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Home My WebLink About03-2117 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2117 Permit Number: 2117 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: CHURCH Square Feet: Est. Value: Improv. Cost: 4,180.00 Date Issued: 6/02/2003 Total Fees: 55,00 Amount Paid: 55,00 Date Paid: 6/02/2003 Work Desc: 5 TON AlC CHANGEOUT Address: 38364 CR 54 E ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: FAITH BAPTIST CHURCH Address: 38364 CR 54 E ZEPHYRHILLS, FL. 33540 Phone: ( ,v3 u ,,( l-tfO I' : I I 1_____ REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 i 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 "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. II -- - Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER y~ IlJL CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2117 Permit Number: 2117 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: CHURCH Square Feet: Est. Value: Improv..Cost: 4,180.00 Date Issued: 6/02/2003 Total Fees: 55,00 Amount Paid: 55.00 Date Paid: 6/02/2003 Work Desc: 5 TON AlC CHANGEOUT Address: 38364 CR 54 E ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: FAITH BAPTIST CHURCH 38364 CR 54 E ZEPHYRHILLS, FL. 33540 Phone: I I I i REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 "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." ---~ Complete Plans, Specifications and Fee Must Accompany Application. ___. ____~AII work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. .~~~- ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8ch Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 4J1lff~!.5 111tt)/4~c €.IJ S ~ 'fC. OWNER'S NAME /A,''''), ~4.r/~T ~lIv~c~ JOB ADDRESS :!, 3~ Y C /t.. 57' E '2: -;I, 'II J DATE RECE IVED PLANS REVIEW FEE PHONE 780 -~/,..s- LEGAL DESCRIPTION: LOT(8) BLOCK SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) ~ERATION 0 REPAIR 0 INSTALL PARCEL ID # 08IGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OCOMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME ~ER CH~/t..,/I c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK C H#II~ .,. L. <!!> Vr 1/<: V "'" ~ . T / BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, COMMERCIAL: 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 ~CHANICAL $ '11 tPtJ,.O VALUATION OF MECHANCIAL INSTALLATION o OTHER o GAS o ROOFING o SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNA'FURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # *******************************************~*****~****~********** ~/ MECHANICAL COMPANY ~A JI.L:f '~N_ t. ~ 0/-/ Z- / ./ ,/ STATE CERT OR REGIST # CltCD y"?"1 Y'# SIGNATURE ~~ CITY PROCESSING # /7 ***************************************************************** 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 restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with ~ny 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH prior to commencement, E, CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this ~pplication 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 Inust 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 "AH or "A,etc,H, it is understood that a drainage plan addressing a "compensating volumeH 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 t'ime 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 COMMENCEMENTH. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 2Q_ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowle~ed Before me this _day of ,_ by (name of person acknowledged) C1ho is personally known to me, or (name of person acknowledged) o who is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid []:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped _If!"~~ ~NE GAS & AlC INC. Sales, Service & Installations 4441 Allen Road Zephyrhills, FL 33541 (813) 782.5013 BILL TO NAME h J 'rh STREET _3B3t.Y :'TY 2 }/.' / J (; f5 A 15' r I '..s r- c.. f:' f./ ",e L.// DATE C ~ S Y E -<loSr 6- 2-6..3 PROMISED PHONE CALL BEFORE TECHNICIAN AUTHORIZED BY WORK TO BE PERFORMED QTY. MATERIALS & SERVICES UNIT PRICE REFRIGERANT R. I I I .4/~ /lr,ar : L6,#j~?ice!JvT I I I I I I I I I I I I I LBS. /(!lrt/n S TON /0 KIA..! C~,v1/ L~rL FILTERS > I I I I I TOTAL MATERIALS FILTERS BELTS HRS. RATE T I I I I : LABOR I\IATEPIALS & LABOR MAV BE CON"CINJED ON OTHER SIDE TOTAL LABOR TERMS . A.M. PM. AMOUNT I I I I I I I I I I I I I I I I I I I I I I I I I I I : AMOUNT : I I I I I I I I have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipmenVmaterials furnished until final payment is made. If payment is not made as agreed. seller can remove said equipment/materials at Seller's expense. Any damage resulting from said removal shall not be the responsibility of Seller CUSTOMER SIGNATURE DATE HVAC SERVICE ORDER INVOICE G,vr~cr rC;(J ve~/ 'c/c THIS WORK IS TO BE C.O.D MAKE MODEL SERIAL NUMBER \. ENVIRONMENTAL CHECK LIST WORK PERFORMED QTY. RECOVERED I RECYCLED I .-+--- TYPEIDISPOSITION . RECLAIMED RETURNED _ _ DISPOSAL DISMANTLED CHANGED OUT'REPLACED TOTAL $ DESCRIPTION OF WORK PERFORMED 1\1 ~ -' \l tttf- o C1 - g *' .. ,s J - J RECOMMENDATIONS LIMITED WARRANTY: All materials. parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing. The above named company makes no other warranties, express or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. , REGULAR - WARRANTY ... SERVICE CONTRACT czru~ CHARGE MAKE MODE SERIAL NUMBER CONDENSING UNIT LEVELED CLEANED COIL CHECKED CHARG>= REPAIRED LEAK IN COIL REPAIRED U;:AK IN COPPER t1 REF Ct-cECKED MOTOR CHANGED MOTOR REPLACED BELT ADJUSTED BELT REPLACED CONTACTOR REPl START RELAY REPl. START CAPACITOR REPLACED RUN CAPACITOR CLEANED OR ADJ CONTACTOR REPAIRED WIRING REPLACED FUSE REPLACED COMPRESSOR EVAPORATOR COIL REPLACED EXP. VALVE ADJUSTED EXP VALVE REPU\CED CAP TUBE CLEARED CAP TUBE REPAIRED COIL LEAK REPAIRED COPPER CONN CLEANED COIL lEVELED COIL ELECT HTR REPLACED LINK REPLACED KLlX REPAIRED WIRE REPLACED CONT FILTERS I 7~o -8/RS NO CHARGE WORK PERFORMED COND'SATE DRA'NS CU::AI\lED Mll..IN DRAIN f1EPAIRED MA:N DRAIN CLEANED PAN ORAl'\! RI::PAIRl::D PAN DRAIN FURN OR FAN COIL REPLACED BELT REPI"ACEC PULLEY ADJUSTED PU,--LEY CLEANED BLOWER REPLACED BEARINGS Oi LED MOTOR OILED BEARINGS CLEANED HEAT EXCH REPLACED HEAT EXCH CLEANED OR ADJ PilOT REPLACED THERMOCOUPLE REPAIRED VALVE REPLACED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTED THERMOSTAT REPLACED ADJUSTED CLG TOWER CLEANED PUMP(S) GREASED REPAIRED CLEANED : REPLACED TOTAL SUMMARY TOTAL I MATERIALS I TOTAL I LABOR -------I : TRAVEL I CHARGE I TAX I I TOTAL 7"/~t) : 00