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Home My WebLink About06-6229 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6229 Permit Number: 6229 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 3,495.00 Date Issued: 11/09/2006 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 11/09/2006 Work Desc: AlC CHANGE OUT Address: 4924 5TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-01000-0110 Name: VARGHSSE,THOMAS Address: 4924 5TH ST ZEPHYRHILLS, FL. 33542 Phone: Y A09-, -0 lo ( \, \ 1 / '\ \1 \ / REINSPEcnON 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. ~. SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I JOB ADDRESS I SAM .( SUBDIVISION I I PARCELlD#1 WORK PROPOSED B NEW CONSTR B ADD/ALT D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D DESCRIPTION OF WORK I LOT # (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I STEEL D OTHER I I HEIGHT I I D"'" ~~,;;;;~~"""" 'I~""""""""""""'" i"'" ~;:~;~:~~ '~~ ~~~: :~~~~~,~~"""""""""""""""""""'" , 1$ I 1$ I 1$ .:?YjS-otJ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111I11I11111111111111 " 111111111 " 1 " I11I11 " 1111I111I1 " 1111111111111111111111111 " 11111 " 1111I111111I " I " I " II " III " I " 1I1111111 " I " I " SQ FOOTAGE I BUILDING SIZE D D ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C, PLUMBING ~ MECHANICAL VALUATION OF MECHANICAL INSTALLATION Address I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N License # I I B'A//<:z S hC"/~,'V~ 6~J e A(C: I /'b N I FifE CURRENT I (J)I N _ License # 1<:::'.;1 c.o '("J? Y ~ MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # III " I " I " " 111111111 " 111111I11 " II " 111111111 " " , 11I111 " " , 11111111111111111111111 " 11I1111111111 " I " 111111I " " I " 111111 " II " " 11111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. .11..........................111.......................1111................1111..............................111..........11.....111.............. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with an}t , applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or cont~actors 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 misdeme~nor 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 Pasco County Building Inspecti~n Divi~ion-Licensing Section at 727-8~7- 8009. Furthermore, if the owner has hired a contractor or contractors, he IS adVised to have the contractor(s) sign porti9ns of the "contractor Block" of this application for whic~ they will be .responsi~le. ,If you, ~s. the o~~er si~n as the contractor, that may be an indication that he is not properly licensed and IS not entitled to permitting priVileges In Pasco I County. TRANSPORTATION IMPACT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time, of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release., If the project does not involve a certificate of occupancy or final 'power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact feeslare due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CO~STRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Prot~ction Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify 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. COfoJTRACTOR'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. 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 will be performed to meet standards of all laws regulating conS1truction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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: . Dep~rtment of Environmental Protection-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. ' ;- US Environmental Protection Agency-Asbestos abatement. , Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: r Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) . acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plum~i~g, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 reql,liring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unl~ss the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension max be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demQnstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. I WA~NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA'(ING 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. FLORIDA JURAT (F.S. 117.~3) OWNER OR AGENT :fi.. / ,/ --CONTRACTOR Sub 'crl ed and sworn to (or a ed) before me this Subscribed and sworn to (or affirmed) before me this by i-<..e-J \ n ~ili n by 01 re personally known to me or haslhave produced Who Is/are personally known to me or haslhave produced as identification. as Identification. , ~ ~Io~~~ac..c___ Notary Public ! ..,,,,,!,. K . Commission No. ,.' "Uu aren L. Mil r ! ...~.~ :.i i.: Commission #'00609664 : ~.. :~: Nam,e of Notary typ '. Notary Public Commission No. Name of Notary typed. printed or stamped . . 'urlll1Ce, Ine 8Q().385.7019 '"---- BAHR'S PROPANE GAS & AlC INC. TEMPST&~1 Heating and Cooling Products , ,,- ~- #"...J ...... -. HVAC SERVICE ORDER / INVOICE Sales. Service & Installations 4441 Allen Rd. . Zephyrhills, FL 33541 (813) 782-5013 WORK ORDER#/SERVICEMAN DATE/TIME TAKEN TAKEN BY DATE/TIME PROMISED CUSTGMER#/LOCATION PHONE# ROUTE/SEQ 8494 10/31/06 SYLVIA 11/06/06 20128 813-715-1458 EST33542 EST 13:26 02 00:00 NOTES: ~ lOMAS, VARGHESE '245TH ST THOMAS, VARGHESE 4924 5TH ST :PHYRHILLS i=L 33542 ZEPHYRHILLS EST FL33542 'E BROCHURES ON GOODMAN, AMMANA & TEMP W/HEAT PUMP. IPS ALSO WANTS EST FOR c EXTRA ... > FILTERS FILTERS LEVELED CLEANED COIL COND'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN EVAPORATOR COIL REPLACED EXP VALVE REPAIRED CO'L LEAK CLEANED COIL a RECOVERED ~"TERIALS & LABOR MAVBe :ONTINUED ON OTHeR SIDE. TOTAL LABOR THERMOSTAT a RECYCLED ADJUSTED a RECLAIMED CHANGED a R,ETURNED DUCT a DISPOSAL REPLACED FUSE REPAIRED 0 ~~~%'i~g OUTIREPLACED TOTAL $ ~5~LtFfEEJ'SOR ADJUSTED FILTERS 0 CLEANED 0 REPLACED LIMITED WARRANTY: All n;aterials, parts and gilil~t.~1iI1<~~ eqUipment are warranted by the manufacturers' or .""'-'Ol!:,_'_~:",,._ ",:"""",,,:!:',",1."'o:,\t;,.,.:U""W:tG"",i,.o.: .l~~ suppliers' written warranty only. All labor performed MATE~9;t~ by the above named company IS warranted for 30 days or as otherwise indicated in writing, The above TOTAL named company makes no other warranties, express LABOR or implied, and its agents ur technicians are not authorized ti make any such warranties on behalf of above named com an , o REGULAR 0 WARRANTY o SERVICE CONTRACT CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER CHANGED MOTOR REPLACED CONTACTOR REPL, START RELAY REPL. START, CAPACITOR REPL RUN A IT REPAIRED BELTS TERMS I have authority to order the work oullined above which hilS been satisf3ctorily compllitted. I agree thai Saller relatns title 10 equipment/materiels furnished until finel payment 15 mede. If pI.Iymenl Is not made as agreed, seller c.!In remove s~id equipmenUmalerials at Seller's expense. Any damage resulting from seid removal shaH not be the responsibility 01 Seller. NET 30 DAYS. A 1 1/2% SERVICE CHARGE WIll BE ADDEO MONTHLY TO ALL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS CUSTOMER SIGNATURE DATE 9/w,nk %u SERVICE CALL TAX ...;;z-..vc:::/ V;" C -0 TOTAL 3~7:J '-=- BAHR'S PROPANE GAS & AlC INC. nMPST&~l Heating and Cooling Products HVAC SERVICE ORDER / INVOICE , ,,-..- ~'<wI ...... ~ -. Sales, Service & Installations 4441 Allen Rd. . Zephyrhills, FL 33541 (813) 782-5013 WORK ORDER#/SERVICEMAN DATE/TIME TAKEN TAKEN BY DATE/TIME PROMISED CUSTGMER#/LOCATION PHONE# RDUTE/SEQ 8494 10/31106 SYLVIA 11/06/06 20128 813-"715-1458 EST33542 EST 13:26 ..,,~. .....c 00:00 'lOTES: lOMAS, VARGHESE 124 5TH ST THOMAS, VARGHESE 49,:::4 5TH ST :Pl-NRHILLS FL 33542 ZEPHYRHILLS EST FL33542 E BROCHURES ON GOODMAN. AMMANA & TEMP W/HEAT PUMP. IPS ALSO WANTS EST FOR c EXTRA ::.:::c" ,,') '. ~. '. .,'. .' " - ...re',' . ". UNIT PRICE "", , " , REFRIGERANT R. LBS I I .i UT /./1 /1..../1 /00/ ~.c1.e. r .s 3 JON .4 /J1A/l/A d< , r /leMA I I /.?JeLl' F A//f A/ftJ r Ac..c. E.55 /I I" S)tfA./ Av)(' hlLAT I I e /JLJ..o . ;LJUc Ts A.I(L.4J UO I I /JJ~vL u,..-v ,0 tM 1//: I I I I A .tJ LJ .1 ,LJ t/Lr ~#J, /LILW (c~fiJ € /l.... I I ~ /tI"J z-x,/LA /~, , /O)t ~ xC; {' jJ/uA - I X"rGt~ / /' ~ /6 S.! l/C.. Y/L'A ~..Gft!~ I I WORK PERFORMED' ;"Xi , , I CONDENSING UNIT COND'SATE DRAINS I I CLEANED I I LEVELED MAIN DRAIN FILTERS x x I CLEANED COIL REPAIRED MAIN DRAIN I I CHECKED CHARGE CLEANED > FILTERS x x I I PAN DRAIN REPAIRED EVAPORATOR COIL i LEAK IN COIL BELTS : , REPAIRED REPLACED ENV1RbNMENTI>.LCHE(:;Khi~)1.~'; LEAK IN COPPER EXP, VALVE TOTAL MATERIALS I CHANGED RE"AIRED If/ORKPERFORME':D 'OT'I': '1YF'JaIO!~~~~~I()N,!J MOTOR CO'L LEAK ..' .'.,.' REPLACED I CLEANED COIL o RECOVERED CONTACTOR HR$. I),: . .".,LABOR RATE AMOUNT REPL. START THERMOSTAT o RECYCLED RELAY REPL. START ADJUSTED o RECLAIMED I I CAPACITOR REPL. RUN CHANGED o RETURNED I ~{'PACITOR B~,PAIRED DUCT o DISPOSAL IRING I I REPLACED FUSE REPAIRED o DISMANTLED TOTAL $ o CHANGED OUT/REPLACED REPLACED ADJUSTED FILTERS 0 0 I>IATERIALS & LABOR MAY Bf. TOTAL LABOR I COMPRESSOR CLEANED REPLACED :ONTINUEO ON OTHER SIDE. LIMITED WARRANTY, All materials, parts and .""".. TERMS 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 days or as otherwise indicated in writing, The above TOTAL I named company makes no other warranties, express LABOR I have authority to order the work oulhned above which hflS been satisfactorily completed. I agree that Seller or implied, and its agents ur technicians are not I retains title to equipment/malerials furnished until final paymen~ is made, If pAvmenl j~ nOl made as agreed, authorized ti make any such warranties on behalf of , seller can remove said equipment/materials at Seller's eKpense. Any damage resulting from said removal shall above named comDanv, SERVICE I not be the responsibility of Seller. NET 30 DAYS. A 1 112% SERVICE CHARGE W'LL BE ADDED MONTHLY TO CALL ALL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS 0 REGULAR [) WARRANTY I :J SERVICE CONTRACT TAX ...T..vc::./ I/o? (:-0 rJhan.k 'e ~ TOTAL 3mt'O CUSTOMER S!GNATURE 0.:"1 E ~'Io{{