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Home My WebLink About05-4414 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4414 Permit Number: 4414 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 584720TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,090.00 6/10/2005 50.00 50,00 6/10/2005 2 TON AlC CHANGE-OUT Name: DEIBLER, DANA Address: 584720TH ST ZEPHYRHILLS, FL. 33542 Phone: 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 and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. - ~~ RACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER H~AIING/COOUNG I:STlMATE AND PROPOSAL SEARS, ROEBUCK AND CO. 'De ( Lt.R' CUSTOMe" OFfICE PHONe COpy "\M Jar vill~1 ~ CITY IHST-'llATIOf/ AOQAESS IN I 0I1T OF CITY lIMITS STllIli ZIp COOl UNIT NO. lie. NO, RUEVBrrAN~OR~MN~ USE EXISTING VENT OR CHIMNEY 0 REPLACE FlUE 0 ~STALL NEW CHIMNEV LINEA 0 SIZE PVC VENT PIPE FOR HI.E FURNACE HORZ 0 VERT 0 COMBUSTION AIR 0 EXISTING 0 MODIFY 0 1 PIPE INSTALLATION 0 2 PIPE INSTALLATION 0 OOUNG SEER 1 V HEATING fO f...,. AFUE II ~.ENT MODEL iY'S~~ t....... ') ..- ./' FURNACE/AIR HANDL.EA ,I. . . C?.. ~ . T-STAT EXISTING t.!:rNEW II ._. CONDE'NaI:!A UNIT /I __ ~.~ OOOLf:!1ll , PACKAGE UNIT /I BOILER II EVAPORATOR COIL /I OTHER II .EQUlfMI;N,T SPECIFICATIONS: __ /' FURNACE/AIR HANDLER EXISTING 0 NEW!1I'_ CONDENSER UNIT EXISTING 0 NEW ~ EVAPORATOR COIL EXISTING 0 NEW 0 LINE SET EXISTING J2r NEW 0 mlCI..SY~ ./' USE EXISTING SYSTEM [B' ADD TO EXISTING 0 INSTALLING NEW SYSTEM 0 SEE SPECIAL INSTRUCTIONS REGISTERS USE EXISTING 0 NEW 0 RETURN AIR 0 EXISTING 0 MODIFY 0 I - 8!I.LINQ PAICI! Sl'E:CIAL INSTAUCTlONS SUB TOTAL SALES TAX OEPOSIT BALANCE ~~ CONTRACTOR PHONE II ~NTAACT PRiCe;; INCLUDES; - VR MASTER PROTECTION AGREEMENT YR REPAIR PROTECTION AGREEMENT ~ o o CUSTOMER 4GREEa, SEARS 1& NOT R!SPONSI81.E FOA ANY EXISTING CODE VIOlATIONS OR PRE. EXISTING CONDITIONS Of' ANV DUCTWORK, PIPING, ELECTIlICAL SUPPLIES OR EQUIPMENT NOT BEING REPLACED AT THIS TIME. ~F A .'TIONAL WORK IS REOUIREO, IT WILL BE THe CUSTOMER'S I1ESPONSlBlU4Y. ANY AOOtt Al CHARGES WI!..L BE OUOTED AND IIPPAOveD PRIOR TO THE STAI1T OF ADOITIO/oIAL WOo ,c.. ~ INl~ GONT3c;~E;. eO CUSTOMER CAN BUY (DATE) AT TillS PRICE UNTIl: I I ~ODOFPAV~ , 1 . d ~ ACCIUUIORIES: HUMJD'fl~R EXI~T1NG a NiW If-......... AlA CL!ANIiR EXISTING t.J NEW _ \ DUCT CLEANING YES 0 NO 0 -- REMOVE OLD EaUIPMENT FROM SITE llr" j.EAVE ON SITE 0 DRAIN LINE EXlS'l"ING 0 . NEW 0"'" CONDENSATE PUMP EXISTING 0 NEW g ./' SLAB EXISTING 0 NEW!H" SIZE OTHER . EXISTING 0 NEW 0 ELECTRICAL; . CONNECT TO EXISTrNG PANEL ~NSTALl NEW DISCONNECT 0 INSTALL NEW 0 AMP SERVICE 0 SAME LOCATION 0 NEW 0 ADDITlONAL WORK_ ~PtJ~~~T~lJlzQ-~.r (<Clt~~e ~ pt.~ '-. A{~..~~kf. i" '. C~X~ If\ KJ~C:~~ 5,lQG:" ~\.'S -h.~ b,{~ (). L cry::. 51 7e' ~2 1_- o..t..fr? i<,) LICENSE # ADDRESS ASBESTOSABATEUE~ THIS ESTIMIUE AND PROPOSIIl ASSUI'vIES NO ASBESTOS WILL BE D1STuRlIEO IN THE PERFORMANce OF WORK. IF UPON FlJATHER INSPECTION BY CONTFIAC1OR OR 01lleRS, ASBESTOS HAS TO BE DISTURBED TO PERFORM WORK, ClISToMER MUST AARANGE AND PAY FOR AllATEMENT OJ: ASBESTOS PRIOR TO THE STAAT OR CONTlNUATION OF WORK. JI:' ~R FAIl.$ TO ARRANGE FOA NECESSIIRV ASBeSTOS ABATEM!.NT WITHIN THIRTY (~~AY CANCEL THIS PROPosAL UPON WRITTEN NOTICE m CUSTOMj;R. INITIAL . THE WORK WIll STARr APPROXIMATElY AND WlU lIE SU8lTA~y COIfPlETeo BV APPROXIMATElV .' THESE DATES AAE SUIlJ(;CT TO GHANaE IU THE TINE THE CON'T'RACT IS ACCEPTED 8Y SEARs OR AT'ANv OTHIiR TIME 8Y MlJTIJAL WRITTEN AOREEMENT.I UNDERSToWO THAT THlS'1S 0lIII.., AN ESTIMATE DATE AND 1 Will liE CONTACTED PRIOR TO THIS DATE 10 SCHEDUlE THe ACTUAl INSTAtlATIOH DATE. ~ ^ Jf n al'i,...,,1 r ; ~/~I' ,,/,") vSv:Ol SO EG ~VW CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED t, - If} -O~ PHONE CONTACT FOR PERMITTING OWNER'S NAME PAMA S-<6~7 !)~ \ ~}e VL aOi~ S+ PHONE G\~) 'gl/t.-79>{ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [J REPAIR IH-l:NSTALL [J SIGN PROPOSED USE: ~GL FAMILY DWELLING [J COMMERCIAL [J MOVE [J DEMOLISH [JMULTI - FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH O? ''TON Ale.. DEPARTMENT APPROVAL C h4';~ D u-J- BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS 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. & (1) SET ENERGY FORMS. FORMS. [J BUILDING PERMITS REQUESTED ~~~. VALUATION OF TOTAL CONSTRUCTION , -1J Ift{.., (If / ) \ ~ "". ." -..-' $ [J ELECTRICAL AMP SERVICE [J Progress Energy [J W.R,E.C. [J PLUMBING [J MECHANICAL $ 3D iD. ~ 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 AREA[J YES [J NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANIC ******************************************** rQ-~~ COMPANY AIL CALC/S-~'-I ~2.- STATE CERT OR REGIST # ************************************************************** 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. 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 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 proc~e~ with the work a~d not as authority to violate, cancel, alter, or set aside any p~o~1s1ons of the techn1cal,c~des, nor shall issuance of a permit prevent the Building Off1c1al from thereafter requ1r~ng a correction of errors in plans, construction, or violations of any code. Every perm1t 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 a~andoned,for 'a period of six months after the time the work is commenced. One 90 d~y extens10n of t1me may be allowed for the permit with fee charge of $15.00. The extens10n shall b~ requeste~ in writing to'the Building Official. An approved inspection must be logged dur1ng each S1X 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: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- 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) [1ho is personally known to me, or Owho has produced (type of identification) and wrioD did Ddid not take an oath. o who has produced (type of identification) and who Odid [}:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped