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Home My WebLink About95-4749 BUILDING PERMIT Permit N:Cp CITY OF ZEPHYRHILLS (813) 788-6611 4749/1 ~() . crv Date J -- $I - '7 ~- BUILDING ELECTRICAL PLUMBING Sewer Conn Water Conn: Pmperty Owne, JI~ ~ ~ Job Address: \..?~ I tJ r m . '1- Parcell.D. # Water M.JlJer: T.I.F.'s: Zoning: Energy Code' Description of Work ~ ~ A--7 ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 3-50- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Q City License Registration # State Certified License# &7 , P~r~it Frrl )/ lJ ~~- Slgnatur~ __ Company Address Telephone# Valuation or Contract Price ~. 9 5',. trD BUILDING ELECTRICAL PLUMBING ~}~~A/c MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. APPLICATION FOR PER1'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Jack's A/C & Heating OWNER 12601 Abbev Drive. Dade City. FL Florida Medical Center 335 2 ') PHONE (q 0 4 ) ') ? 1 - 0 4 ? 0 ADDRESS '. JOB LOCATION 38135 Market Square, ZephyrhillE'oT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.i~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Nove ____Demolish PROPOSED USE: ____Single Family _M/F ____i~ of Uni ts .._M/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 FORNS. H **COPY OF CONTRACT REQUIRED. pF.RMTTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. -X-MECHANICAL $ 6996.00 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY .r . , . TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration a ****************************************** BUILDER Signature Company State Cert. or Regist. a City License Registration a ****************************************** F.T .E(;TR1 (;1 AN Signature Conr'any State Cert. or Regist. a City License Registration a ****************************************** PLUMBER MF.CHANICAT. Company Jack's A/C & Heating ~. ~. ~ State Cert. or Regist. ii CAC041 ??O Signature ~ City License Registration iF 6q . **** ******************** ******1, * ,',* * ** ** * 1, 1, Si~nature Company State Cert. or Regist. a City License Registration a PTHF.R APPLICATION APPROVED BY *27-"'** * *** ****** * ** **1* * * * * * * *" * .*1' 1:1, * * * 1, * * * *. * _ tf'4< /'''0, /l7 ~JL.- . PERMIT OFFICER. . <t ' fj,oJl.........,...' .~~,~.. -. . '." . j I , ~- L -:.:.! , .. '':k "'.'_' '. .' '~'" .,."".,.,;"....... ,.~....~.........;:~, h.,outl':"'..,: f ...;...~"'"I"..~.. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be subject to "deed restrictions' which may be more restr.ictive than City regulations. The undersigned assules responsibilit~~for cOlpliance 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 owner and contractor lay be cited for a lisde.eanor violation under state laM. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, 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 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 2ephyrhills. 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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the "owner", I certify that I have obtained a, CDPY of the above described de,culllent and pnrr,ise in good fai th to deliver it to the "owner" prior to co..ence.ent. 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 laMS regulating construction, zoning, and land develop.ent. . Application is hereby lade to obtain a perlit to' do work and install~tion as indicated. I certify that no worK or installation has cOI.enced prior to issuance of a perlit and that all work Mill 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 ~ay apply'to the intended MDrk, and that it is IY responsibility tel identify IIhat actions I lust take to be in compliance. Such agencies include b\lt ~1 e l)(It lillited to: .0#' I also certify that, if fill material is to be used in Flbod 20ne "A" or "A,etc.', it is understood tl131 a drainage plan addressing a "co.p~nsating volute" lIill be sublitted Hhich is prepared by a professional engineer reqisl21cd in the State of Florida prior to permit issuance. A perlit issued shall b~ construed to be a license to proceed with the HorK and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d ~hall becOle invalid unless the work authorized by such permit is cOllenced within six months of issuance, Dr if H01'k authDI lzed by the per.it is suspended or abandoned for a period of six lonths after the tiJe the HDrk is commenced. One 90 day c~\~~SiOIl of tile, aay be alloHed for the per~it with fee charge of ~15.00. The extension shall be requested in Hriting tD the Building Official. An approved inspectie,n l!Iust be le1gged during each six tonth period, or the prclject Hi 11 be cc,nsidered dbollde1ned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "i--lOT I CE OF COMMENCEMENT". SlGNATURE_~NE SlGNATURE~ACTOR DATE ____~::i>..:-_~~---------------------.------- NOTARY AS TO /2, . J;/J /l/J ~ OWNER OR AGENT~~~--~- MY COMMISSION EXPIRES_~~X_-~~~-~JJ-~------- ;;~;~~~~~:~:3~_____~~- ~---~~---------- MY COMMISSION EXPIRES___~~Y__~~2_-~~~~- .. 'i' RrT A L. REDDrrT s.... of FIarIda My Comm. ~... tt. t815 Comm.' CC tfD27 '~ R, rT A L. REDDrTT -I MyC::-ofFlorida Comrft.~C~~1. - ..~.~ 12601 if Abbey Drive Dade City I Florida 33525 TO: JJACC~Q~ J.\alJ" c.clm<ilaU~1Ddw~ ~ !HI<Ul1l3IIla Cert. , Ca C041220 Sales and Se rvice . Phone: (904) 521-0420 Service Contracts Available " .~., ... DATE: LOCATION OF JOR 38135 Market Attn: Curti~ Lan ford (813)780-8440 ext.132 2-2-95 SQuare Florida Medical Center Square We propose to furni~h all labor and c4ulpmcnll hccn~e and permll when nece~~ary) tor complele In~lallallun. 10 be: leslel.l anl.l ready 10 operate at lotation above. We have carefully analyzed your equipment and Ituaranlee Ihe e4ulpmenllo be 01 ~uniclent capacity to produce deslltn conditions according to Fla. Energy Code Hi&h of910 outdoors temperalure and 7110 Indour temperature. Budding must be: kepi re:a~uOiably lIKhl. Windows and doors kept closed eltcept for normal pauale of person~ and properly In~ulale:d (mlnlmum.lI" Inches IhlCkl. Equipment Includes: I. Airllanlllcr with: 10 2. Condcn", Unit . . 3. ThcnnOI&a1.c MO.' 4. Supply-Grille. R A L KW: MOll 555 A P X 0 6 0 " B r y ant" Air Con d i t ion e r P k g. Un its (3) S.E.E.R C.O.P .MSPP ToW BTU', b. 1. 8. 9. 10. II. 12. 13 14 I~ 16. 11. 18. 19 20. 21. 22. 23. OPlion: I"sulallon . n I a 24. Up-Grade Scr\iec Yes 0 So 0 Size Amps ex i s tin g 25 ExISlinl Cellinl.Damille 0 Yes tJ:'olo n I a Duct work will. be desianed. fabricaled a.nd installed in accordance wllh Amencan SocielY of Healing" Air Conditionina Enlineers Standards of C], t Y 0 f Z e p hy r h], 11 s Supply and return registers and grills will be properly sized and of alumlRum. LIMITED WARRA:"iTY AND SER VICE: All equipment. materials and controls furnished by us has a I year warranty. from the date of installation. alainst defects in workmanslUp and material. In addition we eXlend 10 you Ihe manufaclurers 5 yr. prolectlOn plan on Ihe compressor. Our one year service responsibility docs not include breakdowns of Air Condlloner due 10 blown fuses. rrapped breal.;ers. diny filters or plulled drain lines. Warranty service will be performed durina normal working hours of 8:00 a.m. to 5:00 p.m. Any requeu for service after 5:00 p.m. or on weekends or holidays will be billed to customers al current billing rates of lime and one-haiL I' For Ihia service Ihc pun:1wcr agrees to pay the seller the sum of $ 6 9 9 6 . 0 0 Dollars, includmlllX. Pay8ble.. followl: COD UPON COMPLET ION . Price quoted nOI valid aftcrJO days. This order contains the entire agreement aHecting this purchase. -.; 0 ot her agreement. understandinl! or warranty has been made a pan of this contract unle5S written herein. ::~~:~ ~~d r~p~ace,,3 exis~in~ York ~a~kaae Air Condit~oner~. a 3- on Bryant Alr Condltlonpr PRckRgP- (Jnlts w1.th ~~ K~ ~EORt ; n PRch TncllldP!=:' rf:>hook lip to py; ~ti ng dllct Ti 1 r t r i r R 1 ~ Y ~ t p m ~ Tot R 1 1 R h () r R n Ti m R t EO r i R 1 C.m'(lj) 1 P- t P AnTi OpprRting to FRrtory ~pprifirRtion~ Warranty: 5 Year Compressor 1 Year Parts 1 Yp-Rr Labor $6996.00-Contract Price \. NOTE: Due to age of equipment and unavailability of parts it is our recommendation to replace all 3 York package units. -If Ihis instrument is referred to an anorney for collecllon or enforcement. the maker agrees iqi pay a reasonable anorney', fee. plus court costs. If the maker is delinquent for a period of Ihiny (30) days. a delinquenl fee of 1'':'( per m-onlh will 'be charged. Tille 10 Ihe installed merchandise remains vested in the scller unlil all money due. as Ihe resulls of the sale has been paid to Ihe seller. Your acceplance below will be our authority to proceed with Ihe inSlilllalion. Thank you for your bU~lOess." Accepted Date I'II.__~.L ...ot'..... Jacks Air Conditlonin&: and Heatina: \. By " \ ( By ( L.S.)