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Home My WebLink About05-4134 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4134 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: 4134 MECHANICAL AlC CHANGEOUT SINGLE FAMILY RESIDENTIAL Address: 39327 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,895.00 4/21/2005 45.00 45.00 4/21/2005 REMOVE & REPLACE AlC Name: SANDRA KIMBALL Address: 39327 5TH AVE ZEPHYRHILLS, FL. 33542 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." 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. L _ ~~ TRACTOR SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER elL Ii . '7/9 b CITY OF Zj!;l't1 U:~.n..L.LI.LIU ... ...----- BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME -5";:;J ~ IJ 1L,4 J( / /'VI IS A I / JOB ADDRESS 2'7:] 2 7 S 1,1, Ii V [ PHONE 7 79-lJ3 YtJ Z f- ,:;/, '1,4, .//s ~t.. .f 3.->'/7 / / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL 10 # o SIGN o ADDITION o MOVE o ALTERATION o REPAIR @-f-'NSTALL o DEMOLISH ~-L~ <A/~ WORK PROPSED: DNEW CONSTRUCTION PROPOSED USE: oSGL FAMILY DWELLING o COMMERCIAL DMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HO~ o OTHER BUILDING SIZE 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. c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL ~ [PI/JilL .e.- ~ (/~C- ( 1/C UN / 'r SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING ~CHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ 2 89 S- VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE /L///____ / ***************************************************************** ****************************************************************** COMPANY 4' .JI /!p.!> /"'<::0/ A,..v(' 6"IJ.5 h~ STATE CERT OR REGIST # ~;</co '/77 '/6'" MECHANICAL OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIGE 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 fDr compliance with any appiicable 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 dwner 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, ydu 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. CONSTRUCTOION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye 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. Appli~ation 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 appiy 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 . :[ 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 wh~ch is prepared by a professional engineer registered in the State of Florida prior to perm~t 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 techni~al.codes, nor shall issuance of a permit prevent the Building Official from thereafter requ~ring a correction of errors in plans, construction, or violations of any code. Every permi~ . issued shall become invalid unless the work authorized by such permit is commenced w~th~n six months of issuance, or if work authorized by the permit is suspended or a~andoned.for!a eriod of six months after the tiine,the work is commenced. One 90 day extens~on of t~me ~a be allowed for the permit with fee charge of $15.00. The extension shall be requested inYwriting to 'the Building Official. An approved inspection must be logged during each six month eriod, or the project will be considered abandoned. . WARNIN~ TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT .MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS ~O YOUR PROPERTY. ~~u~O~oi~~~NgFT~O~~~~:M~~~~C~~~S ~~~~~LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING. " $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT. SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT 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) owho is personally known to me, 'or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wtioO did Odid not take an oath. o who has produced . (type of identificat~on) and who Odid D:iid not take an oath f person taking acknowledgment Signature 0 Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped rJ,VllS 1E.PSr&~1 Heating and Cooling Products BAHR'S PROPANE GAS & AlC INC. HVAC SERVICE ORDER / INV01CE f~ I~ AFrt ~ /2;00 --- Sales, Service & Installations 4441 Allen Rd. . Zephyrhills, FL 33541 (813) 782-5013 NOTES: SAL! RC<.. 39 Y :2. ? wI( K%~ bc...L( - S--r{' AV!!' t'i!'t!L - 3/2 - 3~/oJ 771- o8L;o 7gg - 9' 83/ LEVELED CLEANED COIL CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER CHANGED MOTOR REPLACED CONTACTOR REPl. START. RELAY REPl. START. CAPACITOR REPl. RUN COHO'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN EVAPORATOR COIL REPLACED EXP. VALVE REPAIRED COIL LEAK CLEANED COIL THERMOSTAT ADJUSTED CHANGED MATERIALS & LABOR MAY BE CONTINUED ON OTHER SIDE. REPAIRED IN REPLACED FUSE REPLACED COMPRESSOR LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed 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 technicians are not authorized ti make any such warranties on behalf of DUCT REPAIRED TOTAL LABOR ADJUSTED TERMS I have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller ~~~~~~:~~I~..~_~~u~_~e~~.~~~~~.I~_f~!~!,~~~~ .U~~i!. n~al payment.iS m~de. If pay~~nt i~ not made as agreed, o RECOVERED o RECYCLED o RECLAIMED o RETURNED o DISPOSAL o ~~~~%1J~g OUT/REPLACED TOTAL $ o CLEANED TOTAL MATERIALS TOTAL LABOR