The URL can be used to link to this page

Home My WebLink About04-3004 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3004 Permit'Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 1,040.00 Date Issued: 4/27/2004 Name: TOM FREGGBAIRN Total Fees: 40.00 Address: 4801 AIRPORT RD STE#117 Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: . 4/27/2004 .1 Phone: '---Workbesc: REP-LACE CONDENSING UNIT- -~-------~------------ 3004 MECHANICAL NC CHANGEOUT NOT APPLICABLE Address: 4801 AIRPORT RD STE117 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: I I -----------------'-----.-----.---.---____L____ L_____________ _._._____ 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 - "Warnlng to owner: Your failure to recorcfi notice of-co-mmencement may result in your paying twice for- our property. If you intend to obtain financing, consult with your lender or an attorney our notice of commencement." Complete Plans,specifications-and- FeeMust Accompany Application. __;A.I I ""..c>rk sha~_b~performed .i'1. ac~rdanc~wittl... City ..fod~~nd.9rdinances_____ __ ____ ___ NO OCCUPANCY BEFORE C.O. - - - - - - - ----..-..--...-----.-.--- ~ TOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ,i .. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8m St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME ~ ~~ PHONE 7/f.ff,(./j JOB ADDRESS 'f.,""rJ { A ( I-F?,,..:r /-.f c,...f" <Ii //'7 7h?rft(zt '-11'j f:; LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # /3-At.,. ;l,/. 0/30 - C> 0/00 _ I '7 Q (ORTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [J SIGN [J ADDITION [J MOVE [JALTERATION [J DEMOLISH [J REPAIR [J INSTALL PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE 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 [J BUILDING [J ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J PLUMBING [J MECHANICAL [J GAS [J ROOFING $ !Ot,/O.~ [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO G()~q~;RiSECTION BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # MECHAN **************************~*~***~ COMPANY c.r, ~ ((c STATE CERT OR REGIST # (1ft{' n ~2 , ( / ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions"~nicH 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 portions 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 f ermit with fee charge of $15.00. The extension shall be requested in writing the Bui ing Official. An approved inspection must be logged during each six month p ~od, or t project will be considered abandoned. WARN TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF CO PA NG TWICE F IMPROVEMENTS TO YOUR PROPERTY. IF I END TO OBTAIN FINANCING, TH YOUR LOR OR TT BEFORE RECORDING N ICE OF COMMENCEMENT. 2,500 IN AND 0 RECORD AND POST E OF C MMEN EMENT". STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ acknowledged ,20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type and wtioO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid DEd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped . . PROPOSAL WI.I:'I.4I12 W...I>fTH)....~ ....., tt~n...t; J... l-. Co 37331 Kouik RoM Zephyrhllla. Fl33541 (813) 783-3723 No. Oete t~o y. Sl Cerl tCAC042667 Sheet No. Pro....... Sultnalctlld To: Name Street City Stata Phone Work To .. Perform_ At: ~ '2 ~ '3- ~. 7 "'" U 7'1 c.,q ":CL. i.tZ?3 ~I~.. ",,"'_ u,,.z.. r.nN~ 117 Str8et t.J 1'0/ t4.t1. PolCi 2a~d City %.~Hy~."'s . FI . - Dete of PI.ne 7VB..cC.q Architect w._--mfumtJ:R1~~~f6?~~~~~~ ?14.11 ?~/r ~./~., I tJ~ ~~ ~ /oI.~.. J. 'AI:; 11~..$ '~111L &,~/",,"j A,"t':..J.r/.,_~ L..L.c.... II\U~~,l,)"'~c. '-l y~~ Co'",9L~~OIf. f!j..A.., &, A1 "'N~t-.... A. f - All materiel is guerentB to be .. specified, end the .bcMt work to be PIl"f~ in ICCOl"a with the drawings end sP'!.Rificetions submitted for above wQrk and completed in . substantial workm.nlike m.nner for the sum of (JIM-7A"~~I#-~ nlLflt I( ~ . DoII.rs lS IOllo.!..Q ), with peymentS to be mede IS follows: "Q .,. C- /O~(I' Qt/.S"Nfll ~1i:/ltJ'ly,~ R_pectfully submitt8d ?~ iIL/ ""', a./,. Per fl11f-AMj ~ Nate- This prapQIIIt' may be withdrawn by ua if not ~ within 30 deys, .", ....., cr dIwieCian fIoam ..... ,"ll'_Clal. itwaImg ..... COR" will be ...cuc.d only upon wnn.n lII'dra. .., win a.c:om. en at,.. m.rg. 0lI.- lIIld ... eN .cimeca. All..",.. ~ upon ...... lIIlCidInCa cr ~ e.yand lIUI' 0IlIICrlIl. Ownr co aerry fire. cam.dD end CICIw- r I J ___ lIIIlIIl .... --. WllI'tl- ,....'. eamr--c- .., PuIIIic LiIbiltcy ....... DII ....... EO .. -.n out ~ ACCEPTANCE OF PROPOSAL The abo\te prices. specifications end conditions are setiafactory end are~ter8bye . Y are~thorl' to do the work a. specif..., Payment will be made as outlined above. Sig ~~'" Date 3/.J r 4~ Signetura \.