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Home My WebLink About99-8965 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8965 Property Owner: Job Address: Parcell.D. # ~CAL ~ jkf-.f11ZY~. .~ c10 ~;~~ Date /1- .8 - 91 BUILDI~" Sewer Conn Water Conn: Water Meter: T.I.F:s: Zoning: DescriPtion of Work FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. BUILQJN6"" ...----- ELEC~ ....-"" Inspector /""...-.. ... '" v '--~..m;~ t). , ~ Signature 9~~;rJ~-{~;b Company Ad_~~~ ~~ . ~_~~.~~~ C,.-;) / - t?t:/d< 2> (ffAJis ~ 9- r7~ ~ PL~' M i HANICAL .- Valuation or Contract Price I- :;'90' ~ /((9 City License Registration # State Certified License# Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 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. JJ Jack's Heating & Air Conditioning, Inc. 36245 State Road 52, Dade City, FL 33525 24110un (352) 521-0420 Fu (352) S2.-0Q98 Work Order CAC057900 To:. Rene; Cam p be 11 11/02/99 Location of job: 5509 23rd st ~ Zephyrhills Fla. 33540 lIomel)hone#Rene Campbell 783-7661 Work I)hone # 813-782-2913 We propose to flUnish alllaoor and C<Jllipment (license and permit when necessary) for complete installation. to he tested and ready to operate at location aoove. We have carefully analyzed YOUl equipment to he of sufficient capacity to produce design cootlitions acconlios to Florida Energy Code High of 90 dcgn:cs outdoors temperature and 78 degrees indoor tempemture. Building 111ust he kept reasonably tight, wiooows aoo doors kept closed except for nOf111llI passage of pc:rsons ami properly insulated (minimlUn of 6 inches thick). Installation includes: 1 2 3 4 5 6 7 8 9 10 Remove existing condenser. Install Frigidaire heat pump ronrlF'nRF'r Install whip. bi-flow filtF'r rlriF'r, condenser pad, re-work linF' rovpr for proppr fi~,clean F'VHporHtor roi~~nr1 hln~pr ~he.l Condenser M/N T3BA-024K . Lump sum pric.e: $12QO_OO Option: Insulation Up-grade Service Yes II No n Size N / A Exisling Ceiling Damage II Yes ~ No C . Duct wCIIl will he desi~lfabricated. and installed in accordance witb American Society of IIeating &: AU Conditioning Engineers Standards of 1 t Y 0 f Z e p h y r fi i: 1.S5ul'ply and o.1nm resisters and willes will be Ilfopcr Iy sized and of ahQuinwn. Amps N / A LIMITED W ARRANTV AND SERVICE: All equipmmt., materials, and controls Ibmished by us have a I year wananty from tlte dale of installatiOlI agaiost dcfeds in workmallShip and material. In addition we extend to you the manufaclUlen 5 year pmtcction plan 011 the CClIIJflRSsor. Our 000 year service respoosibility doc:s not inclluda breakdowns of Air conditiouer due to blown fuses, tripped breakers, dirty lifters 01" plugged dnJin lines. Wan1uJty service will be performed durins DOrmal wcxting houn of 8:00 a.m. to 5:00 p.m. Auy request for service aRer 5:00 p.m. or on weeklCllds or holidays will he billed to customers at c:urn:ut billios mles of time and one- half. For this service the purchaser agrees to pay the seller tho swn of $ 1 290 . 00 dollan. t//# Payable as follows: Bill to: Nancy Hanley ~ PO HI l1?~ ~Hn Aqtonio Fl. 33576 I f Prico quote nol valid aRer 30 days. 111is order contains lhe c:ntinlagrcemeot alTectios this purchase. Not other agRlCllllClll. undcrstandiog or wamnty baa heen made a part of this conbact mlless wrillen hereiu. ~lf this instnancnl is n;fanxl to au attorney fOl" coalccliOll or enfon:auenl,dJO maker agrees to..y a , reaaonablcattomcy's fee. plus comt cosls. If dIe maker is delinqumt for a period of thirty (30) days, a delinquent fee of I ~% per mOllth will be charged. Tille to die installed merchandise remains vested in die seller mltil.U mOllcy due, as die result of the ..Ie hu been paid 10 the seller. Your acCt:ptanco below will be our authorily 10 ('I"oceed with die installalion. Thank you for YOI~'" ".." El~.L/ ~ Accepted Date ~ 9' oy: _a-e.-~ ~gA_ Purchaser ;::7.' (L.S. y: J a c k K u t s c h ...... SIGNED BY COMPANY OFFlClER , " APPLICATION FOR PElWIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED 1(- 3- 'l,) PLANS REVIEW FEE JOB ADDRESS Lu ~ '? b<c \ \ 5So~ L..~rq \ ~<:(.r\ 't... <r- . L.<r rhW/~\ \ \~ PHONE ( <61 ~ ') l ~ "3-, - 1 (0(", \ OWNER'S NAME \ Cl LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 1;J-. - 9-b -- nl/- (!;)eJ () 4 -L.->~~)b~)C)>-crg~tgN FROM PROPERTY TAX NOTICE) WORK PROPSED: oNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR ua-1NSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: oSGL FAMILY DWELLING o COMMERCIAL oMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK C)0CA I\U <c... ou\ \ ~ \bt0 0. \( (J:.rc1. C-c>re1 'vf\.S\:j' l)n rt, BUILDING SIZE SQUARE FOOTAGE 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ \ 2-0.0.0() VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING ~CHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # BUILDER ****************************************************************** ELECTRICIAN SIGNATURE COMPANY . - - - - ~ STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ~. COMPANY)" r~ LX... 'e:.. ~...h:'fr-h':5 ~ A-,{ GwJ, ~ II ~ ~... ..J STATE CERT OR REGIST # cAcoSlc,oO /,{ ,...../\ . CITY PROCESSING # \<6q . \.~ MECHANICAL ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NpTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. 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 made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will 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 may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. 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 ~NOTICE OF COMMENCEMENT". - subject to ~deed restrictions" which undersigned assumes responsibility for ~~ SIGNATURE: OWNER OR AGENT V1~ SIGN~ RE: CONTRACTOR STATE OF FLORIDA () . . COUNTY OF r~"-)L0 The foregoing instrument was acknowledged Before me this ~ day of ~ , 19C1S by LIUT 't..0 Gn:..~\r0 _/,(name of person acknowledged) t%who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this =:L..,.I day of \. Xf~..e.., 19 t;!') by Rd\<&A l~2-~iiJ ~ (name of person acknowledged) ~ho is personally known to me, or Pc... '::>Lo o who owho has produced of identification) take an oath. e of identification) not take an oath , Sig Signat re of person taking acknowledgment Name A-\.c'r L --- ~U-k~ ~ .. .. typed, printed or ~~~ ~.: ! '.. ,~..,. AUCC l.. aElLA4il My CommlnIon ~t87 e.,... Noy. 05, ,.. C\L\LC l t..:'-,EJ (.;ts Name typed, ~~~ed or stamped .,;' ... ALICE l.. aEllJlo8 "..... * Uy CommlnIon cQ600f87 ... e.... Noy, os, ,.. '!~)' ~~ 'H ,~'liJ9.'