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Home My WebLink About04-3081 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3081 Permit Number: 3081 Permit Type: MECHANICAL Class of Work: A/C CHANGEOUT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 2,300.00 Date Issued: 5/17/2004 Total Fees: 45.00 Amount Paid: 45.00 Date Paid: 5/17/2004 Work Desc: CHANGE OUT HEAT PUMP Address: 5835 12TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: JEAN SAROKA Address: 5835 12TH ST ZEPHYRHILLS, FL. 33542 Phone: -- -- - _.1. .. . , _ 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 andFee- Must Accompany Application. ------- --- ______ .~_"_wol"~ shCil!.E.e pe!formed _in accordance with City_Codes and Ordinanc~_______m__ NO OCCUPANCY BEFORE C.O. ~~.~~--_._..,----.._-~-"._..._-._._..._---- ~ SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 !J.rl17 (-0 L( DATE RECEIVED ~ ...:. PHONE CONTACT FOR PERMITTING OWNER'S NAME J ~a I"") JOB ADDRESS 7 8" ') ) 50 / ~)'-- G( Id1A 5/ PHON( f5() ) 779 - rc7 C( 0 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: (JNEW CONSTRUCTION (J SIGN PROPOSED USE: (JSGL FAMILY DWELLING (J COMMERCIAL (J ADDITION (J MOVE (OBTAIN FROM PROPF.RTY TAX NOTICE) (JALTERATION ~IR (J INSTALL (J DEMOLISH (JMULTI-FAMILY (J INDUSTRIAL (J# OF UNITS (J SWIMMING POOL (J MOBILE HOME (JOTHER DESCRIPTION OF WORK D RESTAURANT (I/?'~r & HEALTH DEPARTMENT APPROVAL Ovt f)eal OVfr7?), I / 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING (J ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE (J FLORIDA POWER D W.R.E.C. D PLUMBING (J MECHANICAL $ ~3t?;,1 ;?~ VALUATION OF MECHANCIAL INSTALLATION (J GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: (J BLOCK D FRAME (J STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO C9NTM-Q!JX):RSECTIQN BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ********************************************i*~*********~********** ~ ~. MECHANICAL / COMPANY (J j.//J/)/?Vc, {/'I 'J Ir>~/1/;? ~ /'17 SIGNATURE...//"- 1/ . STATE CERT OR REGIST #( ..1('(J.5 y 7'7 I OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 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 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 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 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 "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 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) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Odid not take an oath Dwho has produced (type and whoD did D did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped O'DONOVAN'S AIR CONDITIONING & HEATING Mailing Address: 6610 16th Street. Zephyrhills. FL 33542 Physical Address: 4839 Allen Road . Zephyrhills. FL 33541 (813) 782-4075 St. Uc. # CAC054731 O'Serv~ 0 Prevo Maint. INVOICE D~lbeGlI tJ Other o Warranty ~/ /~ / j C lC;-9 Phone: > Service Request: Name: Street: Make: Model #: Serial #: City: Mailing Address: <, / ~ Date Completed Card Type Card No. Approval No. Date Expired Date Issued TOTAL MATERIALS NOTICE TO CUSTOMER TERMS Payment due net upon receipt of this invoice unless a payment SChedule is agreed upon by O'Donovan's Ajr Conditioning & Heating. The customer will be charged a Rebilling Fee accessed at 10% of total invoice amount, with a minimum ot $5.00, whichever is graater, per month until final and complete payment is made starting 30 days from the date of invoice upon the unpaid balance. If this Invoice is not paid when due and is placed in the hands of an attorney or collection agency for collection, I, the customer promise to pay, in addition 10 other amounts due thereon, the reasonable cost and expenses of collection hereof, including reasonable attorney's fees. I have the authority to order the above work and do so order as outlined above. It is agreed thetthe seller will retain tiUe to any equipment or material fumished untii final and complete payment is made, and if settJemant is not made as agreed, the seller shall have the right to remove same and the seller will be held harmless for any damage resulting from removal thereof. Further, if payment is by check and the check fails to clear, then a service charge of $15.00 will be added to the amount due under this Invoice for eech occasion a check fails to clear. , 'e signing 01 this Invoice represent. the acknowledgement and acceptance of the terms of this Invoice ecknowledgement and acceptance of the work completed undar this Invoice. -ARRANTY EXCLUDES ACTS OF GOD (LIGHTNING, FLOOD WIND DAMAGE, NEGLECT OR ABUSE). SERVICE CALL , ~..'" '~""","""", TOTAL LABOR TOTAL MATERIALS TOTAL OTHER x @~ 8!/oa TAX THIS INVOICE IS THE ONLY BILL YOU WILL RECEIVE TOTAL --------.-.-----.--- --_. -- -~------ ----~ ----- -- --.- ESTIMA TE O'Donovan's Air conditioning and Heating 4839 Allen Road Zephyrhills FI. 33541 LIC# CAC 054731 (813) 782 4075 May 12, 2004 Jean Saroka 5835 1th St. Zephyrhills, Fl. Ph. (813) 779-4240 0" [ J lJ {J/' !Ji~ C. 6 /;UMf-,--~- ;G/-V&J& Work PH. (813) 875-1973 Dear Customer: Job # 1 Back apartment fl I) / fl/t~,1 r ~~ Proposal includes installation Payne unit, ductwork, digital thermostat, wire, and plastic pad. Includes replacement of air handler, move the condensate pump to the north side of the building, and taxes. Five years warranty on parts. One year of warranty on labor. /L\ ) ( Ij /. /1__ ~ \ \~$ 2,300.00 ) . / -