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Home My WebLink About95-4778 '. BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 P , NO ermlt '. 4778/1 BUILDING ;l{j~ tTD ~TRIC0} Pcop,rty Owo", {b~ ~ Job Address: &:z - /. ../?I . PLUMBING JS, av ~:~ Sewer Conn Water Conn: Date .3 -;20 - yS; Water M..!l!er: T,I.F.'s: Parcell.D. # Zoning: Description of Work ,ycE",? .1'~../ Radon Gas: 4"'-A~ a '7~/~ NO OCCUPANCY BEFORE C.O. FINAL ..:i-=: ~~ ' q s- DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit Fee --.5":.s~ Signature~~ _. Company Address Telephone# Valuation or Contract Price 3a- 611. tl7J , ~7 City License Registration # State Certified License# BUILDING ~~~ o ;;3/ ELECTRICAL PLUMBING :i}..~k2YG MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway Tp. Servo Rough In Meter Ca~';uJ % Const. Pole Pool Pre-Meter Final 6aUJ..vI.Li\, ~')~ ~ -2.-I-C,., f3ib Ftr. Pre SLB Lintel FRM. Insul. CL WL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a charge of Fifteen and 001100 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 Jack's A/C & Heating ADDRESS 12601 Abbey Drive, Dade City, FL 33525 PHONE (904)521-0420 OWNER Diane Bryant, Mr. & Mrs. Bryant JOB LOCATION 6330 12th Street. Zephyrhills LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # 02-26-21-0000-03400-0010 WORK PROPOSED:____New construction ----Addition ____Alteration ____RE!pair ____Install ____Sign/Temp. ____Sign ____Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts __M/H _Commercial _Indust. ____Swim, Pool Other _Restaurant & Health Department Approval BqILDING 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.U **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ~ELECTRICAL --1LMECHANICAL 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. ****************************************** () nay;;; f l " v- i)'}" '. i ( v> Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER :::::::AN~ Company Rogers Electric ..' s~ate ?ert. or R~gist. . ~~ ER0012229 :---- C1.ty L1.cense Regl.strat1.on #' 231 - ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** . , ,. . Signature Company J a c k 's A I C & He a tin g State Cert, or Regist. ~~ ,CAe041220 City License Registration # 69 ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registfation # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility 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 lisdeleanor violation under state law. If the owner 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, (B131 78B-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 perlitting 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 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 docuaent and prolise in good faith to deliver it to the "owner' prior to cOlaencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f uS Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be u~ed in Flood Zon~ "A" or "A,etc.", it is understood that a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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 CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~. ~~ 51 ATURE: OWNER OR AGENT IGNATURE: CONTRACTOR STATE OF FLORID~~ COUNTY OF [J J CSc..o The foregoing instrument was acknowledged befclre me this '~tndr; 19-.if"by Jch" ch who i personally to me or who has produce as identification and who did/did not take h. by who . prod as identification and who did/did not t:~~ (S L\I). ./ ~ . l (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ RITA L. REDDITT State of Florida My Comm. Exp. May 19, 1995 Comm.' CC 115327 'l' RITA L. REDDITT State of Florida MyComm. Ex!). May 19,1995 Comm. , CC 115327 XZlI Abbey Drive Dade City, Florida 33525 JJACCrn:()~ . ~1.\311' CC.olDl<t1dadqj)wdw'e t:d:I;l; 1HI"!ldliEl! Cert. . Ca C041220 Sales and Service Phone: (904) 521-0420 Service Contracts Available DATE: 11-7-94 TO: Mr. & Mrs. Bryant 6330 12th Street Zephyrhills. YL 33~40 tOCA TION DE JOR 783-2766 . same We propose to furnish all labor and equlpmentl license and permll when necessaryJlor ,omplcte mstallallon. to he tested and ready to operate atlotation above. We have carefully analyzed your equipment and guarantee lhe e4Ulpmenl 10 be 01 suffi':lenl capal:uy 10 produce iJeslgn condllions accordinlto Fla, EnerlY Code Hilh of91 D outdoors temperature and 71lo indoor lemperature. Building must he lcpt reasonably IIlht. WIndows and doors kept closed except for normal passaiC 01 persons and properly Insulaled (minimum III flln,hes Ihll:ll, Equipment Includes: I. Air Handler willi: 2. CondcnlCl" Unil . 3. ThennOlU\c MO.' 4. Supply.GrilIe'" R A 5 KW: MOIl FB4ANF036 "Bryant" Heat Pump 662AJX036 "Bryant" S.E.E.R 11.00 2 Staae Heat - 1 Stage Cool existinR ~SPP I. 6u TOIal BTU'. ;j b , U 0 0 5. 6, 7, I. 9, 10, II, 12. Remove and replace existing system with "Bryant" high efficient heat urn Air handler installed in horizon- tal application. Includes: copper refrigerant 1nes, emerRency drain pan, condenser set on portable concrete slab. R~hook up to existing duct system. Electrical uPRradeby Rogers Electric. Complete and OperatinR to Factory Specifications. Il 14. 15, 16. 17. '1, 19, 20. 21. 22. Warran tv: 23, OPtion: In$ula\lon - n / a 24, Up-Grade Ser~.Ic:e VelD: So a Sile 25 Exi5linl Ceilinl-Damale 0 Yel U'IIo Warranty: 5 Year ] Year 1 Year Compressor Parts Labor OPTION: OPTION: r.ONTRAr.T PRTr.F.: $':\2'i4.00-bl..O,.... 33.0 SEER: 12.00, HSPF: 8.25, BTU'S: 34,600 CH22-41/B~4Q~ S :lpnnnyll Air HaDdler ~itb 5 KW AHX Htr. HP25-411 Lennox Condenser. Same installation as above. 10 Year Compressor 5 Year Parts 1 Year Labor CONTRACT PRICE: $3804.00 Amps b y 0 the r s Duct work will. be desiln(d. fabricated ~nd installed in accordance wil h Amencan Society of Heatinl " Air Conditioninl Engineers Standards of C 1 t V 0 f Z e ph y r h 111 s Supply and relurn registers and gnlls Will be properly sized and of aluminum. LIMITED WARRA~TY AND SER VICE: All equipment. materials and controls furnished by us has a I year warranty. from the date ofinstallation. alainu defects in workmanship and material, In addition we e)(tend 10 you Ihe manufacturers 5 yr, prOle<<lon plan on the compressor. Our one year service responsibility does not include breakdowns of Air Condtioner due 10 blown fuses. tripped brealers. dirty filters or pluUed drain lines. Warranty service will be performed durinl normal working hours of 8:00 a.m, 10 5:00 p.m. Anv request for service after 5:00 p.m. or on weekends or holidays will be billed to customers al curren! billinll rales of lime and one-hair." . For !his service the purchaser agrees 10 pay the seller the sum of $ J 2. 5 9 . 0 0 ~u.9t Jac~~~g 1Ill. Payable u follows: COD UPON COMPLETION . Price Quoted not valid after 30 days. This order contains the entire alreement affecting this purchase. '" 001 her allreemenl. underslanding or warranty has been'made a part orthis contract unless written herein. j' -If thi$ instrument is referred to an attorney for colleClion or enforcement. the maker agrees to pay a reasonable anorney's fee. plu$ court costs. If the maker is delinquent for a period of thirty (301 days. a delinquenl fee of 11':'( per month will be charled. Title to the installed merchandise remains vested in the seller until all money due. as the results of Ihe sale has been paid to Ihe seller. Your acceptance below will be our authority to proceed with the installation, Thank you for your busmess," .', .J licks Air Condltlonln.: and Mentina !). 0 ,.,..k 10 l!;.i"!' l!/h~ ~~~d By John T. Kutsch O~a7- jr~~u __________.__ Accepted Dale .1 <;, Rv