.-RBlQllE~ TEU
[J BlIJI,llllW
$ ------'--------------- VALUATIUN OF 'l'O'I'Ar, CUtTS'l'RUCTIOl!
[I HlI,ElC'l'IUc!1\I,
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FUJRI/JA PO\~ER
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VALUATION 011' I1ECItANc!IJ\f, 10STAI,I,/'\'1' LON
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Ll R(JOFINr3
LJ SPEC IAI/I"{
[) UTIlER
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FJH18I1E:n P'I,I)(JR Elf,E!iVA'!'I(ms
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IS PRO,JE!l(!1!' IN F'LOUf) ZOlflll ARElA[J VHJS
[f NO
BUl:I,UBR
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v+'--.--~-.__._____w_.___~_____~___.__.,__._~_^_. ________
COMPAtTy ~_________._____,__________.._________
STl\.'I'E CElRT OR RElCHS'!' II __________________________.,_.
CITY PROCESSING It
~********~****~~***I*~~*~**I~*******'*'**'**"**'***"'*"*"*'*"
-.--------------- ---.------"- '.---'-_.-. "- --.
lllLJlJ(!'l'RIUIAN
Cot.1 PAN Y ____.___________. ___'"______'______~______.
STATE CERT OR REG 1 ST II
SImlA'l'lJRE '--------"-------.----.-______,__________________ CITY PROCESSING It
._~._--_._----_._-------
1i'I,UMBIR
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------~..__.__h~._______. n~___._____._ ~_~ '_ .
---.- ---- ._._--~~---~-_.._-- ..- .-------..----- -.----------..---
c 'OI/IPMTY -------------_____... _h '--'----__'h._.__._____.
8Tl\1'El CERT UR RE<.HST It -------____h_.___.___,
Cl'1'l' PRCJCEf:lSH/(~ It
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A c. S Re F ~ fT' tJ, A . c. I tv l::. .
' C0fI1PlI1fY,____,________________.____,..__,_________....,_. _ ____
STATE C!ERT OR PEJ(~ 1ST 1/ <;.!3-'=.9_tz.:i..?_6...8.____,
-________________ CITY PRUCESSr~m ~g_~_~___________,___
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--~-------~-----'~--~'..____n._.,,____.__~._. ~ __,____
MI(!HAN!(~AtI
O'l'UJ!lR
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---..__M____.__.____.____.. "_._..~___.__~_____ _ ..__________.._~
cm1PANY
STATE C'HlRT-rjRRi.i1reT"/f----------'---------- ----"
r'ITY PROCESSING tl ---------..---_ ________
SWHA'l'IJRE
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J~. HU'l'ICEl Ofi' DHlIDn RES'l'RIC'l'IONS
The lIndersigned Illlde1:atallds tbat t.lds penlllll: lLB'I b,: ,sl.lll.le:.:L 1:0 "deed restrlcl:lol1s" \,111011
may be 1lI01:e reslr:JcLJve than cJ.ty reglllatiolls. 1']1<, \WdIH:lJyned aSSllmes respoHsl.bJJ.1I:y f<=>r
uO'illpllanue \iJt.h allY appllcable deed It:lstrlCl:Jo,15.
B. 111'11.1 CElN SED CON'!'Rf\C'l'ORS AND CONTI1AC'l'OH RmS [>I)I'J 5 J 131 \, ['l'I H:,S
I f the Ol'./ne1: has hiI:ed a contl:actor 01: cont,rac:t:oUl to Il1ld',ntake HOLk, they ll\ay be reqlli l:ed
;i 1.0 be JJcensed .1.n auoordance \Ilth st:at:e and loci:lt 1:egILLatlons. If the oont:rautor Is 110L
U,uensed as reqnlled by law, both l:he O\,lle1: and contri:tcLor may be nlted for a ndsdemeanor
viol at:ioH under' stat:e laH. T f the O\-./oer or .i.nj:l:nd~ld 00n1:1;aot01' are Ilncertall1 as to \'Ihal:
Uuens.lllg rec}\liremelll:s may apply fu,t the 1l1tendl~d \wr),i' they ar:e advlsed to CJollt:aut tile
r:ILy of Zephyddlls BuJldJng Department, 013-'11l1l--661l,
Ji'urlhel:lllore, If the oHller has ld.red a contractcn: or cOlltre>ctors, he Is advlaed to have the
Cj(lllt.t'actor(s) sJgn port.iolls of the "Contracto.t: St:cl:iollsll of tlds app,UcatJon for Hhioh they
\/111 be reaponsi ble. [f you, as the OHner s1glls as Lhe contractor, YOIl are lndJ oating Lha t:
'loll, rather than the contractor, are tesponsib:~e for the Ilork. I f the contraClt:oJ: HJshes
\,011 1:0 si gll as cOlltt'aoto1 that lIIay be all indlc,\I::!OII Lhal: he .is not properly 1.1 censed and j s
Hot ellUtled to perlll1.l:Ung privileges In the CJty of ~,ephyddlls.
c. 'l'R1\HBPOH'l'l\.'l'TON J HI?AC'I' FEElS AND U'l'ILITY CONHli:C'I'lON I!'EHJS
n. COlIS'l'RlIC'I'tJIOH LIEN r.AW (CHf\P'l'ER '71.3, FLORIDA S'l'A'l'U'I'ES, AS At1ENDElD)
'I cel:(:j fy that: 1, the applicant, halle been provl(~ed \lith a copy of "Il'lor.l.da' El COllstnlCtlon
.I Jen J,in, - llollleol'/ller'S Protection Guide" prepared by the E'lorida Department of Agc1 cUll:llre
and CUIISllll\er Affairs. If the app,U cant is som~lDlle othe1' that the "o\mel:", T [Jet:1 fy that I
have obtaJned a copy of the above desoribed aocument and promise in good :Fed Lh to de1.iver'
it to the "owle.t:" prior to commerlCelllelll:.
E:. CON'['H1\C'l'On' B/oWNElH' S AFIl'IDAVl'I'
I cetti fy that: all the information in this appU.catioll i$ accurate and that all. Hark \1.11.1
be dOlle III uomp1.iance H1.th aU. applicable laws regulating construction, zonlng, and .Land
developlOent:.
1\ppJ.lcall.oll Is hereby made to obtain a permit to do ~lOrk and 1nsta11.at10n as i nclioated. I
cert:ify that 1I0 \/OrI. or installation has oommenoed prlpr to issuallce of l'I penl\U: and t:hat:
a.ll \101:1, H:I..ll be performed to IlIeet standards of all laws regulating oonstnlCltlon, CII:y
codes, zoning regulations, alld land development: l:egulations in l:he jULl.sd:!c\:jon. 1 also
cetl:1 fy that ''[ ulHlerstand that the regulatlolls oj: other govetlUl\ental agencles llIay appl y \:0
\,JIB intended ~lOrl., alld that It .is my l;/ilspons.ibl1.i.ty to identJfy Hhat act.tons I mllfil: (-,aka 1:0
be 1n compllanue. SUGh agencies .include but are not limited to: "'Department: of
F.: II vi ronlllen tal Regula t:i oll'-Cypn:l3,s B~yheads, We tland Areas alld Envi rOllmen taLL y S ens i t.1 ve
],alld,s, Water.'/WasleHal:er 'I'reat1ll6Ilt
ASouLll\'1e~l: Ji'Jorida Water Managemelll: lllliltr.lct:-Wfiillls, cYPli"ess Baylteads, Wel:lalld Areas,
AI tel:illg Wa\:eroollrses
Al~l:my Corps of Eng.lneera-BeaHaLl.s, nooks, Naviglable Waterl'laya
A))epaJ:l:menL of Health & RehabilitatJve Sel:vices', Env.i.J:ollmental Health l1nJt'-Wells,
Wasl:eHal:er Treatment, Septic 'ranks
AIJ. S. Elllllrorunental I?rotEilCtioll Agency-Asbestos abatement
1 also ueLU Ey Lhat, if f:!ll llIater.l.al Js to be used .in Inood Zone "A" or "A, eLn. 1/, it is
IUldel:sl:ood Lhat a dtaJnage plan addn.lssillg a "compensating volume" \0'1111, be submJt:t:ed \/h10h
is pl:ep,neel by a plofesl:liona.l englneel: l'egiatered in the Stat.e of /J'lor.ida prJor 1:0 permit
issuance.
A peun:!\: i sSlled shall be construed to be a license to proceed Hi th the worlc and not as
allthorJI:y to vJolate, canuel, alter, or set aside any provisions of the technical codes,
nor shall issllance DE a permtl: prevent the BuJlding Off.i.cial from thereafter requJl;i,llg I:l
con:euLJon of errors in plaus, consL.l:Ual.i.o/1, or violations of any oode. Iilvary perm:!,t
.i.sEllled ahall become invalid unleslS th$ work au\:horized by suoh permJt is Clolllmenoed H111d II
sill mouths of issuanoe, or Lf \wrk Ruthor.i.zed by the perm1.l: is suspended or abandoned for a
period of she months after the time the work is conill\enced. One 90 day eJltens.l.oll of t: tillS
lIIay be allo\'1ed for the pel."m1.t with fee charge of $15.00. '1'he eJetension shal.l be requested
ill \lriL.illg to the Building Offic}ial. An approved inspecl:ion IIlllst be logged (hll:.111g each sJl(
month ped.od, or the project: will be considered abandoned.
Wl\RNHIG 'J'O OWNER; YOUR FAIl,URE '1'0 RECORD A NO'l'ICE OF.' COMMENCIDNffiN'l' HAY HHlRIJJ/l' 11/ YOIJR
PAYH/G 'l'WICE: BUR It1PROVEMENTS '1'0 YOUR PROPER'!'Y. IF YOU Il/~I'END 'J'e) OB'l'AHI !i'IHAUlnW., COIISIIIJI'
WITH YO\JH l,E:t/IJER DR AN A'J"l'ORNF.lY BEFORE RECORDING YOUR NO'rICm OF COMME:NCEtvlEH'['. ,fOBS IINlJf!lH
$2,5ll0 IN VAJ.lIE no NO'I' NElEn '1'0 RECORD AND 1?0S'I' A "NO'I'TCE: (W COMHlilllCEtvlE:t1'I"'.
- .-----...-.....,. ~._._--- "_.- -.. .. ~-_..~"~-'~,_._-------~-_..
SI GHJ\'l'UHHJ I OWNElR UR AGEN'I'
f:j'j'l\'J'1!l Uff' E'I.unfllA
(]OlJN'j'Y Off' .____'______'__,____.,____._.__.___..,..
'j'he forego.lng instr\lmant was acknowledged
Before me I:Id S '.'_.."_ ctay of "__,_.,..__.__.., l~_.
b \' .._____.__'_.,____....,.,___.,__._,___ _..______._.._.__....______,.
. (name of persoll aClknol~ledged)
[)I-Iho is personally klJown to lIIe, or
LI \/ho has pr.odlloed____...._,._,___,__.__..____.__
(type of idellti.ftcat:1on)
and Hhol](Ud [jdid !lot take an oath.
SJYllatllle of persull tald.ng a()klJo~lledgement-
._. _ __. Oh... _,.._._.._~___. ...__..._.__ ..__.__._...._____.____."_~.. __._"__ __..
'i~alll~'-.i:-Yl.)'ed, p1:1 lIi:ed 01: stamped
---..... --_.._-...~.~...._-_.~._---"._--~._---~ -.,.
... .-.----.-----...--. - -.... _..~_.__.-. --_. ~ .
SIGNA'l'IIRHJ: CON'I'R1\C'I'On
S'l'A'I'El 011' FLORIDA
eOlIN'I'Y DE' ..__.___._.__....'....._.....,_._,.,___,..________.,..
The foregoing Instrlllnent \'Ias aoklla~lledged
Before HIe this _____riay of-..m'...-___.____, 19 _:.""
b Ij ___.____._____.....________ ____'_...___..___"'____._~, .....
(name of person aokllOwled9/id)
[~ho is personally known to me, or
[) \}ho has prodllced____,__,___,__._,__.___,_....,.
(type of j dsnl:JHoaU,on)
and \t~ho [.Idld C}Ud not: tal.e an oat:h
-." ,- ...-.___, '~n.____..___ -._ ...""_..._.~..._..__..,..
"- _......_~....-.~----~-.- .--.... .'~"-. ..-..-.........- ._-_._-~~._-_..
Si.gnat:ur:e of person taklllg aoknmll edgment j
--'-. ---.- "--_.'._-"'."--~--'._-"--_.",.-', '''._".__._-'-~'"----'''--_._,.,_._~, .----..-
Hame typed, pr.l.nted or sl:alllped