HomeMy WebLinkAbout15-16446 � CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 164
I
BUIL ING PERMIT
^� � PERMIT INFORMATION - - LOCATION INFORMATION
Permit Number: 16446 Address: 38803 6TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14000-0100
Improv. Cost: 5,916.00 OWNER INFORMATION
Date Issued: 7/24/2015 Name: TOWNSEND TROY JR & SHIRLEY ANN
Total Fees: 65.00 Address: 38803 6TH AVE
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-4310
Date Paid: 7/24/2015 Phone: 813-779-8075
Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRACTOR S I APPLICATION FEES -
SUNCOAST AIR CONDITIO I G INC A/C CHANGE UT 65.00
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Ins ec ions Re uired �
DU TS INSTALLED
DUCTSINSULATED
FINAL �� -�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one 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� 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 properly 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 mana ement, state agencies or federal agencies.
"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 Must AccompanylApplication.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CON CTOR SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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4,, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Buildfng Department
Date Recelved phone Contact for Permittin
/ � Owner's Name � � I Owner Phone Number � `�
Owner's Address \V • I Owner Phone Number
' Fee Simple Titleholder Name I Owner Phone Number
I
� Fee Simple Titleholder Address I
JOB ADDRESS O I \�+ - LOT# �
SUBDIVISION �, ��� PA ICELID# — �2, � ���OO
, I (OBTAINED FROM PROPERTYTA%NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH I
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK '—' �•� `
BUILDING SIZE SQ FOOTAGE� HEIGHT �
I
' QBUILDING $ VALUAI�ION OF TOTAL CONSTRUCTION
/ �
' QELECTRICAL $ AMP SEIRVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
il �
QGAS Q ROOFING Q SPi CIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
�
� BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
-
i PLUMBER COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
/ � I
� Address I License# '
�
MECHANICAL COMPANY • � 1�� I
SIGNATURE REGISTERED Y! N FEE CURREN Y/N
Address J • � License# �(� I
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I
Address I License#
IIIIIIIIIIIIIIi111111111111t1i1111111i1I1111i1111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1� set of Energy Forms;R-O-W Pertnit for new construction, .
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(70)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permij 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.
Dlrections:•
Fill aut application completely.
Owner&Contractor sign back of application,notarized
It over$2500,a Nollce of Commencement Is requlred. (A/C upgrades over$7500)
i � " Agent(far the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same
' OVER THE COUNTER PERMIITING (Front of Application Onl�)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Countei If on public roadways..needs ROWI
s �
�-.
i � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
' which may be more restrictive than County regulatiorjs. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. '
' 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 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 contracto�are uncertain as to what licensing requirements may apply for the '
� intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
i 8009. Furthermore, if the owner has hired a cont{actor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not droperly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT 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 Transportatipn Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power�elease. 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 WateNSewer Impact
fees are due,they must be paid prior to permit issua ce in accordance with applicable Pasco County ordinances. �
CONSTRUCTION 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
Protection 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.
� CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify t at all the information in this application is accurate and that all work
will be done in compliance with all applicable laws rggulating 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regul Itions, 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:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Managemelnt District-Wells, Cypress Bayheads, Wetland Areas, Altering
, Watercourses.
- Army Corps of Engineers-Seawalls,Doc s,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 thl use of fill:
- Use of fill is not allowed in Flood Zone"�"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 submittetl 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 Flootl Zone"A" in connection with a permitted building using stem wall
� construction,I certify that fill will be usedlonly 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 iss�ed 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,
plumbing, signs, wells, pools, air conditioning, gas,l 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 O�cial from thereafter
requiring a correction of errors in plans,constructionl or violations of any codes. Every permit issued shall become invalid
unless 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
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases fo i ninety(90)consecutive days,the job is 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
FLORIDA JURAT(F.S.117.03) .
OWNER OR AGENT CONTRACTOR
S�ub cri�be,,d�and swo o affirmed efor m thi Subscribed and swom to(or affirmed)before me this
��bY by
Who is/are p�rsonal y known to e or has/have produced Who islare personally known to me or has/have produced
�� as identification. as identificatlon.
/ \
�ary Public Notary Public
Commfssion No. Commission No.
,� Nam f ��rinted Name of Notary typed,printed or stamped
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LIC # CACA10322 7 S�'°R
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DATE ���Gi��� INVOICE# � Q���
BILLTONAME I JOBNAME �` �-,�„\ i L��,J�S���
STREET I STREET 2���� (7 p� i�i/C N
CITY- � ZIP I CITY �r��-;1+f �� �l S � + ZIP j�`;j�
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-SERVICES PERFORMED- I AH MAKE J �-� � YR �i TYPE �(L;:
QTY ITEM PRICEI AH MODEL ��.�/' ��3 J r) �i L�C�
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❑CHECK REFRIGERANT ❑CLEAN EVAP COIL I$ -TECH RECOMMENDATIONS-
❑INSPECT EVAP COILS O CLEAN/GUARD COILS I$ �1 j �-;L, I ��' ,,I U p, �j ,,� S �� J4 � ,` T J���
❑INSPECTAIR FILTERS ❑UV PROBE REPLACEMEN I$ �;?�;, f� � �� ���� ;����V��� `��� ��,���t��
❑CALIBRATETHERMOSTAT ❑DUCTSANITIZED I$ - rNi;;,..,
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❑INSPECT MOTORS � ' ❑UV LIGHT INSTALL �/� '�
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❑CHECKAMPS ❑NEWTHERMOSTAT IS I(� 'l�. ��^�(A>I�J��I �;i ,nCPSSO� '�JGIra,,-�
❑CLEAN DRAINS , �6 MONTH�NTAINT. `��� $0.00'-�W/PMA' � /R �1;��;n �
_ LBS OF REFRIG RECOVERED • REF HIGH PRESSURE I ` '�; I U,�� `��,����?�
_ LBS OF REFRIG INSTALLED REF LOW PRE55URE I '�-�
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All Parts rewrded are warranted as per manufacturer speciFcations. The labor charge as �'�`'^' f)�^ F� f j;;r��,,:!-:r'��,j f(o�
recorded here relative to the equipment serviced as noted Is guarenteed fo�30 days. • �—'"""`''�
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IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED .+�j � pLEASE PAY FROM THIS INVOICE
TODAY,TELL A FRIEND;IF NOT�PLEASE TELL US. SUNCAASTASSUMESNORESPON5181IlfYFORCIOGGEDDMINLINES,WA7EIt�AMAGEOREQUIPMENTFAIIURE
THE.HARRIS FAMILY WOULD LII<E TO THAfVK YOU�FOR�THE PRIVILEGE OF PROTECTIIVG TERMS: NET DUE ON COMPLETION
,, ,, ' ' ?YOURFAMILYANDHOMEIN.THESERVICEINDUSTRYSINCE.1993.I' -'t_ : Th�stmo�ce�ssu6jecttoafinancecharqeoli-i/zApermonth.nnnualeercenugettateorte�5whichisairowedbr
' ` ' '� r 1'�' ' � law.
REPA�R$ I It is agreed and understood by lhc parties that a0 equipment and paris wli�are wld pursuant here[o shall NOT
become fiK[ures of part of the rcal estate where lhcy are placed.Said parts and equipmem shail at all times remain
PARTS I P�rwnal properq and the ti[le tbere[o shall remain in the seiler untd payrtrent in tull is received.Buycr agrees tha[
' �' all parts and equipment may be rc�ossessed in the event of non�paymenL
I I havc authwity to onlcr the wark as outlined abovc.I agrec to pay ali cozts and teawnable atmrneyrs fees if thc
SUB-TOTAL inwice is placed in the hands of an attorney for cvilection.
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STATE SALES TAX I ���� ,��.`t��^� �/�`�;Ik�.'
ARE YOU A PMA CUSTOMER? ASK TOTAL CHARGE lQ�"� G� � � �.�T�C�HNICIAN.SIGIGAT.U�R�/ DATE
ABOUT SPECIAL PMA CUSTOMER PAYMENT �. I '�`��'Jf '�� � ��_, -�,.�
DISCOUNTS! - '�'v�N(�'" � /��._• i � _r��r i '
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BALANCE DUE �,�„i.c N(�. CUSTOIVIER SI%A�URE �v � DATE
vorww.S u n co a stAi rFL�.co,m
Jul O�i1510:37p Bob Morgan 727-799-2732 p.1
.
� S U N C C3AST AI R
. CONDIT��NING, IN�.
. • 8001 Causeway BEvd
St. Petersburg, Fiorida 33707
' 727-588-0333
Air Conditioning License#CACA10322
FEIN # 90-0679979
DECLARATION OF AUTHORIZATION
CITY OF ZEPHYitHILLS
3552 8T"STREET -
ZEPHYRHILLS, FL33542
� I authorize the foflowing empioyees and w�ose names appear below, to register my license, •
sign for an 'n air conditioning permits fbr this company. '
X ° ��� I
Robert D. Morgan
Air Conditioning License#CACA10322
Mb25-764�16-144-0
SWORN AND SUBSCRIBED
Before me this�day of 20�.
N ry Public State of Florida at Large
, +�,,���"�N, 1r011fTTA J.MACOOMAIO
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Authorization List:
Name: � � Drivers License Nurnber:
BriannaCash ...........................................................................................C200-072-94-879-0
AshtonHamby....................,....................................................................H510-017-91-791-0
RichardVierling.......................................................................................V645-743-87-413-0
' ltyan Gagnon...........................................................................................GZ55-733-91-188-0
� -
� Phone: 727-588-0333
i Fax: 800-610-7709