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Home My WebLink About15-16495 • CITY OF ZEPHYRHILLS �, 5335-8TH STREET (ii3pso-oo20 164 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16495 Address: 6650 NORTH LAKE DR 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: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0150-00000-0190 Improv. Cost: 8,000.00 OWNER INFORMATION Date Issued: 8/06/2015 Name: BRAVINDER JON R & NANCY L Total Fees: 75.00 Address: 3831 TEXAS AVE S Amount Paid: 75.00 ST LOUIS PARK MN 55426-4352 Date Paid: 8/06/2015 Phone: 612-720-7044 Work Desc: A/C CHANGE OUT 3.5 TON � CONTRACTOR S APPLICATION FEES HARRELL HOME SERVICES I C C CHANGEOUT 75.00 � � � -- l �r �r_t� Ins ec4ions Re uired DUCT INSTALLED DUCTSINSULATED FINAL G` � -( ,5'�- 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 followi�g reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or correctior�s not made when inspections called d) work not ready for inspection when called e) permit not posted on job site fi) 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. "Warning to owner: Your failure to record a no'tice 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. C NTRACTO GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT GARD FROM WEATHER I ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 n Building Department Date Received J Phone Contactfor Permitting � { �� — �� L� Owner's Name �� I Owner Phone Number — � Owners Add�ess I/` Owner Phone Number Fee Simple Titlehotder Name �.J�..�/l.`�� Owner Phone Number I Fee Simple TitleholderAddress I JOB ADDRESS � v-t � LOT# � SUBDIVISION I U P ICEL ID# � � L ` V`' d � I (06TAINEDFROMPROPERTYTAXNOTICE) WORK PROPOSED NEW CONSTR ADqlALT � SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q � FRAME � STEEL Q DESCRIPTION OF WORK `1 � ' G L . � BUILDING SIZE SQ FOOTAGE� L HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ ( lb�q� MECHANICAL $ �p VALUA ION OF MECHANICAL INSTALLATION � OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO .(. BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I License# � MECHANICAL � C�-7 ,\ �L/ r� / COMPANY Y'C��Q�C.L. � S L ULC SIGNATURE L�J� l IlJ �—1 (� Ll� REGISTERED Y/ N FEE CURRE� Y/N Address �p � L� � U �Q(q License# L �� OTHER COMPANY SIGNATURE � REGISTERED Y/ N FEE CURRE�. Y/N Address License# tlllltllllltllllltllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllt RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;()set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal d�te. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Perm t for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans ptus a�Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, Sanitary Facilities&1 dumpster.Site Work Per i[for atl new projects.All commercial requiremenls must meet compliance SIGN PERMIT Attach(2)sets of Engineered Pians. ""PROPERTY SURVEY required Tor all NEW c nstruction. Directions:• Fill out applicalion completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) " Agent(for the contraclor)or Power of Attorney(for the owner)wIould be someone with notarized letter hom owner authorizing same OVER THE COUNTER PERMIT'fING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C 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 sub�ect to"deed"restnctions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. I UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required o be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both t e 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 Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor 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 p�operly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT A�VD 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 bu Idings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understa ds, 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 fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida IStatutes,as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided v�rith 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�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 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 i�stallation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that�II work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regul tions, 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 Protectior�-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-As estos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: ' - Use of fill is not allowed in Flood Zone"�"unless expressly permitted. - If the fill material is to be used in F14od 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 usedl only to fill the area within the stem wall. - If fill material is to be used in any arga, 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 engin�ered 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,�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 requiring a correction of errors in plans,constructio �or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is comrr�enced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period Qf 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 fir 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 YOURI PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT , WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.1 0,�) II OWNER OR AGENT ✓ CONTRACTOR S rib d an sworn t (or affirmed)before me this Subscribed and swom to(or affirmed)before me this l�`��by�f!�? l L L�J(ILaC�S by N o is/ re personally known to me or has/have produced Who is/are personally known to me or haslhave produced as identification. as identification. ,�� Notary Public Notary Public Commissian No. Commission No. L�i.��l�-1 ,i��C c._.l Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped i ' ,�+� Candy Lynne Welch .i,t *.Notary Public,9tate Of Florida Commission No.EE I 13001 �""�My Commis�ion Expires:0�/l7/1� , ;.x � ., . . ... . i�iiii�i��ii�ii��ii�ii��u��Fi�ii - �� 2 � �Q�� ' . >\ ' ,,<�8 3 • ' R�ept• i?00855 Rec: 10.OQ9 �- � ,� � Y•,�.,,... } t AS: . 0.40 IT: 0.UO � s:rFr":�K`"'�`� '. � • 0'3 j2?j2015 eRecarding a3^p� x: �f�. zr,! 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Evap.Coil Y / N Fan Blade Y / N " ��' • Drain Pan Y / N Fan Motor Y / N S�s�V�riPis Return Supply High Low SH/SC Static Press %RH WFiEN COMFORT JUST CAN'T WAIT Insp./Clean Drain Pan Y / N Condenser Coil Y / N Before I Safety Float Switch Y / N Contactor Y / N After / Transformer Y / N Compressor Y / N INVOICE#:� �� : Circuit Board Y / N Defrost Board Y / N AHCJ Model S/N Blower Relay Y / N Liq.Line Drier Y / N DATE: �/ �"�' t��Time In: Time Out: Heat Sequencer Y / N Time Delay Y / N Name: �-� �J'� �l�_2,)Y�.� CU Model S/N Fan Speed Sett Y / N En.recovery Y / N j � r_� ��_� ,]�� p Heat Element Strip Y / N Reversing Valve Y / N Address: `P�� ►�1�- �� PCK Model S/N Blower Cap Y / N Accumulator Y / N ( � � I Blower Wheel Y / N Freon Charge Y / N ��-E-'-��'V � �l� 4� l L .� �" ��-_ ' � Blower Housing Y / N Amp.Rating /" � �� •a� p Horizontal Vertical Package Roof Blower Amp Y / N [ � Y / N Home Tel: t�,� �o�- l � t � G� �- Filters[size: ] Y / N CU Amp. Ce l l/Fa x: U�J..��' 3 ' � 1 S� S/C HP Tons Thermostat Y / N [ � Y / N Email: O � �: '0 DUCT SYSTEM . . . Reason for Today's Call: ' New Good Fair Poor Cover Y / N Power Sc�ub Y / N — Ducts Attic Boot Seal Y / N Good ! Fair ! Poor Y � � Duct Leaks Y / N Service Res / Comm Clean/Check Residential Estimated Age. Yrs ;4verage Life:� Yrs Airtlowfrom each sg. Y / N Sanitization Y / N Warranty Res./Comm. Maintenance Highest Electric Bill:$ Month Service Return Duct Cleaning Estimated Utility Overpayment:$ /5 Years 5��0�G �h09Ce? �_ Enroll in our Preferred Partner Program and save on this repair TODAY! (Program includes 20%Discount on (A/�-� }� ,° ° HVAC Repairs,Parts&Labor). ` � n./L�li'V y '7 _ C ' � � � . � � Subtotal $ I Your Savings Ar�: $ �l'.�� l ►� � �-�--_ '►'1^Q._ I.I.:Vti'LeK�' . $ � ` ' �'3- . Accep Offer � Decline Offer � � � � Inifials Iniflals J�U � � . �- l �� FORM OF PAYMENT _Cash _Check# Credit Card:_VISP� �MC _AmEx Name on Card: �E-�� ('A-Z.j I�L�J�K.`C' ' !hereby authorize the above work to 6e done as so ordered and outlined Card No. '�S�T-� �� J�-w 0�� above. It is agreed that the seller will retain tiHe to any equipment or -7 I Tf��,� �� matena!until final and complete payment is made.!f the settlement is not Total Amount Due � �� Auth.Code: � 8 > Expiration � � �� made as agreed,the seller has the right fo remove eq�ipment and material I � • and the sefler will be held harmless for any damages resulting(rom the :� removal o(equipment. Parts and Labor Warranty: � D�r�-� All parts as recorded are warranted as per manufacturer specifications.We do ; , /� not guarantee other parts than those we supply. If repairs later become , � � Signature , necessary due to other de(ecGve parts,they will be charged separately. � Te - icia 's Signatu AuthoRZed by �hereby acknow dge the satisiacrory comp�etion otrhe above descnbed worx We garantee that alI repairs are done right.If a repair fails during the season, we will repair it again absolutely free. �