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Home My WebLink About04-2998 . I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2998 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 1,040.00 Date Issued: 4/27/2004 Name: GLENDON SHODAHL Total Fees: 40.00 Address: 4801 AIRPORT RD. STE#103 Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid:_. 4/2?/2004_. ___~__Phon~_______________ --Work Desc: REPLACING CONDENSING UNIT 2998 MECHANICAL NC CHANGEOUT NOT APPLICABLE Address: 4801 AIRPORT RD STE103 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: . Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: I I I I 1~I_RaNSPECTION FEES:- w~n extra Inspection biPSarl, necessary d.... to any 0"'; of trii!- following- reaSClOs,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 shalt be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a noifceofcommencement may-result in your payingb.vice for----- improvements to your property. If you intend to obtain. financing, consult with your lender or an attorney before recording your notice of commencement." --- --------CompletePlans, SpecificationsandF=ee Must Accompany Applicatjon~----.----'.- - ---- w sh II b rfor_l!1ed in acc~.r_dance with City Codes and Ordina~~~ _ __.. NO OCCUPANCY BEFORE C.O. - -------------..--------..--.----.-------.-- ------,._- --'------ --------...----------..------ ~ SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8m St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~;) 7-Dtj PHONE CONTACT FOR PERMITTING OWNER'S NAME C7 / /rf'/Oo AI 5/fr. 0 I.}- tJe PHONE JOB ADDRESS i..f8o ( A-1It..taJ ~t'r! ('.II ,.,c!.~ t Q J Zft>U,"!t2' ."((j. ~/I' 7 i' ~ -0 c;Jf. l. Y- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # I? -Zc.. LI_n '10./)<<:11 ob-II.~o (OBTAIN FROM PROPF.RTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION [] SIGN PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL [] ADDITION [] MOVE []ALTERATION [] REPAIR [] INSTALL o DEMOLISH OMULTI-FAMILY [] INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME [] OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ?p.--f! &-C tc- c.." ,..;.1.. Q. ws.. ~ lA. pJ : +- SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. [] BUILDING $ VALUATION OF TOTAL CONSTRUCTION PERMITS REQUESTED o ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. o PLUMBING o MECHANICAL [] GAS [] ROOFING $ /O'fO'~ [] SPECIALTY VALUATION OF MECHANCIAL INSTALLATION [] OTHER TYPE OF CONSTRUCTION: 0 BLOCK [] FRAME [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO C....ONTRAC!l'O:Rc$EC'l'ION . ....'.'. '. -"'''-:, ,;_._,:-. "., .. BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE ..*.*.*...**.*.*.*.~*.*.*...*~ COMPANY sJ ff(c4 C.c L STATE CERT OR REGIST # r jtf'i.~ '+'CJc, '7 MECHANICAL OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 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 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 owner 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, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign pOftions of the "Contractor SectionsH of this application for which they will be responsible. If you, as the owner signs as the contractor, 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 indicafion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT 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 "ownerH, 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 applicable laws regulating construction, zoning, and land development. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. 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, 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 *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 Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "AH or "A,etc.H, 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 and not as authority to violate, 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM CEM T MAY RESULT IN YOUR PAYING TWIC FOR IMPROV NTS T ~OUR PROPERTY. IF YO INTEN TO OBTAIN NANCING, CONSULT WITH YOUR NDER OR A TOR Y EFORE RECORDING YOU NOTIC OF T. BS UNDER $2,500 I ALU 0 TEED 0 ECORD AND POST A "N TICE F CO SIGN acknowledged , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Odid not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped . (;CLf'4Im (;CNl>mCNINI; ~I> t1UDNI; ^ J..(! 37338 Koss/k RoIId Zephyrhllls, Fl33541 (813) 783.3723 PROPOSAL No. Date 3/.a. '(/D 'I Sl CerlICAC042667 Sheet No. "- Work To .. Performed At:: Pro....... SubmiUed To: Name t:; '-~ Do,., S" N Db 4 "I-(,.. Street , t S" 4, T ""'~ u. "~ ";HLtc""",y .220 City &-a~tU :JUl.U ~ State /nN S" :> ~~ 1 Phone 'l.~A."8''''- 70D~ We hereby propose to fumish the materials and perform the labor necessary for the completion of ~~s~ .,"'.. :a.ro<\< ~n,,,,r"A"'L ~::;-:s ..-:, 0., G." s_.. ?~c.....e.J- to. -;;"~~':.3 ~_ L..-;~ l-o'-&J UO ,~.. c..J<<L.IM~ ~,lu.''''',~ Wltt....",,; S"~ ,o.u Pl.-.II ?~Ir Co~a '~'3 """'I Street ....'0' ,-"ItR.:r ~A~ City ~H!f/tA.. JI~ C-I Date of Plans ? 8'11 0-,2.'" Archltact \. WA-fhrlAy I!J/I,'& ?;~ //bhl M:doA. A/a, 14-.$ ..J..JJtA-i;I-'t1"/~ If'/) ~~ ~ ~~ ' ~,'.J...1"I't--t.. 41y~~ ~"'Y ~.sJOA.. DJVIy I/y AI "'-f~J..~ IJ.- All material is guaranteed to be as specified. and the above work to be P8rlormed in 8ccordence with the drawings end specifications submitted for above work and completed in a substantial workmanlike manner for the sum of OIVe-7A,--s~~~ It 7"'- Dollars ($ IO~D'-..!!. ). with payments to be made as follows: ~SI"., a..rUc/',i~~ Respectfully submitted ~J~ At ~N' A1~_ ~/DI",t"O.l!: An, elter8tlon Of" dlNietion from tItIlw. 8pEificetiona irwalvtng utra Cll8ts. will be ItllCuC8d only upan written ardlIrs. end wi" -=om. M ext,.. cherge ~ end tItIlw. the e.timete. All 8gI 8Imllntll cantil1g8l1t upan .en.. lICCidents or deIeys beyond our contI'OI. Owner to C8"'Y fire. ~ end DCIwr 1"<<..... 7 iIaIr8nce upon tItIlw. WO'k. Work- "*,'. ~ end Public: u.tJil1tv......... on tItIlw. wurlt to be ra.n aut br Per Note- This proposal may be withdrawn by us if not eccepC8d within ..1'0 days. ~ ACCEPTANCE 'OF PROPOSAL The aboVe prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made 8S outlined above. Date 3/1--7/ t!J If I S;g........~.p.., l ~.. ~./ Signature \.