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HomeMy WebLinkAbout04-2999 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2999 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: .. -VVork Desc: 2999 MECHANICAL NC CHANGEOUT NOT APPLICABLE Address: 4801 AIRPORT RD STE 106 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 1,040.00 4/27/2004 40.00 40.00 4/27/2004 REPLACE CONDENSING UNIT Name: HAROLD WILSON I Address: 4801 AIRPORT RD STE#106 ~.__ Phone:. ZE~HYRHIL~~~L. 33~42 _______ I I I .._._----~.__._-~-'--_.._._.__._---------'-_._---_._---_.~------_.~-._--_._-_.- 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 _ Th.e_p~Yl1le!1t of insp~io,! fees sha~ be made.before any fu,!her permits will be issued to the p~rson. 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 recordin ur notice of commencement." . -'Co ete Plans, Specifications'--and--Fee Must "Accompany Application. ------ --------.- All h _~~rforl11~c:!!"_ accord9nce \^,lith fity Code~ and 9rd!nanc~~_ _.___ . ~_ ____ ___ NO OCCUPANCY BEFORE C.O. ~ R SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I L r....vwaJ:.~ CUMt'.A.NY SIGNATURE STATE CERT OR REGIST # COMPANY STATE CERT ***************************************************************** 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 po~tions 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 you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion 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 "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. 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. Application 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 "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 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 fora 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT PAYIN T CE FOR IMPROVE NTS YOUR PROPERTY. IF YOU NO 0 OBTAIN FI WITH Y R NDE OR AN T EY BEFORE RECORDING YOUR TICE F C M N M $2, IN A 0 NOT RECORD AND POST A" ICE CO N STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by IN YOUR CING, CONSULT BS UNDER acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Lhho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ~()u:'S 4112 t;t),...I>ITIt),....fllM7 ANI> l1un...~ ~~ C 37331 KossIk RNd Zephyrhllls, FL 33541 (813) 783.3723 PRDPDSAL No. Date yz~." St Cert tCAC042667 Sheet No. \. Wo..k To .. Pwfo........ At: P..oposal SulNni~ To: . HAlle(.,D W,I,."" "'" Name ~;;.~G~.o tJ Street City State ~ i:1:~ Phone ?, -:'S~" a C"'IV~ 0 10," Street 48~' "'--'- R.:i ~oA~ City '%.~)J,,~.(.'/U _ Ff '- ' Oate of Plans YI:r -/1 'I.' Architect We hereby propose to fumish the materials and perform the labor necessary for the completion of =~~J. '" TN'?""" "'Nt> .1.Tg", ,.r"'Y.4 ......,...L ~::~ ~~,,;~~;:~~ . ::;'=:;:3~. :':~~"3 ~ /-I..Jrf-LA. t4-N+y t9A1#- Y'hht- PiiLb /~.P 4/,ak:rA/~P/'#NI,!? ~uD ~"TJA/~'/ Lc::. JIIc!,{,~.""1H.. ~y~~ ~~'L~sS.~ ~....,..(c" 4c. ~_ ~ r , T "T ",~~~-?.. ~ k. All material is guaranteed to be as specified. and the above work to be P8lioo h.ed in accordance with the drawings and spe~fications submitted for above work and completed in a substantial workmanlike manner for the sum of fYA,4-1X~~ ~4'-rt '::Q DOllal'8 [$ / ~()'o · J. with payments to be made as foil.: I Any elter8tlCln or dlMetian tram __ ~ iIMJIving utr1I ClIRS. will be _uted only upan WI"iU8n ordera. end wi" become en IIlItt'll cherge over encI ebcMt the ..cirnete. AlIlIlIrwmentS contingent upon .,... lICCict8nts or dlIleys beyand our control. awn.,. to cerry fire. tlr".m end athr _ ~ ill8Ut'llf1C:e upon IIblMI -'to Work- """8 ~ end Public lilIbiI.ty "'--- on __ worll to be C8ken out by 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 as outlined above. Date 3-:S I-Ot.{ Signature fl~ L -;;;t :;d~ Signat.," ~+ 'I U.(~".y