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Home My WebLink About06-5470 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5470 Permit Number: 5470 Permit Type: MECHANICAL Class of Work: A/C CHANGEOUT Proposed Use: CHURCH Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: STJOSEPH 38710 5TH AV ZEPHYRHILLS, FL. 33542 4,200.00 2/21/2006 55.00 55.00 2/21/2006 Phone: 10 TON CONDITIONER UNIT CHANGE OUT Address: 38710 5TH AV ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-17100-0010 ~,~~1 ~ REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. 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." NO OCCUPANCY BEFORE C.O. ~~ ~~ ' TRAC , R SIGNATURE PERMIT OFFI ~-~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CIrry OF :liJ!i.t'n~nn..L.u.LIu ... ..........- - --- --- BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 813-780-0020 FAX:B13-780-0021 DATE RECEIVED PHONE GONTACT FOR PERMITTING OWNER'S NAME ~-fj; ~e./JA C~c clc t<r.e:-h PHONE I ~A -;:f? 710 .s ~~ ;7 E':;( ~ t:Z-ff / 5 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 it \ \ -d.l.o - d \ - 00\ 0- II \ 00'- ()OIO IOBTAIN FROM PROPERTY.TAX NOTICE\ WORK PROPSED: ONEW CONSTRUCTION D SIGN o ADDITION o ALTERATION o DEMOLISH o REPAIR o INSTALL DMOVE PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL O. OF UNITS o SWIMMING POOL o MOBILE HO~ o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL /,1 y.,.. ~Ce!f;~rC%<<:~ ~ 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL D PLUMBING ~Al'lICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ 1~oo VALUATION OF-MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL 'D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ~--'~"__ -- - - -,- .--- ,"- . - ."- 1-- ~-~--_.------- . .. ' ' - - - --- -..- --- -~,--- I t t I I I 1.1 1'1 , I I , I ~', J I r I 'J ' fr III ~~~_.;..;....J.~_.-......-~J___~~_'- - ---.-----.!.------------ --~ ---~.-~~~~--~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST i ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE COMPANY ~ ******************************************** MECHANICAL STATE CERT **********************.********~****~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A.' NOTI~E OF DEED RESTRICTIONS ThE1 undersigned understands that this permit may be subject to "deed restrictions" which may be more restiictive,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~ftors 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 misdemean:or violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended w'ork, 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 "Gontractor Sections" of this ~pplication for which they will be tesponsible. It ydu,'as ~he 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 contract?r that ma~ 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 STA~tiTES, AS AMENDED) I certify that I, the applicant, haYE:! been provided with a copy'of "Florida's Construction lien Law _ Homeowner's.Protection Guide" prepared by the Florida Depattment of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownet", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owneri! 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 I development. ' ' Applic::ation is hereby made to obtain a permit to do work and installation as indicated. I i I certify that no work or installation has commenced prior to issuance of a permit and that i all work wlll be p.rformOd to meet standards of all laws regulating construction, city I codes, zonlng regulations, and land development regulations in the jurisdictlon. I also i certify that I .understand that the regulations of other governmental agencies may apply to i the intended work, and that it is my responsibility to identify what actions I must take td be in compliance, Such agencies inolude but are not iimited to' .Department of I Environmental Regulation-CyprOss Bayheads, weti.ud 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 abatemen~ I also certi~y that, if fill material is to be used in Flo~d Zone "A" or "A,etc.", it is i understood that a drainage plan addre.sing a"'compensating volume" will be submitted which. is prepared by a professional engineer registered in the State of Florida prior to permit . . ' J.ssuance. 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, cons~ruction, or violations of any code. Every permit issued shall become inv.lid unlees the work authorized .by euch permit is commenced within I six months of issuance, or if work authorized by the permit is suspended or abandoued for '$ period of six months after thO tlms.thework i. commenced, One 90 day extension of time may be allowed for the permit with fee charg. of $15,00, The o.tension shall be requested in writing to .the Building DfficiaL An approved inspoction 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 PRUPERTY, IF yOU INTEND TO.OBTAIN FINANCING, CONSULT WITH YOUR LENUER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2 U:..- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me, this ~day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged '.r 20_ (name of persor acknowledged) C1ho is personally known to me, or (name' of person acknowledged) Owho is personally known to me, 'or o who has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid [}:iidnot t.ake an oath Signature of person taking acknowledgment Signature of person taking acknowledgement " Name typed, printed or stamped Name typed, printed or stamped NAME Kin.se1' Central clt'^~C~ 'J 78;;<-,;Lf!/? Heat & Air-Conditioning, Inc. Fc:-Y' P.O. Box 2209 Zephyrhills, Florida 33539-2209 "7 .$ ~- / () ? b (813) 782-2300 I PHONV5;-tf_ g~lV [ 4-ffi. CA-C058626 I~~;~R~I ADDRESS CITY MAKE NATURE OF Y SERVICE REQUEST o CASH o CHARGE QUAN. PART NO, DESCRIPTION PRICE ,','..' " L~' TOTAl MATERiAl SERVICE PERFORMED TECHNICAL SERVICE TIME A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. DATE COMPLETED TAX 7~ tOte! CASH g~~g~~LETION _ TOTAL TECHNICIAN CUSTOMER'S SIGNATURE