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Home My WebLink About02-1215 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! (813) 780-0020 1215 Property Owner: Job Address: Parcel I. 0, , ~. Water Meter: T,I.F.'s: Zoning: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector ~~~Ut~~i~t p~~ce ,-;( 9 (] -, ,) ~ .J ti City License Registration # .;2 h-2..() State Certified License# ermi-t.Fee .o~ Company Breakers Ducts Insl. compr7~ Final (" , 2 ;;.- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM, Insul. CL WL () :J- e Uf Driveway REINSPECTlON 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 -If /{).l5~ BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 "--8-0;;{ DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS fL~J' be. r3. II ~ ~'5-O:3 /0 T .5"11'e.ef J PHONE(8/3J 78;2-& Ol. 03 2ejJ ),.j""", ~ Ll~.J Fl. .33 '7--0/"0 OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # / 1- ~t - ~ J - CJ t) /0 - J /... 9t.?() -"0.... .,~OR'PUN FROM PROPF.R'PY 'PAX NO'PTr.F.) WORK PROPSED: []NEW CONSTRUCTION []SIGN PROPOSED USE: ~SGL FAMILY DWELLING []COMMERCIAL [] ADDITION [] MOVE ~LTERATION [] DEMOLISH [] REPAIR [] INSTALL []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [] MOBILE HOME []OTHER DESCRIPTION OF c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL WORKlfglAaL CAc,AJje 44fJ 5N~LL 3 +()AJ /;l5c?:@~ BUILDING SIZE SQUARE FOOTAGE MA 70 6c15il:1 /) (ACT. 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 [] BUILDING $ VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL [] PLUMBING ~ECHANICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION [] GAS [] ROOFING [] SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA [] YES [] NO C()~wqJ(S.Qtj,J;Qif BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****[]**** ********************************~**;.t**~~**~t**~*A I M1!.CBNlU.CAL ~ COMPANY ".1 ""'~ /71 '/- - , STATE CERT OR REGIST # CJJ 't:J"-7 8 71 SIGNATURE 1, CITY PROCESSING # ~~ ;;20 ***************************************************************** OTBlIlR 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 ffi9y 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 infor.mation 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 perfor.med 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 per.mit 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 per.mit 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) Owho is personally known to me, or (name of person acknowledged) [Lho is personally known to me, or o who has produced (type and whoO did Odid not of identification) take an oath. o who has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped . . UDGET 8re~~{ I {X r r~d- (~1 '), HEATING & AIR CONDITIONING, INC. Kellv Barbara 5503 10th Street Zeohvrhills Florida 1.1.Fi.4n ENTRY DATE INVOICE 813-782-6203 5/7/2002 32734 ~~ -~I ~c,~L I !)"" / / t') 0 0 \ P , /1 ;;1...& Pt./ 00/0 7 ~et;> 30 ;z)( c /i-j r Services Rendered C) CJ 70 Install a 3,0 Ton Diamond 12 Seer Heat Pump Split System to Existing Ductwork and Grills, Part# Description Per Proposal Deduction per Rodney Florida Power Rebate Price 3145,00 150,00 100,00 Quanity 1.0 -1 Cost 3145,00 -150,00 Check TIME 48.00 RATE 0.00 LABOR 2995,00 TOTAL PARTS TAX RATE TAX 2995,00 TOTAL DUE CORPORATE OFFICE 6217 N ANDERSON ROAD; TAMPA FL. 33634 (813)885-7999 FAX (813) 885-7859 II / J' '?-- "~'/ -1/~ ? ~XIIXIIX@~d~\\\\\\~~ B:UDGET HEATING & AIR CONDITIONING INC. DATE LAST ADDRESS CITY HOME ZIP WORK 0312002 elly 503 10th st ePiiY'ihffiS-' -- 82-'6203-'--- FIRST INSTALL DATE ~/0812002 JOB SITE INFORMATION ~= -1850 ZIP ~arbara - : ~~ NAME ADDRESS CITY PHONE ~O_ 3452 Company Profile: Budget Heating & Air Conditioning is a recognized leader in the air conditioning industry, certified to represent (10) major manufacturers throughout a five county market. Budget has earned 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 Contractors, all our employees are paid hourly, Company owned vehicles, 1,000,000 dollar liability policy, 5,000 dollar surety bond, State Ucense Class "A" ## CAC057871, EPA certified technicians, preferred contractor status participating with TECO, FLORIDA POWER, and FLORIDA POWER & LIGHT, Services Offered: Residential and Commercial Air Conditioning & Heating InstaHations, 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. IX- SYSTEM REPLACEMENT f- Condenser Only r Air Handler Only All replacement installations include removal of existing equipment and disposal, installation 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, 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. r SYSTEM COMPLETE INCLUDING DUClWORK Installation 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 secor>>- ary, safety devices. All required permits, and clean up of premises, Not responsible for pre-existing con<fltions of home Construction related to electric or air conditioning that do not meet existing codes, WARRANTY OPTION ~, _ Condenser 10 Air Handler 10 Compressor 10 Labor 1 Option 1 Option 2 Diamond Air 3.0 HP 12 3145.00 0.00 150.00 100.00 2895.00 BRAND SIZE ryPE SEER RATE SYSTEM COST ~DDITIONS )EDUCTIONS ~EBATES rOTAL AFTER REBATE 0.00 0.00 0.00 "OTES "OTES Option 3 REBATES TECO ~ FP 100.00 FP&L ,00 Other 0.00 ADDmONS ~ --- ~ DEDUCTIONS o salesman 150,00 ..~." ~ 0.00 0.00 onday install or add refergerant orida power We will provide the requested services for the sum of $ ~ Received a deposit of $ 0,00 balance due upon completion $ including all required permits and taxes. 2995,00 Terms ~ CUSTOMER APPROVAL BUDGET REPRESENTITNE 571-1515 ST. PETE 747-4767 MANATEE 1-800-413-1117 PASCO rOdney 1-800-413-1117 LAKELAND (813) 885-7999 CORPORATE TAMPA 379-5555 SARASOTA 462-9000 CLEARWATER