HomeMy WebLinkAbout91-1987
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit N'~
1987!Ji-
Type of Permit
~
tfJ..V
~O~
~~TR~
BUILDING DEPARTMENT
1-813-788-6611
4V -"
~ -'~~~AN~
-1}~#~
~,
Date 1-:2-/1)--9/
. r
Property Owners Nam. e: 7j~~
Job Address:; , .
Legal Description: Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
:;};:5- , ~ In. ~Cfl4' ,YJ.~ .//M)
;;::/tA~ /J-/.d- <.!P,1 77:;-L -C ,/ 7
Energy Code Readout: 4/jt-
I
~i-V
Complete Plans, Specifications and Fee Must Accompany Application
!t ., #V
Estimated Cost: (~ 9~/ $ · ~
~ -, f):C) /J
Fee: r (~ (J' ----; . /
::~:~~~Ev4"'J~4/6/<(~
~
ADDRESS
TELEPHONE # 9 '3/- yJ::::3 D
.
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
a..1 ~ -ZJ -'/ ~ 7?" 6
OCCUPATIONAL LICENSE # /1 f2 /J J(~ _
I
PLU
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.Cl
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO)
dollars shall be made for each trip. .
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
Class B Contractor
a
l):L'i1 [.,szy Lane
Tampa, ~]orida 33614
(813) 931-8830
~~~
iW>
State Certified
CA CO 42746
~
Q.lontruct
QUALITY AIR COMFORT
CONTRACT SUBI.AITlEO TO
PHONE
C'ATE
5635 18th Street
782-3437
11-18-91
Hrs, Waddy
ST RE E 1
as above
Zephyrhills, Florida
33540
JOB LOCATION
Same as above
CITY. STATE AND ZIP CODE
We hereby submit speCifications and estimates lor
1~ 2~ Ton Heil Super High Effiency Heat Pump
with 5KW Auxilary Heat,
10,0 SEER, 3,0 COP
7- Supply duct runs,
1- Return air supply duct.
Condenser location; side of the house with present slab,
Air Handler location; in attic,
Includes the removal of window AIC unit and closing of the window (Does
not include any repairs of window).
Electrical price is included in this bid. It does not include a change
out of the main box if it's not large enough. The price of the electrical
is $350,00, This price includes one large plain white ceiling fan,
installed in existing electrical box in the living room, This price
does not include any wall mounted switches or wiring to the fan from
the panel box,
Insulation price is included in this bid.
R26 factor, by Zephyrhills Insulation Co,
The insulation shall be an
The cost is $228.96
Option:
Option:
Heat Recovery System
Programable time set
$495.00
back Thermostat
$150.00
.
11lJlI' JrnpOll1' hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Two thousand-Nine h~ndIed-Ninetv five and 0 Cents
Payment to be made as tollows:
50% down and 50% upon ~~mpletion.
dollars ($
2,995,00
) .
Thank you for this oPP<?E.t:.~ni t to be of service
All malerial is guaranteed lor a period 01 one year. A:I'NOIk to be completed in a work-
manlike manner according \0 standard practices, .!I,ny alteration or deviation from Authorized
above specilications involving extra costs will be oxecutod only upon written orders, Signatl!re
ana will become an extra charge over ana abOVE; tho estimate, All agreements contin-
gent upon strikes, accidents or delays beyond our control. Owner 10 carry fire. 10rna'
do and other nect:!ssary IIlsurance, Our workers are tully covered by Workmen's
~omponsation Insur..nce. EQuipmenl to relTl~i~co.n_I~~~~~until balanctJ_pa~~____
<
("'~rrl')Jtnnrl' of QJontrurt -The abo've prices, specifications and
conditions are satisfactory and are hereby accepted, You aro authorized 10 do Signature
thl,! work as specili~d. Payment will btl muda as vullined above.
03tlJ of Acceptance"
-~ .
..--..-----.--....-..-....-.-.-. .-----------.----.-------
SI\lnature--
APPLICATION FOR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
(~\) )!j~\-g83o
OWNE .-"
JOB LOCATION Sit o(~ 5
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D,lF
WORK PROPOSED :_New Construction _Addition _Alteration _Repair ~nstal1
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family
_M/F
_IF of Units
._M/H
lIe~l'rt r f fl,i Other
_Commercial
_Indust.
_Swim. Pool
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
_BUILDING
-X..ELECTRICAL
-lLMECHANICAL
$
299~oo
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
~Frame _Steel
SPECIALTY
TYPE OF CONSTRUCTION: _Block
.Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Company
State Cert. or Regist. #
City License Registration #
*****************************
'J;)
/
.
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
Company G/A t?v ! iV /} i/- Com fa If
State Cert. or Regist. # CACo ~2 7~~
City License Registration IF II flA
*********************************
OTHER
Signature
Company
State Cert. or Regist. #
City_~icense Registration #
****"*I*~~~*~*.'/r. * / ****,~****
,.., / '/' PERMIT OFFICER.
../
APPLICATION APPROVED BY
':~) t'J ,~~~ I'a::J*;' ; \:
.~ "\'
" r ~ ~~)
.... .,
}~ -~:.J ~i :,~;.'i:
~ ,;
" ,~~\\ \
I :.; . ~
~ t.'!,
.. 1 ,c, in'
. ,'- 'i~,<~:>~" ~~ .
'" , ,.j .-:'1.
.,.... i ,,~,'
:~]J',,;:~',~; ~~:
"101/,,'" ,,~ .
" j',':.1~t>~i "......".
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be aore restrictive than City
regulations. The undersigned assules responsibility for cDapliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations, If the contractor is not licensed as required by law, both the OHner and contractor ~ay be
cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the
'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 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 aay be an indication 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.
CONSTRUCTION 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 - Ho.eowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is SOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner. prior to cOllencelent,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has coalenced prior to issuance of a perlit 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 lay apply to the intended work, and that it is
IY responsibility tCI identify what actions I lust take to be in cCtlllpliance. Such agencies include bllt i'iP. liCtt lilliited to:
I Depart.ent of Environ.ental ReQulatiCtn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
Water/Wastewater Treat.ent
I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY CCtrps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatmen~, Septic Tanks
I US EnvirCtnaental Protection AQency - Asbestos abate.ent
I also certify that, if fill aaterial is to be used in FICtod Zone "A" Ctr "A,etc.., it is understood that a drainage plan
addressing a .coapensating vCtlute" will be sub.itted which is prepared by a prCtfessiCtnal engineer registefed in the State of
FICtrida priDr to pertit issuance,
A pertit issued shall be construed to be a license tD proceed with the work and not as authority tCt yioj~te, cancel alter, or
set aside any prCtvisions of the technical codes, nor shall issuance of a permit prevent the Building Officidl frol thereafter
requiring a correction of errors in plans, construction, Ctr viCtlatiCtns of any cCtde. Every permit issued ~~dll becoie invalid
unless the work authorized by such perlit is co..enced within six months of issuance, or if wCtrk authol lzed by the permit is
suspended Ctr abandoned for a pericld clf six aonths after the tillle the work is i:olilllenced. One 90 day l:~t€iISIO" of time, Uy be
allowed fCtr the permit with fee charge of .15,00. The extension shall be requested in writing to the Building Official. An
apprCtved inspection lust be ICtgged during each six .onth period, Ctr the project will be (Ctnsidered dbaildoned.
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 A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATUR~'!:'_~. '()f~--- SIGNATU~~-LI
V::~(fOR AGENT ----0'---. CONTRACTOR ..
DATE_______l~~_10_::tj------------------- DATE_____~~j{l~l-------------------
NOTARY AS TO ({) \ J. /J ~, dltt A /'LL.I
OWNER OR AGENTL!~l~/~~=~-~~
MY COMMISSION EXPIRES___~~~:Z~-------
@ Michelle McCray
. Notel'y STATE Of FLORIDA
; Public My Com'n E~V27195
BONDED
NOTARY AS TO IIV! J'.... A " J (j vI7 Lt
CONTRACTOR__tJ_~~--[!~--~
MY COMMISSION EXPIRES___)_~~-~_~--
Michelle McCray
STATE OF FLORDA
My Corrm E~V27/95
BONDED .
. DEe 1[1'91 C3: 45F'i' 1
QJ. 0 ntrn rt
Class B Contractor
a
QUALITY AIR COMFORT
<)L51 Lazy Lane
Tampa, ~lorida 33614
(813) 931-8830
1@J.
Stat. Certified
CA CO 42746
~
:-
CONT__ACT SV81.l'l'TEO TO
~'~:::~ ::::Ystreet
CITY, !T.l.Tl! ANO liP COOE
Zephyrhills. Florida 33540
I We hereDy subm,t s~cilicallone and estimalu lor
PHONE
CATE
782-3437
11-18-91
as above
JOB \.OCATION
Same as above
1~ 21 Ton Heil Super High Effiency Heat Pump
with SKW Auxilary Heat.
10,0 SEER, 3,0 eop
7- Supply duct runs.
1- Return air supply duct.
Condenser location; side of the house with present slab.
Air Handler location; in attic,
Includes the removal of window Ale unit and closing of the window (Does
not include any repairs of window).
Electrical price is included in this bid. It does not include a change
out of the main box if it's not large enough. The price of the electrical
is $350,00, This price includes one large plain white ceiling fan,
installed in existing electrical box in the living room. This price
does not include any wall mounted switches or wiring to the fan from
the panel box.
Insulation price is included in this bid.
R26 factor, by Zephyrhills Insulation Co,
The insulation shall be an
The cost is $228.96
Option: Heat Recovery System $495.00
Option: Programable time set back Thermostat $150.00
mt' J ropOllt' hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Two thousand-Nine hundred-Ninetv five and 0 Cents
Payrnenlto De mad~ a! 'OIlOws;
50% down and 50% upon completion,
dollars ($ 2.995.00
) .
Thank you for this 0 ortunit to be of service
All material is guaranteed for a period 01 one year, AllwOri\ lobe cOlnpleted in a work,
manlike manner accord,ngto standard practices, Any alteration or deviation from Authorized ./
above spec;lical10nS involving extra costs will be executed only uponwrillen orders, Signat~r~ ~
ana will become an extra Charge over ana abovttlhe eslimale. All agreements contln'
oen: upon strikes, accidents or delays De yond Our control. Owner to carry fire, torna'
do al1d other necessary ,r,surance. Our workers are fully covered by Workmen's
Compensation Insurance, Eq",pmentto remain contraclors until balance paid.
("'~rrr~tllnrl' of <J.Iontrnrl-The abo.e price., specifications and
conditions are salis1aclory and are hereby accepled. You are 8uthorlzed to do
the work as speclfleo, Paym~nl will De made as outlir'led aboY'.
Date 01 Aeceplance ~j ;2 b / I 9 ,9 /
S;'O,,"..~~1lI ~
S,onature
)