HomeMy WebLinkAbout02-1670
BUILDING PERMIT
. NO
CITY OF ZEPHYRHILLS Permit -
1670
(813) 780-0020
Date
{'I- ~S.-tl2
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
--r:
Property Owner: IRo '1
Job Address: 5' '7 :') 0
Parcel 1.0. ,
Zoning: Energy Code:
Descriotion of Work ---19 / c.. V ~\; +
,
-/$/~
C(
I L{ " "Sf .
Water Meter:
T.I.F.'s:
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
C.O.
-Oc2
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
.- tYO
Permit Fee i:t. -t::::
)<Signature ~ A
/
Company
Address
')ltelephone# o/;;?- 99? ~o.??/ I-
Valuation or
Contract Price
If 9-00' ..w
'30" g
City License Registration #
State Certified License#
.4: /1(J.~
e hr/5 HI'
Ftr,
Pre SLB
I
Lintel I
FRM. /
/<Cl
WL
//
I
,I
SLB
Tub Set
Water
Sewer
Fi
MECHANICAL
BUILD G ELECTRICAL
Tp, Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
E' al
Breakers
Ducts Insl.
Compressor
Final ~J-.I~ , / I'Jt /-,.S~ (''l~
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.
C,'TY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BU,LDINQ
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT.,.
57:51\ / J.f"1"}:J it., / d-I'1-- 0 <.. 110 70
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
INSPECTOR
~<-t2
.-...,\,.;uu\,..t 1 ~:JOU!
!!!!!!!!!/ -~"'eoroer:. -~OO-~5-Q380 or ''IWW,neDS.com
CHRIS' Ale COMPANY
Lie. #CAC058575 Jade City 352.521.4977
Mailing1.ddress: Zephyrhills a 13.779-3515
P.Q, Sox 1781 Brandon 313-.054.2113
Zephyrhills, FL 33539 arooksville 352-+588.8260
HVAC
SERVICE ORDER
INVOICE
1532
BILL TO
( THIS WORK is TO BE
I. = C.O,D.
MAKE
I
I MODEL
I
i
! SERIAL :'JUMBER
\
'"
i MAKE
,
I
I MODEL
1
: SERIAL '\IUMBER
"\
I
i
I
j
I
I
,
,
./
CHARGE NO CHARGE
rrjg
rrl 9' ,DC
NAME
3TREET
QATE
=iECC\/EnEO
l~VEl!::D
,':CNDENSING CNIT I:CND'SATE ::::RAINS
.::>ROMISED
WORK PERFORMED
~/~
~ft;1 ~.~
;:1ECYCL.=:D
CLE.':"'NED C:::L
.=iECLAI1vIES
CHECKE~
CHARGE
REPAIRE::
L::AK:N CO:L
=lETUF.NED
':ISPOS"L
F<.,:P.ll,IRE'J
L=AK iN CCPPER
C!SMANTLE:J
- '::c-1J-\NGE0 CuT REpl_AC:::Ci ,TCT~L J
1 C:-<EC:<E~
UOTOR
DESCClIPT10N OF WORK PERFORMED
AMOUNT
~,:~~~~~C-
, j ;::t:PL.",C.::L'
A ' ~ ./ _ / ' 3E__~
Dtne{' iCa4 .5 -nznd11r"d. ,cD"USTEC
] SEL":"
1;)~il) ;.)ee,,-'" f&. mO i ~~~~~~gR
r' 1 R~FL 3i,;Ri
,;3 !Si?(?(y liar io..ble. -!;ettl). i ;;~:fJ3~T
!6Jow('; l~un;d:';y (11~1 !~~::~~~D~:U"
5')(~ .. Hft-t' Co~f'-d~IY1;i;~~~E';'co'
'1~-k.i/~ "'7M' I'nc,/ud~ ! REPLACED oUSE
~~.;>erml,l.:f.~~<., i ~6:~::~S::TCR:OIL
~ M"An ) i RE~L';CED
,. ~~ 'EXP."AC"E
1_-1:1 . i ~~~~-~~~,~
l~-seer ..E~7oo i REPLACoO
, 1 c..;P, -USE
~ t;lel--i-r,e. N"+ ~.lude.,l.#i~A~UE~E
! REP.A.IRED
1 COiL :"2AK
! REPAIRED
C;)PPI":=t CCNN
REC'RIGEC'."NT .'1,
_35.
:,5' :5",1'1' 'y l/eT1-b,
L I /2. /J9 ... JT//f2a,/f,:
i.PAj)
.L't)e S!/. +
i:~jAJ
!"'t=-.sk.. +
!L-I'n l1C,vt'r
Al,,\IC: ; 110If' 'I PAN
,=IL-:-ERS
I CLEANED
l MAIN DRAIN
j REPAIRED
~AAIN DRAIN
CLE,A.NED
I PAN DRAIN
j REPAIRE>
j PAN DRAIN
j ::-URN. .::R ~Ai.j C:IL
=iEr'
I REP!..ACED GeG
j ",':;';USTEC E;::L'";""
, ~E. i.-ACEC
1 ?LLL "'Y
i ADJUSTED
! ?U;..L:::Y
i CU::ANED
BLOWER
: REPLACED
1 3EARINGS
! OiLED ~OTOR
j OilED aEARINGS
I
18~~~~~~H
l ~~.~r~g~~
1 ~t~~~~glH
! PEPLACED
: :.,ERMOCCUP~E
J RE?AIRED
! VALVE
1 ~f~vLtCED
I ceEA"ED
1 BURNERS
Jue-:-
'>
l=! L ,ERS
REPAIRED
8E'-.,S
RECOMMENDATIONS
C..=ANt=:O:'::,;L
2~::::A~IES
"'CTAL JIIATERIAL.3
I ~r.. LJ to. I! 1-.;19 -D;2
JIIii, I'\SO Po.'l,..,er1fs
:":U..Il. a200;/,
10 yr . ~t"'b ~ k,.hDr
. .ft, r .st 10. 00
_,MITE!} VARRANT": ,il narerials. ~arts
inc: ~GUJGment ;1(8 ,vari-anlea JY .ne
llanuJaclUrerS )r ;uDollers ,vrilten .varrantv
.In:V. .~II3.ccr Jericrmea JY ,he 3.DOVelamea
.:omoan',j .:) varrantea ~cr 30 Jays ,)r15
}tt1erwise .i10iCaIea ;n .,vriting, -.-118 a.oove 'lamed
:;omoany !:aKes ,~o ,~thar/l/arranties.-3xoress
J( '!llPlieu.:ina 'lS .:..gen15 ,~recnniClanS.3.re
';01 lUlhcn::9C .:C ~laKe ::.!i\.' 3ucn Narrarnies
:n :enati .~rit:)Olle lam eo :ompanv.
J L::::';E~=:' ':::::iL
HRS,!
../.-,1'
LABOR
RATE
AMOUNT
: S~PL.:'C::::D L..,:IK
=-UI'vIP'SI
: R~PL.':"C:::'D :L:>~
i P::.:PAIREc- \ .IRE:
i
R::.P,<\IF;EC
WCt('r.~ ,REPc.,CEC
i
i ADJUSTED
; :HERMOSTAT
I oEP'J,CEO
::"OuUSTED
:-!TF1.
::::"'S--:-G-NEFi
:':;,'H
GRE",SE~
::;Li"=.?S
~E?,-""C~D
TOTAL L\BOA
1 '::T~,:;; S:::E
:::RIViS
-CT":,,L
AAT:=?!,~.L3
-CT~.L
_,-"coCR
:~~';"NEC
TOTAL SUMMARY
.::::::T.C:cieu. ~g:r2e ."at
:::a/mem Ci . -:ace
Jamage '2SUillr,q ,~;:;n
=' ~,rd2r .."19 .':em ,:L.::in2CJ~OO'/<i- ,:nich :'25 ':-een s8115Tac:.::n....'
::II~~r.2~~:.-'~ e,!e r _:~ncC ~r~~:n~~~i~~,~~~m;:~~~~:~ri~~~1 ~~n~le~:r~:~~e~~~~~~v
aid ':-Il'.OVal:nall ;')2 :he ;-.:;.spons!bilitv ':'f3e~ler
-?A.V~~
:.:~APGE
4E'3t..i;_.~I~
'1/f:.SR.A.I\lT'.
u.: '-I PI,I;'" n J, .n.n ,.j" .l.~.ll 1:1 J:" .l1i~J.v,l..L,l 1\.1:' J:'! l.U:J\ 'l.' J UN
llllli'AR'J.'MIIll:I'J.' 5:3 3 58th S'l'RIIlBl'l' ~HlI?HYRIIU,IJS I li'l, '33 B 4 0
Ii'honra, ~13', '180" O;1l20 Il'..~, 1813.. '7 80. (lD4:ll
!JA'nl R1l10IllIVIlIn
I?I,Al'/1:I RlllVHllW I/'SIII..
'JlIllID. ''", ,"AI':~~y ,=_?'~f"?1~ _ _~;"_u,_____,,___,__, __ __"_ PII"". """'I'A<"!'__2S'.f_",S3D_,L
.JU13 s 11liJ AU RBIS .....!i:2s0-. ,._L!L..._ 2_~~d__ __..___,._____.____ __ __..'-... ",__,_..__, . .,.... .
\...I......... II.
Elll H,n nm
LIi\GAl, IlIllSURll:''l'TClll: LO'f(S)
BI,DeK
Sl/BIllV I S l OIT
J?MH!bJl, III # <""" ((lBTAHl I"ROl'1 J?RIHlER'J'1J 'l'iI)l NUI'JeW)
..L1...~~.d!J.:-:a[7../f2 __-:,0. 23.(20__/2/.1..J.2.. . ,_________... '__'_ ,_,_..___.._.._...____. ...._._. ........' .... __ .., ,_... ..........
\1,'JRK !.JR(JPSjjJIJ I lJHBJ\i/ I!CJlIS'l'RllUTWH rl ADDJ'1'IOH [l Al:I'ElRATI(Jl~ [J HWP1UR ~j lH3'I'M,I,
LJ S Hill
[) \VjOVHl
[J DEil'10I,ISII
l?RllP\l8E[) IHJE: I 1SGjl F1II1lVL nWEI,LIllGl
[] (!OI'lllvJHlRQ I AI I
[ll-11JI,'j'T. FhIHI.Y
[J # OF lllU'I'S
[] nWUS'I'RIAL
[J S \,/ HUH lIGl I?OCJl,
IJ 1.10 a H IliJ lIot.1JjJ
Il OTIII:lJR
C] Rlii8'rAlJRAHT & HEiAW'1I flIllPAR'l't1EN'r APPRUVAL
llbJE:lCH []?'j'J(JU OF I'HJRI\.::h.>~jl,_...Cl!'. ,L'ct...e?C~hb-J...m_d-.~....*AU2L__~,'._n, ......... .... ,_
I
BlJrr.nnm SIZE ..~_..___.. ,_.____... 8QUAHHl F'OO'I'AllE2.<:2..Q..._...._ IIEHUII'I' ...J.,.",:_'
RElE:l IDB:H'1'I A III A'I"j'Ar~1I (<1) PI,()'j' I?LA118 & (2) slll'rs OF' B[JIJ,lnNr~ I?J.AllS & (l) Slil'!, I:llNI1IIHn' F'CiIU1S,
(~OI'1/vJI:lIIWaI1l A'l"j'Jl,C!/l (3) SHI'I'S UF BUII.llIW3 lJ1.AN8 &: (1) SEl'!' ElNIjlHI~Y F(JRI~S,
I?ROl?H1H'I'\' SIJR\lE'l RI:il\J{J1RHlD FOR 111,1. HEVI L!ONS'l'RllCTHlN.
~ERM1Tg~Qll~~TID
I] BIJlI.1HI'II~
$_.__._______..__..___. VAIJIJATI(Jl~ OF' 'j'O'1'AL CONB'I'R\H!'I'Hlll
1.1 HJLJ:j)I~TR H!AI.
.._..._.u___._,_ __ M,ll? BlilRV r CIll
[) FIl)RHJA l?OHElR
I] ~'/. H, 111. ll,
U PLlJl'.lBIlIG
~'lI11CIlAll J (JAr J
I] LiAS
LJ RUOF'Tl1\~
u O"~
~---~..{.l@-{)- ---..--- VAIAJATION CJF I<1BlCIIANUIAI, 1lIS'j'AI,I,A'I'lUN
[ls~bl[!:rAj,'l':i I] UTHER
'j'YlJBJ ()F' (!fJllS'I'RlJC'nOll; IJ BLOCK
[1 1"11 Aj~EJ
II 8'j'lJJlliL
U UTHER
.F HU ~IUJJJI p'I,I)()H EJl,liJVA'l'ION8
18 k'ROd EJC!'J' IN F'LCJO)) zmlEl AHElA I] ,,&IS
11 lID
au I I.lllllR
,. ".0 _. _ ..,_.~.._.,.....__.._______._._,_._..______,_~__.._~_. ._____,._.._...,..,_._._ .._.__
CrJ!'ll1?AI1Y _.'...._......_ _'...__.....__....._ . "'__"
STATHl L:a:WI' DR HElIH B'l' H..
r!l'!'Y 1?f{()(!l1:S8HIG ~___,..__.,.._,_
8111NA'f'llH E
;, * * ;, A A.;, '10 .. , . ;, k * * A ;, .. .. ;, . .. * '10 ;, ;,' . ., ./; * .. I. I. , 'k ;, /; ... * ./; . '1.1. . ;, . k A * A AI. . I. i A ;, 'k k * .' I> *
lll),Bhl'!'RlerAH
8IG11J~TlJREJ ".
~" ._--.__._~ --- -----".-.- -'-.._---~. .-.- -'"-'-"--' ..- ',-, -.---.....--------
COI'II? JiNX' ,_ ........_.um..._____....._
8TA'J'}i: CE:f{'!' elf{ RElCHS'!' iI
CITY PROCESSING U
~--._-.__._"...,._..._-, --._'--.'~' .'". -. .~..
;, AI.l. A . I< . A .. I; . '. I.. 'k . . . A . 'AI; . ;, ;, ;, ;, I.. ;, . * ;, ;, . .. .1< * ;, * '101. I... I< -I; AI.;' * I< ;, ;, * . * I.' 'k * * * 'Ii *
..I,UHiUlIR
, ~--. --'...-- - _..-- --.-- ---. '---'"_,.- -----.. - .~~---- -- ------_. -..'_______ h
('O!vlPANY- .-..--'..___...,.__....,...._. ...._,..,.._.. ..
STATE t:IiJHT OR fUiJ(H 8'1' II ___ '___..,.....,....
CITY I?ROCESBIN~ #
8 JlWA'l'llHE
A AI,l. * * . . ;, . ;, A . ;, k /; . . * A;' /; . A .. A /; A ;,;, ;, I< " ;, . A;' ;, i A k A '}ll ;, /; * , ;, ;, A . .. I< i A;, . . i k I.;' ;,
HlIlC.!liJ\. meAL.. d 'L CIJHI?ANY_-Uz.cJ.L__&-'.___ C!a~f?12./1/, '.' -.. .
/ STATE (!H:HT OR RI:ilCU S'!' # ..C-ftU2...-:24.5.~?.L...
8H:!lIA'l'IJRl'!l _.... -~...L_l.. _ ___.. ,_..__ ,.. ._.__...._. C1 '1'1' lJRUCBJSS Hll) ~ ,.3n.&.fl.. f1..... .. .. _ '.. __ ..._.
;, A A I; · 1;7 A " " . .. " i ;, '/; " A .. A A " A " ;, ;, J, I; '10 A ;, 'I; ;. " " ;, i A A " " A k .. A A . .. .. " i k i . k . " . . A ;, A A .
o'rUIl!R _._...__.._____..._..._..._.___._........__.. .........._.___..............._.._._
- --_._------_.-.~_._-_. ..~-~..- -,-_._-~~--~--~'.-,.. -,.._, ._-'.._-.--
( !(!f,II?ANY
SIPA'THt L'EJRTO-R'--HEC1IST -~r'--'---'~-"-'--"-
cTry PRClCHlSS fNC3 # . .."'. '-...--..
S llmJ\'I'1 IRE
" " · · .* .. " .. " ); 'k 'k ;, .. 'A " " " " * " " f, , " . " .. ;, 'k " ... A 'J, ..A " " k '/; * ;, i A,/;. ;, }. .. . A " k '/;. " " A A :t ... .. .. A
A. NOTICE OF DEED RESTRICTIONS
'I'he lJndel:siyned understands that tnis perIni t Inay be subject to "deed restrictions" \vhich
may be 1110r.e restrictive than Cityregul3tiolls, 'rhe undersigned assumes responsib.i.lity for
compliance w~ th any applicable deed n,s t rict.iolls,
B. UNLICENSED CON'I'RACTORS AND CONTMCTUR RESPONSIBILITIES
If the Ovlller 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, bot:h the Olvner and contractor may be cited for a misdemeanor
violation under state law, If the OlmeJ: or intended contl:actor are uncertain as to what
licens.i.ng requi.rements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611,
Furtllermore, 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 signs as the contractor, you are indicating that
YOll, rather than the contractor, are responsib.le for the work. If the contractor wishes
you to sign as contractor. that may be an indication that he is not properly licellsed and is
not entitled to permitting privileges in the City of Z13phyrhills.
C, 'I'RANSPOR'1'A'rION IMPAC'I' FEES AND U'l'ILI'1'Y CONNEC'1'ION FEES
D. CONS'1'RUC'I'UION LIEN LAW (CHAP'!'ER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, ItaVe been provided with a copy of "Florida's Construction
lien LaIV - 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. CONTRAC'l'OR' a/OWNER' a AFFIDAVIT
I certify tllat 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
developroellt:,
Application is hereby made to obtain a permit to do work and installation as ll1dtcated. I
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, Clty
codes, zoning reg\llations, 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 Hork, and that it is my responsibility to identify what actions I must take to
be in comp.liance. Such agencies include but are not limited to: *Department of
Envirolunelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
l.ands, Water/Wastewater 'I'reatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Al tering WateJ:courses
*Army Corps of Engineers-Seawal.ls, Docks, Navigable Waterways
*lJepartlllent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Envirol1lnental 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" 'wil.l be submitted Hhich
is prepared ~y a professional engineer registered in tile State of Flori.da prior to permit
issuance.
A permit issued sllall 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'sha.ll lssuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violati.ons of any code. Every permit
issued shall become invalid unless the work authorized by such permit is cormnenced wi thin
six months of issuance, or if work authorized by the permlt is suspended or abandoned for a
period of slx months after the tlme the work is commenced. One 90 day extension of t.ime
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Bulld.ing Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING '1'0 OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMHENCEMEN'I' MAY RI!lSUL'I' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END 'I'O OBTAIN FINANCING, CONSUL'!'
WITH YOUR I,E:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
$2,500 IN VALUE DO NO'!, NEED '1'0 RECORD AND POS'!, A "NO'I'ICE OF COMMENC EMEN'!' " ,
CO:~~)TT.!:CJ;~S OF' PEPlvlIT AFF'IDAVI'r
-------------,..---
SlGNA'I'URE: OWNER OR AGEN'!'
SIGNA'I'URE: CON'I'RACTOR
STATE OF F'I,ORTDA
COUN'I'Y OF__
The foregoing instrument was acknowledged
Before me thls __ day of , 19_
by __.______
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF __,__
'1'he foregoing instrument was acknowledged
Before roe this_-----5iay of---------, 19
by __'__"_" _'_
(name of person acknowledged)
C1ho is personally known to me, or
[J who has produced
(type
and v~ho[] did Odl.d not
of l.dentl.fication)
take an oath.
o who has produced __'________
(ty~e of ldentificatjon)
and who Ddld [)Jid not take an oath
------_.~-~_..__._._--_._---
Signature of person taking acknowledgement
Signature of person taking acknoHledgment
I,i~~;;;--t'yp'~~-'p~ in t ed~ r s t~arr;p~~----
Name typed, printed or stamped
~._-----------_.