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Home My WebLink About05-4983 II' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4983 Permit Number: 4983 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: SINGLE FAMILY RE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 6005 10TH ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,250.00 10/06/2005 50.00 50.00 10/06/2005 CHANGE OUT OL REHRIG 6005 10TH ST ZEPHYRHILLS, FL. 33542 Phone: (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 ~ction when called (e) Permit not posted on job site (f) Plan hot at job site (g) Work not accessible REINSPECTION FEES: When extra in ion bips 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: The payment of inspection fees shall be a e 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 comncement." Complete Pia Ii Specifications and Fee Must Accompany Application. All work shall be 'rformed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE C.O. ~~ PERMIT OFFI PECTION - 8 HOUR NOTICE REQUIRED TECT CARD FROM WEATHER II' CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DE~ARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED /0-6-05 PHONE CONTACT FOR PERMITTING JOB ADDRESS PHONE 7~S -S(; 7C OWNER'S NAME C A,e" oo.s- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: 0 NEW CONSTRUCTI o SIGN PROPOSED USE: OSGL FAMILY o COMMERCIAL o MOVE OALTERATION o DEMOLISH o REPAIR ~TALL DESCRIPTION OF WORK D RE ~e~ o ADDITION OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (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 ~HANICAL $ 250. CJO VALUATION OF MECHANCIAL INSTALLA,]~ION 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 AREAO YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # **************** ************************************************* ELECTRICIAN COMPANY SIGNATURE j STATE CERT OR REGIST I **************** ************************************************* I PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # **************** ************************************************* COMPANY 44#d S /~#~J't/... G,I'..5 e ~C , STATE CERT OR REGIST # C:Ac 0 y ~ 7' Y? *************** ************************************************* 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 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 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 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2CL- 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 Owho has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped II' IEMPST&~l Heating and Cooling Products BAHR'S PROPANE GAS & AlC INC. Sales, Service & Installations 4441 Allen Rd. . Zephyrhills, FL 335~ 1 (813) 782-5013 jcJI-()~ NOTES~~ ~2~~ L'aML 11~~ ~1J1J5' I 0 ~ 4Iit.ah 7J>tf- a7? FILTERS > FILTERS AATERIALS & lABOR MAYBE :ONTINUEO ON OTHER SIDE. TOTAL LABOR TERMS )... (!rwf2 Q have authority to order the work outUned above which has been satisfactorily complet d. iJ agree that Seller -etains title to equipment/materials furnished until final payment is made. If payment is no~ made as agreed, .eller can remove said eQuipmenUmaterials at Seller's eJ<pense. Any damage resulting 1r m !said removal shall 'ot be the responsibility ot SeUer. NET 30 DAYS. A 1 112% SERVICE CHARGE WILL BE OaEO MONTHLY TO !\LL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS :USTOMER SIGNATURE DATE9, 2- ~ HVAC SERVICE ORDER / INVOICE -~~-"" ~- --- - --~-- ~ ~ q;~If/'h AI,q /q'7~ -~~ ~~ &1L ~ ~~ ~...(. tlJ , LEVELED CLEANED COIL COND'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN EVAPORATOR COIL REPLACED EXP. VALVE REPAIRED COIL LEAK CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER CHANGED MOTOR REPLACED CONTACTOR REPL START RELAY REPL START CAPACITOR REPL RUN AP IT REPAIRED WI REPLACED FUSE REPLACED COMPRESSOR LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. AlllabDr 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 above named com an CLEANED COIL o RECOVERED THERMOSTAT o RECYCLED o RECLAIMED ADJUSTED CHANGED o RETURNED DUCT o DISPDSAL [J ~~"it~%~~g OUT/REPLACED TOTAL $ FILTERS 0 CLEANED 0 REPLACED REPAIRED ADJUStED TOTAL MATERIALS TOTAL LABOR SERVICE CALL TAX I I I I I 3250100 o REGULAR 0 WARRANTY o SERVICE CONTRACT "/1/ / ())/ ~/lWJ1./(. .YOU TOTAL