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Home My WebLink About04-3337 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3337 Permit Number: 3337 Permit Type: MECHANICAL Class of Work: A/C CHANGEOUT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Oesc: UN BANK 5435 GALL BLVD ZEPHYRHILLS, FL. 33542 22,750.00 8/27/2004 145.00 145.00 8/27/2004 REPLACE AlC UNITS Address: 5435 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Phone: REINSPECTlON 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. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. V k / - ~~ 1~NTRACTOR SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 BTH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-7BO-0021 DATE RECE IVED >? -,;21- !)t; PHONE CONTACT FOR PERMITTING c:::..------ OWNER'S NAME <;5t/1tI #2t,15;-( /1/I}--fu~ ccPrt::.f JOB ADDRESS .:5-L)S~ &-19)J 13 / V D PHONE 262~704-~-?O) LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # II ;}.6 ;;J./ U{)/0099oo oo/CJ SUBDIVISION WORK PROPSED: (]NEW CONSTRUCTION (] SIGN PROPOSED USE: [JSGL FAMILY DWELLING I;i?fCOMMERCIAL (OBTAIN FROM PROPERTY TAX NOTICE) (] ADDITION (] MOVE [2Hu.TERATION (] REPAIR (] INSTALL (] DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS (] SWIMMING POOL o MOBILE HOME (] OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Rr}~ce- 4/& Vr) l'-.fs 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 (] BUILDING (] ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE (] FLORIDA POWER (] W .R.E .C. (] PLUMBING Jzr MECHANICAL [J GAS [J ROOFING (] SPECIALTY ,. /1;!J ~;7_ VALUATION OF MECHANCIAL INSTALLATIOlf\ 11:~~/"L $;Z~ 700 (] OTHER ""-..-..-.. .~~ ." TYPE OF CONSTRUCTION: (] BLOCK (] FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO CONTRACTOR ',",,' SECTION BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COHPANY SIGNATURE STATE CERT OR REGIST # * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *,* * * * * * * * * I I /'_ ~ MECHANICAL A 0 COHPANY f+.&S~ r"c,11141ri I-J~'T Wu:.v. SIGNATURE ~ .../k&'~ STATE CERT OR REGIST # (MtJG706;;J.. ***************************************************************** OTHER COHPANY 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, tlley 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 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 Constr\lctjon 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 CC*1MENCEMENT 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 COMMENCEMENTu. 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) Qho is personally known to me, or Dwho has produced (type and whoO did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}Hd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed( printed or stamped Name typed, printed or stamped D"'_-COft 1 ... ... u.l' Ga.... license # RA0067052 ASSURED COMFORT HEATING AND COOLING P.O. Box 3673 SPRING HILL, FL 346;; (352) 683-2227 PROf>OSAL SUBMIITED TO ( .,~, /:~ -:.,,)<,1; :!.,,,:} / /I'~;,/-:)- ~,,"~ ~/' Indoor Unit Thermostat: Ductwork: I L~Q~tdoor Unit o use existing i:J reconnect to existing JOR PHONF ;:::;;> "....,. ,~" /:;;..t"(?./C""r-l ~/Ue-t#11 2G 2/ C7r:7/CI 0990000/0 We hereby submit specifications and estimates for 1- IC N replace o modify Package Unit o install o add i replace Heat Recovei)' Unit o reconnect to existing o instal! rsr N la, Air Filter: Pad for Outdoor Unit 121' use existing o use existing o install high efficiency media filter ~ replace I install Refrigerant Tubing I Condensate Orain'tJ US;A exis;ting o replace Drain Pan: o use existing t:'f'replace o install o install o safety switch .l":"~'6:Ji;." ;'"'J.;' ---;/ ,ifi">:;t,";.>" We propose hereby to furnish rnaieri<1i <mu labol COfftptete in accordance "\:vith above specification::;! for tho ~um of: , dollars , ~ J Payment to be made as follows: ,k ->-:' l;'_,..~" -1 /"/~;':; ,,' .-1' .,~~'-' "",.. ( , 'J .~ '.",.c,~ I hav" the authOrity 10 order the work specmed above and agree 10 provide payment as specifJed 3t;-::.,~ ! :;;"~~t:::~ ~':2t S~llo/ r.r&:'?ir'\~ t.,lq tr, anv ~ linm~ nr mJ1tAriRls utilized for cornoletion of I """.", -;.. unW fun parma-it is .'"&Calyed. ff payrr'.ent is not received as, specmed above, 5, eHer may remove same and will held harmless for any damages for any damage that "'sufts from removal II .1 IS necessary to place collection In the hands at an attomey, I WIll pay for all attorneys' fees, . -.-.-. .... _._...0.__.__....._ .. ", . '" -'-'.-"~-_.- t- ,,-- ._~...,. ........,......_~~."" 1\_................... Clnnrk> C;:tohu~ , ~,ltH~~~: I rf~;I::;;;:~~"'~:;' .;;n7r='~~.;..d'$ .2:500'OO~;.;;;;;.n;;;;;.~ b;;.a~,~ii~~..~~ th~ Construction Industries Recovery Fund ff you loose money on a prOjeCt performed by a Slate LIC8n$ed COnII'aclor For more .nformaM., on the recovery fund, contact lhe Flonda Construction I Industry licenSing Boa, rd, "1940 N, ' Monroe ~t.. I Sfianassee,' i=L :;;.;;;; ; O5V-+o, ....; - j~. ~'-\tti;; right to cancel: If you do nol want the goods or services described on thIS contract, you may cancel mis agreement by prov.dlng written notice to our firm at the address on the top at thIS omoosal Your notice ITKJst indicate that vou do not want the goods or servICes end it must be received or post'1'larked b<!fore m;dnigt1! of the lhllo buSInesS day after you s'lln thIS agreemern It you cancel this agreement, seller may not keep all or pari of any paymenl>i made .11.'Jth0~!zed Signature Note: This proposai may be Withdrawn by us if not accepted within ~ days, I Acceptance of Proposal - The above prices, specifications I and conditions are satisfactory and are hereby accepted. You are I authorized to do the work as specified, Payment will be made as outlined above II ' ,"", ~ l , , Date of acceptance: Signature "::I;;:1~l1, ~ ,. r .~;v . - - '-,- --' -~___.:_..... l''"''o_______,,_...:..... I"'\::t::"UI~\..l VVlllrVl1.. l'\.v..,I"".;n~\IL\;;ol...l"'."'" , , ~i~n;::ttllrp ;:#" -~"'f ,;. "0.' ,t '".._ Vf r,., H t~ -,.. . ,-',', r Proposal license # RA0067052 ASSURED COMFORT HEATING AND COOLING po, Box 3673 SPRING HILL, FL 34611 (352) 683-2227 <':':;6'1_1 PHO~,:." , JOB NAME I .__<:~~.;,:z::~:/-, ,""', ~-:ii-:?~5 II JU~_~_~~~7'.~~~~" .' I~~~ p~~;; i --- '-~'-"- I -,,,,'j t../ -( ~;:,.<,,,.......,..: /. ,,_....~) ~.r 't.~","~~f /'-;/'~ ,.0'4,',1, I I I r I uAlt:: I STREET !':'/ I CITY, STATEAND tIP C~OE rNST,~LLATION DATE L " ".<"...} /~;"" \, / .) I,,.,, '-~ ,- if':-;~:~:11 " !<r'" , r;(?c/r~"t:-,/ ~~ z._,../ ,-.;.~, /'"" .-- ,,;/ ~t':~' -.- We hereby submit specifications and estimates for, 1;1 Indoor Unit Thermostat: Ductwork: i C Outdoor Un!t '._1__'" C......~UO'I"\I Ilnit. i tcat ! ,'O'.......v...."-', ] ...... "B_ o use existing 9 reconnect to existing o reconnect to existing [1 use existing o use existing C Package Unit [J<'replace 0 instaii [] muuify 0 add! rep!ar:e o install E1 N/A Air Filter: Pad for Outdoor Unit: o install high efficiency media filter o replace! !nstaH R.;:!frigerant Tubing I Condensate Drain: l'iJ. use existing Drain Pan: 0 use existing o replace ~'replace 0 install o install I.J safety switch ,'-."'-,. .. ;;--_,#,~:--;: i:~:'';>_i'''::'iI?:''';i ./ "..... .' , ,/ />J dollars ($ Parts; Labor Warrant; ,;: ~" I? J I ), ! L I I we prOpiiao hereby to ft!r!'1!sh materi::il and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: : t";r:', , ,/ : ~/ I have the authority to order the wOr!<, specified above and agree to prOVIde payment as specified ~b~'!e ! t)nt1IFl:ffitand that Seller retains title to any equipment or materials utilized for compJetlon of I wo;1, ;..;rt.H ft:!! paY!"!"erlt Ill/; r~~ed. tf payment IS rmt rect1iv't:1u a~ ~c.~~c z~~'>!e, ~l'~r mAY r,emo,_ va same a, nd will hetd harmless for any damages for any damage thai 1t!8uli:s flcw '~, mov~! !f rt IS necessary to place collectIon In the hands of an attorney, I will pay for all attorneys fees, I 1man:~-~i vfl ~l'iiiq....~~ ?Z'/~'!~'-~~. in Sif'idmon to the total amount due_ According to Flonda Statue 1400.1425" If the diC:l.9BS Dr; this comra~t e'1::C~ S 2.50000. payment may De aVi5iii:fUft. Ilvi" :~,;; Construction Industnes Recovery Fund if you loooe money on a prOject performea Dy a Siaie LICensed Contractor, For more intormatlon on the recovery fund, contact the Florida Construction I ;ndustry UceoslJ'jg tioarti I ~u ~. Mun:-c:: St" T;!!!~~$Ae Fl 32399 I 850-487-1395. Buyers I right to ~aneel: If you dO OOlWB,' rlt n~ gv00-5, or z.sf'''~S d~ihec1 on this contract" you may cancel thiS agreement by prOVIding wrttten notJce to our firm at the address on the top of thIS 11 Pfoposal. Your notice must Indtcate that_ y.ou do not want the goods or services and It must be , ~!w:v1 or postmarked before- mld!'llght or lne {f-'lUU Vv~jlo-:s.~ ccy :;:ft~ '}~1} ~w;!n thlA agreement If you cancel this agreement, seller may not keep all or pall. ul dr" payments rnzde Authorized Signature t-4ote: This proposal may be Withdrawn by us if not accepted within 3() days, g I Acceptance of Proposal - The above prices, specific.atlons and conditions are satisfactory and are hereby accepted, You are Signature I ~~;~~:~~~~~;o the war1\: as specined, ?-aiiT';:;:":~ w\H be made ::>s Signature Assured COf!lfort Representative i }" tt Date of acceptance: ~ Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different is specified.) Signature of Owner: X' ~ State o'f F \. '0 (': (\ t.'_ County of c\\ ~.- t0t~'~ ~ Sl6'orn to and subscribed before me this ;2.3.'-i~ daypf ":l'l~(, ,20ci, by ---1\'0 ~~ <-~ F \L\(<.r e.. who IS ~ persona y nown to me or L) produced - as Identification. Nota,~ Public C::::::ltJ'- . Q~", (' ~C~'-- 4, '~""',<'~" ~:, .. , i~ ~\!. 6. 7. 8, 9. 16/2]/04 MON 08:02 FAX 352 683 2206 Assured Comfort @003 11~!(UI;IIOIIS for using a POF fill-In form are on the last page-> Permit No. 1/11111111111111111I1111111111111111111111111111111111111111 2004162316 Rcpt: 811323 Rec: 10.00 DS: 0.00 IT: 0.00 08/27/04 Dpty Clerk JED PITTMA~ PASCO COUNTY CLERK 08/27/04 1..::: : 20pm 1 of 1 OR BK 6003 PG 784 KeyNo if ~6 ~I 0010 0'196000\0 NOTICE OF COMMENCEMENT ,-;::/4-::-rr'J County of lLfrULV State of FLORIDA 1. 2, // t:--//?~ .6:- ~c:../" ~/?6.f7V7 3. Owner InfQJ;mation: Name 5"............ /JZc:6-/ 4/"a-krt!: CP-Y.?'.5-/ Address /0 e?Z' /S'({? CIty €"'-P'.::YL'SP///F State Jnterest in Prope y: q ~ /t/p TC Name of Fee Simple TItleholder (It other than owner): Address City Contractor:, Name 4.:rYae6Z? ~/??/.2.r/ 0--4~ Address: /3'71" -r"'r- 4~ Ity Phone No., ;:S-c. .2 22. FaxrJO. F/ Surety: Name Address Amount at Bond: $ lender: Name Address - Phone No. _ ? CIty Phone No. --- ~tate Fax No. City Fax No. State Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 )(a)(7), Florida Statutes: Name Address City State Phone No. Fax No. In addition to himself, Owner designates of to receive a copy of tne Lienor's N'otice as prOVIded In Section 113. 13(1 )(5), FlOrida Statutes. (;;~~110: i 1~11(.1;s~j(ln OD()2;~091 f:'. \\-~.)I_ht8.\pcnnits\stj-dPP.v...pd Q5-21-Q4 "";'V fJ1 '~O(J5 Rev. 09/01/02 Q7:48 RECEIVED FROM:352 583 22e5 p.e3 \=>E~.t::#: 33 58 tV6+ ; N ~~~,,--\.