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Home My WebLink About03-2147 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2147 Permit Number: 2147 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 2,495.00 ' Date Issued: 6/11/2003 Total Fees: 45,00 Amount Paid: 45,00 Date Paid: 6/11/2003 Work Desc: CHANGE OUT Address: 6514 BRENTWOOD DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: SILVER OAKS Parcel Number: Book: Section: Name: BAILEY JAMES .6tddress: 6514 BRENTWOOD ZEPHYRHILLS, FL. 33542 Phone: , I L__ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _ bef~r:e recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. _ '_~ AII\IV()~~~.I'1~~ be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~ ~~ r--- CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'EM""&~1~ Heating and Cooling Products BAHR'S PROPANE GAS & AIC INC. Sales, Service & Installations 4441 Allen Road Zephyrhills, FL 33541 (813) 782-5013 BILL TO NAME JA At L.$ ~;f, -L rt.' STREET ~..5' I Y ,(J ~ (.-.v T ~tJ. d CITY > .s. ~ V L. L. (>41 ~.s DATE- PROMISED PHONe CALL BEFORE TECH~~ICIAN AUTHORIZED BY WORK TO BE PERFORMED QTY, MATERIALS & SERVICES UNIT PRICE > I I I ,lift. (;1M .J ~~.7t $....'1......$.......' .M.t...;tJ r . ./......". ..,,;d ../"'<IV ,4",1C #t~tr: I T-.sr,lf/ r : c .,.,/ t c rl. .r" .srAl/l1~ .,"ts,.,) I I I I I I I I I I I I I REFRIGERANT R- LBS, ~f() ~ FILTERS FILTERS BELTS TOTAL MATERIALS HRS, LABOR RATE I I I I I I I 'AA.~EJ:MlS & LABOR MAY <if: cm, T:NUFD or.J OTHER SIDE TOTAL LABOR TERMS A,M, PM, AMOUNT I I I 2f~De 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 HVAC SERVICE ORDER INVOICE THIS WORK IS TO BE _ C,O.D, MAKE MODEL SERIAL NUMBER \... ENVIRONMENTAL CHECK LIST WORK PERFORMED QTY TYPE/DISPOSITION _ RECOVERED L=! RECYCLED '___ RECLAIMED RETURNED DISPOSAL --- DISMANTLED CHANGED OUT/REPLACED TOTAL $ DESCRIPTION OF WORK PERFORMED RECOMMENDATIONS / Y" LA4t'Jd. ..s 'I" r'A ILf""'S /V" Y" ;n A,:,., r c.i'! ~c.. 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, I have authority to order the work outlined above which has been satisfactorily completed. 1 agree that Seller retains title to equipment/materials 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 CUSiOMER SIGNAl URE !:lATE REGULAR ". SERVICE CONTRACT WARRANTY czru~ CHARGE MAKE MODEL SERIAL NUMBER CONDENSING UNIT LEVELED CLEANED COIL CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER # REF CHECKED 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 REPLACED CAP. TUBE CLEARED CAP_ TUBE REPAIRED COIL LEAK REPAIRED COPPER CONN CLEANED COIL LEVELED COI~ ELECT HTR REPLACED LINK REPLACED KLlX REPAIRED WIRE REPLACED CO NT FILTERS I NO CHARGE WORK PERFORMED COND'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN REPAIRED PAN DRAIN FURN, OR FAN COIL REPLACED BELT ADJUSTED BELT REPLACED PULLEY ADJUSTED PULLEY CLEANED BLOWER REPLACED BEARINGS OILED 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 I TRAVEL I CHARGE I TAX : , TOTAL 2111- ~ TTS CITY OF ZEPHYRHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT 10: I; I ADDRESS 9ATE PERMIT 0# I . €o51':1 B~lwJeJ pr. bl1l..!Oj ;?''{~ THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job , will be accepted. , j,l.,o..b-L.\-6 j."\ <fe c,,~ )>\0 f!)"" e ~~-. of DO NOT REMOVE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath. earth or other material, until the proper inspector has had ample time to approve the installation, OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR 1J!,I A ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION aUILDING DEPAR~~NT 5335 8~h Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECE IVED PLANS REVIEW FEE OWNER'S Nl\ME JA~ ~J 6Sft' ~;4 ,.L < 0/ I If ~./. 'V r W(JO.d PHONE 78 c2 -Yf113 ,JOB ADDRESS LEGAL DESCRIPTION: LOT(S) SUBDIVISION S/(VIA. !htKS BLOCK PARCEL 10 # ~. (OBTAIN FROM PROPE&TY TAX-NOTICEI ~10RK PROPSED: 0 NEW CONSTRUCT ION Os IGN o ADDITION OALTERATION o REPAIR ~STALL o !JJOVE o DEt10IJISH PROPOSED USE: OSGL F'l\MILY D~IELLING OCOMMERCIAL 011ULTl -FM1ILY o INDUSTRIAL 0# OF' UNITS o SWIMHING POOL o t10BILE Hot1E o OTHER DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTt1ENT APPROVAL ~e. ~ E y,'~ r, '"ve;. / SQUARE FOOTAGE V;(J~' r BUILDING SIZE HEIGHT RES I DENTIAI,: COMt1ERCIAL: 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 ELECTRICl\L AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING ~CHl\NICAL $ 2 lj r.$ ..ll. . VALUATION OF MECHANCIAL INSTALLATION o GAB o R001TltJG o SPECIALTY o OTHER TYPE OF' CONSTRUCTION: 0 BLOCK o FRM1E o STEEL o OTHER FINISHED FLOOR EL8VATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SI(~NATURE ******~*********************~*********~*******+**+~********++***** ELECTRICIAN COMPANY STATE CERT OR REGIST I CITY PROCESSING # SlGtm'J.'URE ***k*********~**************+***~****~**************************** PLUMBER COt-'JPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ********************************+**********JiI********jJ;************ ~ MECHANICAL COMPANY lQ,.f'lA.. ~ "'~ANL GAS 2 ..TNc" "..y- #. d / STATE CERT OR REGIST I C~U:'(JY..1'Y' SIGNATURE ~ ~ p ~ CITY PROCF,SSING # I 7 L* * * ** * * * * * * * * * * * ** * * *.. * * * * * * * * * * * * * * * * * * * *.. * * * * * * *.. .. * * * 'k * * *..".. OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **************************************+*******~***********'******* CONDITIONS OF PERlVJIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which m~y be more restrictiv~ than City regulations. The undersigned assumes responsibility for compliance with ,any applicable deed restrictions. B. UNLICENSED C'ONTRACTORS Al'fD 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 o.mer 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) si~n 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. 'l'RANSPOR'l'A'rrON H1PAC'l' FEES Al'fD U'rILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAvJ (CHAP'l'ER 713, FLORIDA STATtl'rES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guideq prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "o.mer", 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/OWHER' S AFFIDAVI'r I certify that all the information in this applica'tion is accurate and that all work will be done in compliance Hith all applicable laHs regulating construction, zoning, and land d~velopment. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no Hork 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, Dock~, 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 perlllit 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 code::;, 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 conunenced. 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. WARlUNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR PAYING TWICE FOR U1PROVEMEN'l'S TO YOUR PROPERTY, IF YOU INTEND '1'0 OB'l'AIN nNANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l', JOBS UNDER $2,500 IN VALUE DO NOT NEED 'ro RECORD AND POST A "NO'nCE OF COlVIMENCEMEN'l'''. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OE' InORI DA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of 2Q_ by, , (name of persol}~ ~cknowledged) Owho is personally known to me, or STA'fE OF FLORIDA COUNTY OF 'rhe foregoing instrument was acknowledtbed Before me this _day of ,_ by (name of person ackno~dedged) [Jlho is ,personally known to me, or Owho has produced (type and whoD did Ddid not of identification) take an oath. Owho has produced (type of identification) and who Ddid Dhd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or- stamped