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Home My WebLink About00-9178 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 BUI\NG ELECT\CAL PLU\BING Property Owner: ~r'\ ,,) 5 ,: ~ (;( t d Job Address: 72~2 A5~ Iu......rl DF, Parcell.D. #?c -1~. '2 t - 0050 ,GOOGe) OJ/ () Zoning: Descriotion of Work v JO.o....... MECHANICAL 09178 Dote ,I ZI/ ()~ Permit Sewer Conn Water Conn: Water Meter: T.I.F.'s: Energy Code: ~eI'14(,~ t.k(~-4- , O'.A..I--.f I Radon Gas: ) y .Jf-e. V1, NO OCCUPANCY BEFORE C.O. FINAL C.O. /-3/-(!?CJ DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price DATE Inspector ) 7 '7 o. 0..3 ~GJU Permit Fee $""', - ~:;::U:yi;aMU i' Address -. Telephone# ~7- lilll ~fl,~ City License Registration # 5.3 State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ELE , .-<\C:OI' l MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a charge of Fifteen and 00/100 Dollars ($ 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 RECEIVJ:D PLANS REVIEW"1'EJi: OWNER'S NAME--13 c- Ie T RA-tV () ~ i /11 J'1-t~O JOB ADDRESS 7;2.. 'f2. I}SJ1 Ll4tvC'i n~ PHONE g)3 - 7K' f/ - 70.3 I / LEGAL DESCRIPTION: LOT(S) PARCEL ID # * 3S- - J..S--cJ..1 BLOCK SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION -oa~o -OOQOo-D31DIOBTATN o ADDITION ~TERATION FROM PROPERTY TAX NOTICEl o REPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE:'pl.sGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK R 'E",V'Li4c (;" H~4r p u Vt-p S 1/ S I € """' , BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING AMP SERVICE o FLORIDA POWER o W.R.E.C. o MECHANICAL ot. $ 2770 VALUATION OF MECHANCIAL INSTALLATION DGAS 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 BUILDER SIGNATURE !7J1} COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN f)Jrft COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLtJIdBER SIGNATURE /1/ ~q COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** . COMPANY: socrrH f!'~ C'L>-+ctl- T ~........... .P/i _ II ~ STATE CERT OR REGIST # ~ 1>1 0<,,> j~ 0".3.- ~ ~ JL~~ CITY PROCESSING # S~ *******~*::**************************************************** Mli:CBANICAL SIGNATURE OTBBR Nlq- COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** lmITIONS OF J:'ERM.lT AFFIDAVIT .A. ~OTICE 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 l~cens~d as required by law, both the owner and contractor may be cited for a mis~meanor v~olat~on 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 ~ntitled 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 *AImy 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~~~ SIGNATURE: OWNER OR AGENT ~"'.~~ G URE: CON CTC)R STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _day of , 19 ~ by (name of person acknowledged) C1ho is personally known to me, or STATE OF FLORIDAPAS COUNTY OF C::.O The foregoing instrument was acknowledged Before me this ~day of.J.tJ'f/lI14-A'# , _ :t.c:xx:> by P,6~r~rl-",,~ ....SlfYll't-A.O ' (name of person acknowledged) Dwho is personally known to me, or * sr~-IJW;)""~IJ-t>C(f(-o JilwhO has produced_FL.r+ nn L., c.. t:t.. (type of identification) and whoD did Ddid not take an oath. ,-1~ ~t~r--'A+~.L signature~f person taking D who has produced (type of identificatiou) and who Odid (]:iid not take an oath Name typed, printed or ~",\""I"",111. ~~~ J. LAQ a~.. ,'~~~N...,....~ ~". r;:;.... "R '1"'..0 .,. ~ ~ :.>..'tl ~'O<. Is ~.. ~ :: ~.:;: ~~ ..~ ~n~ :: _~. 0 .*::: stalL~. Cl ... 0 . - ~'$\ #CC597681 :~~ ~~..~ ,$':~:: ~~..'''1-8ol1ded\''\~~.. <::5 ~ ~ 'J-A..l'tiblic Ull\\~ ..~<<v*, ~ 1I8i......~ (,)'\ #' :fIll. <.Ie Sl~\" ~,~ 1"I"illl""\"~ Signature of person taking acknowledgment Name typed, printed or stamped State of J'~ A. 111111I111111111I111111111I11111111111111I11111I11 00007980 Rcpt: 386150 Rec: 6.00 DS: 0.00 IT: 0.00 01/21/00 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 01/21/00 01:52p. 1 of 1 NOTICB OF COMMBNCBMBNT OR BK 429a PG 191.3 County of ~ 11 5 c-o . Permit No. :,. tv/tJ THB UNDERSIGNBD hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel NO.~ ~h" -;J.5-;;}/-*SlJ-~()OOO- tP.310 (Legal description of the property and street address if available) 2. Gt::lit:=L a.l Descl:" i~ tion of Improvement ---R e:. p L- ~ c:.. E. H~A-T pu~ ~ y~T r;. t'H , .. , 3. Owner Information: Name ---.B..f.fl. Tf{ t4 N r~ S I JY111-~ 0 Address 7-;42- I9SJIt.t4ItJO(M.City 2apJ..l}/K.}/IJI~ State FL. Interest inpropez;Ji:r: C:>UJ N 1Z yc.... I Name of Fee Simp~e, Titleholder: IV/4 (If otherith4~.owner) Address City State ..-;:~.-.~""! ~'R' 4. :1 ... - . .... Contractor: Name ..~O(JTH ~~}t.J ('" /JJ3-t TO t2.-T Address LJ/o9 c ~ t ~~ City Wlt:6S TIZ/l. Surety: Name IV 4 t=:vv T. 33 5'~-i State Ll9 . 5. Address City State Amount of Bond: $ 6. Lender: Name /1/4- . Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida ~tatutes: " Name NO IV C2- Address City State 8. In addition to himself, Owner designates tt/t1/tlE. of !ttIJ tV~ . to receive a copy of the Lienor's Not1ce as provided in Section 713.13(1)(b), Florida Statutes. g. L~xph At lUll ditto oJ: Notlco C?J: CUllulloncolllonL (Lbe explration date is 1 year frQm the date of recording unless a different date is specified.) Signature of OWner: ~v .~ f.'".t.A. DA t(. 1-1'. #- STi '5"~3-~6D-':>B- tPYIf-f!' ~,'Sworn to and subscribed before me this . ~ I clay of JI4Nu A~-1 .., , .. ~Q:x). ~\\\\'''tII''''II',~ ~"~...t; J. l.Aa~i/",~ ~ ,,~...... ~ ,$'~~~.~~\SS'ON;~...~ ~ ;:: .. ~~:~~ ER ~ ..~ '=" :: : 'die -- =*= t;g...8 :*5 - .e . _ i,\ \ ~ lee S91'88 1 f:'': lli ,="_.iL 8: . :!!!'.;;;S~ '~~.;~~.if.~\181!,\~~~~~.:-' ~~ , f{' ,~'.~ 4~otary Public: My Commission Expires: PROPOSAL SOUTHERN COMFORT ENTERPRISES, INC. P.O. BOX 486 4109 COUNTY RD. 656 DADE CITY FLA. 33525 WEBSTER, FLA. 33597 352-567-6111 352-793-5501 RM0015022 ----------------------------------------------------------- NAME DATE BERTRAND SIMARD OCTOBER 20, 1999 ---------~------------------------------------------------- STREET 7242 ASHLAND DR. JOB NAME SAME CITY, STATE ZEPHYRHILLS, FL. 33540 JOB LOCATION SAME JOB PHONE: 788-7531 WORK PHONE: ==========.====.================;;--~==========-==-===-==== We hereby submit specifications a~d estimates for: REPLACE HEAT PUMP SYSTEM OPTION # 1: TEMPSTAR: 9000 TWO & ONE HALF'TON EQUIPMENT: CH9530 WITH FCX3600 AND AMFK5 COOLING CAPACITY: 28,600 BTU. SEER. 12.0 HEATING " : 28,600 BTU. HSPF. 8.0 HEATSTRIP" : KW. 5.0 PRICE-------------------------------------------( $ 2730.00 ) o~,- , ~~ ~) U ,;. T F i <:: H r~ ,.:z... If'::" () <:.. ~.!::.J .,OP'!'3:{)N # 2: TEMPSTAR 9000 TWO TON--;i..710,O J '!i1'/t-') 0 EQUIPMENT: CH9524 WITH FCX2400 AND AMFK5 COOLING CAPACITY: 22,800 BTU. SEER. 12.0 HEATING " : 23,800 BTU. HSPF. 8.0 HEATSTRIP" : KW. 5.0 PRICE-------------------------------------------( $ 2550.00 ) THERMOSTAT: HEAT AND COOL COMBINATION, MANUAL SET. DUCT WORK: FIBERGLASS TO EXISTING, NEW PLENUM, CHANGE FLEX. RETURN THRU EXISTING FILTER BACK GRILL. WARRANTY: LIMITED ONE YEAR WORKMANSHIP AND MATERIALS BY DEALER. FIVE YEARS ON ALL PARTS & TEN YEARS ON COMPRESSOR BY MFG. ::::::~::~==:::::::~::::::~~~~11%:~:::~ WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: SEE BODY OF PROPOSAL -------------------------------------------------------------- Payment to be made as follows: ON COMPLETION. All material is gua~anteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by workmen's compensation insurance..JJ ../J lIy/J /J I ~:r:~~~:~~~-~:~~~~~____J~-~-~~~ Note this proposal may be withdrawn by us if not accepted within 30 days. ~- ACCEPTANCE OF THIS PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified". Payment W~ll ~--- de aSA~ined above. " " ~:~~~~~ - ~~~~:~-~::~::~~~~fi~---_