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HomeMy WebLinkAbout03-2263 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2263 - Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2263 MECHANICAL AlC CHANGEOUT NOT APPLICABLE Address: 5754 16TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,395.00 7/31/2003 45,00 I 45,00 [ 7/31/2003 Phone: REPLACEINGCENTRAL AlC HEAT PUMP REED BILLY JR. 5754 16TH ST ZEPHYRHILLS, FL. 33542 I , - I I m 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. AI 0 hall_be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~-~ R S ATURE PERMIT OFFI ~LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER' 8 NAt1E 6/11'1 ~ CJ4-2.0f" P&<5--D S- 7S"Y , r. ..-,. 51: . PHONE 7r"-e,~:L. JOB ADDRESS LEGAL DESCRIPTION: L01'(8) BLOCK SUBDIVISIOl'l PARCEL ID # 11-J.t,-~/-I!1D/O-o7'1OQ_(JI2.l) (QB1AIH-FROM PROPER~Y-TAX NOTICE) WORK PROPSED: 0 NEW CONSTRUCT ION o SIGN o ADDITION o ALTERATION o REPAIR o INSTALL o t'10VE o DEMOLISH PROPOSED USE: OSGL FN1TLY DWELLING o COMl'1ERCIAL DMULTl-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o t10BILE HOME o OTHER DESCRIPTION OF WORK CJ RE:STAURAllT & HEALTH DEPARTl'1ENT APPROVAL R~p/~(;- C~...A1L~'( 1t/c. /..fcr.Jft,,~. BUILDING SIZE SQUARE FOOTAGE HEIGHT RF.SI DENTIAL: CO~1~1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILD lllG PLANS & (1) SET E:NERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTJON. PERMITS REQUESTED o BUILDING $ VALUAT ION OF TOTAL CONSTRur:::T ION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W,R,E.C. o PLUMBING f5I MECHAHICAL $ 1.J?S''''' VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF' CONSTRLJC'l'ION: 0 BLOCK o FRAt1E o STEEL o OTHER FINISHED FLOOR ELEVATJ OlJS I S PROJECT I N FLOOD ZONE ARF,A 0 YES o NO I BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN cm1PAllY STATE CERT OR REGIST # CITY PROCESSING # SIGtlATURE *************k*********~**********************************k******* PLUMBER Cm1PANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGUATURE * * ** * * * *.. * * * * * ** * ** * * ** ** ** *}.* * ** *.k * * ** * * * ~k * * * *'k* COMPANY u,ltf; Afctf/lhf.r;~ STATE CERT OR REC~IST # Ct+c...Dtf;.'~7 CITY PROCESSING # '0) ************************+**************************A*********** OTHER cm1PAl'lY STATE CERT OR REGIST # CITY PROCESSING # SIGNl\TURE *********k*k*********~********~*********~.********k****~********** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility [or compliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND Cot'lTRACTOR RESPONSIBILITIF,S Jf the owner has hired a contractor or contractors to undertake l..Jork, they may be requi red to be 11 censed in accordance l'lith state and local regulations, If the contractor is !lot licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensillg requirements may apply for the intended work, they are advised to contact the C'i ty of Zephyrhil 1 s Building Department, 813-780-0020, Furthermore, 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 Hill be responsible. If you, as the owner signs as the .contractor, you are indicating that you, ra ther than the contractor, are responsible for the \vork. I f the cont ractor wishes you to sign as contractor that may be an indicatioIl that he is not properl y U ceIlsed and is not entitled to permitting privileges in the City of Zephyrhills. C, TRANSPORTATION H1PACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - 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 tile above described document and promise in good faith to deliver it to the "01^1I1er" prior to conunencement, E, CONTRACTOR' S!OWNER' S AFFlDAVIT I certify that 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 development. Applicatioll is hereby made to obtain a permit to do work and installation as indicated. I certify that no \'JOrk 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify tllat 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!Waste\vater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Hea I th Unit-Wells, Waste\'later Treatment, Septic Tanks *U.S, Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "AU or "A,ete,", it is understood that a drainage plan addressing a "compensating volume" will be submitted Hhich 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 licerise to proceed \,lith the work and not as authority to violate, canoel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter rerluiring a correction of errors in plans, construction, or violations of any code. Every permit issued shali become invalid unless the Ivork authorized by such permit is commenced Hithin 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 \vork is corrunenced. One 90 day extens ion of time may be allowed for the permit with fee charge of $15.00, The extension shall be requested in IrTriting to the Building Official. An approved inspection must be logged during each six month period, or the proj ect \vill be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A nOTICE OF COMt'1ENCEt'1ENT ('JAY RESULT It~ YOUR PAYING TWICE FDR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND 1'0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN l\TTORI'JEY BEFORE RECORDING YOUR NOTICE OF COfvH/1ENCE:l'lENT, clOBS UtlDER $2,500. Hl Vl\LUE DO NOT NEED TO RECORD AND POST A "llOTICE: OF C,'0l'1l'1ENCEt1ENT" , SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by STATE OF FLORIDA COUl'lTY OF The foregoing _instrument Ivas Before me this ___day of by a c knolrJl edged 20_ acknowledged , 20 (name of person acknowledged) o Vlho is personally kno\'ill to me, or (name of person acknoHledged) Dlho is personally known to me, or Owho has produced (type and Ivholl di d 0 did not of identification) take an oath, OHho has produced (type of identification) and who Ddid D:Ud not take an oath Siynature 0 f person taking acknOlvledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printeci or stamped CVLI:" ,.U~ Cf)~I)ITI()~.~f7 ~I) IiUn~f7 37338 Kossik Road Zephyrhills, Fl33541 (813) 783-3723 PROPOSAL No. Date 7/~t/oJ Proposal Sheet No. Work To Be Performed At: Name Street City State Phone 57.,<<./- L'- ~ sr: '?: e-PffY~~'1/5 r:-r oIL. D~ 81J- 7t'o-1=i.,€.z.. ~~~ Street City Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of ~c. -- L<" _ <= 10 /,-.;. e~ ~ "H, fK <.> L/e.. LC.-...(J A~ , e:-C.ciVfV<<-e../ ~" r,~ .c/~~ J ;) -c...f" U4<<'~r ~- ~""'.J ~,,., 41fU~JJ Lc>'-4.J VO (~" e..)'. L.t'~~ ( ~ ~'/JA-~. (.6rL e./,"fI... I),.rt j....r. S/1l1-1!> ;:..,.. C-....,.,6.vS'''':i ,.,,.,.. r ~v,-f 8'7 /~p,P,.."*' 5~ /0,0, , , kJI+-LIl-,..,..tr Olf/~ 7?~~ /'1f7if> ~~Hgo((. ~ (~S fC~'j If-J-J .- fr d ~ A-!. .$Ev~AJ ~6+,<. ~ ...~ ~ ',..., ,-7~ / ~:f ~ ~;v<<-c..fh." /'-J~,s; _ 4,)L )'_ All material is guaranteed to be as specified, and the above work to be performed in accordance with the spe~ations submitted for above work and completed in a substantIal workmanlike manner for '/c.vo rA"tc.$~,-[ r.4~A'G<-d~ PtA~ fi~e( ;::_ Dollars [$2- with payments to be made as follows: - 4>~ It) I1V '- Any alteratIon or deviation from above specifications involvIng extra costs, wIll be executed only upon written orders. and will become an extra charge over and above the estImate. All agreements contingent upon strikes. accidents or deleys beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted ;;::~~k Per Note- This Pro..QP~1 may be withdrawn by us if not accepted within ~ , days, ACCEPTANCE OF PROPOSAL The abolte p,ices, specifications and conditIOns are satisfactory and are hereby accepted, You are authorized to do the work as specified_ Payment will be made as outlined above, Date 713t>lo~ Signature Signature