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Home My WebLink About05-4979 II' 1 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4979 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: 4979 i MECHANICAL i AlC CHANGEOUT I SINGLE FAMILY R~SIDENTIAL I I Address: 5029 9TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,495.00 10103/2005 45.00 45.00 10103/2005 3 TON CHANGE 0 Name: JOEY CHITWOOD Address: 5029 9TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON FEES: When extra in pection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 $hall 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 i spection when called (e) Permit not posted on job site (f) Plan hot at job site (g) Work not accessible The payment of inspection fees shall be m (lie before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y ~ intend to obtain financing, consult with your lender or an attorney before recording your notice of com e cement." Complete Plan , iSpecifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE C.O. ~~ CO PERM~ $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER II! CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DtPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED I OWNER'S NAME Jo f Y c4- /4/0..0 JOB ADDRESS SO ?;; 9~/ LEGAL DESCRIPTION: LOT(S)----1- PHONE CONTACT FOR PERMITTING PHONE ?J / Z .- 9' 7cJ J BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: 0 NEW CONSTRUCT ON o ADDITION o ALTERATION o REPAIR ffINSTALL o SIGN PROPOSED USE: ~ FAMILY o COMMERCIAL o MOVE o DEMOLISH DESCRIPTION OF WORK DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER CJ & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY BLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY OF ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING ~ECHANICAL $ 0' VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALT o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD 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 **************** ***************************************,~********* COMPANY Lf'4#.e ~ //Zc;/If?..-v f GA (" Il./c ..//lV(', STATE CERT OR REGIST # C-'ACo V'?9V~ MECHANICAL ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ndeed 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 pOftions of the nContractor 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 nFlorida'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 nowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the nowner" prior to conunencement. 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 conunenced 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 nA" or nA,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 conunenced 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 conunenced. 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 $2, 5~/- ~OT NEED TO RECORD AND POST A "NOTI:ZZENT". SIGNATUR~ OWNER OR AGENT SIGNATURE: ~NTRACTOR ____________ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2~ by (name of person acknowledged) Owho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped II' HVAC SERVICE ORDER / INVOICE Sales, Service & Installatio s 4441 Allen Rd, . Zephyrhills, FL 33541 ..J~tJ~o5_ (813) 782-5013 ,- ~.'...'."'..'.""-".' . .. -.' ".~ . ^':--".,.:.f,:._c "'. . :.. _..,><_' NOTES: ,/~t:'(,~'J~L~~J{6::?IJ.r !l1n 941 5tJ;) ~ OJ ~ e - rY~;) - i.) 703 z. (o~ 11-'- D 3. -r6~M /l t.f .,... D~ A.H~ []A(.t[.~ ~- (J~! ~~j) K.~ ,IL' k,J';,,', ',',':. ;CT.;., y... '.", ..' ..,' .,..., " ',;';. ',."',., REFRIGERANT R. LBS, I <70-"U 7AlrrA'l AA 1/0/'95: P() +- /C) K!t.J ..th4 r- "'7 I I I I ~I'{"r r~ I ~ U ~r,..,.,.., I 7 / I I I I A.(_ ,. .r- I SIJ po .4/c' 1.2 --:; -~ ~ .;'".,..'.:.;.' ~ rDAJ c; l:);u1 ... . .,.".',',' ~h- r,,# R~ AAI '..4.' /A 1/ CONDENSING UNIT COND'SATE DRAINS I CLEANED I I 7 LEVElED MAIN DRAIN I FILTERS x x I I CLEANED COIL REPAIRED MAIN DRAIN I CHECKED CHARGE CLEANED > FILTERS x x I I PAN DRAIN REPAIRED EVAPORATOR COIL LEAK IN COIL BELTS I I REPAIRED REPLACED , ENVJRO~NlENTAL CIiECK,L1$T:, LEAK IN COPPER EXP, VALVE TOTAL MATERIA S I CHANGED REPAIRED WORKP.E~FoR"ffiP; 'an:, '.',TYPElOIsPQsrnON',; , MOTOR COIL LEAK ; ',.>; REPLACED CLEANED COIL o RECOVERED CONTACTOR ;.,., REPL. START THERMOSTAT o RECYCLED RElAY ,- REPL. START, I I CAPACITOR ADJUSTED o RECLAIMED I ~~~ki-~TLj.,N" CHANGED r o RETURNED I I ~~~t~~ED DUCT o DISPOSAL I I REPLACED FUSE REPAIRED o DISMANTLED TOTAL $ o CHANGED OUT/REPLACED REPLACED ADJUSTED FILTERS 0 CLEANED 0 REPLACED .TERIALS.s LABOR M... Y BE TOTAL LASe RI I COMPRESSOR 'NTlNUED ON OTHER SIDE. - , LIMITED WARRANTY: All matenals, parts and ;- ;....;.~.~, .ERMS equipment are warranted by the manufacturers' or TOTAL suppliers' written warranty only, All labor performed MATERIALS I by the above named company is warranted for 30 TOTAL days or as otherwise indicated in writing. The above I named company makes no other warranties, express LABOR lave a~lhor. t, order the work outlined abo\'e which has been satisfactorily com le~ I ageee thaI Sellee or implied, and its agents or technicians are not I ~~~~~~~o~Zt;~::~~~~~~tr;:j:~:~t U;~i:le~~:~~~;s:~I~~y~:~~~~ ~:~~~ is not made as agreed, authorized ti make any such warranties on behalf of I fr lm said removal shall above named comnanv, SERVICE I l~, ~responsibjJjtt' of Seller. NET 30 DAYS, A 1 1/2% SERVICE CHARGE WILL E .AiDDEO MONTHLY TO CALL I L~UIlt~AID BALANCES OVER 30 DAYS. NO REFUNDS 0 REGULAR o WARRANTY TAX I 0 SERVICE CONTRACT I 9Zank ~liou. I STOMER SIGNATURE DATE TOTAL 2 '1?S. 00