Loading...
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