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Home My WebLink About04-3003 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3003 Permit Number: 3003 Permit Type: MECHANICAL Class of Work: NC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 1,040.00 Date Issued: 4/27/2004 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 4/27/2004 --Work Desc:REPIACE CONDENSING UNIT Address: 4801 AIRPORT RD STE116 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: MILDRED MIDDLETON Address: 4801 AIRPORT RD STE#116 ZEPHYRHILLS, FL. 33542 Phone: -~----~-______. ___.______-'-------___.. 1_____- _ ______ ______ 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 i'Wilrlllngtoowner:-Your failure to record a notice of commencement may result in your paying bNice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." .~. . ----~Eomplete Plans, SpecificatIons and-fee-Must Accompany Ap-pHcation:--- All _ ork sl1~JIJ:>e perforlT1~d in accordance with City Codes and OrQil1al1c~_ __ NO OCCUPANCY BEFORE C.O. --.--------- --------- ._----------." -"------ ~ --- -_._~-------_.._-- TRACTOR NATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED. PROTECT CARD FROM WEATHER L 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 fY1,'lD~uO A11,lJ (,-~,./ JOB ADDRESS efRr::>f fj-,I-PM--I ~v. -<f CD.AlLo H II (". PHONE 7 Y ~ 'S'8~}L "ZL-f7"".; ,-(It ~ h SUBDIVISION LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # I']... 2...(.. ,U. b/~o - 00100 -II fc. 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME [J COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER BUILDING SIZE CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL 'je-fL ~,vLlJVS(~ ~tJ[+-. 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 & (l) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL .- $ /0 t.fO'~ , DGAS D ROOFING [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: D BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO C.ON'lRACTORi.;SECTION.. . ",'-',' ............,....,- " ','. ." .. " .., ,- .... .,,- . ',' BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNA SIGNATURE STATE CERT OR REGIST # COMPANY 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. 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 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 b logged during each six month period, or e project will be considered abandoned. WARNING TO OW YOUR FAILURE TO RECORD A NOTICE OF MENC PAYING TWIC E R IM ROVEM S T ~OUR PROPERTY. I OU IN NO TO WITH YOUR E ER AN ORN EFORE RECORDIN OUR N ICE OF $2,500 UE T ED RECORD AND POST CE OF C 0( acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid D:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped - '(;CU:'S All) (;CNI>IDCNIM7 ...-.1> t1rADN6 J- J-c.. 37338 KOlIslk RoM Zephyrhih, FL 33541 (813) 783.3723 PROPOSAL No. Date 2f1"jkiJ I , Sl Cerl tCAC042667 Sheet No. Name Street City State Phone Pro....1 Submiued To: , l .',?n7 L.1k/':Jf1"........." ?f.. .\~4..... "i= L..l.....O~. 8.1) 6?/-CfJ'18 D. , Work To .. Performed At: C~ ^" d ... Street fa- .. ~ t> ",q f!..) "" rll City ZLb~Hr'4.~"s Oete of Plans Architect I i (.. We hereby propose to furnish the materials and perform the labor necessary for the completion of 1=",~L-o. L Jt r,. Co. TAu. ~ '" . 'A T Co ,... OS' TIl-~j ~f Q l\ .... J l' c ...,.to" ,..,c... ;"-l 't~+ ~ ~~. ~t~tt ~ ~;';~ "I'-.~l"..~ v""". ":i ' . 0 t ~ i' '. J ~t. 0: o. ? '""- (l 'j) ~"" ~ f- LJ {HllAl't7 u(Jt:- YbM- PIt-I../.s-{(}+6 biL ByCn/~5 A,-..Gw(; -!-.o",,.\ , L. -l ~.....1 H tlc4 r aJ~ .....c.. A rlc!; +. a"" I-t.. J.f 'f f'*IJ ('1'j-.4 L..c-$U Il 0 ~ 1-, 8., r , "A/\ 't-~ 1 tv.. f t-t , J:- . All mater181 is guaranteed to be as specified. and the above work to be perfoI rned in accordance with the drawings and specjf{cations submitted for above work and completed in a substantial workmanlike manner for the sum of UJ.;t- 71" "-$d-,..J ;; LA $. & ~ ~ .collars ($ 10 Y-o ':.:. J. with payments to be made as follOWs': ( - t. _ I "".. ;,. 0'-#-0.- 11", ""lAJ go f r.. ~ ~-r. ?-::I"tCt-- ~ C~~r" Respectfully submitted k.~ /YI. t; Ir A1 k./"j 4 , Per An., eltereclOn or dewiecian tram .ex- ~ involving en... ClI8ts, will .. ~ only upan wria:.n ardIIrs. end win b8c:ome WI at... ~ lMIf' end elxMl the ..cimet8. All 8lIrwment11 contingent upon lItrika 8CCid8nta or cI8leye b8vand QUI' control. Owner to cerry fire. tomedo end DtheI' ""_1 II . iNurence upon 8bove ~ WCII'k. men'. ~ end Public: Lillbihty ln8urence 11I\ __..-It to .. .... out by \.. Note- This proposal mey be withdrawn by US if not eccepted within 7() I days. ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are he~ accepted. Y~u are aut Payment will be ~ade as outlined above. \ ~ / j ! / ~ Signatu~ f Date ~ /.1tv 0 f.,/ Signature I ized trj do the work a6 specified, r! fv It -k.." -PJfl- ~ ~'N