HomeMy WebLinkAbout00-9137
BUI~NG ELEC~CAL
Property Owner: &c..oIY Thor -to""
Job Address: 51 5''1 q..& Sf- ,
Parcel 1.0. # JI-2(,- 2# - nOlo. O'J("OO
BUILDING PERM!,! 09137{11\
CITY OF ZEPHYRHILLS - "'-
(813) 788.6611 0... j l; /00
S--o.~
PLU~ING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
- Dire)
Zoning:
OescriDtion of Work
"v 0/ k ~
NO OCCUPANCY BEFORE C.O.
FINAL 3--3,--Q L>
DATE
w~
fl
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~/.?
..
P~rmit Fee ~~ (9~
- Signature _ _ __
Company (p ;;. , 1 ANd e.(z-~O nJ ttJJ
Address
- Telephone# &'13 - 2i~- /919
Valuation or \oJ tP
Contract Price 5"". 100. .
r
2b'" "
City License Registration # .LJU
State Certified License#
BU DING
ELECT ICAL
ct Ar
PLUMBIN
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
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 ($ 25.00) 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
DATE :RECEIVED
PLANS REVIEW FEE
OWNER'S NAME ThoRTO IV
JOB ADDRESS ..5 7.s <-I g Th
':-'[ )
PARCEL ID # , \ - 'J..~ - ;;2 I '- lJ 0 I ~ 0 - 03_'; 00 - C:> 17D (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR giN S TALL
LEGAL DESCRIPTION: LOT(S)
&AY<-y
ST 2e ph '1l1 "Is-
3';
PHONE
7 ?SO - 9(../9 c;
FI1
'33 S <-I D
/1
BLOCK
SUBDIVISION
o SIGN
PROPOSED USE: ~L FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
RESTAURANT & HEALTH DEPARTMENT APPROVAL
A-ls,O -XiV6if't()
BUILDING SIZE
I CA.(J IZL
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.
o BUILDING
$
~~ DC;, ~
,
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
rst'ME CHAN I CAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: !Si'BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
G?~r9~
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAV~T
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
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 perfor.med 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
*Ar.my 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".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid [Jiid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
01/05.00 13:26
BUDG
HEATING & AIR CONDITIONING I
DATE
LAST
AODRESS
CITY
HOME
110512000 I
hornton
5754 (th Street
'ephyrhi/ls [
813-780-9494 . f
" . ,.._._,.i'.~' ........ ",,'" . " . .
FIRST ftrY
liP r3540 :=-
WORK
~ :31326';>4416
BUDGET ~E~TING ~
p... 132.
T
INSTALL DATE r!
JOB SITE; INFORMATION
r:~ ~:
. .. .~.~~1
NAME
ADDRESS
CITY
PHONE
Company Profile: Budget Heating & Air Co ditionlng is a recogl'li;zed leader in the air conditioning industry, certlfied
10 represent (10) major manufacturers thro ghout a five county market. Budget has earned this certific:ertlon by providing
customers with exceptional service from It6 highly trained In house teChnical support team. Budget's strategic posItion
enables us to provide the highest qvtllity., uipment available at the lowest price wlthOwt compromising the Integrity (If
workmanship.
licensing & Certifications: No Sub Contra Ors, all our employees are paid hOurly. Company owned vehicles, 1.000,000
dollar liability policy, 5,000 dollar surit)' bo ,State License Class "AU II CAC057871. EPA cenifled teohnlci.ns, preferred
contractor status participating with TECO. l.ORIDA POWER. al'ld FLORIDA POWER & LIGHT.
Services Offered: ResIdential and Comme af Air Conditioning & Heating Installations. Split, PaCkage, Roof Top,
Mobile Home, Oas, Oll. Geothermal. andfeal Pump Systems. Electrical Upgrades, Duel Repair and 6anft.tion,
Air Purification, Heat Reoovery Systems, I Healers, Attic Insull8tion, and 24 Hour Emefg,...,cy Sorvlce.
We C8ny and $Iock most major equip men ,brands. Term financing, 90 day san\().s cash, No down p,yment,
VISA, Master Card, and Discover.
o SYSTEM REPLACEMENT n Condenser Only 'i Air Hanc:lle~ Only
All replacement installations Include ramo I of existing equipment and disposal, installaliOn 6f new system per existing
local codes. New air handler support syste ,new heat strip, reconneclion of condensation piping, new thermostat,
out door Slat, line cover, ufety Clevlces, re nnaction of electrical wiring. and repeirine of minor duclleaks. All required
permits, and clean up of premises, Not re ponsible for pre-exl~tir'l9 conditions of home construction retllted 10 electrical
or air conditioning that do not meet e)(lstln requirements.
g] SYSTEM COMPLETE INCl-UDING ,UCTWORK
Installation of new $ystems per existing 8S, heat strips. electrical wiring to exIsting panel, i111 ductwork IncludIng mylar
strengthened duct with air tight Insulated s pply bOOts, with dampered IOllVered grills In each room. All low voltage wife
to units and thermostats. formed oement ab, line cover to conceal copper lines, Condonsate piping primary end second-
ary, safety devices All required permits, nd Clean up of premiSB$. NOl responsIble for pre-existing oon<Sitions of home
construction related to electriC or air condi oning that do nol meet existing codes.
WARRANTY OPTION ~
OpUon , OpUon 2 Option 3 Condent., 5
Plamond DIamond Air Hilndl.r ;.I
~.O 2.6 Compre5sor
SC Vert SC Vert Labor 1
10 eeer 10 lee'
309e.oO 3212.00
1200,00
411.00
BRAND
SIZE
TYPE
SeER RATE
SYSTEM COST
ADDITIONS
DEDUCTIONS 250.00
REBA lES 0.00
TOTAL AFTER REBATE 2848.00
4001.00
REBATES
Teco ~
FP
FP&L
Other
ADDITIONS
Electrical upgrade - $1200,00
DEDUCTIONS
50.00 no .alesman
11.00 multi-unit dl".
NOTES Flat roof, exposed duct work. Vertical air hanOler, dl Italtsts!.
NOTES
We wlli' provide the reque.ted ..rvlce. for th~". m ~ of S '886Q:00' .. '
Recel"ed . deposit of $ balanc due upon completion $
CUSTOMER APPROVAL
671-1811 747-07$7
ST. PETE MANATEE
1-800-413-1117
PASCO
'InCludlngall';equi,eis permitS ane' u.-x..~
6850.00 'f'erms ~
BUDGET REPRESENTITIVE
F~ Oabourn
1-800-413.1117
LAKElAND
"'2-$000
CLEARWATER
J
(813) 886-7999
CORPORATE TAMPA
379-5666
SARASOTA
.
I
~31/05""'00 1.3:25
un
:z:: :3132694416
BUDGET ~E~TING ~
ET
HEA TJNG & AIR CONDITIONING, INC.
Thornton Garv
5754 9th STreet
ZeDhvrhills Florida
~~~4n
ENTRY DATE
INVOICE
813-780-94~
Services Rendered
Install a 2.0 Diamond 10 seer Strai!:lht cool s lit system and 2.5 ton Diamond 10 seer
stralSJht cool split system, complete with cusrm duct work, grills and electrical
uPRrade
part" DeecdpLiol1 i Pd~E!
2 system complete instal A 56S0.00
Electrical upgrade 1200.00
TIME
Check.
46.00
RATE
0.00
LABOR
QI.lan1 ti'
1.0
1
68!:.O.OO
TOTAr, PAR'Z'S
TAX RATE
TAX
CORPORA TE OFFICE
6Z 17 N A ERSON ROAD; TAMPA FJ~. 33634
(813) 85-7999 FAX (813) 885-7859
P. a 1
1/5/2000
17218
Cost
!;G50.00
1200.00
6650.00
TOTAL DUE