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HomeMy WebLinkAbout04-2673 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2673 Permit Number: 2673 Permit Type: MECHANICAL Class of Work: A/C CHANGEOUT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 8,050.00 Date Issued: 1/26/2004 Total Fees: 75.00 Amount Paid: 75.00 Date Paid: _1/26/2004 L Phone: Work Desc: CHANGING OUT CONDENSING UNIT ONLY Address: 7344 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: I Subdivision: CITY OF ZEPHYRHILLS i Name: SUN TRUST Address: 7344 GALL BLVD ZEPHYRHILLS, FL. 33542 , . I .__J , __ REINSPI!CTION 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 ---nwamlng to owner: Your failure to record a noticeOfcommencement 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 --- -'---Comp'lete Plans, Specifications and Fee Must Accompany Applicatiorl-:----------- ___.___,_.____~llwor~ shall be performed in accordance with City coqes and Ordinance~_~_____m_____ NO OCCUPANCY BEFORE C.O. --" ~t- Sl~ ---. ~ ------ ~~RAC?oo. SIGNATURE- - . PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 B13-7BO-0020 FAX: 813-7BO-0021 DATE RECEIVED /- rft(, -of PHONE CONTACT FOR PERMITTING 3,s;:<-Ges ;1;2;27 OWNER' S NAM~A/ JOB ADDRESS ~3#4 ./"'i? yS;?' &;0-// ~~-/~..G C20-S7 8/v,o/J' Z~1;/?h& PHONE JS2-?S-4-s-~/ /L LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # J0' c2>- ;;; J - oc/ / {/ - 0 7;<00 - Go 00 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION Os I GN o ADDITION o MOVE p;fALTERAT I ON o DEMOLISH o REPAIR [J INSTALL PROPOSED USE: OSG1, FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOB I LE HOME o OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK t/.2 -c. J~.c- ov-l/C):::/cA1? //-: ~ v/t/d BUILDING SIZE SQUARE FOOTAGE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI,ANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 'AMP SERVICE (] FLORIDA POWER & (1) SET ENERGY FORMS. FORM~(~t p'. IV ~\ ..,,'- cP ~ 1S ~ PERMITS REQUESTED (] BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL (] (] PLUMBING 'fa'MECHANICAL (] GAS (] ROOFING $ l~oSO r:5- (] SPECIALTY VALUATION OF MECHANCIAL INSTALLATION (] OTHER TYPE OF CONSTRUCTION: (] BLOCK (] FRAME o STEEL (] OTHER FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA(] YES (] NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************************************;7**~**j**71 J / ), MECHANICAL ~ / (J r. COMPANY .4s:sc.eLiO L?;a;hz.t /Y47lj 'l..J {u. '''/ SIGNATURE /I/;\. ':f' ~Ad STATE CERT OR REGIST # ~o67c::<S~ ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS ,The undersigned understands that this permit may be subject to "deed restrictions" whidl 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, 813-780-0020. 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 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 tllat 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 $2,50 IN VALUEI;~I'O RECORD AND POST A '"NOT CE OF C72J~ CONTRACTOR SI ATURE: OWNER OR AGENT STATE OF FLORIDA;.) _ COUNTY OF '..._ tJ.-' 740 The foregoing instrument wa~cknowledged ;/ Befor~~his 11 '0;,y of AJ,4V , 20fLIf by rt, J. .P/I'de / (name of person acknowledged) ~~ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) C1ho is personally known to me, or g..m-C;/~as produced ;:-i ']).1..:5 ':pl#-J/I:,t~/c;~ 31/- 0 0 who has produced /___~ . }type of identification) ~type of identification) and whoO dld dlqt' not ake an oath. and who 'Odid Dhd not. take an oath .' "'-.' . C' ,,-- /-' 'Signature t Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Proposal License # RA0067052 ASSURED COMFORT HEATING AND COOLING P,O, Box 3673 SPRING HILL, FL 34611 (352) 683-2227 :"1":~)1:"" ' STREET 9 " PROPOSAL SUBMITTED TO "'"f'::-. , .-rJ"" , r~? ' ~ / , ,.-.. . .;~ /-1' ..""".,,"'" ~_.. .;. ,""'".;,;iYC..,.;.. PHONE ~ _.- ''''''-"1/ ,~ - ,A.~ '7' JOB NAME DATE /' -,...., -",... /-,,""": .-r:.-.., f.. , ..".~r.,-","~ JOB LOCATION -:n4~:J i' .,'....... ,; " JOB PHONE -"..;'-~~ ~- '- -::;, r. , ~.... 2 -.:"~'~rer i /tj~,.. f"~ :. ,tC/ - We hereby submit specifications and estimates for: [] Indoor Unit Thermostat: Ductwork: ,~.. i Heat Recovery Unit: Air Filter: Pad for Outdoor Unit: I!::r(;; -".~. ,...... .... Outdoor Unit ..r ;:...'>-:": ''"%t~, / .;..;~ . .~', ''ll,,' . -,.,f,;.... o use eXlstrng,.'7,"" - a replace e Unit o install o add I replace CJ N/A o reconnect to existing o reconnect to existing o use existing e'use existing o modify o install o install high efficiency media filter o replace I install Refrigerant Tubing I Condensate Drain: ~ use existing o replace Drain Pan: o use existing o replace o install o install o safety switch a ~ ~._::::~;:':c,;:':: 0' Unit Warran l~ .f ;:::.,1, ~~ ~~~';~:'. ',-;;~~' ''7 ..:..:;, 'fr.:;~ '>~~. ;,~~.,-~,:;-::",.,)-, ~~jS 7rl !:.:.... ,,; . ,'~'jc.-:....' We propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: .-"' :J;<<> ' - "",jI~ /,' -'., ,~" " '.'..'/"'~~ ..~:iI' 7' ,......,.. ~r ......... 'E '.'::~;;~' ).;...c~*/.:-, ~ .""'-'", "..'. ,r .~<e; _ .." dollars ($ -? '../_) ,,,,,' ), Payment to be made as follows: ,-'>:'..- ~'",,",~J ...,.-Ci&~;"""'''''''',,;,,,, ,I' /~' Ii ".r"; .~'t#" I have the authQrlty to order the work specified above and agree to provide payment as specified above. I understand that Seller retains title to any equipment or matenals utilized for completion of work until full payment is received. If payment is not received as specified above, seller may remove same and will held harmless for any damages for any damage that results from removal. If it is necessary to place collection in the hands of an attorney, I will pay for all attorneys' fees, interest on delirtluent payments, In addition to the total amount due. According to Florida Statue 489,1425, if the charges on this contract exceed $ 2,500,00, payment may be available from the Construdion In4ustries Recovery Fund if you loose money on a project performed by a State Licensed Contractor. For more information on the recovery fund, contact the Florida ConstructIon Industry licenSing Board, 1940 N, Monroe St., Tallahassee, FL 32399 I 850-487-1395, Buyers right to cancee~ If you do not want the goods or services described on this contract, you may cancel this agraement by proViding written notice to our firm at the address on the top of this proposal, Your notice must indicate that you do not want the goods or services and it must be received or postmarked before midnight of the third bUSIness day after you sign this agreement If you cancel this agreement seller may not keep all or part of any payments made Authorized Signature -+--- '"' ,,, ',. , . .~ ",,.,\.-".J.,,, Note: This proposal may be Withdrawn by us if not accepted within 30 days. Acceptance of Proposal - The above prices, 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, , Signature ,/ ,}" ./ / ." ,. -.i'~,~1" :;;~ _~-.::: ~/';~ Assured Comfort Representative Date of acceptance: --,;::1:(,;. 'I'?...,,'~- Signature '. ,.:l .',........_,... .1 '.""'."""" f'C.J;" a P[)F f:!,l-"in forrn af8 on the /8SJ p.3GlH-~~' 11111111111111I111111111111111111111111111111I11111111111111 2004012754 Rept: 750171 OS: 0.00 01/26/04 Ree: 6.00 IT: 0.00 Dpty Clerk Permit No. ~~92~~n"'g: ft:~O fOUNToYf' C'iERK OR BK 5703 PG 307 Key No. 2. General Description of Improvement a~"'f . . .... - - > State of FLORIDA e} 3. ate rl' J 4. 5. Surety: Name Address - Amount ot Bond: :Ii Lender: Name Address Phone No. State /-ax No, k ' C'ty Phone No.~ " , 6. city Fax No. State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be servest a p,r,o,v iejed y Sectio~ 713.13(1} S7) Florida'~,tatu tes.: ~ ~ ,I J r:.: Namee-, -/...:/C-'L/:?,eE Address " ./. .', /~:; City" ~., 'olE. State rL_ Phone o. ".r, . ' ~. ~x::;/ ax o~ .~- - fr4'y- . In addition to himself, Owner designates of to receive a copy of the lienor's Notice as prOVIded In ~ectlon f 13.13(1 )(b ), FloOda Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unle.. a different data is specifled.) . J Signature of Owner: /d.. e u~ ~ 'i:. ( f6.(.A 1..J-u.1\..~ II jS01 State of h~""4-/ .c?/P County of ~8"::'O . Sworn to and subscribed before me this ~ .g 't-e/ day gi~~-<.4';;;fc , 20 (J //, by iPil,I-"~ -r /.<,Lfl-fl. ~ _. ' who IS L'1'"Pi onarry know 0 me or C produced ,. . as I entrflcat!on. /J Notary Public: ~~./.A.A.. P ,~~-L-::;2 ?' t7 8. E:\wpdata\permits\sfrapp, wpd R":J\. Sandra J PoIIeg o...i My CommieIion ~78 '\ OF ~ Expires July 08, 2007 Rev, 09/03/02 "