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Home My WebLink About05-5238 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5238 Permit Number: 5238 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: 5336 20TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,500.00 12/12/2005 50.00 50.00 12/12/2005 AlC CHANGE-OUT Name: VAN ACKER, CAMILE Address: 5336 20TH ST ZEPHYRHILLS, FL. 33542 Phone: b \.9 . <. (,/;," 0 l '" ~,~ 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. /::f1-~. r~~ CON'fRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, ~~ 33542 I 813-780-0020 FAX: 813-780-0021 in /.::?- DS , ;1 DA,TE RECEIVED /....0" . I PHONE CONTACT FOR PERMITTING OWNER'S NAME CA/11, f. L V~,v q c ~',: If JOB ADDRESS S 3_? 6' 20 rh. S /, PHONE 7(j.5 - C $/.5' Y LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: 0 NEW CONSTRUCTION DSIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL (OBTAIN FROM PROPERTY.TAX NOTICEl o ADDITION o ALTERATION o DEMOLISH o REPAIR ~-i'NSTALL o MOVE DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM '~HER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL ~~,e. A/c " t//1/ I "r OJ(6-'' ~ 0;) 7- 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS, . '..... PERMITS REQUESTED / //~ 5/ J;??5 ( -// -: --:::-/ / '------- o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING ~CHANICAL ~.sOO <!JC1 $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO rr:l,....,'~""7"rr:r l'M".....~~' -" ~<, ~-~ -:-,....--;--...--~ .-.~...-- -- ~-..~" . ~~ I--~- -~---- --- ~~~~ Jl'" - ,M " MI~ - -~ -~ -~,. -~ ~T""" ---;~~:-;~fr-I 1[1\11 It I ,I 1- 'j I I I , I I t i r , I I :: I -~ It I I ~~,~~ W~~~'~~~_~~~-"-1-I~_~I>.'DL.C~l':"'-'~_~~._~_~_~_____ _____~. ~_~J__'_'_"_~~~~~j BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY ~ ~ If Jt.. ~ jJ 0/ -f...., GAl!!. i2..1/C ..rr/C~ SIGNATURE ~~~......................:::::.::::.::.::::::.:......... OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS Th~ 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 f6cal 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 "Co~tractor Sections" of this ~pplication 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 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, hav~ 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 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-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: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2U-- 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 and wlioO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Odid D:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped _..__."--'-'----_._-,~.- - -'~--------- --'-.__. TEMPST&~1 Heating and Cooling Products BAHR'S PROPANE GAS & AlC INC. Sales, Service & Installations 4441 Allen Rd. . Zephyrhills, FL 335!t1 (813) 782-501 j-- .. HVAC SERVICE ORDER / INVOICE CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER CHANGED MOTOR REPLACED CONTACTOR REPL. START. RELAY REPL. START CAPACITOR REPL RUN CAPACITOR REPAIRED WIRING REPLACED rUSE REPLACED COMPRESSOR LIMITED WARRANTY: AI! materials, parts ana TOTAl.. SUMMARY equip.me~t are warranted by tile m~nuf3cturers' or TOTAL suppliers written \"ar,ranty OnlY,. i\11 18,bor P8rfOrm,ed I MATERIALS by the above named compan)/ IS Warranled for" 30 TOT L days or as otherw,se Indicated In writ,ng. The above LAS6R na~ed ~o~pany ~akes no Other warranties, express ~ or rmpllec, and !ts agent..:: or techniCl3ns are not I _>~: __ " _ authorized ti make any such warranties ;.:;n Dehaif of !" ,.~ ."yr " r above named com an SERVICE CALL ./) \JOTES: " ::lTY. MATERIALS g: SERVICEs\ '~ CLEANED COIL > TOTAL MATERIALS iRS. LABOR RATE AMOUNT lAl!::RIAlS & LABOR MAl' 51:: ONTINUED ON OTHER SIDE TOTAL LABOR TERMS have authority 10 order the work outlined <'Ibove which h<'ls been satisfactorily completed I agree thai Seller etains title to equipmentfmnteri<Jls furnished untii final payment is made_ jf payment is not made as agreed, ;eller can remove said equipment/materials at Seller's expense Any damage resulting from SOlid removal shall lot be the responsibility of Seller. NET 30 DAYS_ A 1 112% SERVICE CHARGE WILL BE ADDED MONTHLY TO :AA";?::;~7~~ ::USTOMER SIGNATURE DATE ~, ,,' DESCRIPTION OF WORKED PERFORMED th. /~.: RECOMMENDATIONS COND'SATE DRAINS I BIA~~~~~IN I REPAJRED , flftAIN DRAIN , CLEA'IED ! P.A.N DRAIN EVAPORATOR COIL REPLACED ! EXP. VALVF i REPAIRED i COil' EAK , ENVIRONMENTAL CHECK LIST I 'NORK PEFFORMED QTY. TYPE/DISPOSITION ! U RECOVERED i i ,.J RECYCLED r:JREClAir:,;;:o--- i CLEANFD COIL f---- --t~- THERMOSTAT ! ADJUSTED [CHANGED I - - DUCT i U RETURNED I i '~ DiSPOSAL I '.J q'SMA.NTl':O I '...i_CHANG-HJ UUliRfPlACFD o CLEANED REPAIRED TOTAL $ ADJUSTED :.:l REPLACED o REGULAR 0 WARRANTY o SERVICE CONTRACT TAX ,./// / 02/ c/!l{f,nfr cle(/. TOTAL e