HomeMy WebLinkAbout94-3912
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C!
3912 /11
BUILDING
cfl.o. d'7J
~~~
PLUMBING
~ -: d-"D
~HANI~
Date .J -/~. -j> Y
Sewer Conn
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Parcell.D. # /1-d.-6 -~/- (!Jt:9/0 - o79dCJ.- t!>.:2.... 0 0
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work '-f1~ ~c::::
~~ - ~
Radon Gas:
A~AA>r.Lf 0 ~./~!,,~h -I- /'~Ao d~f -Z:-
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
dJ- 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
~ r tf-/. IJ7J
"9
,
Inspector
Permit Fee ~':5~
~ignature ()~ ~.J"2f
Compan~
Address
~
City License Registration #
State Certified License#
Telephone# 90 9~ S ~/. O'/f) tJ
BUILDING
, litrr C'aL-
ELECTRICAL 02..3/
PLUMBING
f}aftL A-,A:
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
.s U4fILt. L~,J 6E.-
/3uP
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
-3-11-4'1
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Maurice Pierce
OWNER
JOB LOCATION 5740 18th Street,Zephyrhills
5740 18th Street,Zephyrhilis, PI. 11"iL..O
Maurice Pierce
PHONE 782-3090
ADDRESS
'.
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.~F 11-26-21-0010-07900-0200
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
_Sign
_Hove
____Demolish
PROPOSED USE: ____Single Family
_M/F
_~F of Units
, _____1'1/ H
____Commercial
_Indust.
____Swim. Pool
Other
____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 FORHS.**
**COPY OF CONTRACT REQUIRED.
pERMITS REOUESTED
_BUILDING
.!..-ELECTRICAL
~MECHANICAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E,C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
BUILDER Company
State Cert. or Regist. #
Signature City License Registration #
******************************************
ELECTRICIAN Doug Roger s Company ROGER" S F.I.F.r:TR Te
State Cert. or Hegist. iFER001227.Q
Signature City License Registration iF 7.11
******************************************
PLUMBER Company
State Cert. or Regist. #
Signature City License Registration H
******************************************
.;\: MECHANICAL John T. Kutsch Company JACK I S A/C & HEATING
State Cert. or Regist. IF CAC041220
Signature City License Registration If 69
******************************************
OTHER
Signature
Company
State Cert. or Regist. 4F
City License Registration 4F
******************************************
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
Thl.und,rsigned undlrstands that this per.it .ay be subject to "deed restrictions. which may be lore restr.ictive than City
regulations. The undersigned assules responslbility~for cOlpliance with any applicable deed restrictions.
,,' . .
8. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake Mork, 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 owner and contractor ~ay be
cited for a lisde.eanor violation under state laM. If the OMner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, t813}
788-bbll.
Furthertore, 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 Mhich 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 lay be an indication that he is not properly licensed and is not entitled to per&itting 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 - HOleowner's Protection
Guide" prepared by the Florida Departtent 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 docu&ent 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 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 lade to obtain a per.it to do work and install~tion as indicated. I certify that no work or
installation has COltenced prior to issuance of a pertit and that all work will be performed to Geet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I und~rstand that the regulations of other governl~ntal agenci~s ~ay apply to the intended work, and that it is
IY responsibili ty to identify Hhat actions I lust take to be in cOlllpliance. Such agencies include bill ~l e mot I illi ted to:
.'*'
I also certify that, if fill laterial is to be used in HCIOd Zone "A" or "A,etc.., it is understcoc.d th~t a drainage plan
addressing a .colpensating volute" will be subtitted which is prepared by a professional engineer fegisl~ied in the State of
Florida prior to permit issuanc~.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ihall becole invalid
unless the work authorized by such permit is cOltenced Hithin six months of issuance, or if work authol lied by the perlit is
suspended or abandoned for a period of six tonths after the ti~e the Hork is co~menced. One 90 day e~tEnsioll of tille, say be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection ~ust be logged during each six tonth period, or the project will be considered abdlldoned.
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 FINANC!NG~ ~ONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_L~~.:.~~~---
OWNER OR AGENT
DATE______;J-/-Z/.Z-7!.---------.-------
NOTARY AS TO '
OWNER OR AGENT_____________~_______________
SIGNATURE______________________________
CONTRACTOR
DATE
-----------------------------------
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSION EXPIRES
MY COMMISSION EXPIRES
"
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----------------------
1<<: Abbey Drive
Dade City, Florida 33525
JJACCI[()~
~AiilT CCJ:)!lIl(t]nan<a>mldml~
tdI ~ 1HI""~~llle
Cert. # Ca C041220
Sales and Service
Phone: (904) 521-0420
Service Contracts Available
TO:
Maurice Pierce
5740 18th Street
Zephyrhills, FL
DATE: 2-22-94
LOCATION OF JOB
782-3090
same
33540
We propose to furnish all labor and equipment I license and permit when necessary) for complete installatIOn. 10 he tested and ready to operate
at lotation above,
We have carefully analyzed your equipment and guarantee Ihe equipment to be of suffiCient capaclly to produce deSign conditions according to
Fla. Energy Code High of910 outdoors temperature and 7110 indoor temperature. Building must he kept reasonably lIght. Windows and doors
kept closed except for normal passage of persons and properly Insulated (minimum 01 t:. Inches Ihll'k I.
Equipment Includes:
I, Air Handler with:
2. Condenser Unit"
3. Thennostate MO."
4. Supply-Grille & R A
S.
6.
7.
8.
9.
10.
II.
5 KW:MOII C22-31FCRFC/B24Q2 "Lennox" High Efficient Heat Pump
H P 2 6 - 2 6 1 " Len n 0 x S.E.E.R 1 2 . 4 0 i:t>X"~SPF 7. 50
2 Stage Heat - 1 Stage Cool
7 Supply Ducts & Grilles - 1 Return Air Grille
TotalBTU's 24.000
12.
IJ.
14,
IS.
16.
17.
18.
19.
20.
21.
22,
Install "Lennox" Heat Pump system. Air handler in vertical
application set on galvanized stand in pan with emeriency
float switch. Includes: R-6 duct system. white aluminum
grilles with adiustable louvers and dampers, copper refrig-
erant lines. low voltage wiring, condenser set on portAhle
cement slab, and line cover. r.omple~e Ann Oppr~~;ng ~n
Factory SpecificAtions.
WArrAn~y'
10 YeAr r.nmprp~~or
5 Yp~r P~rt~
1 Year Labor
CONTRACT PRICE:
$ 3881 00
nla
n a
Duct work will ~e designed. fabricated and installed in accordance with Amencan Society of Heating & Air Conditioning Engineers
Standards of C]. t V 0 f ZeD h v r hill s Supply and return registers and grills will be properly sized and of aluminum,
LIMITED WARRA:-lTY
AND SER VICE: All equipment. materials and controls furnished by us has a I year warranty. from the date of installation. against defects
in workmanship and material. In addition we extend to you the manufacturers 5 yr. protection plan on the compressor. Our one year service
responsibility does not include breakdowns of Air Condtioner due to blown fuses. tripped breakers. dirty filters or plugged drain lines.
Warranty service will be performed during normal working hours of 8:00 a,m. to 5:00 p,m, Any request for service after 5:00 p.m, or on
weekends or holidays will be billed to customers at current billing rates of time and one-half.
For this service the purchaser agrees to pay the seller the sum of 388 1 . 00 Dollars, including tax. Payable as follows:
COD UPON COMPLETION , Price quoted not valid after 30 days.
This order contains the entire agreement affecting this purchase, :\0 other agreement. understanding or warranty has been made a part of this
contract unless written herein.
"If this instrument is referred to an attorney for collection or enforcement. the maker agrees to pay a reasonable attorney's fee. plus court
costs, If the maker is delinquent for a period of thirty (30) days. a delinquent fee of 1'f:CC per month will be charged, Title to the installed
merchandise rema ins vested in the seller until all money due.as the results of the sale has been paid to the seller. Your acceptance below will be
our authority to proceed with the installation. Thank you for your business."
Accepted Date .:I / 7/9 V
Purchaser ~---A"'- h ~~.
-
.Jacks Air Conditioning and Heating
... ~
By