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Home My WebLink About04-2985 ~ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2985 Permit Number: 2985 Permit Type: MECHANICAL Class of Work: NC CHANGEOUT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 2,226.00 Date Issued: 4/21/2004 Total Fees: 45.00 Amount Paid: 45.00 Date Paid: 4/21/2004 ~--Work Desc: --CHANGE OUT ~-~~.- Address: 5002 7TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: SANDERS Address: 5002 7TH ST ZEPHYRHILLS, FL. 33542 Phone: I -.. --~---,-~--_.__.~-_._-~_._._-----~.._---~---_..__.__.- -RElNSPEC110N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice-of"commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ------------Complete-pians~ecifrcationsand Fee Must Accompany Applicatic)n:.------------ ----- ----- _______~I w~~~_shall.Ee perform~ in accordance with City Codes and Ordim:mc~___ __________ NO OCCUPANCY BEFORE C.O. -----,------ ---.-..------..----....-----..-----...----.--.---....-..._-_...__._-_.~.._---"--_...__. --------.----------.---- ------.-. {~~SIGNATURE ~MIT OFFI I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ~ PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME S'-4 ;t./ ~ t!. /L$ JOB ADDRESS S () 0 z 7 r A -S';T: PHONE 7,S'R- 2e 7 Y ;Z -#,.'// '" / / C -..) ChAC-.'{r ,-Ltfte.i.sT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTIC-El WORK PROPSED: [JNEW CONSTRUCTION [J SIGN PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [J ADDITION [J MOVE [JALTERATION o DEMOLISH [J REPAIR ~NSTALL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER BUILDING SIZE o RESTAURANT & HEALTH DEPARTMENT APPROVAL (!&~~ . O;:t' SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [J BUILDING $ VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE [J FLORIDA POWER o W.R.E.C. [J PLUMBING ~CHANICAL $ 2 2 2(. ~o [J GAS [J ROOFING [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION [J OTHER TYPE OF CONSTRUCTION: [J BLOCK (] FRAME [J STEEL (] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA(] YES (] NO co~c!t'OR."..'..smCTION " .,....'.- ',' -,,-., .,. ....,'....' -'" ....-.. BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL SIGNATURE Z/ ~ .-( F ***************************************************************** ****************************************************************** COMPANY 6.t1h'';<:.s ~~/.H.........t: CAS ~ #/ L STATE CERT OR REGIST # cL-4c:..t:J Y37 Y 9' ~r7 OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 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 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 po~tions 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 indica~ion 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 "ownerH, 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 "AH or "A,etc.H, 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 fora 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 20_ 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 , 20_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid Octid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ~~- "IPI'!!!rr:'~.~"l~,':' .1Ii~~;",i ".."a.''&ilo2::a Ik":-ttiug:.,ntt{ 'oo:..,~ i~r.,,+',':' .'~A/C $.":"~0S. S-:-~~rt'."-~f' ,;";;;, ~:"';~~?~~2tkr-j~S; 4'+4] Aller: Ro-'lo ZephymiUs FL 3.3541 (D13) 7325GB SERVIC~E ORDER IN1VOICE BILL TO 1'~'~ ,{ J'\ .L.., ....... ...m.... ....u , . 2' fl ...VJLC("' /,', . t!'v.fi-e1K 4~b_ THIS WORK IS TO BE .. .;--/. mR<.. STR,p;r . .~ .5 i?6 -J. r7/9/04 P~MISED CALL BEFORE "' _~ A.M. P.M. TECHNICIAN AUTHORIZED BY WORK TO BE PERFORMED UNIT PRICE I . REFRIGERANT R- "2 2.. LI:lS'1' .. .... ......... .: ........ .4.. . LO(t/ ../#.:!<f /14 8/ (.J .... ..7t.5.j<~H4"..,r ........1 /--.5iii. r- : T I ul Li,<4;1''- r- .: . I L I I ... I 5" (/,-~ '" ~-r/i' -1,(, Y'lrl. I I I I I I ow MATERIALS & SERVices AMOUNT r I t 2./00100 I I I I . ,ur" I I .. I I I J I I I I I I I I I I I I I .. C-l ~'1' ,I i'L io.' l~-::;I""'" FILTERS .. . > FILTERS x x . BELTS . TOTAL MATERiALS HRS. LABOR RATE I I I I ..u u.1 l AMOUNT I I I I I : I I f..MTf:RIA.lS Ii. lABOR MAY BE CONTINUED ON OTHER SlOE TOTAL LABOR TERMS I have authority to order the work. outlined above which has been satisfactorily completed. I agree that SeHer retains title to equipment/materials furnished until final payment is made. If payment is not made as agreed. seifer can remove said equipmentfmateriafs at Seller's expense. Any damage resutting from said removal shall not be the responsibility of Seller, CUSTOMER SIGNATURE DATE u C.O.D. MAKE MODEL SERIAl NUUBER ENVtRONMENTALCHECK UST WORK PERFORMED . OTY. TYPE/OISPOSlTION ,--, RECOVERED RECYCLED .__"' RECLAIMED '"~ RETURNED r----: DISPOSAL ,. -0 DlSMANTlED - i CHANGED OUTfAEP-LAC-EO TOTAL S DESCRIPTION OF WORK PERFORMED ,P L ~i~ 0'2,4.1; ..,.. ...L'/J...fu . . ..e.e-,e ~1A/c... (X'4 T... o CHARGE MAKE MOOEL SERIAL NUMBER '\ NO CHARGE CONDENSING UNIT WORK PERFORMED ./ LEVELED CLEANED COil CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER # REF. CHECKED MOTOR CtiANGED MITIOR REPLACED BELT ADJUSTED BE:LT REPlACED CONTACTOR REPl. START RELAY ._'~~W~. REPLACED RUN CAPACITOR CLEANED OR ADJ. CONTACTOR REPAIRED WIRING REPLACED FUSE REPLACED COMPRESSOR EV;\PORATOR COIL REPLACED EXP: VALVE ADJUSTED EXP_ VALVE REPLACED CAP. lUBE CLEARED CAP. TUBE REPAIRED 7,,, -' C" T;"./ /':. Y' :~~~~ ~s.eoNN. RECOMMENDATIONS CLEANEO COil t":-; 1/://1 J'J // c- r- ; , EsT' /t; /' L.i":lS'CfZ . t.:..... _ ,,~ .. '~!. er/ /'i9.(~z;$. LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor pertormed 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 lechnicians are not authorized to make any such warranties on behalf of above named company_ u REGULAR [] SERVICE CONTRACT CJi;ank '/#11 D WARRANTY LEVELED COIL ELE.CT. foHn REPLACED LINK REPLACED KUX REPA~REO WIRE REPLACED COOT. FillERS I TOTAL MATERIALS TOTAL LABOR TRAVEL CHARGE .J.- TAX . TOTAL COND'S.~TE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN REPAIRED PAN DRA~ 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. ~~~E8TOR REPlACED THERMOCOUPLE REPAIRED VALVE REPLACED VALVE CLEANED BURNERS DUCT REPAfRED ADJUSTED THERMOSTAT REPLACED ADJUSTED ClG TOWER CLEANED PUf...~P\ s) GREASED REPAIRED CLEANED ~,j REPLACED TOTAL SUMMARY I I I : I I / ->_h :.00 7'22, :"0