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Home My WebLink About05-5205 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5205 Permit Number: 5205 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 39223 3RD AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,895.00 12/02/2005 45.00 45.00 12/02/2005 chan e out Name: PHILLIP CLEGG Address: 39223 3RD AVE ZEPHYRHILLS, FL. 33542 Phone: ~ / {l1J \OLl yl \\p ~ REINSPEcnON 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. ) ~ 0( - ~~ CON~CTOR SIGNATURE PER~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 813-780-0020 FAX:B13-780-0021 ,\ DATE RECE IVED PHONE CONTACT FOR PERMITTING OWNER'S NAME I 11;/ j,'FJ , JOB ADDRESS ~ 7 2 Z 3 ell t:;C; // '3 ~p A v L PHONE 7~~ -t:R2S- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID ft WORK PROPSED: 0 NEW CONSTRUCTION DSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL (OBTAIN FROM PROPERTY TAX NOTICE\ o ADDITION o MOVE o ALTERATION o REPAIR ~STALL o DEMOLISH OMULTI-FAMILY o INDUSTRIAL Oft OF UNITS o SWIMMING POOL o MOBILE HOMI o OTHER c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL DESCRIPTION OF WORK ~ e.. )!! /l/c t//f//" r . BUILDING SI ZE 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING ~ECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ 2 S>9S c." CI VALUATION OF MECHANCIAL INSTALLATION o OTHER o GAS o ROOFING o SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL . 0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AHEAD YES 0 NO ,_ ~,~___~~ ~,..,__ ~_ _ "__ ___ __..-,__ _ ~ -r _ " ,_ ~___.__~_ ~_ -- - -- - l' _ -- - ~ ~-.. .- - - - -""""'r--'-' lli ! " !' II' . '" ,,:,' I I ' I I I I ,j I ......,........~___~~~......1--'-'-'__~_~_____-'-__~____I~_~_~.~----~~------------- -- - -- -~----~---~--------~ BUIWER COMPANY SIGNATURE STATE CERT OR REGIST * ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST ft ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE ****************************************************************** ~ . r]/ COMPANY 1S.4;1.€!5 ;J/Lf!}/'-4,v t: G.f'/.s /L L ./~ //_Lf?~ ' STATE CERT OR REGIST # C4C.07',3 :7ye r:/ .' ********************************************~******************** MECHANICAL OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A.' NOTICE OF DEED RESTRICTIONS The undersigned unde~$tands 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 l~cal regulations. If the contractor is not lioensed 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 responsihle. 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 indication 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, haye b~en 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 .11 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 wiil 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.nnderstand 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 inolude but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, wetiand 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-Wellsr 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 nnderstood that a drainage plan addreSsing a '.compensating volume" will be submitted which is prepared by a pro<essional engineer registered in the state of Florida prior to permit issuance. A permit issued shall.beconstrued to be a license to proceed with the work and not .S 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 pennit 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 <or the permit with fee charge of $15.00. The oxtension shall he 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 All 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 , 2~ 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) [1ho is personally known to me, or (name' of person acknowledged) Dwho is personally known to me, 'or D who has produced (type and wrioD did D did not of identification) ta}{e an oath. D who has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement " Name typed, printed or stamped Name typed, printed or stamped ~ ~' --~""--~""'-~.-'""---~'~--">'---""""""-"~'-""'-""'---"'-""----------'~"--"""~"'--=-'-------~.,,~.--..--'-,.~---<-___ __._..-__.....w.....-_-._.-__._.._,______..--._.__ ._.___......--...-,__~__ ., IEMPST&~1 Heating and Cooling Products BAHR'5 PROPANE GAS & AlC INC. Sales, Service & Installations 4441 Allen Rd. . Zephyrhills, FL 33541 (813) 782-5013 HVAC SERVICE ORDER / INVOICE WORK ORDER#/SERVICEMAN DATE/TIME TAKEN TAKEN BY DATE/TIME PROMISED CUSTOMER#/LOCATION PHONE# ROUTE/SEQ 5063 11/29/05 ,JM OFF 14:50 01 rOTES: AC4561 780-6825 OFF CLEGG, PHILLIP OR LORNA 39223 3RD AVE CLEGG, PHILLIP OR LORNA 39223 3RD AVE ZEPHYRHILLS FL 33540 ZEPHYRHILLS ~ ~ t2Ld- udLu ~+ .~ ~, yJtJ-4L cbdh ~';ztu ~ ,.,.v 1'.'" ,. ,,;0 '7.:. -,,-,;f,;']___,:y...;,.. UNlTPRICE n ',"C' AMOUNT DESCRIPTION OF WORKED PERFORMED - -- ...J, -.- .'-- -- - REFRIGERANT R. LBS. I I 3 rp /\/ -'! /1('1' rH A '/~ I z?/,5fOC /d ,e' w. /I;: /1/ I I I I I I I I I ;0. 'a .' rAt I .sO:~ "/"-c 17'" A :11"' , I I I I I WORK PERFORMED J RECOMMENDATIONS /~/L/h,' r- I .StJ 10" CONDENSING UNIT i CONO'SATE DRAINS I I I CLEANED i , I LEVELED MAIN DRAIN I I I FILTERS x x I I CLEANED COIL REPAIRED , MAIN DRAIN I I CHECKED CHARGE ! CLEANED I , FILTERS x x I I PAN DRAIN REPAIRED EVAPORATOR COIL , LEAK IN COIL I I BELTS I I REPAIRED , REPLACED 1 ENVIRONMENTAL CHECK LIST LEAK IN COPPER ' EXP. VALVE j 17. 89$1"" CHANGED REPAIRED I ! WORK PERFORMED OTY. TYPElDI$POSITION TOTAL MATERIALS MOTOR COIL LEAK REPLACED I 10 RECOVERED T I~~. .'ii~L.)~i;;;.j;:;i;rj;;;.., '.;0 ,.. '77 ';"'A~~>'; '~i.i;";"l~;-.' CONTACTOR CLEANED COIL r'}...,....,." REPL. START. ,;l'(j-\I,t::', " RELAY THERMOSTAT I (J RECYCLED REPL. START. ADJUSTED I 10 RECLAIMEJ I I CAPACITOR ~~~kr~N,~ i CHANGED I ! 0 RETURNED I I ~Tgt~~ED I i 10 DISPOSAL DUCT I I REPLACED FUSE I REPAIRED I I CJ DISMANTLED TOTAL $ :J CHANGED OUT/REPLACED REPLACED I ADJUSTEO I I FILTERS ::J CLEANED 0 REPLACED ,TERIALS So LABOR MAY SE TOTAL LABOR I COMPRESSOR lNTlNUED ON OTHER SIDE LIMITED WARRANTY; All materials, parts and TOTAt.SUMMARY '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 LABOR I named company makes no other warranties, express have authority to order the work outlined above which has been satisfactorily completed. I agree that SeUer or implied, and its agents or technicians are not I !tains title to equipmenVmateriafs furnished until final payment is made. If payment is not made as agreed, authorized ti make any such warranties on behalf of ~tler can remove said equipmenllmaterials at Seller's expense. Any damage resuHing from said removal shall above named comoanv. SERVICE I )1 be the responsibility of Seifer. NET 30 DAYS. A 1 1/2% SERVICE CHARGE WILL BE ADDED MONTHLY TO 0 CJ WARRANTY CALL I lL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS REGULAR '1 0 SERVICE CONTRACT TAX .J. Ah::./ 4'.,(1 t4 I 2Ih Jr v2!, TOTAL 2(j9~' po) USTOMER SIGNATURE DATE la1i c .. Oa-