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Home My WebLink About04-3002 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3002 Permit Number: 3002 Address: 4801 AIRPORT RD STE114 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 1,140.00 Date Issued: 4/27/2004 I Name: BEN SCANGA Total Fees: 40.00 I Address: 4801 AIRPORT RD STE#114 Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 I _____[:)_ate Paid: __~_4/27/2004 --~-___----1._. Phone:____.___ ____ Work Desc: REPLACE CONDENSING UNIT I--L---- .-- -- . j. .___ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a : charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same - "Warning toow-ner:Yourfailure to reccird a notice of commencement may result in your paying twice for-- - improvements to your property. If you intend to obtain financing, consult with your lender or an attorney i_befOr~!E!CO~din9_ your -'!~~~~p~:t~oPr::~~~~;~~t~ns and- Fee Musf Accompany Application,---.---~--- __All wc)rk ?ha,,_be performe~ll'1..acco~~~~e_with City Codes_and Ordillan<:~ ___________ __ NO OCCUPANCY BEFORE C.O. --_.,,---------- --_.._-._--_._~----_._.-._~----"._---,-----..._-_._,- ~ RACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME g($-~ Sc.....Aj A. JOB ADDRESS "Co ( Al(l.Pnn.;f ~,.....-L o...,.,;.lto' 11'1 LEGAL DESCRIPTION: LOT(S) BLOCK PHONE 7Jf <? )? / <I, \' U-pr-r lit .. II ~ r-;L SUBDIVISION PARCEL ID # '1"'2.(".~Z./"'Ol 3D-no( QO... 1'400 (OBTAIN FROM PROPF.RTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J SIGN [J ADDITION [J MOVE [JALTERATION [J DEMOLISH [J REPAIR [J INSTALL PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [J MOBILE HOME [] OTHER BUILDING SIZE CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL ?f':-?~c...~ CA J>.4ltL-rJ5;N) tlw(.f-. SQUARE FOOTAGE DESCRIPTION OF WORK HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [] BUILDING [] ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [] FLORIDA POWER [J W.R.E.C. [] PLUMBING [] MECHANICAL [J GAS [] ROOFING -- $ /(VO.~ b SPECIALTY VALUATION OF MECHANCIAL INSTALLATION [J OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO C,.ON'rM.., .. .. 'CTORSECTION . . .. '-'''..'' .".,', -' "'.' . " BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ************************ COMPANY SIGNA STATE CERT OR ***************************************************************** 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. 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 "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 pr ject will be considered abandoned. WARNING T WNER: YO FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING E F IMP EMENTS TO YOUR PROPERTY. IF YOU IN OBTAIN WITH LEN R OR 0 Y FORE RECORDING YOUR ICE COMMENC $2,5 V DO CORD AND POST A" ICE OF N M TATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by SI ST TE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 2<L- acknowledged 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid D:iid not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped WLr'SAlI2 WI'IiII>ITI()I'IiIINt; NillII> I1IfADM; ~ J.. (! 37331 Kos.1k AOIId Zephyrhllta. Fl 33541 (813) 783-3723 PROPOSAL No. Date 3h~bY / Sl CerlICAC042667 Sheet No. P........._ Submiued To: Work To .. Performed At:: ~-" c_ .-. ....4 Name 1-1..0 - 20"'.1. Street 73~ City A/4-W t:/~~..tVt:.# . Stete P"p . J S" ,,~V Phone 7;L t.i - ~ '7~ - 'ffJ , 0 Street 6(-'.' A-t/f. P...r ~-~~ City Z...,PNyRJ.....'c r:-I Date of Plans '/.3 - 711 R-I'JIJ S- Architect We hereby propose to fumish the materials and perform the labor necessary for the completion of F=UIl.N'~J. 6 rA/~7A-t.(. o.~ ~ .L "......, 70IfJ SO ~/,J,T ~ol Ca~~~ """,,'f- 8., G.,.~.s.I'o#. P&.fCa_IlU+c..T To t!-"u-i-"." rJL-.,.., Lt.. ~.w UO/r/tjfo ~,~,~.. t1,,~ tAln.,'" .wltll~ ~~IL 10,0 ?u" ?6-tt.~.,. W"~A-;tIt'1 81V~ y~ ?IH-Is#' Utl-Bc~ /1"~/~~~/L6..J,'I'.NI'1 c.cA i+~T,,#~ ~ ' "..Ll,.hON.t.. ~ ~btHf.s ""^""'ftl..sJ.CA. .. ill., 8t "" flt7v1A..1' ~vt.. t; fI All material is guaranteed to be as specified. and the above work to be perfoI med in accordance with the drawings end specifica~s submi~ted for above work and completed in a substantial workmanlike manner for the sum of O/V1- 7^-k.S~ 6)w~ /fr..-~ Fo",? II 70-:' Dollars ($ //'-/-O.~. ). with payments to be mede 8S follows: :I J/~D' --- O~ St,~ eJ I" 7!!.pfi ~ ~~;jI~ crl1s( Respectfully submitted 7 J Aff.i) #1.1'1/, m~6:fl. Per IInr elt8r'lltlQn or d8vietian Irun 8blMt ..-:ific8tiana ilWalving PCnI ~.. will be IlIleCUC8d only upon wna.n orders. end will become 811 lIIltt'll r:hergIt _ end 8blMt Ch8 .-ti1\'l8t8. All ....,.ents contingent upon IItI'illeI. 8CCicI8nce or d8I8ys b8yand our cantf'OI. Owner to cerry ...., torn8do end attw n.-: . inall'8IIClI upon 8blMt work. Work- men's ~ end Public LiIIbiItty ......... an 8blMt work to be r.elcen out by Note- This proposel may be withdrewn by US if not eccepC8d within JO 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 as outlined above. Date --1 /~ I( r Clt( s..~i?-~7 . Signature de L'1J2 e C7 ~ (~ ~4.'~~~__ --