HomeMy WebLinkAbout03-2263
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2263
-
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2263
MECHANICAL
AlC CHANGEOUT
NOT APPLICABLE
Address: 5754 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,395.00
7/31/2003
45,00 I
45,00 [
7/31/2003 Phone:
REPLACEINGCENTRAL AlC HEAT PUMP
REED BILLY JR.
5754 16TH ST
ZEPHYRHILLS, FL. 33542
I ,
- I I m
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.
AI 0 hall_be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~-~
R S ATURE PERMIT OFFI
~LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER' 8 NAt1E
6/11'1 ~ CJ4-2.0f" P&<5--D
S- 7S"Y , r. ..-,. 51:
.
PHONE
7r"-e,~:L.
JOB ADDRESS
LEGAL DESCRIPTION: L01'(8)
BLOCK
SUBDIVISIOl'l
PARCEL ID # 11-J.t,-~/-I!1D/O-o7'1OQ_(JI2.l)
(QB1AIH-FROM PROPER~Y-TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCT ION
o SIGN
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o t'10VE
o DEMOLISH
PROPOSED USE: OSGL FN1TLY DWELLING
o COMl'1ERCIAL
DMULTl-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o t10BILE HOME
o OTHER
DESCRIPTION OF WORK
CJ RE:STAURAllT & HEALTH DEPARTl'1ENT APPROVAL
R~p/~(;- C~...A1L~'( 1t/c. /..fcr.Jft,,~.
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RF.SI DENTIAL:
CO~1~1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILD lllG PLANS & (1) SET E:NERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTJON.
PERMITS REQUESTED
o BUILDING
$
VALUAT ION OF TOTAL CONSTRur:::T ION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W,R,E.C.
o PLUMBING
f5I MECHAHICAL
$ 1.J?S'''''
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF' CONSTRLJC'l'ION: 0 BLOCK
o FRAt1E
o STEEL
o OTHER
FINISHED FLOOR ELEVATJ OlJS
I S PROJECT I N FLOOD ZONE ARF,A 0 YES
o NO
I
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
cm1PAllY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGtlATURE
*************k*********~**********************************k*******
PLUMBER
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGUATURE
* * ** * * * *.. * * * * * ** * ** * * ** ** ** *}.* * ** *.k * * ** * * * ~k * * * *'k*
COMPANY u,ltf; Afctf/lhf.r;~
STATE CERT OR REC~IST # Ct+c...Dtf;.'~7
CITY PROCESSING # '0)
************************+**************************A***********
OTHER
cm1PAl'lY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNl\TURE
*********k*k*********~********~*********~.********k****~**********
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 [or
compliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND Cot'lTRACTOR RESPONSIBILITIF,S
Jf the owner has hired a contractor or contractors to undertake l..Jork, they may be requi red
to be 11 censed in accordance l'lith state and local regulations, If the contractor is !lot
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
licensillg requirements may apply for the intended work, they are advised to contact the
C'i ty of Zephyrhil 1 s Building Department, 813-780-0020,
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
Hill be responsible. If you, as the owner signs as the .contractor, you are indicating that
you, ra ther than the contractor, are responsible for the \vork. I f the cont ractor wishes
you to sign as contractor that may be an indicatioIl that he is not properl y U ceIlsed and is
not entitled to permitting privileges in the City of Zephyrhills.
C, TRANSPORTATION H1PACT 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 tile above described document and promise in good faith to deliver
it to the "01^1I1er" prior to conunencement,
E, CONTRACTOR' S!OWNER' S AFFlDAVIT
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.
Applicatioll is hereby made to obtain a permit to do work and installation as indicated. I
certify that no \'JOrk 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 tllat 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!Waste\vater 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 Hea I th Unit-Wells,
Waste\'later Treatment, Septic Tanks
*U.S, Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AU or "A,ete,", it is
understood that a drainage plan addressing a "compensating volume" will be submitted Hhich
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 licerise to proceed \,lith the work and not as
authority to violate, canoel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter rerluiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shali become invalid unless the Ivork authorized by such permit is commenced Hithin
six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the \vork is corrunenced. One 90 day extens ion of time
may be allowed for the permit with fee charge of $15.00, The extension shall be requested
in IrTriting to the Building Official. An approved inspection must be logged during each six
month period, or the proj ect \vill be considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A nOTICE OF COMt'1ENCEt'1ENT ('JAY RESULT It~ YOUR
PAYING TWICE FDR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND 1'0 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN l\TTORI'JEY BEFORE RECORDING YOUR NOTICE OF COfvH/1ENCE:l'lENT, clOBS UtlDER
$2,500. Hl Vl\LUE DO NOT NEED TO RECORD AND POST A "llOTICE: OF C,'0l'1l'1ENCEt1ENT" ,
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
STATE OF FLORIDA
COUl'lTY OF
The foregoing _instrument Ivas
Before me this ___day of
by
a c knolrJl edged
20_
acknowledged
, 20
(name of person acknowledged)
o Vlho is personally kno\'ill to me, or
(name of person acknoHledged)
Dlho is personally known to me, or
Owho has produced
(type
and Ivholl di d 0 did not
of identification)
take an oath,
OHho has produced
(type of identification)
and who Ddid D:Ud not take an oath
Siynature 0 f person taking acknOlvledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printeci or stamped
CVLI:" ,.U~ Cf)~I)ITI()~.~f7
~I) IiUn~f7
37338 Kossik Road
Zephyrhills, Fl33541
(813) 783-3723
PROPOSAL
No.
Date
7/~t/oJ
Proposal
Sheet No.
Work To Be Performed At:
Name
Street
City
State
Phone
57.,<<./- L'- ~ sr:
'?: e-PffY~~'1/5
r:-r oIL. D~
81J- 7t'o-1=i.,€.z..
~~~
Street
City
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
~c. -- L<" _ <= 10 /,-.;. e~ ~
"H, fK <.> L/e.. LC.-...(J A~ , e:-C.ciVfV<<-e../
~" r,~ .c/~~ J ;) -c...f" U4<<'~r ~- ~""'.J ~,,., 41fU~JJ
Lc>'-4.J VO (~" e..)'. L.t'~~ ( ~ ~'/JA-~. (.6rL e./,"fI... I),.rt j....r.
S/1l1-1!> ;:..,.. C-....,.,6.vS'''':i ,.,,.,.. r ~v,-f 8'7 /~p,P,.."*' 5~ /0,0,
, ,
kJI+-LIl-,..,..tr Olf/~ 7?~~ /'1f7if> ~~Hgo((. ~ (~S fC~'j
If-J-J .- fr d ~ A-!. .$Ev~AJ ~6+,<. ~ ...~ ~ ',..., ,-7~ /
~:f ~ ~;v<<-c..fh." /'-J~,s; _
4,)L )'_
All material is guaranteed to be as specified, and the above work to be performed in accordance with the
spe~ations submitted for above work and completed in a substantIal workmanlike manner for
'/c.vo rA"tc.$~,-[ r.4~A'G<-d~ PtA~ fi~e( ;::_ Dollars [$2-
with payments to be made as follows:
-
4>~
It) I1V
'-
Any alteratIon or deviation from above specifications involvIng extra
costs, wIll be executed only upon written orders. and will become an
extra charge over and above the estImate. All agreements contingent
upon strikes. accidents or deleys beyond our control. Owner to carry
fire, tornado and other necessary insurance upon above work. Work-
men's Compensation and Public Liability Insurance on above work to be
taken out by
Respectfully submitted
;;::~~k
Per
Note- This Pro..QP~1 may be withdrawn by us if not accepted
within ~ , days,
ACCEPTANCE OF PROPOSAL
The abolte p,ices, specifications and conditIOns are satisfactory and are hereby accepted, You are authorized to do the work as specified_
Payment will be made as outlined above,
Date
713t>lo~
Signature
Signature