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Home My WebLink About01-0335 BUILDING PERMIT~~ 0335 CITY OF ZEPHYRHILLS (813)-TJII (i~1' \\_ 780 - o024~. '!JJ BU~NG ELE~RICAL PLU~ING MECHANICAL Pmperty OW""" ~,,~ y ~... 0 ; <' c.-'" t.-" u. s e r Job Address: 3170 g cr::fS Ave Permit Oat. 5/22 /01 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcel I. D. II Zoning: DescriPtion of Work Energy Code: A 1,- (j,,~"7~ Radon Gas: ~Ll~ - Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Qrdinanees. FINAL C.O. ~-{).,j.-t) DATE NO OCCUPANCY BEFORE C.O. DATE Inspector Valuation or Contract Price ~7 ~r; , a.> Permit Fee \( Signature Company Address ,I. Telephone# 45,~ ~u!L_.-4' City License Registration # State Certified License# :>~ ~ - '3,..[" -5'53 t> 'ner"",,() Loc' A:/' 4- ~.,. :l BUI DING ELECTRI\: AL PLUM ING MECHANICAL 7ff<f: Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts Insl. Lintel Meter Can Water Compressor FRM. Const. Pole Sewer Final &7 0)-0 J Insul. CL \ Pool Final \ - { f WL \ Pre-Meter \ ~.Y?, Final \ Driveway \ \ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 B~ STRBBT ZBPHYRHILLS, FL 33540 Phone:813-7BO-0020 Fax:813-7BO-0021 DATB RBCBIVED PLANS REVIEW FBB OWNER'S NAME 'T~_ V JeLl 0\ 2>c..H A A r) C3.e ;? JOB SITE ADDRESS 3<670'6 I ACl U e- PHONE CONTACT 771.- l~b:J LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION DREPAIR D INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY D# OF UNITS D MOBILE HOME [J COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL - DESCRIPTION OF WORK ~pl & I!... '3 Tn ~ t::t ~ 'II' +\-11.......1> L.e~ ~ c;/!1l'1lta~...... ~Gn 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 D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE [J FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ 1fJ L.J '1 "tS- ~ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING [J SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK [J FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *******************************************~******~~************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ~/, ~(2; ~ - ****************************************************************** COMPANY 7ilk:R~1'9 C-t,.bL -- W......... l~w~~.s STATE CERT OR REGIST # CAt-ll (1) 993tJ CITY PROCESSING # MECHANICAL ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". ~e~~~ SIGNATURE: OWNER OR AGENT ?5;d!4i~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [Lho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid [J:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ~; ; THERMO-COOL AIR CONDITIONING & HEAT, INC. ~14/1D/1~ Lake County 352-326-5530 One Stop Repair ~~. Marion County 352-245-6344 . Citrus, Hernando, & Sumter CountIes ' 1-877 -526-5225 License # CAC008930 Serving Central Florida.Since 1992 EQUIPMENT INSPECTED Make Model # SArial # PRICE ,P/"v,rNa.E Visa MC Discover CK Cash TOTAL M Arrival Depart Today's Recommendations: r7;~a..t;drn-S ~t '--". g {< J-'.. '1 JC;:;; eo (a:' K..F ll- ) All mail correspondence: 201 Miller Street Fruitland Park, FL 34731 !i9 ~~ SERVICE INVOICE 502'562. Date .s-, /q 1 (;) I ./...t'~ ;;f>u~~t"'MA/.L.!5~~ JtF: ~ 9 ~ . NAME STREET SUBDIV. CITY ~~a/A"~;&' STATE ' ~ ZIP .!!1~~.yO PHONE &'/$) '7'9- /0&'.,7 TOOA Y'S INSPECTION REPORT Condensor Suction Head Condensor Coil OF Suction Volt AMPS OF Ambient OF Discharge OF Entering Coil Condition Cabinet Condition Refrigerant Leaks Condensor Fan Motor Volt OK Added Amps Bearings Evaporator \ OF "eturn Evaporator Coil Conditio~ OF Supply..... i Drain Pan & Line Condlti~ ...- t " Cabinet Condition Evaporator Fan Motor Volt Amps Bearings Air Filter Electrical Components Relay Overload Contactor Pressure Switch Controls Thermostat Humidistat I was _ was not _ happy with today's service. Comments Serviceman 1.0.# 4~~ &?A' ..., Thi. invoice is aubjOd to. Finonco Chorgo 01' 112% per moolh, Ann"", PlIfCIIIll_ RoI. 0/18% which is allowed by 1_, ~ is agreed and"--_ by !he por1iee _.. -,,",ant and porta which... aoId pw..... _ _. NOT _. fixturo. 0< port o/!he _ ..Iot. __ they .... p_, Said port. and equipm.nt .h.U .t .Ulim.. remain the pel"SOnaI property end the title thereto IhIiA remain in the ....... \M'Itil paym in ful ia received. agreel thel .. perU n equipment may be HiNd in Ihe .....ent of non-paym.nt I have aulhority 10 order the work al oulllned Ibove. I to p. COil, and r able lit ney', e.. If Ihi, inv _ i. placed in Ihe hln , of an Bltorne)' for Collection (II] VISA Customer Signature QPS 10-04 J 7 -r.!- ST- 1~g5;1.- 9a.:DL CrTY " ~. . , . ,I' . .'. .'.- ' . '." . . . '.. . . " , '\ STATE:M:ENm:OF' CONTRACTOR~S ,~SPONSmILITIES "to . .' . '. .,. - - , . . '. '. .. .. . . '. . . UNDER SECTION 489.1425., E.S. BeginDhls on November 1, 1995, for eyery constn1cUOD contract involving work Oll.__ . . . rCSidential property, tho contractor must givo tho property owncr or _mer a ~py of the attached ' , ' ,NQticc ofConswi1er Rights Under Tho C~nstrucUOD Industries Recoverr FUnd. /uJ.y asreement or contract for ofepair, restoration. improvement or construction to residential property mUst coi1tam a wrltten. atate!UCDt explahling tb. cconsumer'a rishts uncler tho Construction' Industries ~;ery Fund (CmF), except where the Value of ~ tabor and . ~ ' , materials does not exceed $2,SOO~O., 'J;h.o'Written statement must be in the fo~wing form: COnstruCtiOD Industries RecQvery FUDd . . ,.:. .....:. . PAYMENT MAY BE AVAlLABLE FROM: 4im_~'CONSTRUCTION INDUSTRIES . . .'.. ,'. ,.,." .~......,'.. ,. .1- BECOVERY FUND IF YOU LOSE l'4PNEY .ON A :PRo.JEcr :PERFORMED UNDER . ;!,". '. ' ' . . ". CONTRAct, ~ THE x.Q$S':RESULTs FROM SPEClFlED VIOLATIONS'OP' " FLOlUDA LAW BY A STATE-LICENSED CON'I'BAcrOR. FOR JNFORMATION .ABO~ mE llECOVERY~ fID ~G A CLAIM,. CONTAct THE FLQlUDA CONSTRUCTION INDUSTRY LICENSING130AlUl AT THE FOLLoWING TELEPBONE' . ,-,,/' , '...... ' . !o'. ' . NUMBER AND ADDBESS:" DEPARTMENT .0,'6)lVSINESSAND l?RoFESSIONALBEGt1LATION CONSmY~oNINDt1smJ{I..ICJ:NSINGBQA1U) , 7960 ~GtONExPlU:SSWAY, SUIrE 3Q~ 'JAas.~' Fx.omDA32211-7461 . TiLEPHOliE: (904) 727-3650 . . . ~. . CUSroMRSIGNA~ ~a ""5/ /J .' SALES, INVOICE NUMBER' t::::>' <::0< W~ "