HomeMy WebLinkAbout94-4056
BUILDING PERMIT
Permit N.9
CaTY OF ZEPHYRHILLS
(813) 788-6611
405611
Date ~-~ _.?y
BUILDING
ELECTRICAL
PLUMBING
~~
Sewer Conn
Water Conn:
Pmpeny Owne, ~~/}d1Zr ~
Job Address: 7~ ___
Parcell.D. #
Water MJ!jer:
T,I.F.'s:
Zoning:
Description of Work
Energy COde~
Ale ~ A11-?
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
fD- / - q
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordarr:-e with City Codes and Ordinances.
c.o.
DATE
City License Registration # J 7
State Certified License#
Permit Fee ~....., ~ .
Signature~ ~ ~--
Company
Address
Telephone#
-"--
Valuation or
Contract Price i Y.5:. CJ . o-u
BUILDING
ELECTRICAL
PLUMBING
_L~~A/h~
~
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
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.
.-------
PROPO<:;{lL
SOUTHERN COMFORl
P.O. BOX 486
DADE CITY FLA. 33525
904""~;f,7--hlll
I i'H F: 1< P F< T S E S, I N C "
~425 COUNTY RD. 656
WEBSTER, FLA. 33597
'104'-793- 550 1
Fm0015022
-------------------------------------------------------------
NAME
DATE
LANCE SPERRING
APRIL 13" 1994
------______________________v__.,______.________________________
SJREET
7205 ASHLAND DR.
JOB NAME
S Al'-1 E
---------------_______________v_________._______________________
CITY, STATE
ZEPHYRHILLS, FLA. 33540
JOB LOCATION
S~\t1E
--------------------------,- ------------------------------
JOB PHONE:
813--788-6902
l..JORK PHONE:
------------------,--.---------------.---...-----------------------
----------------_._-----------------~-------------------------
We hereby submit specifications and estimates for:
INSTALL HEAT PUMP SYSTEM
OPTION # 1: TRANE XE1000 2 1/2 TON
EQUIPMENT: TWR030C WITH TWE030C AND BAY96X1406
COOLING CAPACITY: 29,000 BTU. SEER" 10.05
HEATING : 28,800 BTU. HSPF. 6.8
PRICE--------~------~:~~=~~:~-------~-~~~-=~~( $ 1850.00 e
OPTION # 2: TEMPSTAR HP510 2 1/2 TON
EQUIPMENT: CH5030VKB WITH BH3036SKC AND AMB001AHA
COOLING 27,000 BTU. SEER. 10.0
HEATING : 27,000 BTU. HSPF. 7.3
HEATSTRIP : KW. 5.0
PRICE----------------------------------------( $ 1750.00 )
THERMOSTAT: H~AT AND COOL COMBINATION, MANUAL SET.
DUCT WORK: FIBE~GLASS TO EXISTING, CHECK ALL AND REPAIR.
RETURN THRU EXISTING FILTER BACK GRILL.
WARRANTY: LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY
DEALER. FIVE YEARS ON COMPRESSOR ONLY BY MFG.
INCLUDES: LINES, LINE COVER, lOW VOLT. WIRING, TAX & LABOR.
NOT INCLUDED: FRAMING OR PAINTING.
- - --'-_.. _.. _ _ _ _, _ __ __ _ ~ _w ..~ ,,",' __ __ _ ___ _ _ _' ~_ __, ,..-. ..,. ... ~_ ~ _ _. __ _ _ __ __ _ _ _ _ _ _,_ _'__ __ __ _ ________
-----------------------------------". -,._- -------------------------------
WE PROPOSE hei"eby to furnish rflaterial and labor-complete
in accordance with above spec:ificalions, for the sum of:
SEE BODY OF PROPOSAL
-----------------------------
Payment to be made as follow
50 % DOWN, BALANCE ON COMPLE1ION.
All material is guaranteed to be as specified. All work to be
completed in a workmanlike manner according to standard
practices. Any alteration Oi deviation from above specifications
involving extra costs will be executed only upon written
6tders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Ownel to carry fire,tornado and other
necessa y y i nSUiCHlce. Our ~~~)) ka! c:; ,'H e full y_, cov~red by wor kmen ' S
COin pen sat i 0 II , in:"; U I ell I C e. j);;' 1 ~/ ",/
~~~~~~=:~~_~= =jr~: _~~f~~~_. _.~~-j2~~~:--------------
Note this proposal may be withdrawn by us if not accepted
within 30 days.
ACCEPTANCE OF THIS PROPOSAL- The above prices, specifications
and condi tions are ~~atisfactor>' and are hereby
accepted. You aie ;-wthorized to do t,he work as specified.
Payment will be liIacle as outl:i. ned i3bo\Je.
SIGNATURE
D() TE ACCEPTED
-----------------------------------.-----------------------------
Al'PL1:CATION FOR PEmi'IT
(;,(n' OF ZJ!J?In"lUll'LLS
nUflLDU<; DIlrARlltll!Nr
. ,
.' O"-"NE1P S NAME )...,q N G~
OWNER'S ADDRESS 2::t o..s-..
Jon ADDBRSS 7 ;).. 0 ~
LEGAL DESCRIPit'ION: toTes)
PAACEt I.D'.#
sp ~~fL 11"\.;'0
19 S;.I J.J7 /'V (J
A- s H .Aft I"- 0
Jmo~m >r/,?- 7~8-
O&-.!-___~~
jJ_1S...
~9o~
----.-n~sunDlnsIOL f1 J..... pH f}--/IS.iL~
k~RK PROPOSED:____New Construction ~ddition
~tcr3tion
----Repair ____Install
I
_Sicn
_Hove
_D C.ltO 1 ish
PROPOSED Y~E: *,Sinele Fa.ily'
_--..lf/F _' of Units ,
---11/8
, _eo..cX"cbl
---.J,n.dust. _Swia. Pool ' ,
Other
Restauran.t & Ile.alth DCp.3:('~nt i\pproval
BUILDING SIZE: ----^--_.
Square Feet,
Heigbt
RESIDENTIAL-:
COHHlmC'l.AL :
AT1"^CJI (2) PLOT PIA~S & (2) SKIS OF BUllDIHG P~S & (1) SET ENeRGY FORMS."*
A'l"rACU (3) SE1'S OF nUIl.DX~G PLANS & (1) SEX' F..NERGY FORtIS...
.*CON OF CONTkAct lUrQUUWD.
))f!mt:ITS ~~QI[F~5'rJm
~UILDING
--.ELECTRICAL
~CUANICAL
$
Valuation of Tou1 Constrvction
Nil' Service
$ #/ gso OV
_----"lo;dda POW'Cr Corp.
Il.R.E.C.
Va1U3tion of Hech.:mical Installation
----"pLUMBING CAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block. ---..Fr~ _Steel
.Othet'
FINlSlIED PU>OR ELtVAnonDS:
IT.
IS P.RO.JECT IN FLOOD ZONE AREA? '
, YES
~~.~t~t..t._.~*....*.*....*..........~....
NO
a)~rRAcroR ~H~
BUILDER
ruff
OOHPANY
State Cert. or Recist. f.
City l,icense Registl"3tion . "-
.~*.*..*.*..*..~..*...............*..t....
Si,en.atuX"e
ELECTRICIAl(
)VA-
,
a>>J.11ANY
Stat.e Cart. or Regist. ,
, City License Registration ,
t~.*44..A<<sA.A*O.............tt.t~.~t.~t.*
SiP.n3tu~e
PLUKnER
(VA
COttPANY
St."ltc Ccrt. oX" Rcc:ist. i
City License Rceistration , T
***.A***....A..**...t.t...t..t.tt*.t~~ttt*
Si&n3ture .
".
l1ECUt\NI CAJ.
SienaturcL,,-_fJ<.~~
~ Cl>>Il'Al<Y~O UIH 1Z:1Lh. CD,.... f-o..... T 61Jl
Stat~ Cc:rt. or Regist. # - RmOtJI.,,-D 2-L:
. City License Reeistration , , J-.7
.**4*tt*.A*...........*~****.....*.*......
~
jJ) Et: 001tP~
. ' State ~rt. or Reeist. .
I Ci~ License Reci$tr~tion ,
.....*............................*.......
Sign4turo
APPLlCAnON AI-I),ROVeo BY
PERlIlT OFFICER.
A F' R'- :2 1 - '3 4- T H U
9:05 GENERAL HOME DEVELQPMENT P.0:2
COt'!I)! T;[ OI'lS OF PERI''ll T AFF 1: D{W I T \
A. ~OTIC~ OF DEED R~ST~ICTIONa ' ,
The underslgnt'd und~rstand$ that this p~;:;a IA~Y lit 5ubhd to "dtl!d n$tdction~~ tihlch uy bI lor. ~c~trictlvf than City
'regulations. Tht undrrslgned assU~r~ rr,po~5ibility for co.pliant' Mlth any appl'c~hl& deed rcslr\t\lons.
9. UNL I CENSED CONTRACTC,lr,S AND CONTRACTOI:': REse..9N~L~I LIT I E:!2,
If the o~nQr his hlr~d I contractor or c~ntractcr' to undQrt~kQ ~brk, they Day b~ required lo be lltensed In iccordancl with
s\~tl! and local regulations. If the'{ontractor l~ not liccn~cd as required by laM, both the OMner and contractor lay bt
cited for I .!sde.canor violation under $tate law. If t~~ owner or intended con~ractor are uncertain as to what licensing
require_lnts .~y apply for the intended ;Jcrk, they art advised to contact the Ci~y of Zcphyrhills BUilding Departaent, tB131
7SB-Ul1.
,.
FurtherlDre 11 the o"n~r has hired a t~otractor or contractors, he is advised to have th~ contractor Is) sign portions of the
'contr~ctor'Se(tions' of this ~pplicaticn for Mhlch they Mill be responsible. If you, as the owner sign as the contractor,
you Ire indicating that you, rather th~n the contractor, art responsible for th~ Mort. If the contractor _ish!s you to S\9n
. as contractor that Day be an indication that he is not pr~perly licensed and is not entitled to per.ittin; privileges in. the
City of Zephyrhills.
C. YRANSPORTATION IMPACT ~EeS AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 718~ FLORIDA STATUT~S, AS AMENDED)
r certify that I, the applicant. have b~;;provided with a tOpy of ~Florida'5 Construction Lien La~ - H~.eoNner'l Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the,applicant Is SOleone other than \ht
'oNner', I certify tho~ I have ~btain~d 0 copy of the above described docu~ent and promise in qood faith to deliver It to the
'o~ner' prior.!o COI.eneelant.
, E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in thiS application is accurate and that all work "ill be don~ in cOlpliance Ni\h all
applicable laMS re9ulatin9 tDnstruction, ~ohin9, and land developlent.
Application is hereby I.de to obtain a p~r.it to do Nork and lns~a}lation as indicated. I certify that no .ork or
In~tallatlon has cOII~nced prior to issuJnc! ~f a p~rlit and that all work will be per(or.ed to .eel standards of all J~w~
regulating const~uctlon. City codcs, ton~ng regulations, and land develDplent regulations in th. jurisdiction. 1 .150
certify that I understand that the r~9ulation5 of other govern.ental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify IIhat adi~I\5 I lust take to be in cOlpliant!. Such agencies lntludr but are not nalted to:
. Deoarllent of Environ.ental RQqulJticln - Cyprc55 Bayheads, Wetland Areus and Environ.entally S~nsitlve Lands,
, Water/Mastewater Trcdt~rnt
t Southwest Florida ~ater M~n~ge5cnt District - ~~lls, Cypress Bayhcads, W~tland Areas, Alterin9 Watercourses
t AT'Y Corps of EnQineers . Seawalls, D~c.5, Navi~;ble U.terNays .
t DeDart.ent of Health , Reh~bilitative S~rvire51 Environ.ental Health Unj~ - Wells, Wastewater Treat.ent, Septic Tanks
t US EnvirDnlental Protection AQcncy ~ A;bestos abatement
I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.~, it is understood that a drainage plan
addressing a 'colpensating volulc' Kill ~e sublitled which is prepared by a professional en~ineer registered in the Stale or
Florida prior t~ perait issuance.
A per.it issued shall be con5trued to he a licenge to proteed Mith the work and not as authority to violate. clnt~l alter, or
set asid. any provisiDns of the tethnitdl codes, hor shall issuance of a perlit prevent the B~ilding Official frOI thereafter
requiring. correction of errors in pla~,;, construction, or violations of any code. Every pertit issued shall beeo.e invalid
unless the Nork authori:ed by such perDi~ is co.i~nced ~ithi,n six Bonths of issuant!,' Dr if Mort authQrized by the per.it is
suspended or abandoned for a period of 51~ Dontht after the tile the Hork is co..anced.' One 90 day extension of ti.e, lay be
allo~td for the per.it with fee char9c or ~15.00. The extension shall be requested in writing to the Building Official. An
approved inspection ~ust be logged durin) each sit tonth p!riod, Dr the projett lIill be considered abandoned.
WARNING TO O~tlERI YOUR fAILURE 10 RECOflil ~ NOTICe OF COH~ENCEHENT MY RESULT HI YOUR PAYING TWICE FOR IHPROYEHEllTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHAI~I~WG, conSULT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR 1I0nCE OF
COHKEHCE"EHT. J08S UNDER $2,500 IN V~LUi: 00 HOT HEED TO RECORD AHD POST A 'NOTICE OF COMHENCE~EHT".
SIGNATUREs OWNER OR AGENT
- '. -'. _*'llII....-J L ....-,.,
SIGNATURE, CONT~ACTOR
was ~cknowledged
, l\J_ by
STATE OF FLORIDA
COUNTY OF .
The foreg~ing instrument
befc.,"e me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me \pis
was acknowledged
1 19_ by
who is personally known to m~ or who h~~
produced
as identification and who did/did not
take a.n oath.
~ho is p~r$Dn~lly known to me or who has
produced
as id~ntification and who did/did not
tal{e an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY 'pUBLIC
,(Name Typed, Pr inted to 1- StMfled)
NOTARY PUBLIC
. .