HomeMy WebLinkAbout03-2070
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2070
erm. um er: 20 0
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
. Improv. Cost: 2,015.00
Date Issued: 5/15/2003
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 5/15/2003
Work Desc: AC CHANGE-OUT
ress: 9 9 H S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00600-0040
LE
4929 9TH ST.
ZEPHYRHILLS, FL. 33542
Phone:
I . .
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
. . Complete Plans, Specifications and Fee Must Accompany Application.
________ _~I.lwork shall be performed in accordance with City Codes and Ordinances _ ________
NO OCCUPANCY BEFORE C.O.
,X:L",,';f~ r~-~
C~OR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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COJ-lDI':!'IO)jS OF P~Hlv[IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undet:signed understands that lhi:, pel:mi t may be sub:j cct to "deed restt:ictions" which
may be more restrictive than City r'equlations. 'l'he undersigned assumes responsibllity for
compliance with any, applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPOI'-lSIBILI'l'H.:S
If the o~nler 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 a.s required by laVi, both the o,mer and contractor" Inay be cited for a misdemeanor
violation under state lavl. If the olmer or intended contractor are unco;:rtain af:l to \~hat
licensing requirements may apply for the intended work, they are advised to contact t:hb
City of ZephYl'hills Building Department, tll3-'788-66ll,
Furthermore, if the owner has llired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for Vihicll they
will be responsible. If you, as the OViner signs as the contractor, you are indicating that
you, ratller 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 privileges in the City of Zephyrhills.
C. 'fRAl'lSPOR'l'ATION H1PACT Ii'EES AND IJ'rILI'l'Y CONNEC'I'ION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'fER '713, FLORIDA STA'fUTES, AS AMENDE:D)
I certify that I, the applicant, have been provided witll a copy of "Florida's Construction
lien LaH - Homeowner's Protection Guide" prepared by the v'lorida Department of Agriclllture
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 commencemen t .
E:. CON'fRAC'l'OR' S/OWNER' S AE'FIDAVIT
I certify that all the information in this application is accurate and that all Viork Viill
be done in compliance vdth all applicable laws regulating construction, zoning, and land
development..
Application is hereby made to obtain a permit to do \vork and installation as indicated. I
certify that no work or: installation has commenced prior to issuance of a permit and that
all Viork will bb performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. ] also
certify that I understand that the regulations of other governmental agencies may apply to
the intended vwr:k, and that it is my r:esponsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: -i,"Depar-tment of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirornnentally Sensitive
Lands, Water:/Wastewater 'l'reatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
klJepartment of Health & Rehabilitative Service::;, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U. S. E:nvironrnental Protection Agency-Asbestos abatement
I al::;o 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" will be submitted which
is prepared by a professional engineer registered in the State of F~orida prior to permit
is:>uance.
A permit issued shall be construed to be a license to proceed with tho;: work and not a:>
authority to violate, cancel, alter, or set aside any provisions of tIle technical codes,
nor shall issuance of a perndt 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 permit is cOllunenced within
six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the Viork is corrunenced. One 90 day extensi on of time
may be allowed for the permit Viith fee charge of $15.00. 'l'he extension shall be requef:lb::d
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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMEN'l' MAY RESUW' IN YOUR
PAYING 'l'WICE FOR IMPROVEMEN'!,S 'fO YOUR PROPERTY. IF YOU INTEND 'ro OB'l'AIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'I'ICE Ov~ COl'1MENCEMEN'l'. ,JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCENEN'r".
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
s'rATE OE' FLORIDA
COUNTY OF-
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 19_
STATE OF FLORIDA
COUN'fY Of'
The foregoing instrument was
Before me this __day of
by
acknowledged
., 19
(name of person acknowledged)
o who is personally knoVin to me, or
o who has produced
(type
and ~JhoD did Ddid not
(name of person acknowledged)
OJho is personally known to me, or
Dwho has produced
(type of identification)
and vJho Ddid [}Jid not take an oath
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
,SEARS HEATING & C~c:..'-~:: RING SH~i"h; / <pj
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s..../"8, Roebuck & Co .. HVAC Unit j 6668
3826 Foravtn Rd.
Winter Park FI. 32792
Telephone * 800-326~73a
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