HomeMy WebLinkAbout05-5280
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5280
Permit Number: 5280
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 934.00
Date Issued: 12/22/2005
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 12/22/2005
Work Desc: EQUAL CHANGE OUT 1
Address: 6424 SILVER OAKS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-0221
Name: HENDERSON,CHARLES
Address: 6424 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone:
2 1/2 TON CONDENSING UNIT
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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."
Com lete Plans, SpeCifications and Fee Must Accompany Application.
All ork hall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~ ~~~
NTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERM~T A~~~~~^~~un
BU~LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
, 813-780-0020 FAX: 813-780-0021
DATE RECE IVED
/ IJ-- - :2:Z -0 j-
.
PHONE CONTACT FOR PERMITTING
OWNER'S NAME CA/J.d"/eJ ~/J.t2/SD".J
JOB ADDRESS . /1)'-1,;)4 d;/J/e,. t7ak J ~,
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # t13 ~ (p d I (})/;)O ODooo c>~t
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
o SIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JADDITION
[JALTERATION ~EPAIR
o DEMOLISH
[J INSTALL
o MOVE
[JMULTI-FAMILY
D INDUSTRIAL
D* OF UNITS
D SWIMMING POOL
D MOBILE HO~
DOTHER
c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL
DESCRIPTION OF WORK e.q<.J4.<- C/O (I) 21('2... -b ~ Cn~~~~,.:)~ u~l7
BUILDING SIZE
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.
[] BUILDING
$
/ j.. ~U ./
PERMITS REQUESTED (.5 //
VALUATION OF TOTAL CONSTRUCTI'o'N ~
[] ELECTRICAL
[] PLUMBING
~MECHANICAL
D GAS D ROOFING
AMP SERVICE
[] Progress Energy []
W.R.E.C.
~
93~-
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
D SPECIALTY
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
~~, .-: r..~~ ~"____-=-___=~: ____.c .~==___ - , --___ ...:. ::. -.:. _L . ~~ ..._~=~~--- -... ...~ -~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
.
STATE CERT OR REGIST *
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST *'
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COMPANY ~n,4,i SvCJ .
STATE CERT OR REGIST *' t!4co,919'tf"?
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A.. NOTI~E 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 contr<;\.ytors 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 "Gohtractor. 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 I 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 CONNECTI,ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay~ 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 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. '
Appllqation 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 issuahce of a permit and that
all work wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also
certify that I ,understand that the regulations of other governmental agencies may apply to
the intended work I 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 certity that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensa.ting 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEME
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
ST~ E OF FLORIDA ~~
. r'7~CO
COUNTY OF
The foregoing instrument was acknowledged
:~fore JJ~sEJ:::.Lay off)~c- , 20tU:
(name of person acknowledged)
[1ho is personally known to me, or
~ho has produced :p?l>?,g;~n()176,~Y~
(type of identifica~ion)
and ~?9~tl~V;~::j
Signatu~ of person taking acknowledgme~
...'.~"r"... Bobbie Swetland
~~~.. ~"
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name' of person acknowledged)
Owho is personally known to me, 'or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Signature of person taking acknowledgement
*.
s
_ prin'fittlllJaCV:tl2. dilmoed
BONDaJ THRU TROY FAIN INSlJRANCE.1NC.
Name typed, printed or stamped
Name
~'1~....."<t;""~
"',f?f.lft:.""
rROM :5un Air Services
FAX NO. :8136843762
Dec. 22 2005 01:05PM Pi
/
FAX COVER SHEET
Air Conditioning - Heating
State Certified #CACQ44863
AIR SERVICES
Phone (813)684-9919
Fax Number: (813J 684-3762
SUN AIR SERVICES
501 South FaUambwx Road
UniL c-21
Tampa, FL 33619
P.O. Box 1229
Bt'81l.don, FL 33509-1229
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SEND TO: Crl, of 21'l~rt I/; ( Ai!"...
COMPANY NAME: FROM: ....;tvV
,
ATTENTION: Bob~" DATE: 17-/2-2/05
FAX NUMBER: 1/3- 7 to" OO~ I PHONE NUMBER: 8/3- b !t.f-'l? If
TIME SENT: II~V5~i1 RE: (.Ofl 6.{- { () Il +fl.A-( ;
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_ The Sunshine State -
lICENSE IUeER
..E152...o11:&1-S74-0
. AL.LB'tSlBlEiN EBANKS
1878 WAC"MSASVST
TARPON SPRINGS. FL 14_ lIOOO
BHmIDATE sex HGT. REST. SlllORSE.
10-14-81 M 6-10
EXPIRES IU'UCATE
10-1..- 10-13-03
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ORGAN DONOR
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0peniII0n ata malDrwllicle~ ~1D any sobfielytMt noquinld by law. .' .