HomeMy WebLinkAbout01-0451
BUILDING PERMITN~
0451
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
7/2i!OI
BUIL~ING
ElECTR~AL
PLU~ING
~ >. CC>
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: 'ZG (.... ~ w' \ \ \ Cc ,.,....
Job Address: . b lor f 1 A'j '^~ S'T, b L 0 J
Parcell.D. # b 1 - ') (; - ::;, - b 0'2 c. i) 0 "50 () - eo t 0
Zoning: jnergy Code: Radon Gas:
Description of Work A Lt:.. ( he. .'\. 5 .(' 0 4.+
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or
Contract Price
J2 <)'5.
Cole.
Permit Fee
~ S-. "!:!
~
. ,." --" - '/" M./.....-.I' A < ~
City License Registration #
State Certified License#
+-, Signature:
Company
Address
t' Telephone#
(8"/3) f?s ~-- 711 '1
\
~I"~~~
MECHANICAL
Ftr. Tp. Servo SlB
Pre SlB Rough In Tub Set
Lintel Meter Can \ Water
FRM. Canst. Pole 'I Sewer
\
Insul. CL Pool \ Final
.
WL Pre-Meter \
\ Final \
\
Driveway
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540
Phone:S13-7S0-0020 Pax:S13-780-0021
DATE RECEIVED
PLANS REVIEW PEE
OWNER'S NAME CrJ cK- \ A \ " II t A rJ\.
JOB SITE ADDRESS ~$<(~ f)GA-fe
L Lo ")
LEGAL DESCRIPTION:~OT(S)
PHONE CONTACT
5+ r~ ~ +
BLOCK
SUBDIVISION
PARCEL ID # () ~ ;J..~ ';t ( 00'').0
OD "'3n r'l
o ADDITION
00 to
o ALTERATION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK / /1-1 c.. c. jV~-,;1./f t' t:)u-f
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
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R"E"C.
o PLUMBING
,~ MECHANICAL
$-
d-d- ~S-~
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 AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUHBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
SIGNATURE L.--:2.....,J" ~
*****************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
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".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
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)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Qiid not take an oath
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
DATE: 06/19/01 PASCO COUNTY PROPERTY APPRAISER
o N - L I N E PAR C E L P R I N T 0 U T
14:58:28
. ,
PARCEL-ill: 02 26 21 0020 003~'~""~0-10-~PE:
SC' TP ,RG, SUB" BLOCK LOT
STATUS :A
DLA: 101891
PARENT:
NOTES: T/C
DATE-SPLIT: OOOOOO/FID
CLASS: 28
LETTER CD-
OWNER CHG-
NAME: ZACK WILLIAM E &
/ADDR ZACK MILDRED S TRUST
10423 137TH LN
LARGO
FL 337745323
PREV OWNER: ZACK WILLIAM E & MILDRED
STREET ADDRESS: 6043 AGATE ST
ZEPHYRHILLS, FL
VALUE &
LAND AG:
-MRKT:
BLDG:
XFOB:
TAX INFO:
2094738
84329
14898
E X E M P T ION I N F 0: SOH HX APP
NUM CD H W D V T PCT HX-OVRIDE YEAR DATE
** NO EXEMPTION(S) ON FILE **
S YR
APPR:
SOH:
EXMT:
2193965
--------------------
--------------------
TXBL: 2193965
ACRES:
AREA: 30ZH
LOTS:
CHG:
DENIAL TYPE:
AUTOMATIC RECEIPT DATE:
HX VAL:
MKT CHG HX:
MC LAND HX:
PHYS HX:
o
o
o
o
NON-HX:
NON-HX:
NON-HX:
NON-HX:
2193965
9239
143581
1026-
PRIOR YR VALUE:
PRIOR YEAR MKT:
MKT DIFFERENCE:
PRIOR HX VALUE:
PRIOR HX PCT:
PRIOR NON HX:
2042171
2042171
o
o
2042171
YEAR MON
1972
1991 01
BOOK
0601
1981
PAGE
0760
0205
S ALE S:
SALES-AMT INST XFER
QUAL
ST
LIFE
I/V
I
I
QC
LEG A L DES C RIP T ION:
ASSESSED IN SECTION 02, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
SUB W1/2 OF SE1/4 B 2 P 6 LOTS
6 BLK 4 & LOT 1 BLK 5 EXC PCL
STATION IS LOCATED
1 4 5 8 BLK 3 & LOTS 1 2 3 4 5
20 FT BY 20 FT WHERE LIFT
OR 1981 PG 205
.
I
UDGET
HEATING & AIR CONDITIONING, INC.
Caskey Barbara
6203 Aaate
Zeohvrhills Florida
ENTRY DATE
INVOICE
813-779-2562
~~~A.n
Services Rendered
Install a 3 Ton Diamond Air 12 Seer Straight Cool Package to existing
duct work, grills and electrical. Slab, digital Tstat.
Part#
TIME
Description
System replacement
Price
2255.00
Quanity
1.0
Due Upon Completion
48.00
RATE
0.00
LABOR
2255.00
TOTAL PARTS
TAX
TAX RATE
CORPORATE OFFICE
6217 N ANDERSON ROAD; TAMPA FL. 33634
(813)885-7999 FAX (813) 885-7859
6/18/2001
31378
Cost
2255.00
2255.00
TOTAL DUE
BUDGET
HEATING & AIR CONDITIONING INC.
IRAND
jlZE
YPE
JEER RATE
:YSTEM COST
.DDITIONS
IEDUCTlONS
tEBATES /
'OTAL AFTER REBATE ~5.00
)ATE
AST
\DDRESS
:ITY
10ME
INSTALL DATE 6/1812001
6/1812001
Caskey
6203 Agate
Z'hiIJs
779-2562
FIRST
Barbara
JOB SITE INFORMATION
NAME Same
ADDRESS
CITY ZIP
PHONE
ZIP
WORK
33540
779-2562
Company Profile: Budget Heating & Air Conditioning is a recognized leader in the air conditioning industry, certified
to represent (10) major manufacturel15 throughout a five counly market. Budget has eamed this certification by providing
customers with exceptional service from its highly trained in house technical support team. Budgefs 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 Contractol15, all our employees are paid hour1y. Company owned vehicles, 1 ,000,000
dollar liabiHly policy, 5,000 doUar surety bond. .state Ucense Class "A" # CAC057871, EPA certified technicians, preferred
contractor status participating with TECO, FLORIDA POWER, and FLORIDA POWER & UGHT.
Services Offered: Residential and Commercial Air Conditioning & Heating Installations. Split, Package, RoofTop,
Mobile Home, Gas, on, 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.
X SYSTEM REPLACEMENT Condenser Only Air Handler Only
All replacement installations include removal of existing equipment and cflSposal, instaHation of 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 devices, reconnection of electrical wiring, and repairing of minor duct leaks. AI required
permits, and clean up of premises. Not responsible for pre-existing conditions of home construcJion related to electrical
or air conditioning that do not meet existing requiremems.
SYSTEM COMPLETE INCLUDING DUCTWORK
Installation of new systems per existing codes, heat strips, electrical wiring to existing panel, all ductwork including my/ar
strengthened duct with air tight insulated supply boots, with dampered louvered grills in each room. AI 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 OPllON
Condenser
Air Handler
Compressor
Labor
Option 1
Diamond
3.0
SIC Package
12.-
..00
REBATES
TECO
FP
FP&L
Other
Option 2
Option 3
10
10
10
1
ADDITIONS
DEDUCTIONS
0.00
0.00
IOTES Package, s1ab,digital therm "see seperate invoice for 2 additional supplies and 1 air retum "
10TES
We will provide the requested services for the sum of $ ~
Received a deposit of $ balance due upon completion $
including all required pennits and taxes.
2225.00 Terms!iU!!
CUSTOMER APPROVAL
571-1515
ST. PETE
BUDGETREPRESENTlTIVE
Doug Workman
1-80CJ-413-1117
LAKE LAND
4624000
CLEARWATER
747-0767
MANATEE
1-800-413-1117
PASCO
(813) 885-7999
CORPORATE TAMPA
379-6556
SARASOTA