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Home My WebLink About95-5210 BUILDING '10 <' JV.... )) d- _~ ~/ PropertyOwne" Mt:~}l:~{I~ Job Address: ~ ~ , Parcel 1.0. # c2 -c2b ~:J/ - t) 0 $I ZJ - t) CJ t-O 0.- /J 0 h 2- BUILDING PERMIT~. CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 -;-521Q 11 PLUMBING ~ -: c77J ..._-~ ~CHANICA~/Sewer Conn Date ~..-~R--?~- Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work '-11 IIA_) +/ C- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. - ") DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector P~r~it Fee~17. ~c7V Signature ~J~ j Company Address Telephone# Valuation or Contract Price ('? (, .:; -:::- < ": Cl?:.:> / City License Registration # t 9' State Certified License# BUILDING ,--- V /) 7/ /\7~A~ ~ ELECTRICAL PLUMBING ~"~,1~ MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp. Servo Rough In Meter Can Const. Pole Pool pre-Meger Final "fJ~q 5" BlS6 ~ %:Z~-~~~ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final ~ ~..,. S- ~ 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 Jack's A/C & ~eating 12601 Abbey Drive, Dade City. FL 33525 PHONE 904-~?1-04?O ADDRESS OWNER John & Elizabeth Pachla JOB LOCATION 38706 Rose Lane, Zephyrhills LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # 02-26-21-0040-00800-0062 WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Units ._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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL _MECHANICAL 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 Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ::::::A>>= Company Roger" Elpct<;c . . S~ate ?ert. or R~gist.. 4~ EROOl ??q --------- C1ty L1cense Reg1strat10n # 231 , ****************************************** PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Compa!lY Jack's A/C & Heating n n ~ .~ State Cert. or Regist. # CAC041220 Signature :,j ~ ---L..M~ City License Registration ~~ 69 - ****************************************** OTHER Company ~i y _ ~~"t.."l{.~..r .1~...~.1. - # **.***************** ',. ,.,...**:'f::,~~!:".~.~.* Signature APPLICATION APPROVED BY PERMIT OFFICER. . CONDITIONS QF PERMIT A~FI~AV~T A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed re5tricb~ns" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Mitt ilny arplicable deed restrictions. B. UNLICENSED CONTRACTORS AND CQNTRACTOR RESP8NSIBILITIES If the ollner has hired a cDntractor or contractors to undertake work, the., lay be required to be licensed in accordance with state and IDcal regulatiDns. If the contractDr is not licensed tiS required by lall, bDth the owner and cDntractDr lay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requirelents aay apply hI' the intended work, they are advised t[1 contad the Ci ty of Zephyrhi lIs Bui lding Departlent, (813) 788-6611. Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the cDntractDr(s} sign portions Df 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 contractDr, are responsible for the work. If the cDntractDr wishes YDU tD 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 FEE~. 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 doculent and prDlise in good faith to deliver it to the "owner. priDr 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 cOlpliance with all applicable laws regulating cDnstruction, zDning, and land develDplent. ApplicatiDn is hereby lade tD obtain a perlit to do work and installation as indicated. I certify that nD wDrk Dr installatiDn has cOllenced prior to issuance of a perlit and that all work will be perf Dried to leet standards of all laws regulating construction, City cDdes, 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 lIork, 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: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnlentally Sensitive Lands, Water/Wastewater Treatlent t SDuthwest FIDrida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY CDrps Df EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US EnvirDnlental Protection AQency - Asbestos abatelent I alsD certify that, if fill laterial is to be used in Flood Zone .A" Dr "A,etc.", it is understood that a drainage plan addressing a .colpensating yolute" will be sublitted which is prepared by a professiDnal engineer registered in the State Df Florida prior to perlit issuance. A perlit issued shall be construed to be a license to prDceed with the IIDrk and nDt as authDrity to viDlate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frDI thereafter requiring a correctiDn Df errors in plans, construction, or violations Df any cDde. Every perlit issued shall becole invalid unless the Mork authDrized by such perlit is eOlleneed within six lonths of issuance, or if work authorized by the pertit is suspended or abandDned for a period of six lonths after the tile the wDrk is cOltenced. One qQ day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An approved inspection lust be IDgged during each six tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCEMENT "AY 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"MENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". )< ~"ldJdff.? tf ~ Ii SIGN RE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument before me this 8-24 was acknowledged , 19-22- by STATE OF FLORIDA COUNTY OF PASCO . The foregoing instrument befe.re me this 8-24 was acknowledged 19.-22.- by who is personally p,-oduced as identification take n _oath. r who has whe. is pe,-sonally known to me or who has produced E/.d~ fly.;Ve r'" Li<'C:?"lS'e as identification and who did/did not take an oath. and who did/did not < (Name Typed, Printed NOTARY PUBLIC ame Typed, p,~ \Dtm1Ef~~4!..oF FLORIDA NOT ARY PUBL I C My Commission Expires May 29. 1999 Commission No. CG 467880 -Ft JACK'S '\&:lIAIR CONDITIONING & HEAl'lNG , J C' 11) 1 c/~ E Ii ~?.r.V he fh T"JI <,.Iz I,~ . 10 LOCATION OF JOB _-~j)')(e ,i fL~2 0 0 '7:0 .s e .t...Jt 'Z~f'/'y r'h,/A,;:-I, 335" 'Ie) . 8/~1- 782- l'f'j'v We propose to furnish all labor and equipment (license and permit when necessary) for complete installation, to be tested and ready to operate at location above. We have carefully analyzed your equipment to be of sufficient capacity to produce design conditions according to Florida Energy Code High of 910 outdoors temperature and 78Q indoor temperature. Building must be kept reasonably tight, windows and doors kept closed except for normal passage of persons and properly insulated (minimum of 6 inches thiCk)'HJnf' J ;:; Y' '~ (;<..,)j c. LJ )-1/~ 'r Eqipment includes: 1. Air Handler with: 2. Condenser Unit # <=0- 3. Thermostat MO.# L~'< 'J ~-,/ ~ <" 1""-'" ~ r 4. Supolv-Grille & R A _.~ _ _ _ ~~ ~:----k4Ll(.'~V"C c;,c;,; "7/~r4 ..;:/~x d:~.... r. 7. - 7 '.- / / '~... /' -~ c:L t.-> c..----f-:-. 8. ;-J(:r~?; /7::~: 7:)L-~~''L ~C 6~ 9. 10, 11, 12, 13. c'..f?0'~) l ..LJ. 14. 15. .::r) c., '} -,7:; / / '# ? Ii 5(') 3 t,. /--} lC13 16. . . ,)EI;R,. 111:::}:]~~r:~/~~~ 17. l.. .)/...~H~ C""- oJ s _ h-.:. _'_ 18, 19, 20. 21. 22. 23. Option: Insulation- /t. ' II 24. Up-Grade Service Yes [~ No LJ Size- 25. Existing Ceiling-Damage L~J Yes 0 No WORK ORDER Cerl. # CAC041220 12601 Abbey Drive. Dade City, FL 33525 24 Hours . (904) 521-0420 DATE 8 - .z. "( - 95-- {./; t KW: MO# A/P /I /-1 c' "1/: J..IA.." S.E.E.R. / /.. ~o C.O.P./HSPF / _s 7.;1-; r" (C L-" / / Total BTU's 3~c;, ~O c) , >> L' k/ ..y1~ r:t: t{.4 LL'.me~t.T .s;;; br I-(:"'~ ;~ ''1~)?r;J' "U/ ;z., 5~,~ IIr'l1-( /.$ f;, ~'-c. G~i AT U .:? ~Cc:c _ ' (' r> J~~.lt- "I7f, '<. "€ ~ 2:7 7(5 C?~y / ~- 8 CPi...-j ov 1- F,,, c"/ ~1 <- _0.;;:_ ~c ~ ':3 6 5'~- --' ----- JL _I. ' , Am ps- / r.. 7(.<:' ......,1 L..-y' I )' c:: /fit/! V)l.,''; Duct work will be designed, Fabricated and installed in accordance with American Society of Heating & Air Conditioning Engineers Standards of Z-ri?Ly" h,' / Is Supply and return registers and grills will be properly sized and of aluminum, LIMITED WARRANTY AND SERVICE: All equipment, materials and controls furnished by us has a 1 year warranty from the dale 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 Conditioner 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. h" h 3~.S".S1 '. b For t IS service the purc aser agrees to pay the seller the sum 0 .,.- Dollars, including tax. Paya Ie as follows: '-' . .6 .~ -"" r ~ / r~'1.. ' .;' , Price quoted not valid after 30 days, Th order contains the ntire agreement affecting this purchase, No 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 Ihil'y (30) days, A delinquent fee of 11/2% per monlh will be charged, Title to the installed merchandise remains vested in the seller until allllloney due. as the result of 'he 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 D~ I~ - -2 -~--- 7' .~ BYY 7~1 '/E;:4c:--L.<-- . I----~ c..---./ SALES REPRESENTATIVE PURCHASEW t!~~J;1, rd-~ ~ (L.S.) BY (Y , VALID ONLY IF SIGNED BY COMPANY OFFICER