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Home My WebLink About01-0267 BUILDING PERMITN2 0267 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 4( 2 ?/o \ Property Owner: Job Address: Parcel I. D. # l? O. ~~ MECHANICAL Sewer Conn BUI~NG Water Conn: Water Meter: T.I.F.'s: (J '\ { 00 - 0 l' 0 Zoning: Descriotion of Work . Energy Code: A /<: Ul6.~e Radon Gas: O~,+ 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 City License Registration # State Certified License# p.'m;tF..~ \-- Signatu4 _ ' ~ Company Address I( Telephone# B' s ~ 8 ~ \' ~ 7999 Valuation or Contract Price ~ 207. C(..GJ '"1, t/ A (e MECHANICAL 2b'lO BU LDING ELE TR AL PLUMBI G Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b, Condemned work resulting from fal.llty construction. c. Repairs or corrections not made wh.,n 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. U.GET M&~~ HEATING & AIR CONDITIONING, INC. l/-~~. ;LJ . ODIt) . D'g300 ./)/10 Macoleth Jacauetine 38703 9th Avenue Zeohvrhills Florida ~~!=iA.~ ENTRY DATE INVOICE 715-6191 Services Rendered Install a 3 Ton Diamond 12 Seer Straight Cool horizontal in attic to existing duct work, grills & electrical. New copper, 2 supply ducts, 2 return air ducts, close existing return in wall add 2 ceiling returns, 12x24/12x20 Sq D breakers Line cover Part# TIME Description System replacement Additions Deductions Price 2607.00 700.00 100.00 Quanity 1.0 1 -1 Due Upon Completion 48.00 RATE 0.00 LABOR 3207.00 TOTAL PARTS TAX RATE TAX CORPORATE OFFICE 6217N ANDERSON ROAD; TAMPA FL. 33634 (813)885-7999 FAX (813) 885-7859 4/18/2001 31024 Cost 2607.00 700.00 -100.00 3207.00 TOTAL DUE "BUDGET HEATING & AIR CONDITIONING INC. DATE LAST ADDRESS CITY HOME 4/1812001 ! Macoleth 38703 9Th Ave Zephyrhills 1715-6191 i FIRST ~acqueline INSTALL DATE ~/20/2001 I JOB SITE INFORMATION ZIP WORK NAME ADDRESS CITY PHONE Company Profile: Budget Heating & Air Conditioning is a recognized leader in the air conditioning industry, certified to represent (10) major manufacturers I throughout a five county market. Budget has eamed this certification by providing customers with exceptional service from its highly trained in house technical support team. Budget's strategic position enables us to provide the highest quality equipment available at the lowest price without compromising the integrity of workmanship. Ucensing & Certifications: No Sub Comtractors, all our employees are paid hourly. Company owned vehicles, 1,000,000 dollar liability policy, 5,000 dollar surety bond. State License Class "A" # CAC057871, EPA certified technicians, preferred contractor status participating with TECCO, FLORIDA POWER, and FLORIDA POWER & LIGHT. Services Offered: Residential and Commercial Air Conditioning & Heating Installations. Split, Package, Roof Top, Mobile Home, Gas, Oil, Geothermal, and Heat Pump Systems. Electrical Upgrades, Duct Repair and Sanitation, Air Purification, Heat Recovery Systems, Pool Heaters, Attic Insulation, and 24 Hour Emergency Service. We carry and stock most major equipment brands. Term financing, 90 day same as cash, No down payment, VISA, Master Card, Amex, and Discover. ~ SYSTEM REPLACEMENT n Condenser Only n Air Handler Only All replacement installations include removal of ~ng equipment and disposal, installalio;;c5f new system per existing local codes. New air handler support system, new heat strip, reconnection of condensation piping, new thermostat, out door stat, line cover, safety devicesi reconnection of electrical wiring, and repairing of minor duct leaks. All required permits, and clean up of premises. Not responsible for pre-existing conditions of home construction related to electrical or air conditioning that do not meet existing requirements. Option 1 BRAND Diamond Air SIZE 3.0 TYPE SIC SEER RATE 12 SYSTEM COST 2607.00 ADDITIONS 700.00 DEDUCTIONS 100.00 REBATES 0.00 TOTAL AFTER REBATE 3207.00 SYSTEM COMPLETE INCLUDING DUCTWORK I IIation of new systems per existing codes, heat strips, electrical wiring to existing panel, all ductwork including mylar strengthened duct with air tight insulated supply boots, with dampered louvered grills in each room. All low voltage wire to units and thermostats, formed cement slab. line cover to conceal copper lines. Condensate piping primary and second- ary, safety devices. All required permits, and clean up of premises. Not responsible for pre-existing conditions of home construction related to electric or air conditioning that do not meet existing codes. WARRANTY OPTION Condenser Air Handler Compressor Labor Option 2 Option 3 REBATES TECO ~j..' FP 1 FP&L, Other , ADDITIONS 0.00 0.00 ~ DEDUCTIONS I I I NOTES NOTES Horzontialln Attic, New Copper, 2 Supply Ducts,2 etum Air Ducts, Close Existing Retum in wall add 2 ceiling retums 12 x 24 or 12 x 20. Square D Breakers, New Line C ver We will provide the requested services for the s m of $ 3207.00 Received a deposit of $ 0.00 balanc~ due upon completion $ CUSTOMER APPROVAL Including all required permits and taxes. 3207.00 Terms Check 571-1515 ST. PETE 747..{J767 MANATEE BUDGET REPRESENTITIVE 1-800-413-1117 PASCO (813) 886"7999 CORPORATE TAMPA 379-6666 SARASOTA lRick Osboum 1-800-413-1117 LAKELAND 462-9000 CLEARWATER I CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ JI.- 0'7; 3 BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540~ ~ Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ..c;sl-Sif )11/;); S~ r&9'( ('-..k:)),; /:!c/r",J,,.) PHONE CONTACT JOB SITE ADDRESS 3!? -4 tc I ('/ R. ...{- -4 p..( /.. _ 7.r J /' y, /;</ if R / 3,3...570 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # Ot-Z"-l.l-OCfIO-(j.~.300 - 00/0 WORK PROPSED: DNEW CONSTRUCTIloN D ADDITION DALTERATION {OBTAIN FROM PROPERTY TAX NOTICE) J(REPAIR D INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING A. COMMERCIAL DMULTI-FAMILY D# OF UNITS D MOBILE HOME DOTHER D INDUSTRIAL D SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Ifb ROr! J.-- BUILDING SIZE <.:; () ,>( 10.3 RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY ~;o:S/; -1/ /) /':~ ~ S~ r(7. (;'~ ~<U'.-/[f,/lti _-..1 J / .Ail J/O C r;',j'j SQUARE FOOTAGEr/'(J)( .::>, u HEIGHT ..z;..Yt' c!:. -r PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. OF BUILDING PLANS & (1) SET ENERGY FORMS. REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ \ ~ "-)~ <:)0 VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ D GAS )(ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES )eNO COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # MEC~ S~URE ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # OTHER *****************i************************************************ ,%~ ."'J SIGNATURE /', COMPANY r 4, /, /~'CJ r: ;'-1 5 STATE CERT OR REGIST # ~ CITY PROCESSING # ***************** *********************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTIC~ OF D~ED 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 fo~ 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 $2,50, IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR STATE OF FLORIDA .-:y cc>LD COUNTY OF - The foregoing instrument was ac~nowledged Before ~ this ..d...~ day of ~t"'I' , 1:9..~ I by ~DY\~ ~(-,\{>'C'\6.'I::..," ~ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this ~<(day of 14-,o/VL. , A:9 0./ by (name of person acknowledged) [1ho is personally known to me, or ~ rc-LC. r&S-llbV(P~3~70 tfwho has produced _ ~ype of identification) and who Ddid l&fid not take an oath jJ~kcn~/dl-~ -----' Signature of person taking acknowledgment ;< e-h.e U'a.. b V vr.fle.:rt--. fJ ;:J-~ e of person taking acknowledgement Name typed, Name ~. ~~ '::'-J \~' '-! 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